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Cheatography

Elbow Pain Cheat Sheet (DRAFT) by

Elbow Pain + Diagnosis

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