| Elbow Injuries and Conditions |
| Medical Term Common Term Mechanisms Symptoms Signs Special Tests Referral/Diagnostic Procedure Classification of Injury Management Comment |
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| Medical Term Common Term Mechanisms Symptoms Signs Special Tests Referral/Diagnostic Procedure Classification of Injury Management Comment |
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| Ulnar Nerve Contusion Bruised nerve – funny bone Direct trauma Pain Loss of function Numbness Tingling and/or burning sensation in the forearm and hand over the ulnar nerve distribution Loss of function in the forearm and fourth and fifth fingers Sensation and motor test over the ulnar nerve distribution Tinel’s sign Refer to a neurologist if symptoms/signs persist Not applicable |
| Median Nerve Injury Contusion to a nerve Direct trauma Repetition Compression resulting from a fracture or luxation Weakness in grip Muscle atrophy of thenar eminence Numbness Sensory loss in nerve dinstribution Weakness of thumb abduction against resistance Loss of function Thumb abduction against resistance Check sensation on palmar aspect of index finger Tinel’s sign Refer to a neurologist if symptoms/signs persist Not applicable |
| Medical Term Common Term Mechanisms Symptoms Signs Special Tests Referral/Diagnostic Procedure Classification of Injury Management Comment |
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| Radial Nerve Injury Contusion to a nerve Direct trauma Compression of the radial nerve above the elbow from sudden forceful triceps contraction Fracture of the humerus Elbow luxations Pain Weakness on finger extensionNumbness Sensory loss Muscle weakness on extension of the fingers against resistance Test finger extension against resistance Check area of sensation on the dorsum of the hand between the thumb and the index finger Tinel’s sign Refer to a neurologist if symptoms/signs persist Not applicable |
| Medical Term Common Term Mechanisms Symptoms Signs Special Tests Referral/Diagnostic Procedure Classification of Injury Management Comment |
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| Ulnar Nerve Injury Contusion to a nerve Direct trauma to the ulnar nerve Entrapment in scar tissue or muscular tissue Repetitive valgus stress to the elbow, as in throwing a baseball Subluxation of the ulnar nerve Possible cervical nerve root, brachial plexus involvement, or thoracic outlet syndrome Muscle weakness Pain on elbow flexion Muscle atrophy Numbness or tingling in the forearm and hand Burning sensation or dead feeling in the forearm or hand Sensory loss over nerve distribution Possible atrophy of muscles Loss of function Impaired abduction and adduction of fifth finger Impaired adduction of thumb and abduction of index finger Tinel’s sign Full elbow flexion for 5 minutes will often reproduce symptoms Test abduction and adduction of the fifth finger against resistance Test adduction of thumb and abduction of index finger against resistance Check area of sensation at tip of the fifth finger Tinel’s sign Elbow flexion for 5 minutes Refer to a neurologist if symptoms/signs persist Not applicable |
| Medical Term Common Term Mechanisms Symptoms Signs Special Tests Referral/Diagnostic Procedure Classification of Injury Management Comment |
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| Osteochondritis Dissecans Joint mice Unknown Impaired blood supply to area Articular ot hyline cartilage degeneration Pain after exercise Loss of function Chronic nonspecific swelling Loss of function Muscle atrophy Possible transient locking Active, passive, resistive movements Refer to an orthopedist if symptoms/signs persist X-ray MRI Not applicable |
| Medical Term Common Term Mechanisms Symptoms Signs Special Tests Referral/Diagnostic Procedure Classification of Injury Management Comment |
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| Volkmann's Contracture Same as above Supracondyle fracture of the humerus Pain in the forearm that increases when the fingers are passively extended Paralysis Ischemia and neurologic changes such as coldness, stiffness, or numbness of the fingers Swelling Ecchymosis Possible deformity Possible cessation of brachial and radial pulses Muscle spasm Possible necrosis of forearm muscles due to pressure on brachial artery Use of tissue manometers to measure cmpartment pressure Allen’s test Refer to a orthopedist and neurologist X-ray Not applicable |