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May 10, 2018

Lateral Epicondylitis Part I

Lateral Epicondylitis Part I Lateral epicondylitis is characterized as a repetitive stress injury to the common insertion of the wrist extensors (particularly the extensor carpi radialis brevis) on the lateral epicondyle of the humerus. It is the most common over use injury of the elbow. Risk factors include heavy professions that require repetitive, sustained or...
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Lateral Epicondylitis Part II

Lateral Epicondylitis Part II   Differential diagnosis       Cervical nerve roots associated with pain are C5, 6, 7. Radial nerve entrapment and division of radial nerve the posterior Interosseus nerve. Entrapment syndromes are typically associated with hyperalgesia ar allodynia. ULTT 2B: Radial Bias- Reproduction of sxs Non-operative treatment: • Rest – Removal of repetitive...
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Olecranon Bursitis

Olecranon Bursitis Common overuse or repetitive stress injury. More common in men between 30 and 60 years old. Affects the bursa sac is located between skin and ulna. People with repetitive jobs tend to be more susceptible to injuries. Two kinds, repetitive stress and septic. Repetitive stress is described above. Septic bursitis is secondary to...
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Who Can Benefit from the Invertabelt? Part III

Who Can Benefit from the Invertabelt? Part III Part one of this blog looked at individuals who may qualify for the use of The Invertabelt.  It Can be difficult to determine what individuals would directly benefit from therapy with the Invertabelt.  In some cases, it is easier to determine who will not benefit.  The section...
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Medial Epicondylitis Part I

Medial Epicondylitis Part I Medial Epicondylitis is characterized as a repetitive stress injury to the common insertion of the wrist flexor on the medial epicondyle of the humerus. It is the 2nd common over use injury of the elbow behind lateral epicondylitis.     Repetitive stress leads to tendon overload and micro tearing of the...
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Medial Epicondylitis Part II

Medial Epicondylitis Part II Treatment                                                                Conservative–>aggressive: • NSAIDS • Wrist splints • RICE–>stop the irritating activities • Counter force bracing may be used • Gentle PROM • Isometric to tolerance • Progress isotonic • Progress to functional motions • Injections may be performed in conjunction with conservative treatment Surgical intervention: • Would be considered after 6-12 months of failed conservative treatment Surgery includes: • Debridement...
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Osteochondritis Dissecans

Osteochondritis Dissecans Osteochondritis Dissecans (OCD) is referred to as an inflammatory response to the bone and cartilage of a joint causing tissue to become necrotic and may or may not involvement of fragmentation of said tissue. When referring to OCD of the elbow the most common side is the radial humorous articulating surface at the...
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Elbow Fractures Part I

Elbow Fractures Part 1 Lateral Humeral Condyle Fracture Lateral humeral condyle fractures are in children between the ages of 5-10. They typically occur from a fall on an extended wrist/elbow, or a pull off avulsion fracture of the extensor insertion secondary to a Varus force. The fracture is as a Salter-Harris IV fracture and in...
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Elbow Fractures Part II

Elbow Fractures Part II Monteggia Fracture Monteggia Fractures is a combination of fracture of the ulna and dislocation of the radioulnar joint. There are four types of fracture: Type I- Middle third of ulna fractured and anterior radial head dislocation Type II- Middle third of ulna fractured and a posterior dislocation Type III- Ulnar metaphysis...
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Elbow Fractures Part III

Elbow Fractures Part III Radial Head Fracture Radial had fractures are a common fracture in adults when the individual falls with there are outstretched and forearm in pronation or supination. Radial head fractures may occur alone or they may occur with dislocation and or a coronoid fracture. If all three are present then it is...
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