Subodh Deshmukh Consultant Hand and upper limb surgeon The Royal Orthopaedic Hospital
Bony anatomy leads to inherent stability
Complex of 3 joints:-
Humero-ulnar – Complex hinge – Flexion/extention
Radio capitellar – pronation/supination Complex bony & Proximal radio ulna ligamentous anatomy – pronation / supination
Ulnar nerve Pain & stiffness
Radial nerve Locking- loose bodies
Median nerve Pins & needles , hand weakness Cutaneous nerves Look: scars, sinuses, muscle wasting, deformities Feel: Tender areas, palpate lumps Tennis Elbow: lateral epicondylitis (extensor) Golfers Elbow: medial epicondylitis (flexor) Move: active and passive ROM Flexion/Ext, Olecranon bursitis