An Anatomical Approach to Diagnosis of Elbow Pain

An Anatomical Approach to Diagnosis of Elbow Pain

H. Brent Bamberger, D.O., FAOAO Brain Camilleri, DO

Grandview Medical Center Orthopedic Associates of Southwest Ohio

Hand Center of Southwest Ohio Dayton, OH

Outline

? Intended to present most common causes of elbow pain in anatomical approach

? Focus is on etiology, presentation, and diagnosis

Elbow Anatomy

? Condyloid, hinged joint ? 3 joints

? Ulnohumeral ? Radiocapitellar ? Proximal radio-ulnar joint

? Average ROM ? Flex/Extension = 0/145 ? Pronation/ Supination = 70/85

Elbow Anatomy

? Stability

? Varus

? LCL ? Radial head ? Anteromedial facet of the coronoid

? Valgus

? UCL ? Radial head ? Lateral, anterior coronoid

? Anterior/ posterior

? Capsule ? Coronoid

Pathology Based on Location

Distal Biceps Rupture Pronator Syndrome OCD Lesion Osteoarthritis

Cervical Radiculopathy Lateral Epicondylitis PIN Compression Radial Tunnel Syndrome OCD Lesion Posterolateral Rotatory Instability Posterolateral Plica

Olecranon Bursitis Triceps rupture Valgus Extension Overload Posterior impingement

Cervical Radiculopathy Medial Epicondylitis Ulnar Nerve Compression UCL Injury Valgus Extension Overload

Osteoarthritis Triceps Tendonitis

Pathology Based on Location

Distal Biceps Rupture Pronator Syndrome OCD Lesion Osteoarthritis

Cervical Radiculopathy Lateral Epicondylitis PIN Compression Radial Tunnel Syndrome Posterolateral Plica Posterolateral Rotatory Instability OCD Lesion Panner's Disease

Olecranon Bursitis Valgus Extension Overload Posterior impingement

Cervical Radiculopathy Medial Epicondylitis Ulnar Nerve Compression UCL Injury Valgus Extension Overload

Osteoarthritis Triceps Tendonitis

Cervical Radiculopathy

"Rich Howard Lesion"

Cervical ???

C5 nerve root

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