| A | B |
|---|
| elbow fracture | Signs and symptoms • Moderate to sever pain • Possible deformity • Crepitus • Swelling and discoloration • Decreased ROM • Decreased Strength Treatment • Splint and refer to physician o Vacuum splint or Sam splint make sure splint both above and below • Check brachial pulse before and after splinting o Two make sure fracture isn’t interfering with vascularization • If deformity possible surgical intervention • Early ROM |
| Elbow dislocation | Signs and symptoms • Moderate to severe pain • Deformity at elbow • Profuse selling and discoloration • Decreased ROM • Decreased strength Treatment • Splint and refer to physician • MD will reduce post x-ray • Immobilization for 3-4 weeks in removable splint • RTP with full ROM and no symptoms • Prone to re-injury |
| Elbow Hyperextension | Signs and symptoms • Moderate to sever pain • Decreased ROM in extension • Possible swelling • Bone bruise, injure capsule Treatment • RICE therapy • ROM program • RTP as tolerated • Hyperextension taping |
| Ligament Sprains | Signs and symptoms • Mild to moderate pain • Slight swelling • Complains of a “pop” or “snap” at onset • Popping or shifting with further activity Tests: • Valgus stress test o Lateral stress to test ucl • Varus Stress Test o Pushing on medial aspect Treatment: • Refer to physician • RICE therapy • Surgery may be required for full tears (Tommy John Surgery) o Year long process to RTP • Evaluate mechanics to correct problem |
| Medial/Lateral Epicondylitis | Signs and symptoms • Pain and tenderness at affected site • Pain with activity • Decreased ROM • Medial-Pitcher’s or Golfer’s elbow o Prontating • Lateral-Tennis elbow o Extensor group and supinator Treatment • RICE therapy • Anti-inflammatory medicine • Ultrasound • ROM exercises • Strengthening |
| Elbow Bursitis | Signs and symptoms • MOI-land on elbow • Slight to moderate pain • Moderate to severe swelling • Decreased ROM • “joint mice” o overtime calcification in bursa. Feels l like little pebbles in elbow joint treatment • all about getting swelling down • RICE therapy • Compression wrap • Sometimes surgical to remove bursa |
| Biceps Strain | Signs and symptoms • Mild to moderate pain • Decreased ROM in flexion/extension • Pain with motion • Possible “Popeye” deformity Test: • Manuel muscle test Treatment • Rice • Stretching • Strengthen |
| Triceps strain | Signs and symptoms • Mild to moderate pain • Decreased ROM • Pain with motion • Decreased strength Testing: • MMT Treatment • Rice • Stretching • Strengthen |
| Ulna/Radius fracture | Signs and symptoms • Moderate to severe pain • Possible deformity • Crepitus • Swelling and discoloration • Decreased mobility Tests: • compression test Treatment • RICE • Splint and refer to physician • Can be surgical to repair bones if there is alignment issues • May be cleared to RTP even with cast • RTP once symptoms do not recur with activity • Start extensive strengthening program after case is removed |
| Forearm Contusion | Signs and Symptoms • Pain at injured site • Swelling and discoloration • Decreased ROM • Decreased Strength Treatment • RICE therapy • RTP as symptoms allow • Protective donut pad or orthoplast pad |
| Forearm Splints | Signs and symptoms • Mild pain throughout forearm • Pain increased with flexion/extension • Decreased strength • Pain with ROM Treatment • Ice • Cold whirlpool • Anti-inflammatory medicine • Compression wrap |
