the joints of the elbow complex
the physiological movements that occur over the elbow
the muscles that work on the elbow
the ligaments and their function eg what do they restrict?
what limits each physiological movement?
What are the key bony points around the elbow?
The carrying angle (10 degrees in men, 15 degrees in women)
Posteriorly the olecranon - (bursitis)
The resting angle
Increased elbow flexion caused by tight biceps
Cervical position protraction / retraction could indicate a central involvement.
The Olecranon
The Medial & Lateral epicondyle
The head of the radius
Palpate the lateral epicondyle with your fingers, and move distally until they rest into a depression, just inferior to the lateral epicondyle. Keep moving slowly distal until you feel a bony mass, keep your fingers on this whilst you actively pronate and supinate your forearm. You should be able to feel the roll of the radial head under your fingers.
The wrist flexors all share a common origin; the medial epicondyle, whilst the extensors all share the lateral epicondyle.
Elbow Flexion
Elbow Extension
Passive Accessory Mobilisations
PA AP head of radius
Lateral and Medial Glide of the Elbow
End Feel: Normally Soft
Limited by:
Soft tissue approximation
Coronoid process against Coronoid fossa
radial head against radial fossa
Post capsule
Triceps
End Feel: Normally Hard
Limited by: Olecranon process against olec. fossa
End Feel: Supination Firm Pronation Hard
Limited by: Supination Anterior radioulnar lig. Pronation bones of the forearm (radius crossing over ulna) tension of Ulnar collateral lig. of the elbow and the dorsal radioulnar ligament of the distal radioulnar joint