Elbow: BSc & MSc

Warm up anatomy Q: Triceps inserts into the...

• Lateral epicondyle

• Olecranon process

• Ulnar tuberosity

• Medial epicondyle

What is the diagnosis of the case study in the elbow enquiry?

• Lateral epicondylalgia

• Lateral collateral ligament sprain

• Extensor muscle strain

• Extensor carpi Ulnaris tendinopathy

Answer explanation

Lateral epicondylalgia

BSc please differentiate the components of the extensors and their attachment site at the lateral epicondyle

Lecturer: variation in nomenclature

Which of the following group of tests is most likely to convince you of lateral epicondylalgia diagnosis

• Grip strength, resisted middle finger extension, mills tests

• Grip strength, resisted middle finger extension, accessory mobilisation

• Resisted wrist extension, palpation, Mills test

• Resisted wrist flexion, palpation, Mills test

Answer explanation

MSc you have red sections highlighted in the assessment findings for John please share how this links with these tests

Treatment approaches should include

• pain relief, loading exercise & steroid injection

• activity modification, pain relief and loading exercises

• loading exercises, acupuncture & rest

• rest & steroid injections

Answer explanation

BSc: please outline the recommended treatments

This is one of the reasons- skin depigmentation steroid injection also no long term efficacy

MWM's should have the PILLO response: Pain free, Instant result, Long Lasting, Observed difference

• True

• False

Answer explanation

MSc Can you expand:

MWM's should have the PILL response: Pain free, Instant result, Long Lasting

(The last bit was made up!)

Mobilisations with movement likely involve neurophysiological & biomechanical mechanisms

• True

• False

Answer explanation

Descending pain pathways are inhibited by cutaneous and mechano receptor stimulation.

BSc please feedback mechanical aspects

The predominant role of extensor carpi radialis brevis is to (not as obvious as it might seem!)

• Stabilise the wrist

• flex the wrist

• extend the wrist

The main non-traumatic presentations we see around the elbow are.. (select 4 that apply)

• cubital tunnel syndrome (results in numb 4th and 5th digits)

• Medial collateral ligament strain/ instability

• Medial epicondylalgia

• Bakers elbow

• Lateral epiconylalgia

What is this movement?

• Pronation

• Supination

• Ulnar deviation

• Radial deviation

Loading exercises for the elbow are shown to be most effective when pain free

• True

• False

Answer explanation

Upper limb neuropathies do not respond in the same way as lower limb (Nijs et al, 2021)