Elbow Examination: Difference between revisions

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(Replaced content with "==Introduction== ==Inspection== ==Palpation == ==Range of movement== ==Other Manoeuvres == ==References== Category:Elbow & Forearm")
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==Inspection==
==Inspection==
*Skin changes such as psoriatic plaques
*Fixed or reducible deformity / soft tissue swelling
**Masses, nodules or tophi
** Carrying angle of the elbow
* Articular or olecranon bursal swelling
* Signs of inflammation
* [[Complex Regional Pain Syndrome|CRPS]] signs


==Palpationย  ==
==Palpationย  ==


==Range of movement== ย 
==Range of movement== ย 
Assess active and passive range of motion of the elbow joint. Normal flexion is 135-145 degrees, and normal extension is 0-5 degrees <ref>Morrey BF, Askew LJ, An KN, et al. A biomechanical study of normal functional elbow motion. J Bone Joint Surg. 1981;63A: 872โ€“6.</ref> Compare to the opposite side and assess for end feel of movement.
The forearm range of motion is 85 degrees of supination, and 75 degrees of pronation. The hand should move medially as the forearm pronates <ref>Weinberg AM, Pietsch IT, Helm MB, et al. A new kinematic model of pro- and supination of the human forearm. J Biomech. 2000;33:487โ€“91</ref>


==Other Manoeuvres ==
==Other Manoeuvres ==

Revision as of 08:04, 21 June 2020

Introduction

Inspection

  • Skin changes such as psoriatic plaques
  • Fixed or reducible deformity / soft tissue swelling
    • Masses, nodules or tophi
    • Carrying angle of the elbow
  • Articular or olecranon bursal swelling
  • Signs of inflammation
  • CRPS signs

Palpation

Range of movement

Assess active and passive range of motion of the elbow joint. Normal flexion is 135-145 degrees, and normal extension is 0-5 degrees [1] Compare to the opposite side and assess for end feel of movement.

The forearm range of motion is 85 degrees of supination, and 75 degrees of pronation. The hand should move medially as the forearm pronates [2]

Other Manoeuvres

References

  1. โ†‘ Morrey BF, Askew LJ, An KN, et al. A biomechanical study of normal functional elbow motion. J Bone Joint Surg. 1981;63A: 872โ€“6.
  2. โ†‘ Weinberg AM, Pietsch IT, Helm MB, et al. A new kinematic model of pro- and supination of the human forearm. J Biomech. 2000;33:487โ€“91