American Board of Surgical Assistants (ABSA) Orthopedic Practice Test

What is a common complication that must be monitored in injuries involving the elbow?

1. Respiratory distress

2. Potential tendon rupture

3. Peripheral vascular injury

4. Fracture of the humerus

The correct answer is: Potential tendon rupture

Injuries involving the elbow often result in significant trauma to the surrounding muscles, tendons, and ligaments. One of the primary concerns following such injuries is the potential for tendon rupture, particularly because the elbow is a joint that relies heavily on the integrity of its soft tissues for function. When tendons around the elbow sustain excessive strain or are affected by acute trauma – either from a sudden injury or from overuse – they can become compromised. Monitoring for tendon rupture is crucial because this complication can severely affect the range of motion and overall functionality of the elbow joint if it occurs. Symptoms of a tendon rupture may include sudden pain, weakness, and difficulty in performing movements such as flexion and extension of the arm. While other complications related to elbow injuries can occur – such as vascular injuries or fractures of the humerus – the direct association of tendon rupture with elbow mechanics and function makes it a primary concern in the context of monitoring for complications. Therefore, vigilance for tendon integrity is essential in managing elbow injuries effectively.