Term
Olecranon Bursitis Code: 726.33 |
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Definition
Hx: Direct trauma or repetative grazing and weight bearing Signs: pain, swelling, tenderness over olecranon, swelling, redness & heat. Normal AROM & PROM, pain with overpressure, resistive testing normal PT: Acute: RICE, splint, ionto (some evidence), education Subacute: heat, ROM, sub-max iso's Chronic: rehab residual problems, prevent recurrence, strengthening, functional training, protective padding
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Term
Bicepital Tendinitis 726.30 |
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Definition
Hx:Repetative hyper/ of elbow with pronation or pronation-supination Sx: pain at ant. distal humerus, pain with palpation as well AROM: pain - shoulder & elbow √ and supination (lesser extent) PROM: pain - shoulder & elbow / & pronation & overpressure Resist: pain - elbow √ & supination Special Tests: Yergason's, Mill's PT: Modalities, transverse friction massage (>10min), muscle training, STM, education |
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Term
Biceps Tendon Rupture 727.62 |
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Definition
Hx: sudden cxn of biceps against large load, with elbow @ 90° √ Sx: sharp, tearing pain (acute) or swelling & activity related pain in cubital fossa (chronic), ecchymosis in cubital fossa, visible biceps defect (complete rupture) AROM: pain - elbow √ & supination PROM: pain - end range of / & pronation Resist: weakness of elbow √, supination & grip Med. manage: 1° repair - put tendon back, 2° repair - autologous graft, post op - protect 6-8 weeks PT: modalities, ROM, gentle strengthening, education
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Term
Lateral Epicondylalgia 726.32 (EXAM) |
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Definition
Hx: repetitive wrist /, rotation & grasping Sx: gradual onset of pain, tenderness/swelling over lat. epicondyle, evening aching, night pain, morning stiffness, dropping things in pronated position AROM: usually painfree full ROM, may be pain with wrist √ & elbow / PROM: pain - wrist √, pronation with elbow /ed Resist: pain - wrist /, radial deviation with elbow /ed, decreased grip strength, weak shoulder girdle and forearm Special Tests: Resisted: wrist /, radial deviation, elbow /, 3rd finger /. Passive elbow / with wrist √. Cozen's test. Mill's test Rule out: Radial Tunnel Syndrome, C7 radiculopathy |
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Term
Lateral Epicondylalgia 726.32 (TREATMENT) |
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Definition
Med Manage: NSAIDs, corticosteroid inject. (contraindication for joint manip.), surgical debridement of common extensory tendon and/or release of the scarred area PT: Pain control: rest (splint), counterforce bracing modalities, STM, mob w/ movement Exercise: stretching, proximal stabilization, plyometrics, functional training, total body conditioning, if cause is overuse - do not do repetitive tasks
Education: prevention techniques
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Term
Medial Epicondylitis (Golfer's Elbow) 726.31 |
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Definition
Hx: repetitive √ & pronation Sx: pain around medial epicondyle, flexor forearm --> wrist, tenderness over flexor-pronator origin
AROM: WFL, may have slight pain with wrist √ PROM: pain - wrist /, supination, elbow / Resist: pain - wrist √ & pronation Special Tests: Golfer's elbow test Med. Manage: NSAID's, inject PT: modalities, rest, ROM, stretch, strength, education
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