Elbow - MEDIAL EPICONDYLITIS – Golfer's Elbow • As...

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Elbow This note covers some causes of elbow pain: Major causes: Cervical spondylosis Olecranon bursitis Lateral epicondylitis Medial epicondylitis Rheumatoid arthritis Osteoarthritis +/- Ulnar nerve symptoms = tingling, numbness, weakness. Due to proximity of nerve to elbow. OLECRANON BURSITIS: Student's elbow Pressure/friction leads to enlargement of olecranon bursa. Can also be caused by infection - pus, gout – crystals , rheumatoid arthritis – nodules Management: Mostly conservative but depends on underlying cause. Infection may require aspiration and washout under general anaesthetic. LATERAL EPICONDYLITIS: Tennis Elbow Inflammation to common extensor origin - vascular repair causing pain May present following unaccustomed activity On examination: tenderness over lateral epicondyle, pain on extension if resist. Normal range of movement. Management: – Rest. Steroid injection if severe.
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Unformatted text preview: MEDIAL EPICONDYLITIS – Golfer's Elbow • As above but for medial epicondyle. FRACTURES AROUND ELBOW • Monteggia fracture – fracture of ulna shaft and dislocate radial head (MU) • Galeazzi fracture – fracture of radial shaft and dislocated distal radio-ulnar joint. • Management: Both are unstable – need ORIF in adults or manipulation and plaster in kids. SUPRACONDYLAR FRACTURE OF THE HUMERUS • Common in children after fall on outstretched hand • On examination – swollen elbow, held in semi-flexed position • Complications! Brachial artery injury --- Volkmann's ischaemic contracture – claw hand Compartment syndrome Cubitus varus – gun stock deformity • Management: check for neurovascular damage. Non- displaced – immobilise arm fully flexed. Displaced – K-wires – need to re-check pulses and monitor carefully for compartment syndrome....
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This note was uploaded on 12/04/2011 for the course ANTHRO 2000 taught by Professor Monicaoyola during the Fall '10 term at Broward College.

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Elbow - MEDIAL EPICONDYLITIS – Golfer's Elbow • As...

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