Elbow Pain
Age: years old
Gender:
HISTORY:
Presents with a - history of elbow pain
Onset was , started
Location is
Radiation to
Rated at / 10
Described as
Pattern
Worsening factors:
Alleviating factors: ,
Occupation:
Dominant hand:
Associated symptoms: *Try using right-click for negatives*
Contributing factors:
no history of: , , ,
EXAM:
Elbow:
Inspection:
Palpation: on
Range of motion:
- Flexion:
- Extension:
- Pronation:
- Supination:
- Resisted wrist flexion:
- Resisted wrist extension:
Strength: , except on
Neurovascular: , distal pulses , cap refill sec, sensation , Tinel sign at elbow
ASSESSMENT:
DDx: lateral epicondylitis, medial epicondylitis, olecranon bursitis, elbow sprain, ulnar tunnel syndrome, elbow osteoarthritis, radial head fracture, elbow dislocation, ligamentous injury, distal biceps tendon rupture, infectious arthritis, osteochondritis dissecans
PLAN:
Investigations:
- Elbow X-ray
- MRI of the elbow
- Blood work: ,
Treatments:
- Rest and elevation
- Ice application
- Epicodilitis strap
-
- Steroid injection of the lateral epicondyle
- Physical therapy
Further care:
- Referral to orthopedic surgeon
- Follow-up in
- Return if pain worsens, if new symptoms develop such as redness or fever, or if symptoms do not improve with treatment
HISTORY: Associated symptoms: EXAM: Elbow: ASSESSMENT: PLAN: