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您请求的操作仅限于组中的用户:==目的== ===观察=== *上肢一般体位:应考虑近端因素对患者肘部症状的易感性。*胸、颈椎包括后凸和前头*[[肩胛骨]]*负重角度:男性负重角度平均值为10度,女性为13度。Colman WW, Strauch RJ。肘部的体格检查。North Am骨科诊所,1999;30(1): 15 - 20。可变性发生在14 -15岁*肿胀/瘀斑/畸形/肌肉萎缩*三角标志===功能测试===进行功能测试的目的是获得和量化星号标志,以便在干预后进行评估和重新评估。确定星号标志-(什么活动会增加症状?)# 无痛握力# 推离测试:推离测试可用于量化一个人通过上肢承受重量的能力 ,,, extremity. This can help identify functional/occupational limitations. (ICC=0.31-0.97). #Functional Impairment Test-Hand, Neck, Shoulder Arm (FIT-HaNSA): Standardized physical test. Assesses gross activities of the upper extremity. Validation in elbow conditions has not yet been completed.
=== Palpation === *Medial/lateral epicondyle *Olecranon and olecranon fossa *Radial head *Ulnar Collateral Ligament (UCL) of the elbow *Soft tissue in upper arm and forearm/wrist for pain provocation, heat, swelling
[[Image:Anterior elbow.jpg|Illustration adapted from [Colman WW & Strauch RJ].]] [[Image:Lateral elbow.jpg|Image:Lateral_elbow.jpg]] [[Image:Medial elbow.jpg|Image:Medial_elbow.jpg]]
Image 2: Anterior Elbow Image 3'':'' Lateral Elbow Image 4: Medial Epicondyle Bicep tendon Marked Circle represents lateral epicondyle Dot represents medial epicondyle
=== Neurologic Assessment === *[[Reflexes]]: C5-C7 *[[Myotomes]]: C5-T1 *[[Dermatomes]]: C5-T1 === Movement Testing === *Active Range Of Motion(AROM)/Passive Range Of Motion(PROM) with or without overpressure **Elbow
Flexion
Extension
- Positive [//m.houseofhawgs.com/index.php5?title=Elbow_extension_sign Elbow Extension Test] may indicate fracture and referral.
Forearm pronation/supination **Wrist
Flexion
Extension **Cervical, Shoulder and Elbow Range of Motion with or without overpressure
Posterior-anterior glide assessment on cervical/thoracic spine for distal symptoms reproduction as well.
*Resistive Testing **Elbow flexion/extension **Forearm pronation/supination **Wrist flexion/extension **Pain-free grip strength **Thumb **Fingers * Accessory motion testing ** Humeroulnar traction ** Humeroradial traction ** Proximal/distal radioulnar Anterior/Posterior and Posterior/Anterior glides