olecranon bursitis , repetitive strain injury ,Epicondylitis, De Quervain’s tenosynovitis i

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medial epicondylitis

golfer's elbow. Medial epicondylitis causes pain and tenderness at the medial epicondyle (inner elbow). The pain often radiates down the forearm. It can lead to weakness in grip strength.

what to exclude in olecranon bursitis

if infecition if septic arthritis -- swelling in joint rather than bursa and normally painful and ROM of joint

epicondylitis

inflammation at the point where the tendons of the forearm insert into the epicondyles at the elbow. It is a specific type of repetitive strain injury.

golfers elbow test

involves stretching the flexor muscles of the forearm while palpating the medial epicondyle. The elbow is extended, the forearm supinated, and the wrist and fingers are extended. The examiner holds the patient's elbow with pressure on the medial epicondyle. If this causes pain, the test is positive, indicating medial epicondylitis.

tests for lateral epicondylitis

mills test cozens test

De Quervain's tenosynovitis symptoms

pain on radial side of wrist near base of thumb Pain, often radiating to the forearm Aching Burning Weakness Numbness Tenderness sometimes called mummy thumb-- parents repeativiely lifting up baby in a way that stresses the tendons of the thumb

RICE

rest, ice, compression, elevation

mills test

stretching the extensor muscles of the forearm while palpating the lateral epicondyle The elbow is extended, the forearm pronated, and the wrist is flexed. The examiner holds the patient's elbow with pressure on the lateral epicondyle. If this causes pain, the test is positive, indicating lateral epicondylitis.

lateral epicondylitis

tennis elbow causes pain and tenderness at the lateral epicondyle (outer elbow). The pain often radiates down the forearm. It can lead to weakness in grip strength.

Repetitive strain injury

umbrella term that refers to soft tissue irritation, microtrauma and strain resulting from repetitive activities. It can affect the muscles, tendons and nerves. Lateral epicondylitis (tennis elbow) is a specific example of a repetitive strain injury.

olecranon bursitis presentation

young middle aged man often elbow Is - Swollen Warm Tender Fluctuant (fluid-filled)

lateral epicondyle use

extend wrist

medial epicondyle use

flex wrist

tendons affected in de quaervains tenosynovitis

Abductor pollicis longus (APL) tendon Extensor pollicis brevis (EPB) tendon both abduct thumbs and wrist

causes of repetitive strain injury

Almost any repetitive movement can result in repetitive strain injury if done long enough. It often results from occupational activities, where the same movement is performed for many hours at a time, day after day increased risk if - small repetitive acitivities - vibration -aqrard position

if infection suspected in olecranon bursitis management

Aspiration of the fluid for microscopy and culture Antibiotics- eg flucloxacillin

test for de quervains tenosynovitis

Finkelstein's test involves the patient making a fist with their thumb inside their fingers. Then, the wrist is adducted (ulnar deviation), causing strain on the APL and EPB tendons. If this movement causes pain at the radial aspect of the wrist, the test is positive, indicating De Quervain's tenosynovitis.

cause of bursitis

Friction from repetitive movements or leaning on the elbow Trauma Inflammatory conditions (e.g., rheumatoid arthritis or gout) Infection - referred to as septic bursitis

repetitive strain injury presentation

Pain, exacerbated by using the associated joints, muscles and tendons Aching Weakness Cramping Numbness , the area may be tender to palpation may be mild swelling

management of repetitive straing

RICE rest and adapting activates f the repetitive movement continues, the condition will get worse. Analgesia (e.g., NSAIDs) Physiotherapy Steroid injections (in specific scenarios) OH - amendments in the workplace

management of epicondylitis

Rest Adapting activities Analgesia (e.g., NSAIDs) Physiotherapy Orthotics, such as elbow braces or straps Steroid injections Platelet-rich plasma (PRP) injections Extracorporeal shockwave therapy ca.n take years to resolve Rarely, surgery may be required to debride, release or repair damaged tendons.

olecranon bursitis management

Rest Ice Compression Analgesia (e.g., paracetamol or NSAIDs) Protecting the elbow from pressure or trauma Aspiration of fluid may be used to relieve pressure Steroid injections may be used in problematic cases where infection has been excluded

management of de quervains

Rest and adapting activities Using splints to restrict movements Analgesia (e.g., NSAIDs) Physiotherapy Steroid injections Rarely, surgery may be required to release (cut) the extensor retinaculum, releasing the pressure and creating more space for the tendons.

Cozen's test

elbow extended, forearm pronated, wrist deviated in the direction of the radius and hand in a fist. The examiner holds the patient's elbow with pressure on the lateral epicondyle. The examiner applies resistance to the back of the hand while the patient extends the wrist. If this causes pain, the test is positive, indicating lateral epicondylitis.

De Quervain's tenosynovitis i

a condition where there is swelling and inflammation of the tendon sheaths in the wrist. It primarily affects two tendons: Abductor pollicis longus (APL) tendon Extensor pollicis brevis (EPB) tendon type of repetitive strain injury

students elbow

another name for olecranon bursitis because may leann on elbow for long time

investigation for olecranon bursittis

aspirate joint if infection suspected - Pus indicates infection Straw-coloured fluid indicates infection is less likely Blood-stained fluid may indicate trauma, infection or inflammatory causes Milky fluid indicates gout or pseudogout send for microscopy and culutre do before starting antibiotics

investigations for reparative straing

clinical may do XR, US or bloods to exclude other causes

olecranon bursitis

cnflammation and swelling of the bursa over the elbow. The olecranon is the bony lump at the elbow, which is part of the ulna bone.


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