Elbow Pathologies: Olecranon Bursitis-Lateral Epicondylitis
How long should the athlete rest if it is a more severe case of Medial Epicondylitis?
7-10 days
Why is the Olecranon Bursa so susceptible to injury?
Because of it's superficial location
What surgical procedure is performed in the event that rest and rehabilitation fail to resolve the symptoms of an Ulnar Collateral Ligament Sprain?
"Tommy John" Procedure
What are the signs and symptoms of Lateral Epicondylitis?
Aching pain over the lateral epicondyle before and after activity; pain gradually worsens developing weakness on the wrist and hand; tenderness at the Lateral Epicondyle; pain on resisted dorsiflexion and full extension of the elbow; decreased range of motion
How do you treat/manage Olecranon Bursitis?
Acute: cold compress for at least one hour Chronic: a program of superficial therapy, mainly involving compression Possibly aspiration to help accelerate healing
When dealing with an Ulnar Collateral Ligament Sprain in a THROWING athlete, what is important to analyze and correct?
Analyze throwing mechanics and correct any faulty mechanics
What injury do the following signs and symptoms indicate? Pain with active and resistive movement, point tenderness in the muscle, tendon, and lower part of the muscle belly
Elbow Strain
What injury is associated with excessive resistive motions such as falling on an outstretched hand with the elbow in extension?
Elbow Strain
What should be done to manage Lateral Epicondylitis?
Immediate RICE, NSAIDs, analgesics, deep friction massage, mobilization and stretching within pain-free limits, counterforce or neoprene elbow sleeve (1-3 months)
What are the signs and symptoms of Medial Epicondylitis?
Pain around the epicondyles during forceful wrist flexion or extension, centered or radiating pain, point tenderness and sometimes mild swelling, pain from active motion
What are some signs and symptoms of Olecranon Bursitis?
Pain, severe swelling, point tenderness
What are some other names for Medial Epicondylitis?
Pitcher's elbow, racquetball elbow, golfer's elbow, javelin-thrower's elbow
How do you treat an elbow strain?
RICE, sling support, cryotherapy, ultrasound, rehabilitative exercises
What kind of exercises should you implement for Lateral Epicondylitis?
Range of Motion exercises, progressive resistance exercises (PRE)
What is the cause of Medial Epicondylitis?
Repeated forceful flexions of the wrist and extreme valgus torques of the elbow
What motions cause Lateral Epicondylitis?
Repeated forearm flexion and extension movements
How do you treat Medial Epicondylitis?
Sling rest, cryotherapy, heat through ultrasound, analgesics and anti inflammatory agents, a curvilinear brace,
What causes an Ulnar Collateral Ligament Sprain?
Valgus force from repetitive trauma
