PHTY207 Lecture Notes - Lecture 14: Osteochondritis Dissecans, Valgus Stress Test, Olecranon Fossa
Document Summary
Establish a provisional diagnostic hypothesis of an elbow condition based on: patient interview, mechanism of injury. Signs and symptoms: across the lifespan presentation, patient interview and history, patient age and gender, onset of signs and symptoms, area of pain. Lateral/medial/posterior: type of pain, deep ache (joint)/sharp/superficial (tendon, other s and s"s, burning, tingling, weakness of grip. I(cid:373)pair(cid:373)e(cid:374)t of (cid:271)lood suppl(cid:455) dege(cid:374)eratio(cid:374) of arti(cid:272)ular cartilage: repetitive microtrauma via elbow motion (radiocapitular jt, young athletes = throwing+, signs & symptoms. Swelling, pain, crepitus, decreased rom: can usually obtain full extension, dx: x-ray or mri, mx: conservative (ricer); surgical debridement (removal of loose bodies, medial elbow pain, valgus instability. Laxity on valgus stress tests tenderness (near mcl: positive radiographic examination, thorough physical examination. Loss of rom - extension: valgus instability testing, manoeuvres to assess valgus instability. Lateral epicondylalgia: 3% general community, up to 30% repetitive hand activities, work i(cid:374)dustries (cid:894)alla(cid:374)der (cid:859)74, ber(cid:374)ard (cid:858)97(cid:895, 40% of all tennis players (kelley et al.
