mac april 2015
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Elbow: Making the Elbow: Making the diagnosisdiagnosis
Adam C WattsElbow and Upper Limb Surgeon
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Learning ObjectivesLearning Objectives
Identify key differential diagnosis
Describe clinical signs
Understand most useful diagnostic tools
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Diagnostic indicatorsDiagnostic indicators
Age
Gender
Occupationclericalmanual
sports
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SymptomsPain
wherewhat positionwhen
Reduced rangeMechanical
Signs
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Age as a diagnostic toolAge as a diagnostic tool
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Adolescent elbowAdolescent elbow
12 year old gymnast with insidious onset lateral elbow pain and stiffness
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Adolescent elbowAdolescent elbow
17 year old with painless limitation of forearm supination
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Congenital / Developmental Congenital / Developmental AbnormalityAbnormality
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Congenital / Developmental Congenital / Developmental AbnormalityAbnormality
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Adult ElbowAdult Elbow
42 year old policewoman with 6 months lateral elbow pain
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Adult ElbowAdult Elbow
29 year old rugby player with locking of the elbow
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Adult ElbowAdult Elbow
25 year old cricketer with posterior elbow pain
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Adult ElbowAdult Elbow
33 year old female with numbness and tingling in the hand and childhood history of elbow trauma
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Adult ElbowAdult Elbow
49 year old bodybuilder with 3 months anterior elbow pain
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Elderly elbowElderly elbow
75 year old lady with lateral elbow pain
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Elderly elbowElderly elbow
80 year old with global elbow pain that keeps her awake at night
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Elderly elbowElderly elbow
70 year old with sudden elbow stiffness
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SummarySummary
Diagnosis based on a series of questions and answers
Age is a useful tool
Prompt referral large joint effusion, trauma, OCD
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