presented by Mike Szekeres
This course will review the important anatomical structures for elbow stability, the assessment of these structures, and post surgical treatment options for therapists to consider. Specific instabilities will include posterolateral rotatory instability, posteromedial rotatory instability, and valgus elbow instability.
Mike Szekeres, PhD, OT Reg (Ont.), CHT, is in private practice at Hand Therapy Canada in London, Ontario, Canada. He is an Assistant Editor for the Journal of Hand Therapy. He is currently a sessional faculty member at Western University and has recently completed his PhD in the field of Physical Therapy within the Department of Rehabilitation Science. Mr. Szekeres has served on the Board of Directors for the ASHT. Current professional interests and research include the use of technology for rehabilitation and optimizing the composition and delivery of therapy interventions after wrist fracture.
This chapter will introduce the concept of elbow instability. The relevant clinical anatomy, contributors to stability, and types of elbow instability will be discussed.
This chapter will discuss the most common and most important type of instability – PLRI. Relevant anatomy, etiology, mechanics, and considerations for rehabilitation will be reviewed.
This chapter will discuss medial sided instability, and will cover the anatomy, mechanics, etiology, and rehabilitation considerations.
This chapter will review a newly recognized type of instability at the elbow, PMRI. Relevant anatomy, important diagnostic concepts, and considerations for rehabilitation will be reviewed.
This chapter will provide some suggestions for rehabilitation in the later stages of therapy, once instability is no longer a concern. Often there are post traumatic stiffness and limitations in function that need to be addressed, and this chapter will review options for management of these issues.