Elbow Exam Explained - Tennis Elbow & Golfers Elbow Assessment - Clinical Skills Deep Dive - Dr Gill

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

The Spine Examination:

The Knee examination

The Hip examination

The GALS examination

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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

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

[tastyhollywoodhistory]

Who else is here just for the asmr and has no background in anything medical? Hoping I’m not the only one, lol!

[TK-]

Dear Megan, you participated in at least 4 videos.
So may I welcome you in the circle - you are doing great - keep it up!

[Everyyoueverymiau]

Thank you Megan for filming with Dr. Gill!

[alexmcglynn]

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.

[jg]

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.

[Salmaniack]

Informative and most importantly, so relaxing!!! Thanks Dr. Gill for the upload! ❤❤

[ddal]

Dr Gill chooses very lovely assistants. Splendid souls.

[JamesMichaelDoyle]

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.

[ahcamws]

I fractured my elbow in several places after a skiing accident years ago and eventually developed epicondylitis on the opposite side from the largest chip fracture (which is still floating! very cool to see on my x-rays). I watch a lot of these videos because, as a medical coder, I like to understand what I'm indicating in a patient's records but this one was especially interesting to recognize all the tests and whatnot from my own visits with an orthopedic dr.

[keithlivingstone]

The Orthopaedic examination (Look, Feel, Move) is kinda like a Disco in the

[lunaluna]

I need all my audiobooks to be done by you sir 😊

[yidarmy]

Never thought I’d say this but elbows are really interesting.

[douglasseem]

lovely, a always Dr Gill! I wait the day to a deep dive of the sciatic nerve and it's problems!!

[irisjmusic]

amazing video 👍👍 you should do one about iron deficiency anemia

[Dukuduu_]

Love your clinical skills videos. They really help me brush up my knowledge. Excellent presentation.

[ludorak]

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…

[minkpeony]

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

[larrymcjones]

Dr. Gill congrats on the big 123k subs! Much deserved

[psyconismelistic]

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.

[benchin]

Hi Dr. James! Awesome presentation as usual. I wonder if you mistakenly referred the medial epicondyle at 7:37 as medial malleolus from tibia?