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Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:00.00,0:00:02.02,Default,,0000,0000,0000,,(English captions by Andrea Matsumoto from\Nthe University of Michigan)
Dialogue: 0,0:00:02.02,0:00:07.01,Default,,0000,0000,0000,,To ensure a thorough assessment of the elbow\Nit is prudent to develop a systematic approach.
Dialogue: 0,0:00:07.01,0:00:11.06,Default,,0000,0000,0000,,The following is a suggested order of exam\Nthat incorporates the common techniques for diagnosing
Dialogue: 0,0:00:11.06,0:00:15.06,Default,,0000,0000,0000,,musculoskeletal elbow injuries.
Dialogue: 0,0:00:15.06,0:00:17.10,Default,,0000,0000,0000,,The elbow exam begins with inspection.
Dialogue: 0,0:00:17.10,0:00:21.07,Default,,0000,0000,0000,,Assess for asymmetry, muscular atrophy, or\Nskin changes.
Dialogue: 0,0:00:21.07,0:00:24.01,Default,,0000,0000,0000,,Next evaluate active range of motion.
Dialogue: 0,0:00:24.01,0:00:28.01,Default,,0000,0000,0000,,If pain or limitation exists, repeat the range\Nof motion passively.
Dialogue: 0,0:00:28.01,0:00:33.97,Default,,0000,0000,0000,,Follow the active range of motion by checking\Nresistive strength.
Dialogue: 0,0:00:33.97,0:00:40.07,Default,,0000,0000,0000,,Range of motion includes flexion, extension,\Nsupination and pronation.
Dialogue: 0,0:00:40.07,0:00:42.06,Default,,0000,0000,0000,,Next palpate anatomic landmarks.
Dialogue: 0,0:00:42.06,0:00:54.82,Default,,0000,0000,0000,,The olecranon, the medial epicondyle, the\Nlateral epicondyle, the radial head, the location
Dialogue: 0,0:00:54.82,0:01:02.05,Default,,0000,0000,0000,,of the posterior interosseous nerve, and the\Nbiceps tendon in the antecubital fossa.
Dialogue: 0,0:01:02.05,0:01:06.10,Default,,0000,0000,0000,,Specific testing of the elbow to evaluate\Nfor musculoskeletal injuries may include but
Dialogue: 0,0:01:06.10,0:01:10.02,Default,,0000,0000,0000,,is not limited to the following tests.
Dialogue: 0,0:01:10.02,0:01:15.02,Default,,0000,0000,0000,,Ulnar collateral ligament stability can be\Ntested at 0 and 30 degrees by applying a valgus
Dialogue: 0,0:01:15.02,0:01:17.08,Default,,0000,0000,0000,,force to the elbow.
Dialogue: 0,0:01:17.08,0:01:22.01,Default,,0000,0000,0000,,Radial collateral ligament stability can also\Nbe tested at 0 and 30 degrees of flexion by
Dialogue: 0,0:01:22.01,0:01:24.09,Default,,0000,0000,0000,,applying a varus force to the elbow.
Dialogue: 0,0:01:24.09,0:01:28.03,Default,,0000,0000,0000,,Laxity indicates partial or complete ligamentous\Ntear.
Dialogue: 0,0:01:28.03,0:01:31.09,Default,,0000,0000,0000,,Cozen's test assesses for lateral epicondylitis.
Dialogue: 0,0:01:31.09,0:01:34.00,Default,,0000,0000,0000,,Lateral elbow pain with resisted wrist extension\Nis a positive test.
Dialogue: 0,0:01:34.00,0:01:40.01,Default,,0000,0000,0000,,Maudsley's test assesses for lateral epicondylitis.
Dialogue: 0,0:01:40.01,0:01:45.04,Default,,0000,0000,0000,,Lateral elbow pain with resisted third finger\Nextension is a positive test.
Dialogue: 0,0:01:45.04,0:01:49.09,Default,,0000,0000,0000,,Perform a Tinel's at the cubital tunnel\Nattempting to recreate pain, numbness, and
Dialogue: 0,0:01:49.09,0:01:53.02,Default,,0000,0000,0000,,tingling over the ulnar nerve.
Dialogue: 0,0:01:53.02,0:01:57.06,Default,,0000,0000,0000,,In conclusion of the elbow exam it's important\Nto document neurovascular status.
Dialogue: 0,0:01:57.06,0:02:00.04,Default,,0000,0000,0000,,Here we demonstrate a brief exam.
Dialogue: 0,0:02:00.04,0:02:09.18,Default,,0000,0000,0000,,With resisted wrist extension for radial nerve.
Dialogue: 0,0:02:09.18,0:02:14.08,Default,,0000,0000,0000,,Check resisted opposition strength of the\Nthumb to check the median nerve and resisted
Dialogue: 0,0:02:14.08,0:02:19.06,Default,,0000,0000,0000,,digit abduction for the ulnar nerve.
Dialogue: 0,0:02:19.06,0:02:24.06,Default,,0000,0000,0000,,Evaluate for the radial pulse and capillary\Nrefill.
Dialogue: 0,0:02:24.06,9:59:59.99,Default,,0000,0000,0000,,Further neurovascular exam may be indicated\Nby history.