Elbow in Sport: Injury, Treatment and Rehabilitation, The

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Developer / Lead Author Ellenbecker, Todd S.
Publisher / Supplier Human Kinetics
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This is the first book to focus on overuse elbow injuries, giving sports medicine and rehabilitation professionals the information they need to evaluate, treat, and rehabilitate the athletic elbow.

Authors Todd Ellenbecker and Angelo Mattalino, both highly respected sports medicine specialists, share their experience from years of treating elbow injuries in professional athletes. In The Elbow in Sport, they present a comprehensive approach that focuses on treating the elbow as part of a total arm strength rehabilitative program.

The Elbow in Sport provides a thorough understanding of elbow injuries and describes specific rehabilitation methods to treat the five most common overuse elbow injuries:

• Humeral (lateral and medial) epicondylitis
• Osteochondral injury (osteophytes/loose bodies)
• Ulnar nerve dysfunction (neuritis)
• Ulnar collateral ligament injury
• Growth plate injury

Descriptions of surgical interventions help to enhance understanding of postoperative symptoms and guide subsequent rehabilitation.

The book also contains case studies and specific rehabilitation protocols as well as interval return programs for tennis, baseball (throwing), and golf.

Additional Information

Preface
Acknowledgments
Introduction

Chapter 1. Anatomy and Biomechanics of the Elbow

Arthrology/Osteology • Capsuloligamentous Structures • Neural Anatomy • Muscles • Muscular Activity Patterns • Joint Kinematics and Kinetics

Chapter 2. Etiology of Overuse Elbow Injuries and Anatomical Adaptations in Athletes

Humeral Epicondylitis (Tennis Elbow) • Ulnar Collateral Ligament Injury • Ulnar Nerve Injury (Neuritis) • Osteochondral Injuries (Osteophytes/Loose Bodies) • Growth Plate Injury • Anatomical Adaptations of the Elbow in Unilaterally Dominant Athletes

Chapter 3. Diagnostic Tests for the Elbow

Radiographs • Stress Radiographs • Contrast Arthrography • Computed Tomography • Magnetic Resonance Imaging (MRI) • Differential Diagnosis

Chapter 4. Clinical Evaluation of the Elbow

Subjective History • Observation/Inspection • Palpation • Related/Referral Joints (Cervical Spine and Glenohumeral Joint) • Range of Motion • Accessory Movements • Muscular Strength Testing • Neurological Exam • Special Tests for Examination of the Elbow

Chapter 5. Rehabilitation Concepts for the Elbow

Regaining Range of Motion • Isokinetics • The Total Arm Strength Concept • The Kinetic Link Principle

Chapter 6. Treatment and Rehabilitation of Overuse Elbow Injuries

Immediate Management • Humeral (Lateral and Medial) Epicondylitis • Osteochondral Injury (Removal of Loose Bodies/Debridement) • Ulnar Nerve Dysfunction (Neuritis) • Ulnar Collateral Ligament Injury • Growth Plate Injury

Chapter 7. Case Presentations

Lateral Epicondylitis • Status Post-Arthroscopic Elbow Debridement • Rehabilitation Following Ulnar Nerve Transposition • Status Post-Ulnar Collateral Ligament Reconstruction Using Autogenous Graft • Status Post-Open Reduction Internal Fixation Medial Epicondylar Growth Plate

Appendix A. Postoperative Protocols

Humeral Epicondylitis (Tennis Elbow) • Elbow Arthroscopy and Removal of Loose Bodies • Ulnar Nerve Transposition • Ulnar Collateral Ligament Reconstruction Using Autogenous Graft (Seto et al., 1991) • Ulnar Collateral Ligament Reconstruction Using Autogenous Graft (Wilk et al., 1995)

Appendix B. Interval Return Programs

Tennis • Throwing for Baseball Players • Golf

Appendix C. 100-Point Classification System for Clinical Outcomes

Credits
References
Index
About the Authors

Developer / Author(s)

Todd Ellenbecker, MS, PT, SCS, CSCS, is the clinic director at the Physiotherapy Associates Sports Clinic in Scottsdale, Arizona. He is certified by the American Physical Therapy Association (APTA) as a sports clinical specialist, one of a limited number in the United States. This distinction requires five years of sports medicine experience and successful completion of an extensive written exam. He has treated elbow injuries in many professional baseball players and elite tennis players, having worked with the Milwaukee Brewers, Oakland A's, San Francisco Giants, and the United States Tennis Association.

A member of the APTA and the American College of Sports Medicine, Ellenbecker has published many articles and research studies pertaining to the upper extremity in baseball and tennis players. He earned a bachelor's degree in physical therapy from the University of Wisconsin-LaCrosse and a master's degree in exercise physiology from Arizona State University.

Angelo J. Mattalino, MD, is an orthopaedic surgeon with the Southwest Sports Medicine and Orthopaedic Surgery Clinic in Scottsdale, Arizona. He is an orthopaedic consultant to several professional baseball teams and the medical director of Major League Baseball's Arizona Fall League. He also works with the United States rugby, ski, and soccer teams; the Association of Tennis Professionals; and numerous high school teams.

Dr. Mattalino, who earned a medical degree from the University of Texas, is certified by the American Board of Orthopaedic Surgeons and the Arthroscopy Board of North America. Following his orthopaedic surgical residency at Tulane Medical School, he completed fellowships in sports injuries and arthroscopy.

Editor(s)

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