- Skin
- Color: erythema, ecchymosis, white, black
- Trophic changes (altered hair growth, sweat production)
- Scars
- Swelling
- Muscle tone
- Atrophy, hypertrophy
- Deformity: asymmetry, rotation, amputation
Elbow/Forearm
GENERAL EXAM
INSPECTION
PALPATATION
- Palpate for
- Effusion
- Clicking
- Snapping
- Crepitus
- Tenderness
- Temperature
- Masses
- Areas of Emphasis
- Recommend you divide elbow into four quadrants
- Lateral:
- Lateral Epicondyle of Humerus
- Medial:
- Ulnar Collateral Ligament
- Medial Epicondyle of Humerus
- Anterior:
- Radial Head of Radius
- Tendon of Biceps Brachii
- Posterior
RANGE OF MOTION
- Forearm
- Pronation: 75-80
- Supination: 80-85
- Elbow
- Flexion: 150-160
- Extension: 0
- Humerus and Shoulder
- Abduction: 180 degrees
- Adduction: 50 degrees
- Forward flexion: 180 degrees
- Extension: 50 degrees
- External Rotation: 90 degrees
- Internal rotation: 90 degrees
STRENGTH
- Supination: Supinator, Brachioradialis, Biceps Brachii
- Pronation: Pronator Teres, Pronator Quadratus
- Elbow Flexion: Biceps Brachii, Brachioradialis, Brachialis
- Elbow Extension: Triceps Brachii
NEUROVASCULAR
- Motor Nerves:
- Musculocutaneous Nerve: Elbow flexion, supination
- Radial Nerve: Elbow extension, elbow flexion, supination (wrist extension, wrist adduction, wrist abduction)
- Median Nerve: Pronation (wrist flexion, wrist abduction)
- Light touch
- Lateral: Lateral cutaneous nerve of forearm (branch of Musculocutaneous Nerve)
- Posterior: Posterior cutaneous nerve of forearm (branch of Radial Nerve)
- Medial: Medial cutaneous nerve of forearm (branch of Ulnar Nerve)
- Dermatomes: C5-T1
- Deltoid (C5)
- Thumb (C6, median n)
- Posterior 1st web space (C6, radial n)
- Middle finger (C7, median n)
- Little finger (C8, ulnar n)
- Proximal medial forearm (T1)
- Deep Tendon Reflexes (C5-C7)
- Biceps (C5, C6)
- Brachioradialis (C6)
- Triceps (C7)
- Myotomes: C5-T1
- C5: shoulder abduction
- C6: Elbow flexion Wrist extension
- C7: Elbow extension
- C8: Finger flexion
- T1: Finger abduction
- Vascular
- Radial pulse
- Ulnar pulse
SPECIAL TESTS / VIDEOS
- Lateral Epicondylitis
- Medial Epicondylitis
- Golfers Elbow Test: WikiSM |
- Distal Biceps Tendon Injury
- Hook Test: WikiSM |
- Ulnar Collateral Ligament Injury
- Radial Collateral Ligament Injury
- Cubital Tunnel Syndrome
- Posteromedial Rotatory Instability
- Little League Elbow
- Elbow Valgus Stress Test: WikiSM |
OTHER
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CITATIONS
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