Elbow Resources

Elbow examination (R) Elbow examination (R)


Look with arms forward flexed approx 45 degrees, elbows extended (i.e. out in front)
• Carrying angle
• Scars/Swellings/Sinus
• Popeye lesion
Hold arms abducted out to sides
• Extension – active/passive both sides
• Flexion – active/passive both sides
Flex elbows
• Look at lateral side
• Effusion
• Scars – Kochers
• Look at posterior aspect
• Bursitis
• Rheumatoid nodules
• Scars
• Look at medial side
• Scars – ulnar nerve transposition

Palpation
Medial
• Medial epicondyle
• Flexor pronator mass
• Ulnar nerve – check for subluxation
Posterior
• Olecranon and olecranon margins for osteophytes
Lateral
• Lateral epicondyle
• Capitellum/radiocapitellar joint
• Radial head
• Extensor origin
• Radial tunnel
Anterior
• Biceps tendon
• Lateral cutaneous nerve just lateral to this
Supination/Pronation
Supination/pronation power
Biceps/triceps power

Stability
Varus – 20 degrees flexion, wrist supinated
Valgus – 20 degrees flexion, wrist pronated to take out PLRI
Lateral pivot shift test – patient supine, shoulder FF to 130, elbow extended, axial, valgus and supination moments, flex up from 0 to 40 degrees, feel subluxed joint reduce at around 40 degrees.

Other
Wrist ROM
DRUJ ROM
Shoulder ROM

Neurovascular exam
Ulnar nerve in particular
PIN ( Kochers ) Median (anterior scar)
Pulse

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