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The Elbow

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The Elbow. Examination. Capsular Pattern. Subjective Examination. Age Occupation – repetitive job and sports Site – usually localised Spread – may spread to hand Onset – overuse, trauma, insidious Duration – recent, longstanding, intermittent Behaviour – agg/ easing

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The Elbow

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  1. The Elbow Examination

  2. Capsular Pattern

  3. Subjective Examination • Age • Occupation – repetitive job and sports • Site – usually localised • Spread – may spread to hand • Onset – overuse, trauma, insidious • Duration – recent, longstanding, intermittent • Behaviour – agg/ easing • Symptoms- locking, p+ns, swelling, stiffness • PMSH

  4. Inspection • Deformity – carrying angle • Colour – sepsis • Swelling – bursitis, fracture, RA • Wasting – biceps, triceps, forearm muscles • State at rest • Site of pain

  5. Palpation • Heat • Swelling • Synovial thickening

  6. Passive Movements • Flexion • Extension • Pronation • Supination

  7. Resisted tests • Flexion • Extension • Supination • Pronation • Wrist extension • Wrist flexion

  8. Comparison • Bilateral flexion • Bilateral extension

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