Elbow Physical Exam

  • WIPE, blah blah 🙂
  • “Take vital signs”
  • Position: anatomical position
  • Proper exposure: of both upper limbs
  • General inspection of the pt and surroundings (walking aids)

 

  • Look:
    • Front:
      • Carrying angle (15°)
      • Varus\valgus deformities
      • Muscle wasting
    • Sides:
      • Scars
      • Swelling \ cysts
      • Olecranon bursitis
      • Limited \ hyper-extension
    • Back:
      • Rheumatoid nodules
      • Gouty tophi
      • Psoriatic plaques
  • Feel: (first ask pt if they have pain?)
    • Temperature
    • Elbow joint: epicondyles, radial head, ulnar olecranon process
      • Comment on tenderness and bony\soft swelling
  • Move:
    • Active + passive + against resistance: flexion, extension, pronation, supination
  • Special tests:
    • Tennis elbow (lateral epicondylitis): flex elbow 90° + pronate + extend wrist against resistance
    • Golfer’s elbow (medial epicondylitis): passively extend and supinate elbow + extend wrist
    • Valgus\Varus stress test: flex elbow 30°
    • Tinel’s sign (cubital tunnel syndrome): tap ulnar N. near medial epicondyle + ask if there’s pain\tingling in the ulnar N distribution (medial 1 and 1\2 fingers)
  • Neurovascular:elbow 4
    • Pulses
    • Reflexes
  • Joint above + joint below

 


Download the PDF version: here

 

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this:
search previous next tag category expand menu location phone mail time cart zoom edit close