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Ulanar collateral ligament Sprain - ✔✔Pain with movement
Feeling of potential instability
Pronation and wrist flexors weak
Swelling can be noted - medial and posterior aspects
Ecchymosis
Ulnar nerve involvement
Valgus Extension Overload - ✔✔Posteromedial and lateral elbow pain
Nerve paresthesia
radial collateral ligament sprain - ✔✔Rare
Pain and laxity
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,Weakness during pronation and supination
Weakness of wrist extensors
Anterior capaular ligament sprain - ✔✔Can be seen in FOOSH
(hyperextension elbow)
Pain in cubital fossa
Pain with passive elbow extension at EROM
Elbow flexors may also be affected
Medial Epicondylitis - ✔✔Caused by:
Repeated, medial tension/lateral compression
Swift, powerful snappin of the wrist and pronation of the forearm
Also known as GOLFER's elbow
Medial epicondylitis - ✔✔Swelling ecchymosis
Tenderness on origin of common flexor tendon (1-2cm below FCR and PT
muscle)
Pain with wrist flexion and pronation
2
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,Grip decreased
Nerve involvement - ulnar nerve
Valgus stress pain at 20-30
Little League Elbow - ✔✔Avulsion of common flexor tendon from medial
epicondyle due to tension
Growth plate vulnerable
Restrict pitches/week
lateral epicondylitis - ✔✔TENNIS elbow
Inflammation or repetitive stresses at lateral epicondyle
Extensor carpi radialis brevis mostly affected
Irritation the common origin of wrist extensir muscles
Repetitive eccentric forces
lateral epicondylitis - ✔✔Pain over lateral epicondyle
Decreased grip strength
Pain with gripping
3
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, May see swelling, point tenderness over lateral epicondyle with palpation
Pain with resisted wrist extension, elbow extension, forearm supination
Possible entrapment of radial nerve
Ulnar nerve pathology - ✔✔Superficial
Nerve supporting structures are unstable
MOI:
Chronically sublux as forearm is flexed
Traction forces when throwing (valgus)
Inflamation can decreased cubital tunnel leading to compression ulnar
nerve
Ulna nerve pathology - ✔✔Ulna nerve stretch with elbow flexion/wrist
extension
May complain of decreased sensory and motor function
Complain of increased symptoms with elbow flexed for extended periods
of time
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