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6 Elbow MObilization

This document provides information on the elbow and forearm complex, including details on the four joints - humeroulnar, humeroradial, proximal radioulnar, and distal radioulnar. For each joint, the document outlines the bony articulations, resting positions, treatment planes, and stabilization techniques for various mobilization approaches like distraction, glides, and compression. References on orthopedic manual therapy and therapeutic exercise are also provided.

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42 views

6 Elbow MObilization

This document provides information on the elbow and forearm complex, including details on the four joints - humeroulnar, humeroradial, proximal radioulnar, and distal radioulnar. For each joint, the document outlines the bony articulations, resting positions, treatment planes, and stabilization techniques for various mobilization approaches like distraction, glides, and compression. References on orthopedic manual therapy and therapeutic exercise are also provided.

Uploaded by

Gautam
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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INSTITUTE: UIAHS

DEPARTMENT: Physiotherapy
Bachelors of Physiotherapy
Advanced Physiotherapeutic in Orthopedics
PTA-461

Dr. Taniya Wadhwa (PT)


E-9885

Elbow Joint tT DISCOVER . LEARN . EMPOWE


COURSE OUTCOME
Elbow and Forearm Complex
• The elbow and forearm complex consists of
four joints:
• humeroulnar,
• humeroradial,
• proximal radioulnar, and
• distal radioulnar
Humeroulnar Articulation

The convex trochlea articulates with the concave olecranon fossa.


Resting position.
• Elbow is flexed 70˚, and forearm is supinated 10˚. Treatment
plane.
The treatment plane is in the olecranon fossa, angled
approximately 45˚ from the long axis of the ulna
Stabilization.
• Fixate the humerus against the treatment table with a belt or
use an assistant to hold it. The patient may roll onto his or her
side and fixate the humerus with the contralateral hand if
muscle relaxation can be maintained around the elbow joint
being mobilized.
Humero-ulnar Distraction and Progression
Humeroulnar Distal Glide
Humeroulnar Ulnar Glide
• Indication
To increase valgus.
This is an accessory motion of the joint that accompanies elbow
extension and is, therefore, used to progress extension.
• Patient Position
■ Same as for radial glide except a block or wedge is placed under
the proximal forearm for stabilization (using distal stabilization).
■ Initially, the elbow is placed in resting position and is progressed
to end-range extension.
• Mobilizing Force Apply force against the distal humerus in a
radial direction, causing the ulna to glide ulnarly.
Humeroradial Articulation
• The convex capitulum articulates with the
concave radial head
• Resting position- Elbow is extended, and forearm
is supinated to the end of the available range.
• Treatment plane- The treatment plane is in the
concave radial head perpendicular to the long
axis of the radius.
• Stabilization- Fixate the humerus with one of
your hands.
Humeroradial Distraction
Humeroradial Dorsal/Volar Glides
Humeroradial Compression
Proximal Radioulnar Joint
• The convex rim of the radial head articulates
with the concave radial notch on the ulna
• Resting position- The elbow is flexed 70˚ and
the forearm supinated 35˚.
• Treatment plane- The treatment plane is in
the radial notch of the ulna, parallel to the
long axis of the ulna.
• Stabilization- Proximal ulna is stabilized
Proximal Radioulnar Dorsal/Volar Glides
Distal Radioulnar Joint
• The concave ulnar notch of the radius
articulates with the convex head of the ulna.
• Resting position-The resting position is with
the forearm supinated 10˚.
• Treatment plane- The treatment plane is the
articulating surface of the radius, parallel to
the long axis of the radius.
• Stabilization- Distal ulna
Distal Radioulnar Dorsal/Volar Glides
References
• Orthopedic Manual Therapy;Chad Cook
• Colby, Lynn Allen_ Kisner, Carolyn-Therapeutic
exercise. Foundations and techniques-F.A.
Davis (2012)
• Maitland's Manipulation; Volume 1 and 2; Elly
Hengeveld, Kevin Banks
• Principles of Manual Therapy; Deepak
Sebastian

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