This is a draft cheat sheet. It is a work in progress and is not finished yet.
Pain Location
Posterior: Olecranon Bursitis, Triceps Tendinitis & Posterior Impingement |
Medial:
Excessive activity of the wrist flexors: Flexor Tendinopathy
Excessive Throwing Activities: Valgus Stress on the Elbow - Resisted by medial collateral ligament and radiocapitellar joint |
Lateral: Extensor Tendinopathy |
Causes:
Trauma:
Fall onto Outstretched Hand (FOOSH) Injury
If flexed, posteriolateral dislocation may occur
If elbow fully extended - f# of radial head or capitellum
Varus/Valgus shear forces - f# of condylar & Supracondylar structures
Direct Impact - f# of olecranon |
Overuse:
Overuse of Forearm Extenders most common - Tennis Elbow
Valgus stress in throwing (Ulnar Collateral Ligament Rupture, Golfer's Elbow, Olecranon Compartment Chondromalacia and Loose Bodies Secondary to Valgus instablity
Varus Forces - Disrupt lateral soft tissue and medial Elbow Compartment compression |
Swelling, Clicking & Grinding: - Intra-articular Pathology of the synovium, cartilage or bone |
Exam
Cx, Shoulder, Elbow, Wrist and Hand exam |
Investigations
X-rays |
FBC |
ESR/CRP |
Nerve Conduction Studies |
Electromyography |
Ultrasound |
Olecranon Burisitis
Caused by single/repetitive traumas (resting elbow on hard surfaces for long periods) |
Swelling + redness |
Pain on elbow flexion |
FEVER = SEPTIC BURSITIS |
Management
- Pharmacist for analgesics (NSAIDs) |
- Rest and firm compression |
- Elbow Protector |
- Refer to GP if not better for injection therapy |
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