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Page 1: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus
Page 2: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

ELBOW

DISLOCATIONS

Page 3: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

ELBOW DISLOCATIONS

When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus.

Page 4: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

POSTERIOR DISLOCATION

HYPEREXTENSION

Page 5: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

FRACTURED HUMERUS

HYPEREXTENSION

Brachial ArteryMedian Nerve

Page 6: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

INITIAL ASSESSMENT OF THE ELBOW

(Deformity)

• Check radial pulse and instrinsics of the hand.

• Palpate supracondylar ridge of humerus.

Page 7: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

Deformity of the Elbow (2)

• Be aware of shock.

• Call ambulance (if you stand them they go vaso-vagal).

• Give the athlete space.

Page 8: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

SPRAINS OF THE ELBOW

Valgus stress affecting the medial collateral ligaments.

Varus stress affecting the lateral collateral ligaments.

Page 9: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

MUSCLE FUNCTION AROUND THE ELBOW

Medial Epicondyle: Pronation of the forearm, wrist flexion, elbow flexion.

Lateral Epicondyle: Supination of the forearm, wrist extension, elbow flexion.

Page 10: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

LATERAL EPICONDYLITIS

Page 11: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

TENNIS ELBOW

Page 12: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

Lateral Epicondyle

Common Extensor Attachment

LATERAL ASPECT OF THE ELBOW

Page 13: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

TENNIS ELBOW

Signs and Symptoms:• Pain before, during and

after activity.

• Pain on palpation.

• Pain on grasping, squeezing and pinching.

Page 14: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

INITIAL TREATMENTS

• Ice massage to the area.

• Stretching.

• Strengthening.

• Modification of activity.

• Changes in equipment.

Page 15: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

Pronate forearm, extend the elbow, flex the wrist,

(flex the fingers).

Page 16: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

With palm down grasp a light weight (2-4 kg.).

Extend the wrist. 3 sets of 15 reps; then increase

weight.

Page 17: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

Reduce Elbow Stress

Page 18: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

Medial Epicondylitis (Golfer’s Elbow)

Page 19: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

MEDIAL EPICONDYLITIS

Pronation, wrist flexion and elbow flexion.

Page 20: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

SIGNS AND SYMPTOMS

• Pain on use of affected muscles.

• May have slight swelling.

• Activity makes it worse.

Page 21: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

INITIAL TREATMENTS

• Icing or ice massage.

• Stretching.

• Strengthening.

• Equipment change or modification.

Page 22: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

Extend the fingers, extend the wrist and

extend the elbow.

Page 23: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

Grasp the weight with the palm up. Flex the wrist to

the maximum and let it down into extension.

(3 set of 15 reps starting with 4

kg.)

Page 24: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

BRACES ?

Page 25: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

FRACTURED RADIUS

Page 26: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

FRACTURED RADIUS

• Pain on radial side of forearm.

• Local tenderness.

• Passive forearm pronation painful.

• Swelling?

Page 27: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus
Page 28: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

FRACTURED SCAPHOID

Page 29: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

Scaphoid Fracture Fall on the extended

wrist

P.O.P. in anatomical snuff- box, may have swelling

Reduced painful wrist extension

Pain on radial deviation of the hand.

Page 30: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus
Page 31: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus
Page 32: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

Ulnar Collateral Ligament of the first

metacarpal- phalangeal joint.

Page 33: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

FORCED VALGUS

Page 34: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

MALLET FINGER

Page 35: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

Avulsion of Extensor Digitorum Longus

Tendon.

FORCE

Page 36: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus

MALLET FINGER Distal phalanx falls into

flexion; unable to hold the finger straight when passively extended.

Pain on palpation of the finger nail bed.

Medical referral.


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