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OPA Elbow & Forearm

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Orthopeadic physical assessment starts with what 7 things?
1. Inspection 2. Bony Palpation 3. Soft tissue palpation 4. ROM 5. neurological examination 6. special tests 7. examination of related areas( if needed)
what is the "carrying angle"?
-Anatomical position -elbow in VALGUS -5-15 degrees
Gunstock deformity
-elbow is VARUS -usually from a supracondylar fx in child (Malunion)
Elbow Flexion ROM
135 degrees & up
Elbow Supination ROM
90 Degrees
Elbow Pronation ROM
90 Degrees
Ligamentous Stability test
Varus & valgus applied to elbow JT to see if any JT disruption
Milkers Test
- Laxity of UCL - usually overthrowing athletes
what is Little Leagues elbow?
Avulsion Fx of the Medial epicondyle of elbow
Tommy John surgery
tendon from forearm or below knee is woven in a figure-8 through holes drilled in lateral humerus & ulna -Usually Palmaris Longus
Panners Disease
ODC of capitulum
Distal Biceps tear
-MUST BE REPAIRED -short time to do so -cant turn(screwdriver motion)
Tennis Elbow
-Wrist extensors are in LATERAL region -PT, Nsaids, Brace, Injectiong THEN sx
Golfers Elbow
-Wrist Extensors are in MEDIAL region -PT, Nsaids, Brace, Injection THEN sx
Triceps Tendonitis
-repetitive stress to distal triceps tendon -common in weight lifters - PT, Nsaids, Injection -sx is Rare!
Tinel's sign
tap or apply pressure at cubital tunnel

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