Elbow Assessment
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Subjective
Patient unique id
Please convert the below information into Physiotherapy soap note and also add Opportunities for Improvement
Type of assessment
Initial Evaluation
Follow Up Note
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Elbow Assessment
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Side (global selection)
Left
Right
Bilateral
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Observation
Alignment
Carrying angle: Increased
Carrying angle: Decreased
Carrying angle: Asymmetrical
Carrying angle: Normal
Dislocation signs: Present
Dislocation signs: Absent
Visible deformity: Present
Visible deformity: Absent
Soft tissue / Skin
Swelling: olecranon
Swelling: lateral
Swelling: medial
Bruising / ecchymosis
Muscle wasting (triceps/forearm)
Skin changes / scars
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Functional Tests
Findings
Pain with gripping
Pain with lifting objects
Pain during pushing / pulling
Difficulty with throwing / overhead activity
Difficulty with carrying loads
Push-up pain (elbow loading)
Chair push test
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Range of Motion
ROM – Flexion
Full ROM
Reduced ROM
Reduced ROM due to pain
Full ROM with pain
ROM – Extension
Full ROM
Reduced ROM
Reduced ROM due to pain
Full ROM with pain
ROM – Supination
Full ROM
Reduced ROM
Reduced ROM due to pain
Full ROM with pain
ROM – Pronation
Full ROM
Reduced ROM
Reduced ROM due to pain
Full ROM with pain
Recordings
Measured (deg) recorded
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Muscle Power (MMT)
MMT – Flexion (biceps/brachialis)
0 – No contraction
1 – Flicker contraction
2 – Movement with gravity eliminated
3 – Movement against gravity
4 – Movement against gravity with some resistance
5 – Normal power
5 – Normal power but painful
MMT – Extension (triceps)
0 – No contraction
1 – Flicker contraction
2 – Movement with gravity eliminated
3 – Movement against gravity
4 – Movement against gravity with some resistance
5 – Normal power
5 – Normal power but painful
MMT – Supination
0 – No contraction
1 – Flicker contraction
2 – Movement with gravity eliminated
3 – Movement against gravity
4 – Movement against gravity with some resistance
5 – Normal power
5 – Normal power but painful
MMT – Pronation
0 – No contraction
1 – Flicker contraction
2 – Movement with gravity eliminated
3 – Movement against gravity
4 – Movement against gravity with some resistance
5 – Normal power
5 – Normal power but painful
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Palpation
Bony landmarks
Lateral epicondyle
Medial epicondyle
Olecranon process
Radial head
Capitulum / trochlea joint line
Proximal radioulnar joint
Muscles / tendons
Common extensor origin (ECRB, EDC)
Extensor carpi radialis longus (ECRL)
Extensor carpi radialis brevis (ECRB)
Extensor digitorum communis (EDC)
Flexor-pronator group origin
Pronator teres
Flexor carpi radialis
Flexor carpi ulnaris
Palmaris longus
Biceps tendon (distal)
Triceps tendon
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Special Tests
Cozen’s test (lateral epicondylitis)
Negative
Positive
More details...
Mill’s test (lateral epicondylitis)
Negative
Positive
More details...
Maudsley’s test (3rd finger extension)
Negative
Positive
More details...
Golfer’s elbow test (medial epicondylitis)
Negative
Positive
More details...
Varus stress test (LCL)
Negative
Positive
More details...
Valgus stress test (MCL)
Negative
Positive
More details...
Moving valgus stress test
Negative
Positive
More details...
Tinel’s sign (ulnar nerve at cubital tunnel)
Negative
Positive
More details...
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