Elbow injuries in athletes
|
|
- Dwain Cannon
- 5 years ago
- Views:
Transcription
1 Elbow injuries in athletes Babette Pluim IOC Advanced Team Physician s Course, Oslo Case # 1 13 yr old junior elite tennis player Medial and lateral elbow pain 24-month history with episodes of elbow pain, up to a few weeks each Has just been selected to the national junior squad 10 flexion and 5 extension deficit Pain on palpation of the radial head, the radiohumeral joint line and the posteromedial joint line Can play despite the pain, wears an elbow strap Patella 1
2 Differential diagnosis Panner s disease Medial apophysitis Osteochondritis dissecans Posteromedial impingement Ulnar collateral ligament injury Panner s disease Age 5 to 10 years Osteochondrosis of the growth plate of the capitellum Relatively mild injury Epiphysis becomes revascularised and develops normal configuration 2
3 Symptoms Intermittent pain and stiffness in the affected elbow that lasts for several month Symptoms relieved by rest and aggravated by activity Physical exam Local tenderness over capitellum Slight effusion and synovial thickening 20 to 30 degrees extension limitation Slight loss of pronation and supination with tenderness 3
4 Imaging X-ray elbow Irregularity and delayed development of capitellum Little League elbow (medial epicondylar apophysitis) Age 9 to 14 years Separation and fragmentation of the growth plate (apophysis) of the medial epicondyle Duration 6 weeks to 3 months 4
5 Symptoms Pain on the medial side of the elbow with throwing. Pain may occur suddenly after one hard throw or gradually over the course of a season Loss of speed and accuracy with throwing Physical exam Tenderness at the medial epicondyle. Swelling and some loss of elbow motion. 5
6 Imaging X-ray: widening of the apophysis MRI: Bone marrow oedema deep to the apophysis Osteochondritis dissecans Age 11 to 17 6% of all cases of OD concerns the elbow Males: females = 85 : per 1000 men Duration of symptoms before diagnosis appr. 1 year Osteochondrosis of the anterolateral aspect of capitellum 6
7 Cause Repeated valgus stress Tenuous blood supply capitellum Symptoms Insidious and progressive dull pain Aggravated by activity and relieved by rest Catching or locking of the elbow is late symptom (fragmentation and loose bodies) 7
8 Physical exam Tenderness over radiocapitellar joint Limited extension Pronation and supination in full extension may elicit symptoms Imaging MRI X-ray 3D CT scan 8
9 Conservative treatment Stable lesion: an open capitellar growth plate near-normal elbow motion radiographic findings of subchondral flattening or radiolucency. Operative treatment An unstable lesion: radiographic fragmentation a closed physis restriction of elbow motion greater than 20 degrees 9
10 Conservative treatment Rest and activity modification Strengthening exercises: shoulders, biceps, triceps, wrists Healing can take up to 6 months 10
11 Case # 2 16 yr old elite tennis player Left medial elbow pain Woke up with elbow pain during a tennis tournament, does not recall any acute incident No previous history of elbow pain Stabbing pain during serving, backhands and on wide volleys, unable to compete. Medial pain provoked by specific elbow tests 11
12 Differential diagnosis Medial apophysitis Posteromedial impingement Ulnar collateral ligament injury Posteromedial impingement valgus extension overload Repetitive hyperextension, valgus stress and supination of the elbow Mechanical abutment of bony or soft tissues in the posterior fossa of the elbow 12
13 Symptoms Medial olecranon pain during throwing/serving Joint effusion Locking, catching and crepitus Extension deficit Loss of speed and accuracy during throwing/serving Physical exam Posterior elbow pain with forced elbow hyperextension. Loss of full extension Posteromedial tenderness Valgus instability Locking or catching 13
14 Imaging Bone spurs, synovitis, bone marrow oedema, loose bodies Injury ulnar collateral ligament Acute partial tear or gradual failure of the ulnar collateral ligament Caused by repetitive valgus stress during the acceleration phase of the overhead throw 14
15 Symptoms Medial elbow pain, especially during the acceleration phase of the overhead throw. Pain is often chronic or recurrent Rest helps to relieve the pain There may be acute pain and a popping sensation over the medial elbow Physical examination Medial elbow pain Swelling and loss of ROM Ecchymosis (acute) Pain when making a clenched fist. Valgus stress with the elbow in 25 of flexion reproduces pain 15
16 Imaging MR arthrography: a partial-thickness tear of the UCL at the attachment on the sublime tubercle Treatment 3 to 6 months of rehabilitation Avoid valgus stress Isometric strengthening: wrist, elbow, shoulder Concentric strengthening exercises Plyometric training Gradual increase in training program If conservative treatment fails or if complete tear, reconstruction of UCL 16
17 Take home message OCD can be career ending have a high level of suspicion for it! A partial UCL tear can have an insidious onset include the valgus stress test in your physical exam of medial elbow pain! Thank you! 17
Elbow Injuries in Young Athletes!
Elbow Injuries in Young Athletes! Andrew Martin DO, MBA, CAQSM! Director Sports Medicine Campbell University! Head Team Physician, Associate Professor Sports Medicine Disclosures None based on the content
More informationElbow. Chapter 2 LISTEN. Mechanism of Injury (If Applicable) Pain
Chapter 2 Elbow LISTEN Mechanism of Injury (If Applicable) Patient usually remembers their position at the time of injury Certain mechanisms of injury result in characteristic patterns Fall on outstretched
More informationArm Pain in Throwing Athletes. Eric N. Hoeper, MD Primary Care Sports Medicine NorthShore University HealthSystem
Arm Pain in Throwing Athletes Eric N. Hoeper, MD Primary Care Sports Medicine NorthShore University HealthSystem I have no potential conflicts of interest to declare. What s the Big Deal? Between 26% and
More informationManagement of Chronic Elbow Pain
Mr. Nashat Siddiqui Consultant Upper Limb Orthopaedic Surgeon Management of Chronic Elbow Pain Patients presenting with elbow pain can pose a diagnostic challenge, especially if there is no obvious recent
More informationElbow Anatomy, Growth and Physical Exam. Donna M. Pacicca, MD Section of Sports Medicine Division of Orthopaedic Surgery Children s Mercy Hospital
Elbow Anatomy, Growth and Physical Exam Donna M. Pacicca, MD Section of Sports Medicine Division of Orthopaedic Surgery Children s Mercy Hospital Contributing Factors to Elbow Injury The elbow is affected
More informationSlide 1. Slide 2. Slide 3. The Thrower s Elbow: When to Operate. Medial Elbow Pain in the Athlete. Goal of This Talk
Slide 1 The Thrower s Elbow: When to Operate Luke S. Oh, MD Massachusetts General Hospital Team Physician, Boston Red Sox Team Physician, New England Revolution Consultant, Harvard University Athletics
More informationSports Medicine Unit 16 Elbow
Sports Medicine Unit 16 Elbow I. Bones a. b. c. II. What movements does the elbow perform? a. Flexion b. c. Pronation d. III. Muscles in motion a. FLEXION (supinated) i Brachialis (pronated) ii (neutral)
More informationIndex. radiologic.theclinics.com. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Acromioclavicular joint injuries in football players, 318, 319 ALPSA. See Anterior labroligamentous periosteal sleeve avulsion. Anterior
More informationAAP Musculoskeletal Boot Camp Overuse Injuries in Young Athletes Teri McCambridge, MD Assistant Professor of Pediatric and Orthopedics University of
AAP Musculoskeletal Boot Camp Overuse Injuries in Young Athletes Teri McCambridge, MD Assistant Professor of Pediatric and Orthopedics University of Maryland Medical System 1 Disclosures I have no relevant
More informationElbow Injuries in the Adult Athlete. Tamara A. Scerpella, MD Professor, Orthopedic Surgery University of Wisconsin
Elbow Injuries in the Adult Athlete Tamara A. Scerpella, MD Professor, Orthopedic Surgery University of Wisconsin Acute Elbow Dislocation Fracture Distal humerus Olecranon Radial head Distal Biceps Rupture
More informationOther Elbow Concerns in Overhead Athletes
Other Elbow Concerns in Overhead Athletes John A. Steubs, M.D. Team Physician, Minnesota Twins TRIA Orthopaedic Center Disclosures None relevant to this presentation. Other Elbow Problems Valgus extension
More informationElbow. Chapter 2 LISTEN. Mechanism of Injury (If Applicable) Pain
Preface The first decade of the twenty-first century has witnessed the continuation of an explosion in our knowledge and understanding of all aspects of disease. Accompanying this has been the increasing
More informationSports related injuries of the elbow. Dr. B. The, MD, PhD Upper Limb Unit Amphia Hospital Breda
Sports related injuries of the elbow Dr. B. The, MD, PhD Upper Limb Unit Amphia Hospital Breda bthe@amphia.nl A short intro Work at hand Thrower s elbow First report 1941 (Bennet, JAMA) a possible complication
More informationElbow Pain. Lateral Elbow Pain. Lateral Elbow Pain. tennis elbow lateral epicondylitis extensor tendinopathy
Elbow Pain Peter Brukner OAM, FACSP Associate Professor in Sports Medicine Centre for Health, Exercise and Sports Medicine University of Melbourne Lateral Elbow Pain tennis elbow lateral epicondylitis
More informationThe Elbow. The Elbow. The Elbow 12/11/2017. Oak Ridge High School Conroe, Texas. Compose of three bones. Ligaments of the Elbow
Oak Ridge High School Conroe, Texas Compose of three bones The humerus The radius The ulna Ligaments of the Elbow Ulnar collateral ligament Radial collateral ligament Annular ligament 1 The elbow is considered
More informationA Patient s Guide to Ulnar Collateral Ligament Injuries
A Patient s Guide to Ulnar Collateral Ligament Injuries 20295 NE 29th Place, Ste 300 Aventura, FL 33180 Phone: (786) 629-0910 Fax: (786) 629-0920 admin@instituteofsports.com DISCLAIMER: The information
More informationInspection. Physical Examination of the Elbow. Anterior Elbow 2/14/2017. Inspection. Carrying angle. Lateral dimple. Physical Exam of the Elbow
of the Elbow Anthony A. Romeo, MD Professor, Department of Orthopedics Head, Section of Shoulder and Elbow Surgery Rush University President-Elect, American Shoulder Elbow Surgeons Team Physician, Chicago
More informationElbow pain in pediatrics
Curr Rev Musculoskelet Med (2009) 2:83 87 DOI 10.1007/s12178-009-9049-4 Elbow pain in pediatrics Marshall Crowther Published online: 14 March 2009 Ó The Author(s) 2009. This article is published with open
More informationDisclosures. None with respect to the material I will present today
Disclosures None with respect to the material I will present today Learning Objectives Discuss the etiology of injuries in young athletes Review common elbow injuries in young throwing athletes Discuss
More informationWill She Still Make the WNBA? Sports Injuries & Fractures
Will She Still Make the WNBA? Sports Injuries & Fractures Aharon Z. Gladstein MD Pediatric Orthopaedic Surgery Pediatric Sports Medicine Sports Injuries Chronic (overuse) Acute Who can be treated in PCP
More informationI (and/or my co-authors) have something to disclose.
Elbow Anatomy And Biomechanics Nikhil N Verma, MD Director, Division of Sports Medicine Professor, Department of Orthopedics Rush University Medical Center Team Physician, Chicago White Sox and Bulls I
More informationGrundkurs SGSM-SSMS Sion Sports Elbow. Dr Stéphane Kämpfen
Grundkurs SGSM-SSMS Sion 2015 Sports Elbow Dr Stéphane Kämpfen Type of pathologies! Acute:! Fractures - dislocation! Sprain! Chronic:! Overload syndrome Fractures - Radial head: Mason classification Mason
More informationDisclosures Head to Toe: Common Sports Injuries in Kids
Disclosures Head to Toe: Common Sports Injuries in Kids None R. Jay Lee MD Director Pediatric Orthopaedic Fellowship Assistant Professor Pediatric Orthopaedics Johns Hopkins / Bloomberg Children s Objectives
More informationMEDIAL EPICONDYLE FRACTURES
MEDIAL EPICONDYLE FRACTURES Demographic 20% of elbow fractures 60% of which are associated with elbow dislocation. 75% in boys between 6-12 years 20% of elbow dislocation with ME fracture, the ME is incarcerated
More informationAdam J. Seidl, MD Assistant Professor University of Colorado School of Medicine Shoulder & Elbow Surgery Division of Sports Medicine and Shoulder
Adam J. Seidl, MD Assistant Professor University of Colorado School of Medicine Shoulder & Elbow Surgery Division of Sports Medicine and Shoulder Surgery Division of Hand, Wrist, and Elbow Surgery Anatomy
More information7/1/2012. Repetitive valgus stresses cause microfractures in the apophyseal cartilage (weak link) Common in year olds
1 2 3 4 5 6 7 When growing pains are not growing pains David W. Gray,M.D. Medical Director Orthopedics Differential Diagnosis Fracture Ligament Injury Disloclation Cartilage Injury Apophysitis Inflammation
More informationELBOW INJURIES IN THE TENNIS PLAYER
ELBOW INJURIES IN THE TENNIS PLAYER A CONCISE REVIEW Written by Brian Grawe, David Dines and Josh Dines, USA INTRODUCTION The worldwide popularity of tennis has grown in recent years and it is estimated
More informationRecurrent and Chronic Elbow Instability
Recurrent and Chronic Elbow Instability Elbow instability is a looseness in the elbow joint that may cause the joint to catch, pop, or slide out of place during certain arm movements. It most often occurs
More informationPediatric Upper Extremity Injuries. Andrew Westbrook, DO
Pediatric Upper Extremity Injuries Andrew Westbrook, DO Case #1 12 yo male who presents to sports medicine clinic due to right shoulder pain Pain started 3 days ago during a baseball game when he was playing
More informationEvaluation of the Knee and Shoulder
Evaluation of the Knee and Shoulder Karen J. Boselli, MD Northeast Regional Nurse Practitioner Conference May 2018 Knee Overview History Examination Top 5 diagnoses When to image When to refer Pain most
More informationSOFT TISSUE KNEE INJURIES
SOFT TISSUE KNEE INJURIES Soft tissue injuries of the knee commonly occur in all sports or in any activity that requires sudden changes in activity or movement. The knee is a complex joint and any injury
More informationMedial Collateral Instability of the Elbow. CSES Residents Course Calgary AB February 1-3, 2017 WD Regan MD
Medial Collateral Instability of the Elbow CSES Residents Course Calgary AB February 1-3, 2017 WD Regan MD Disclosures I have no disclosures to report Anatomy Medial Collateral Ligament Anterior Oblique
More informationUpper Extremity Injuries in Youth Baseball: Causes and Prevention
Upper Extremity Injuries in Youth Baseball: Causes and Prevention Biomechanics Throwing a baseball is an unnatural movement Excessively high forces are generated at the elbow and shoulder Throwing requires
More informationKobe University Repository : Kernel
Kobe University Repository : Kernel タイトル Title 著者 Author(s) 掲載誌 巻号 ページ Citation 刊行日 Issue date 資源タイプ Resource Type 版区分 Resource Version 権利 Rights DOI Treatment and Diagnosis of Panner's Disease : A Report
More informationELBOW ARTHROSCOPY WHERE ARE WE NOW?
ELBOW ARTHROSCOPY WHERE ARE WE NOW? Christian Veillette M.D., M.Sc., FRCSC Assistant Professor, University of Toronto Shoulder & Elbow Reconstructive Surgery Toronto Western Hospital @ University Health
More informationDisclaimer. Evaluation & Treatment of Shoulder and Elbow Pain in the Adult Patient. Objectives. Anatomy
Evaluation & Treatment of Shoulder and Elbow Pain in the Adult Patient William T. Crowe, RN-C, FNP, MSN, MBA Disclaimer! I, William T Crowe, have relevant financial relationships to be discussed, directly
More informationIndex. orthopedic.theclinics.com. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Acetabular fractures pediatric, 494 498 classification of, 494 diagnostic imaging of, 494, 496 497 epidemiology of, 494 treatment of, 494 498
More informationTop Elbow Problems: Tennis Elbow, Anyone?
Disclosure Top Elbow Problems: Tennis Elbow, Anyone? Founder, RunSafe, RaceSafe Founder, SportZPeak Inc. Sanofi, Investigator initiated grant Anthony Luke MD, MPH, CAQ (Sport Med) UCSF Sports Medicine
More informationemoryhealthcare.org/ortho
COMMON SOCCER INJURIES Oluseun A. Olufade, MD Assistant Professor, Department of Orthopedics and PM&R 1/7/18 GOALS Discuss top soccer injuries and treatment strategies Simplify hip and groin injuries in
More informationThe Upper Limb. Elbow Rotation 4/25/18. Dr Peter Friis
The Upper Limb Dr Peter Friis Elbow Rotation Depending upon the sport, the elbow moves through an arc of approximately 75⁰ to 100⁰ in about 20 to 35 msec. The resultant angular velocity is between 1185
More informationLower Extremity Sports Injuries
Lower Extremity Sports Injuries AAP Musculoskeletal Boot Camp Sigrid F. Wolf, MD Pediatric Sports Medicine Fellow Northwestern University Lurie Children s Hospital Disclosure I have no relevant financial
More informationMedial Elbow Instability & Ulnar Collateral Ligament Reconstruction in a Collegiate Baseball Player.
Medial Elbow Instability & Ulnar Collateral Ligament Reconstruction in a Collegiate Baseball Player www.fisiokinesiterapia.biz PLAN for the day: Brief introduction Review of elbow anatomy Ulnar Collateral
More information---Start of Pediatric and Adolescent Upper Extremity Fractures---
Presented by: Mary Lloyd Ireland Professor Dept. of Orthopaedic Surgery and Sports Medicine University of Kentucky Lexington KY www.marylloydireland.com ---Start of Pediatric and Adolescent Upper Extremity
More informationOveruse Injuries & special skeletal injuries Dr M.Taghavi Director of sport medicine center of olympic academy
Overuse Injuries & special skeletal injuries Dr M.Taghavi Director of sport medicine center of olympic academy Prevalence of Overuse Injuries 30 to 50% of all sport injuries are from overuse In some sports
More informationSick Call Screener Course
Sick Call Screener Course Musculoskeletal System Upper Extremities (2.7) 2.7-2-1 Enabling Objectives 1.46 Utilize the knowledge of musculoskeletal system anatomy while assessing a patient with a musculoskeletal
More informationHistory. Faculty Disclosure. Imaging of the Elbow in the Throwing Athlete
Imaging of the Elbow in the Throwing Athlete Michael G. Ciccotti, MD The Everett J. and Marian Gordon Professor of Orthopaedics Chief, Division of Sports Medicine Director, Sports Medicine Fellowship and
More informationIdentify signs/symptoms/risk factors for: Understand issues of overtraining and signs of pediatric burnout
Identify signs/symptoms/risk factors for: Little League Elbow Apophysitis including Osgood-Schlatter and Sever s Slipped Capital Femoral Epiphysis Understand issues of overtraining and signs of pediatric
More informationDiagnosis and Management of Knee Conditions. Jenny Love / Lynn Robertson AFLAR Oct 2009
Diagnosis and Management of Knee Conditions Jenny Love / Lynn Robertson AFLAR Oct 2009 AIMS Review 4 common Knee Conditions: Anterior knee pain Meniscal Injuries Ligament injuries ACL Osteoarthritis Discuss
More informationMUCL REPAIR. Felix H. Savoie III, MD Ray J. Haddad Professor & Chairman Department of Orthopaedic Surgery Tulane University New Orleans, LA
MUCL REPAIR Felix H. Savoie III, MD Ray J. Haddad Professor & Chairman Department of Orthopaedic Surgery Tulane University New Orleans, LA MUCL INJURY EPIDEMIC Frequency increasing despite major efforts
More informationCommon Apophyseal Problems in the Athlete
Disclosure Common Apophyseal Problems in the Athlete Mark Halstead, MD November 19, 2009 Faculty Disclosure Information In the past 12 months, I have no relevant financial relationships with the manufacturer
More informationA Patient s Guide to Elbow Dislocation
A Patient s Guide to Elbow Dislocation 2 Introduction When the joint surfaces of an elbow are forced apart, the elbow is dislocated. The elbow is the second most commonly dislocated joint in adults (after
More informationUpper limb injuries II. Traumatology RHS 231 Dr. Einas Al-Eisa
Upper limb injuries II Traumatology RHS 231 Dr. Einas Al-Eisa Capsulitis = inflammatory lesion of the glenohumeral joint capsule leading to: thickening and loss of joint volume painful stiffness of the
More informationMEDIAL ELBOW INSTABILITY
MEDIAL ELBOW INSTABILITY Felix H. Savoie III, MD Ray J. Haddad Professor & Chairman Department of Orthopaedic Surgery Tulane University New Orleans, LA Royalties: none Stock: none Stock option: Cayenne
More informationDisclosures. Throwing is NOT Normal MCL RECONSTRUCTION: INDICATIONS, TECHNIQUE, RESULTS. Joshua S. Dines, MD. Sports Medicine and Shoulder Service
MCL RECONSTRUCTION: INDICATIONS, TECHNIQUE, RESULTS Joshua S. Dines, MD Sports Medicine and Shoulder Service Disclosures Consultant: Arthrex, Conmed Linvatec, Ossur IP/Royalties: Conmed Linvatec Editorial
More informationELBOW MRI BASICS BONES/CARTILAGE
ELBOW MRI BASICS supine vs prone (superman) imaging Coronal for collateral lig and bones Sagittal for biceps/triceps tendons and cartilage Axial for muscles and nerves FABS (flexed elbow, abducted shoulder,
More informationPatient Education Ulnar Collateral Ligament Reconstruction
Explanation of Procedure and/or Diagnosis Overview is commonly referred to as Tommy John Surgery. Tommy John was a baseball pitcher who played for the Los Angeles Dodgers. He was the first person to have
More informationElbow Injuries in the Throwing Athlete
Elbow Injuries in the Throwing Athlete Overhand throwing places extremely high stresses on the elbow. In baseball pitchers and other throwing athletes, these high stresses are repeated many times and can
More informationUCL Sprain/Tear MEDIAL ELBOW PAIN. Moving Valgus Stress Test. Valgus Instability/Ulnar Collateral Ligament Sprain. Property of VOMPTI, LLC
UCL Sprain/Tear MEDIAL ELBOW PAIN Kristin Kelley, DPT, OCS, FAAOMPT Orthopaedic Manual Physical Therapy Series Charlottesville 2017-2018 Valgus Instability/Ulnar Collateral Ligament Sprain History Acute
More informationUlnar Collateral Ligament Reconstruction
Ulnar Collateral Ligament Reconstruction 1. Defined a. The ulnar collateral ligament is critical for valgus stability of the elbow. It serves as the primary elbow stabilizer and as such, serves a very
More informationGoals &Objectives. 1. Review the anatomy of the knee 2. Practice your hands-on skills 3. By the end of the workshop:
Clinical Knee Exam Goals &Objectives 1. Review the anatomy of the knee 2. Practice your hands-on skills 3. By the end of the workshop: Be able to categorize knee injuries Understand the significance of
More informationAnterior Cruciate Ligament (ACL)
Anterior Cruciate Ligament (ACL) The anterior cruciate ligament (ACL) is one of the 4 major ligament stabilizers of the knee. ACL tears are among the most common major knee injuries in active people of
More informationOrthopaedic and Spine Institute 21 Spurs Lane, Suite 245, San Antonio, TX Tel#
Orthopaedic and Spine Institute 21 Spurs Lane, Suite 245, San Antonio, TX 78240 www.saspine.com Tel# 210-487-7463 PATIENT GUIDE TO SHOULDER INSTABILITY LABRAL (BANKART) REPAIR / CAPSULAR SHIFT WHAT IS
More informationJuly 2011 Case of the Month. By Matt Grady, MD
July 2011 Case of the Month By Matt Grady, MD CC: Knee Pain - Osteochondritis Dissecans or not? A Case Comparison HPI: The first patient is a 12 year old female swimmer with right knee pain. The pain started
More informationAnterior Knee Pain in Children. Joseph Chorley, MD Associate Professor, Pediatrics Baylor College of Medicine
Anterior Knee Pain in Children Joseph Chorley, MD Associate Professor, Pediatrics Baylor College of Medicine Goals and Objectives To learn how to care for patients with chronic knee pain To be able to
More informationFirst awareness of problems with the ulnar collateral ligament. Ulnar Collateral Ligament Reconstruction
Ulnar Collateral Ligament Reconstruction Richard Lehman, md Ulnar collateral ligament reconstruction, which is commonly known as Tommy John surgery, was first performed on Tommy John who was a pitcher
More informationArthroscopic Treatment of Posterolateral Elbow Impingement From Lateral Synovial Plicae in Throwing Athletes and Golfers
Arthroscopic Treatment of Posterolateral Elbow Impingement From Lateral Synovial Plicae in Throwing Athletes and Golfers David H. Kim,* MD, Ralph A. Gambardella, MD, Neal S. ElAttrache, MD, Lewis A. Yocum,
More informationFunctional Anatomy of the Elbow
Functional Anatomy of the Elbow Orthopedic Institute Daryl C. Osbahr, M.D. Chief of Sports Medicine, Orlando Health Chief Medical Officer, Orlando City Soccer Club Orthopedic Consultant, Washington Nationals
More informationI have no relevant relationships/affiliations with any proprietary entity producing health care goods or services.
I have no relevant relationships/affiliations with any proprietary entity producing health care goods or services. OCSA 2017 OMT For Extremity Disorders and Torticollis in Children Ava C. Stanczak, D.O.,
More informationAJO DO NOT COPY. Understanding the pathomechanics of throwing and. 1 Perform a general upper extremity
5 Points on Physical Examination of the Throwing thlete s Elbow Lauren H. Redler, MD, Jonathan P. Watling, MD, and Christopher S. hmad, MD Understanding the pathomechanics of throwing and the accompanying
More informationUNUSUAL ACL CASE: Tibial Eminence Fracture in a Female Collegiate Basketball Player
UNUSUAL ACL CASE: Tibial Eminence Fracture in a Female Collegiate Basketball Player Cheri Drysdale, MEd,, ATC Margot Putukian,, MD Jeffery Bechler,, MD Princeton University How many of you have done an
More informationCommon Elbow Problems
Common Elbow Problems Duncan Ferguson FRACS Knee and Shoulder Specialist Elbow Instability Common 10-25% of elbow injuries Median age 30 yrs Most simple dislocations are stable after reduction recurrence
More informationRehabilitation Guidelines for UCL Repair
UW HEALTH SPORTS REHABILITATION Rehabilitation Guidelines for UCL Repair The elbow is a complex system of three joints formed from three bones; the humerus (the upper arm bone), the ulna (the larger bone
More informationAnkle Arthroscopy.
Ankle Arthroscopy Key words: Ankle pain, ankle arthroscopy, ankle sprain, ankle stiffness, day case surgery, articular cartilage, chondral injury, chondral defect, anti-inflammatory medication Our understanding
More informationAn Anatomical Approach to Diagnosis of Elbow Pain
An Anatomical Approach to Diagnosis of Elbow Pain H. Brent Bamberger, D.O., FAOAO Brain Camilleri, DO Grandview Medical Center Orthopedic Associates of Southwest Ohio Hand Center of Southwest Ohio Dayton,
More informationJimmy C. Wang Musculoskeletal Imaging Fellow March 24, 2011
Jimmy C. Wang Musculoskeletal Imaging Fellow March 24, 2011 The story of Tommy John Study of pitching motion Elbow anatomy relevant to throwing injuries Lateral elbow injuries Medial elbow injuries Posterior
More informationSMALL GROUP SESSION 16 January 8 th or 10 th Shoulder pain case/ Touch workshop/ Upper and Lower Extremity Examination
SMALL GROUP SESSION 16 January 8 th or 10 th Shoulder pain case/ Touch workshop/ Upper and Lower Extremity Examination Suggested Readings: Opatrny L. The Healing Touch. Ann Int Med 2002; 137:1003. http://www.annals.org/cgi/reprint/137/12/1003.pdf
More informationThe Elbow Scanning Protocol
The Elbow Scanning Protocol Diagnostic Imaging of the Elbow: Introduction The elbow maybe considered as consisting of four quadrants, anterior, medial, lateral and posterior. Ultrasound would normally
More informationTOTAL REHABILITATION
TOTAL REHABILITATION 595 Sesame Dr W 864 Central Blvd Ste 3200 Harlingen, TX 78550 Brownsville, TX 78520 (956) 428 5440 (956) 542 2845 IN THIS ISSUE: VOLUME 2 Little League Elbow p. 1-3 Sever s Disease
More informationCLINICAL PRESENTATION AND RADIOLOGY QUIZ QUESTION
Donald L. Renfrew, MD Radiology Associates of the Fox Valley, 333 N. Commercial Street, Suite 100, Neenah, WI 54956 10/6/2012 Radiology Quiz of the Week # 93 Page 1 CLINICAL PRESENTATION AND RADIOLOGY
More informationEPICONDYLITIS, LATERAL (Tennis Elbow)
EPICONDYLITIS, LATERAL (Tennis Elbow) Description Expected Outcome Lateral epicondylitis (tennis elbow) is the most common painful condition of the elbow. Inflammation and pain occur on the outer side
More informationElbow & Forearm H O W V I T A L I S T H E E L B O W T O O U R D A I L Y L I V E S?
Elbow & Forearm H O W V I T A L I S T H E E L B O W T O O U R D A I L Y L I V E S? Clarification of Terms The elbow includes: 3 bones (humerus, radius, and ulna) 2 joints (humeroulnar and humeroradial)
More informationAnkle Arthroscopy PAULO ROCKETT, M.D. Porto Alegre Brazil
Ankle Arthroscopy PAULO ROCKETT, M.D. Porto Alegre Brazil Ankle sprains are among the most common injuries in sports and at work. Between 20 and 40% of patients treated with conservative therapy may have
More informationAAP Boot Camp KNEE AND ANKLE EXAM
AAP Boot Camp KNEE AND ANKLE EXAM Disclosures I have no relevant financial relationships with the manufacturers of any commercial products and or providers of commercial services discussed in this CME
More informationMANAGEMENT OF INTRAARTICULAR FRACTURES OF ELBOW JOINT. By Dr B. Anudeep M. S. orthopaedics Final yr pg
MANAGEMENT OF INTRAARTICULAR FRACTURES OF ELBOW JOINT By Dr B. Anudeep M. S. orthopaedics Final yr pg INTRAARTICULAR FRACTURES Intercondyar fracture Elbow dislocation Capitellum # Trochlea # Radial head
More informationCubital Tunnel Syndrome
Disclaimer This movie is an educational resource only and should not be used to manage Orthopaedic Health. All decisions about must be made in conjunction with your Physician or a licensed healthcare provider.
More informationObjectives. Sprains, Strains, and Musculoskeletal Maladies. Sprains. Sprains. Sprains. Physical Exam 5/5/2010
Objectives, Strains, and Musculoskeletal Maladies Robert Hosey, MD University of Kentucky Sports Medicine Define sprains and strains Systematically evaluate and manage joint / muscle injuries When to refer
More informationThe Elbow and the cubital fossa. Prof Oluwadiya Kehinde
The Elbow and the cubital fossa Prof Oluwadiya Kehinde www.oluwadiya.com Elbow and Forearm Anatomy The elbow joint is formed by the humerus, radius, and the ulna Bony anatomy of the elbow Distal Humerus
More informationW. Dilworth Cannon, M.D. Professor of Clinical Orthopaedic Surgery University of California San Francisco
Knee Pain And Injuries In Adults W. Dilworth Cannon, M.D. Professor of Clinical Orthopaedic Surgery University of California San Francisco Pain Control Overview Narcotics rarely necessary after 1 st 1-2
More informationA Patient s Guide to Elbow Dislocation
A Patient s Guide to Elbow Dislocation 20295 NE 29th Place, Ste 300 Aventura, FL 33180 Phone: (786) 629-0910 Fax: (786) 629-0920 admin@instituteofsports.com DISCLAIMER: The information in this booklet
More informationArthroscopic Treatment of Posttraumatic
Arthroscopic Treatment of Posttraumatic Elbow Pain and Stiffness* Laura A. Timmerman, MD, and James R. Andrews, MD From the American Sports Medicine Institute, Birmingham, Alabama ABSTRACT Nineteen consecutive
More informationOffice Orthopedics. No conflict of interest No financial disclosures 1/31/2018
Office Orthopedics Amin Afsari DO Orthopedic Hand and Upper Extremity Surgery Orthopedic Institute of Wisconsin Midwest Orthopedic Specialty Hospital 1 No conflict of interest No financial disclosures
More informationROTATOR CUFF INJURIES / IMPINGEMENT SYNDROME
ROTATOR CUFF INJURIES / IMPINGEMENT SYNDROME Shoulder injuries are common in patients across all ages, from young, athletic people to the aging population. Two of the most common problems occur in the
More informationJune 2013 Case Study. Author: T. Walker Robinson, MD, MPH, Nationwide Children s Hospital
June 2013 Case Study Author: T. Walker Robinson, MD, MPH, Nationwide Children s Hospital Chief Complaint: Right ankle pain HPI: A 10 year old female dancer presents to the clinic with a five day history
More informationIntroduction. Anatomy
Introduction The doctors call it a UCLR ulnar collateral ligament reconstruction. Baseball players and fans call it Tommy John surgery -- named after the pitcher (Los Angeles Dodgers) who was the first
More informationMain Menu. Elbow and Radioulnar Joints click here. The Power is in Your Hands
1 The Elbow and Radioulnar Joints click here Main Menu K.4 http://www.handsonlineeducation.com/classes//k4entry.htm[3/23/18, 1:29:53 PM] Bones Ulna is much larger proximally than radius Radius is much
More informationRehabilitation after Total Elbow Arthroplasty
Rehabilitation after Total Elbow Arthroplasty Total Elbow Atrthroplasty Total elbow arthroplasty (TEA) Replacement of the ulnohumeral articulation with a prosthetic device. Goal of TEA is to provide pain
More informationThrowing Injuries and Prevention: The Physical Therapy Perspective
Throwing Injuries and Prevention: The Physical Therapy Perspective Andrew M Jordan, PT, DPT, OCS Staff Physical Therapist, Cayuga Medical Center Physical Therapy and Sports Medicine ajordan@cayugamed.org
More informationShoulder and Elbow Injuries in the Skeletally Immature Athlete
Shoulder and Elbow Injuries in the Skeletally Immature Athlete Frank S. Chen, MD, Veronica A. Diaz, MD, Mark Loebenberg, MD, and Jeffrey E. Rosen, MD Abstract The intensity of training and competition
More information