Kinesiology 2236A/B Lecture Notes - Lecture 16: Ulnar Nerve, Brachial Artery, Capillary Refill
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Symptoms: hx of moi, bike, foosh, pain +, light-headed/dizzy. Signs: may or may not have visible deformity, spasm, swelling, hemorrhage, +/- neurovascular signs. In all patients with supracondylar fractures, the extremity should be assessed for: pulse, colour, temperature (feel cold, capillary refill. Elbow dislocations: one of the most serious acute injury to the elbow, major complication is neurovascular compromise, median/ulnar nerve and brachial artery. Moi: usually posterior lateral rotary force from foosh, shoulder abducted with forearm in supination then forced flexion from extended position. Pol mm and hold paper between thumb and finger. If injured thumb flexor mm do the work: intact ulnar n. allows normal finger abd/adduction. Management: rapid reduction is excellent pain therapy. Olecranon bursitis: bursa, moi usually fall or repeated blows to elbow, students elbow. Symptoms and signs: severe pain, swelling, point tenderness (feel like a fluid filled sac)