5 Carpal tunnel syndrome (1) Carpal tunnel is located in the anterior of the wrist.____________________, their synovial sheaths and the median nerve lie in the tunnel_____________________________________________________________
11 Scaphoid Fracture (2) HOPS fall on the outstretched handsome swellingpain in anatomic snuff boxTx: refer to physician, immobilization x 6 weeks, protection against impact for 3 months
12 Mallet finger “Baseball”, “basketball” finger __________________________________________________________________HOPS:MOI: blow to tip of finger,pain over the DIP jointbent DIP joint (about 30 degrees)inability to extend the DIP jointTX: refer, splint in extension 6 – 8 weeks
14 Boutonneire Deformity ____________________________________________________________HOPS:forced flexion of the interphalangeal jointswelling, flexion deformity of PIP jointpoint tenderness over middle phalanx (dorsal side)____________________________Tx: refer, splint in extension
16 Jersey Finger_________________________________________________________________________________________________HOPS:MOI: rapid ext. of the finger while actively flexedSwellingpoint tenderness over DIP joint____________________________Tx: Refer to physician
18 Gamekeeper’s thumb Sprain of ulnar collateral ligament in thumb MOI: ________________________________ ___________________HOPS:Swelling over palmar aspectInstabilty in the jointLaxity in thumb flexionTx: refer to physician, tape, rest, surgery
20 Boxer’s Fracture Fracture to the 4th and/or 5th metacarpal(s). MOI - caused by punching something harder than the hand, such as a wall or another person's head. The end of the metacarpal bone takes the brunt of the impact, which usually breaks through the narrowest area near the end (the "neck"), and bends down toward the palm.
23 Boxer’s Fracture – (2)HOPS- _________________________ ____________________________Swelling/Discoloration in areaDeformityPain Pt tender at location of fracture___________________________________Treatment- Splint, refer for x-rays, possible surgery