Elbow Exam Explained - Tennis Elbow & Golfers Elbow Assessment - Clinical Skills Deep Dive - Dr Gill
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- เผยแพร่เมื่อ 9 มิ.ย. 2024
- Elbow Exam Explained - Clinical Skills Deep Dive - Dr Gill
The elbow examination is a core skill - in this video, we demonstrate each step on how to perform an elbow EXAM.
during the elbow examination, you are assessing for radial head pathology, biceps and tricep tenderness, as well as ruling out golfers and tennis elbow, before completing a neurovascular assessment
For a passing grade in your Clinical Skills OSCE, an elbow assessment should follow the LOOK, FEEL, MOVE approach
Initially looking for erythema, scars, swelling and position
Palpating the elbow - specifically the olecranon, medial and lateral epicondyles, and radial head for heat, oedema and crepitus
Finally assess the range of movement with flexion and extension at the elbow, before determining for tennis and golfers' elbows
Watch further orthopaedic examinations for your OSCE revision:
The Elbow Examination
• Elbow Exam - Orthopaed...
The Spine Examination:
• Spine Examination - Ba...
The Knee examination
• Knee Examination - Ho...
The Hip examination
• Hip Joint Clinical Exa...
The GALS examination
• GALS Screen - Gait, Ar... - Gait, Arms, Legs, Spine - GALS screen
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Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.
However during OSCE assessments. Different medical schools, nursing colleges and other health professional courses will have their own preferred approach to a clinical evaluation - you should concentrate on THEIR marks schemes for your assessments.
The examination demonstrated here is derived from Macleods Clinical Examination - a recognised standard textbook for clinical skills.
Some people viewing this medical examination video may experience an ASMR effect
#clinicalskills #Elbow #DrGill
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...
00:00 - Preparing for the Examination
00:44 - Look, Feel, Move Approach
01:01 - Examining the Carrying Angle: Cubitus Valgus
01:42 - Identifying Abnormalities: Cubitus Varus
02:18 - Checking for Swelling or Inflammation: Olecranon and Olecranon Fossa
03:00 - Assessing Supination and Pronation: Radial Head Movement
03:36 - Flexion and Extension Deformities: Examination for Symmetry
04:02 - Impact of Bony Contusions on Elbow Mobility
04:52 - Personal Experience with an Elbow Injury
05:31 - Palpation for Discomfort: Bicep Tendon and Triceps
06:58 - Assessing for Golfer's and Tennis Elbow: Medial and Lateral Epicondyle
07:35 - Checking the Ulnar Nerve: Subluxation and Its Effects
09:00 - Formal Assessment for Golfer's and Tennis Elbow: Resistance Tests
10:52 - Closing Thoughts
Who else is here just for the asmr and has no background in anything medical? Hoping I’m not the only one, lol!
I mean, I'm a nurse, but I'm here for the asmr more than anything else 😂👌
Dr Gill is the best non ASMR ASMR artist lol
Most people are here for the asmr but I stayed because it's very interesting
I have an elbow. Does that count?
@@talmorean6573 half the clips titled "ASMR" seem to try a bit too hard lately and have little to no educational content. Dr Gill's videos are a win-win!
Dr Gill chooses very lovely assistants. Splendid souls.
Thank you Megan for filming with Dr. Gill!
The "new Abbie" is a bit camera shy but is indeed a great continuation of the tradition. She's doing a great job and there's no need to be nervous. :)
Dear Megan, you participated in at least 4 videos.
So may I welcome you in the circle - you are doing great - keep it up!
Informative and most importantly, so relaxing!!! Thanks Dr. Gill for the upload! ❤❤
lovely, a always Dr Gill! I wait the day to a deep dive of the sciatic nerve and it's problems!!
Love your clinical skills videos. They really help me brush up my knowledge. Excellent presentation.
Dr. Gill congrats on the big 123k subs! Much deserved
All of your videos are great , thanks to your great job
The Orthopaedic examination (Look, Feel, Move) is kinda like a Disco in the 80s.....😂
Very neat video! He seems really nice
Never thought I’d say this but elbows are really interesting.
Veryeducational.
Very interesting video Dr Gill. I dislocated my left elbow when I was 10 years old and a vividly remember being told that I would have to live with it as they couldn’t get the joint back into the socket. I’m now 34, can do most things with the arm but there is a significant reduction in the extension of the arm and by God, it hurts if it’s knocked ever so slightly. Doesn’t help either that I have hyper mobility in my joints either.
Wa
Oh dear I’m sorry to hear that!
Dislocations are often traumatic.
Did they do surgery to restore the joint?
@@DrJamesGill they attempted surgery to manually restore the joint but it wouldn't pop back in. The other option if I remember right was to have the bone broken then pins in place through the arm to guide it back into position. Mother didn't wish for that so they said I may be able to live with it and my body may form a "false joint" around the dislocation.
I need all my audiobooks to be done by you sir 😊
Busted up my left arm about 15 years ago, downhill mountain biking and clipped a tree with my hand and forearm. Every once in a while since then, my arm will lock up going into extension, but I can grab my wrist with the other arm, give a pull, and it pops (hurts like hell for a minute) and full range is restored. Hell of a thing to live with, but the hand injury from it was worse. I cannot properly bend my ring and little fingers any more and had to give up playing guitar.
Another great video as always! The human body is fascinating. This helps me better understand the mechanics of my arm/elbow and why it’s sore sometimes after straining it at work from a poor/repetitive movement/heavy box (I unload trucks and restock the sales floor at a retail store and because of my proprioception issues I’m sometimes very clumsy and prone to hurting myself as a result). Appreciate the explanations very much 🙂.
amazing video 👍👍 you should do one about iron deficiency anemia
That would be a good one - as it covers several areas
i spooked the doctor doing my entrance exam for the army. my elbows can hyper extend. he thought he had done it to me by accident. he spent a good 10 minutes playing with my arms since it was the first time he had actually seen it personally. he obviously understood what it was, but never seen, so he just kept moving my arms and asking if it hurt or was uncomfortable, testing thresholds. i was amused by him being so amused.
Interesting. Is it just your elbows?
Hi Dr. James! Awesome presentation as usual. I wonder if you mistakenly referred the medial epicondyle at 7:37 as medial malleolus from tibia?
Yes! Drat. Good catch!
Sangat bermanfaat doktor G. Semua tempat yang doktor saran untuk periksa, setiap kali saya mengurut orang, saya akan periksa setiap struktur pada setiap tisu termasuk urat dan otot.
It’s interesting to see what you look for in these, I have had many people look at my elbows since I broke my right one years ago and had several surgeries on it.
Mine looks a lot different from your patients in this video haha, one is hyperextended and the one that broke now is straight instead of hyperextended so it looks a bit wonky for sure.
I was surprised to hear you also broke your elbow! I feel like its less common in regards to breaks
Thanks for informational video! Keep it up
Yes, elbows are not that common compared to the rest of the arm.
How did you damage it
@@DrJamesGill I broke it in my drama class in the 8th grade. Got body checked. I dont know all the terms but I know that a piece chipped off, I had 3 screws but I only have 1 now. One surgery to put the screws in and two for my range of motion since I get thick scar tissue (runs in my family) and it made it hard to eat ect
If you don’t like the motto “look, feel and move”, you can try “listen and look”. Not sure it’ll work in orthopedic, though…
Look, feel and move works very well normally, especially when starting training, but as mentioned it merely doesn’t quite fit here
I just had this for suspected tennis elbow (but not from tennis!)
Table tennis? 😂
Time for a fun elbow story! So, sometimes I have this weird thing happen, where I can’t extend my elbow fully, just a few degrees from full extension, at least when I move slowly. But when I extend my arm quickly, I hear a cracking sound, like cracking your knuckles, and then I can extend my elbow just fine, no problems. Is this something that happens to anyone else? I’m curious!
Interesting to hear about your ulnar nerve. I trapped a nerve doing heavy deadlifts many years ago and I was told the issue would radiate down via the ulnar nerve. I already have bad circulation and all of my fingers go numb at different times. Doc suggested cubital tunnel syndrome...so wondering if one can have both that and carpal simultaneously. I still lift weights but deadlift less now for sure and overhead pressing and vertical pulling movements are definitely impacted.
Yes. As both are different nerves
Ulna nerve and cubical tunnel syndrome after the ring and little finger classically
Whilst carpal tunnel is thumb, index and half of middle finger
@@DrJamesGill thanks! Could be I've got the complete set then 😅
It is definitely something to speak to your doctor about
Your extension deformity, is there something that’s physically stopping full extension?
Given the average quality of physical therapy being low for non-paid athletes, I’m always skeptical absent a mechanical dysfunction.
I had excellent physio, as I was lucky enough to be treated by the orthopaedic team I worked with
Yes, the issue is mechanical regarding the olecranon
@@DrJamesGill I had nearly an identical fracture, with similar metalwork and awesome physio (work with collegiate/pro athletes) - and I have the exact same extension deformity.
Funny how I first watched one of your videos for the asmr, and months later I discovered that my friend has neurological disorders doing one of the tests with him just for fun
Hopefully you encouraged him to confirm your findings with a professional :)
I really enjoy these videos, I enjoy learning about the human body. I was wondering if it's just "thin" people in the videos or if there will be "thicker" people in future videos?
I never broke my elbow but like many others I do hit the "funny" bone and the whole arm goes numb
You! Yes you. Subscribe right now in recognition of this excellent and free content. I can't belive how incredible famous Dr James Gill is and we are "just" 120k subscribers... Now have an excellent day.
Detroit in the building!!!
Detroit is poor 😅
@@UCONN_HUSKIES isn't San Fran the home of gays?...stop it...lol
@@UCONN_HUSKIES nigga you gay...lol
I have exam next week your video is lifesaving! Tysm! All the special tests in orthopedic is killing me 😩
Good luck.
What’s the exam?
Orthopedic osce! I'm only confident with hand and knee examination while other PE...💀
Hope it went well.
When will you get your results?
I’m not sure if this is anything, but a lot of the time when I try to do a push up, as i push my body up, it feels as though my left elbow is gonna pop out of its socket. Sometimes when I feel this and I push through it anyway, as the elbow moves into a “straight” position there’s a string at the back that glides over something. It’s really uncomfortable and I’m worried if I do push ups it actually gonna snap haha.
I don’t think I’ve had any injuries to me left arm, so I’m not sure what it could actually be.
Could be ulnar nerve subluxation, especially if you get pins and needles like you hit you “funny bone”. See your doctor.
I need a collaboration between Dr. Gill and Dr. Curtis Robb. That's a dream team
Wait Curtis is on here too? I went to school with him.
Help all three of my elbows are sore.
I have a diagnosis: you are a Martian and Earth's gravity is too much for you.
🤣🤣🤣
What’s happen your elbow? I saw your bone broken injury did you was surgery from 7 years? 12 years ago my right ankle broken I have X-ray see my bone was surgery at hospital. 😞 just happen wet mop fell over on the floor on the front outside. 😞
I’m sorry to hear you had similar.
Mine was a bike crash
@@DrJamesGill oh no! I’m so sorry to hear your bike! Be careful don’t fell over again. Not much fun isn’t 😞
@@DrJamesGill oh make sure on my channel on here have a lots video and my tiktok hope you have tiktok well?
At the beginning of the video I thought he was going to discuss the origins of Stonehenge.
I love British medical stuff, amidst all the strictly correct technical terminology something like "boggy" jumps in there.
Ok
Is it just me, or does the band around her wrist make her hand appear to be artificial in closeup?!
hi james 😅
Fun fact : In French, the funny bone (ulna nerve) is called the « little jew ». (Don’t ask me why 🤷🏻♂️)
Cause they love jerry Lewis.
She's fancy dressed, maybe James invited her on a date but then was like "sike! we're doing an elbow exam"
Plot twist: the elbow exam IS her idea of a date.
@@LordDeathwing17 his voice outperforms any party drug known to mankind
So the funny bone is a nerve. Man that sucker hurts when u hit it.
Never broke my elbow, but one day I felt as though someone plucked a string in there and have had pins and needles on and off ever since. Had to stop sleeping with my arms bent. I guess the “funny bone” is the ulnar nerve and it got that name from when you hit something and squeeze it against the humerus. At least that’s my folk etymology head canon. It’s not very humorous.
Megan is so cute
Ella es actriz ?? Como es su Instagram ?
She kinda look like 'what the hell is going on now?' 😅
Nice Video
It must be tough to be a patient for these videos when they are perfectly healthy. Every time Dr. Gill spoke about going to the gym, she smiled. You get the feeling that exercise is never a problem for her, and she reacts when he says there are things he cannot attempt.
Why does it look like that she got forced to do the video 😂
Damn anils everywhere
@@Chupacabra45J fuck an aamai replied
Just one question Dr G: if one elbow is missing and the other was painted bright orange by my pet banana, does this mean I should buy a boat?
Monopoly.
24.
A sailboat maybe. Not a power boat.
Thank you all.
Depends on the size of your dog tbh
I'm probably wrong, but it feels like she could be his sister.
Megan looks so evil but when she smiles she looks like a sweet person I dont know what to trust ;-;
Ella es actriz ??
she is cute 😘
0:34 “that can allow you to have a good look”
Yeah but that’s not the elbow that you’re looking at doctor gill.
She needs to smile more 😩
She's there for an educational video, not to be a pretty face. She does a great job.
How limp are you?
would you be saying ‘smile more’ if it were a guy in the video?
8:33 that was a good one .
@@HScott-iz7kt probably, if the dude was looking equally pissy. she legit looks like she is annoyed through most of the video. but whatever, information was conveyed clearly.