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4 results

  • Chapter 3 - Examination of the Elbow

  • Edited by Fazal Ali, Nick Harris
  • Book:
    Orthopaedic Examination Techniques
    Published online:
    22 April 2022
    Print publication:
    12 May 2022, pp 35-49

  • Summary

    Examination of the elbow starts with standing the patient and observing the carrying angle and looking for deformity and scars. The process flows best when movements are performed next, followed by palpation. If there is tenderness over the epicondyles, then provocation tests are performed, on the lateral side for tennis elbow and on the medial side for golfer’s elbow. Lastly, instability tests are performed. The pivot shift test is explained in more detail later in this chapter.

Orthopaedic Examination Techniques
  • A Practical Guide
  • 3rd edition
  • Edited by Fazal Ali, Nick Harris
  • Published online:
    22 April 2022
    Print publication:
    12 May 2022
  • Orthopaedic Examination Techniques comprehensively covers the basic examination skills and key special tests needed to evaluate the adult and paediatric musculoskeletal system. Chapters are presented in a clear and logical way to allow readers to understand then master the techniques of orthopaedic clinical examination. Written by a diverse group of chapter authors with extensive experience in teaching clinical examination and who use a uniform system that is taught on national courses, every aspect of musculoskeletal examination is covered in the adult and paediatric patient. Numerous illustrations and new clinical photographs help readers to visualise and understand the key techniques, and five new chapters at the end of the book demonstrate the value of clinical examination through more than 80 clinical case examples. Easy-to-follow throughout, this book is invaluable reading for trainee orthopaedic surgeons, especially those preparing for the FRCS (Tr&Orth) postgraduate examination, practising orthopaedic surgeons, medical students, physiotherapists, and rheumatologists.

  • Comparison views to diagnose elbow injuries in children: a survey of Canadian non-pediatric emergency physicians

  • Shawn Dowling, Ken Farion, Tammy Clifford
  • Journal:
    Canadian Journal of Emergency Medicine / Volume 7 / Issue 4 / July 2005
    Published online by Cambridge University Press:
    21 May 2015, pp. 237-240
    Print publication:
    July 2005
    • Article
      • You have access
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  • Objectives:

    Elbow injuries in children are a common presenting complaint to the emergency department. Although radiography is a valuable tool in the diagnosis of this injury, x-rays of the injured elbow are inherently difficult to interpret. As a result, comparison views of the uninjured arm have traditionally been recommended to provide an anatomically “normal” radiograph. Recent studies have questioned the use of comparison views in the pediatric emergency department. The primary objective of this study was to determine current practices of non-pediatric emergency physicians in the use of comparison views for the diagnosis of elbow injuries in children.

    Methods:

    A self-administered mail survey was sent to 300 randomly selected emergency physicians, using the Canadian Association of Emergency Physicians database.

    Results:

    Two hundred and forty-two (81%) responses were received; 26 were excluded based on pre-determined criteria. Of eligible respondents, 95% ordered comparison views selectively and 64% of these physicians ordered comparison views infrequently. Eighty-eight percent found the comparison views to be “rarely” to “sometimes” useful. Forty-seven percent of respondents stated that they were only “somewhat” confident when interpreting x-rays of a child's elbow.

    Conclusion:

    This survey demonstrates that non-pediatric emergency physicians are using comparison views selectively for elbow injuries in children, despite being only “somewhat” confident in interpreting the x-rays.