Upper Extremity HampP Elbow Exam General Ortho Physical Exam Maneuvers Inspection Palpation Range of Motion Muscle Strength Special Tests Always think about the joint above and below where the pain is and examine that joint ID: 273087
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WEEK 1 ORTHO CURRICULUM
Upper Extremity H&P:
Elbow ExamSlide2
General Ortho Physical Exam Maneuvers
Inspection
Palpation
Range of MotionMuscle StrengthSpecial TestsAlways think about the joint above and below where the pain is and examine that jointSlide3
INSPECTION
Look for redness, swelling, warmth -> think septic arthritis
Look at
olecrenon bursa – should see bony prominenceIf looks boggy or like a golf ball -> think bursitis
Olecrenon bursitisSlide4
PALPATION
Olecrenon
: should be bony, if boggy, warm -> think bursitis
Epicondyles: should be prominentRadial Head: very important because many occult fracturesPalpate distal to the lateral epicondyle on the radial side, then pronate and
supinate and should feel the radial head moving under fingers –> look for pain which may indicate radial head fxSlide5
RANGE OF MOTION
Elbow Flexion: 135
o
Elbow Extension: 0oPronation (palms down)Supination (palms up)Slide6
STRENGTH TESTING
Resisted forearm flexion/extension
Resisted wrist extension/flexion
Resisted long finger extensionPain at elbow with resisted forearm/wrist/finger extension -> may be lateral epicondylitisPain at elbow with resisted forearm/wrist flexion -> may be medial epicondylitisSlide7
SPECIAL TESTS
Rupture of
Ulnar
Collateral Ligament (rare)UCL is on the medial aspect of the elbowValgus stress – arm in partial extension, stress on the lateral aspect of the elbow, opens up the medial joint space -> pain may indicate rupture