Presentation on theme: "Elbow, Forearm, Wrist & Hand"— Presentation transcript:
1Elbow, Forearm, Wrist & Hand 4/14/2017Elbow, Forearm, Wrist & Hand
24/14/2017Dislocated ElbowDef: Dislocation of the radius and/or ulna. Usually it is a posterior dislocation of both bones.MOI: A fall on the outstretched arm with the elbow hyperextended or a severe twist with the elbow flexed.
64/14/2017S/Sx: Severe pain and disability. Obvious deformity. Profuse hemorrhage and swelling. Complications include: injury to the median and radial nerves and to the major blood vessels and arteries.Tx: Apply cold and pressure immediately, then a sling and refer to a doctor. Reducing an elbow dislocation should never be attempted by anyone other than a physician.
7Olecranon Bursitis4/14/2017Def: inflammation of the olecranon bursae of the elbowMOI: fall on or blow to the tip of the elbowS/Sx: obvious localized swellingTx: ice, rest, NSAIDs and protective padding
9Epicondylitis Medial epicondylitis: Def: inflammation of the origins of the flexors at the medial epicondyleMOI: repetitive forceful flexion of the wristAlso known as pitcher’s elbow or little league elbow
10Lateral epicondylitis Def: inflammation of the origin of the extensors at the lateral epicondyleMOI: repetitive forceful extension of the wristAlso known as tennis elbow
11S/Sx: pain over the attachment point and pain with either wrist flexion (medial epicondylitis) or wrist extension (lateral epicondylitis)Tx: rest, NSAIDS, ultrasoundBrace or tape below the elbow jointstretch
124/14/2017Colles’ FractureDef: A fracture to the distal end of the ulna and/or radius.MOI: A fall on the outstretched hand, forcing the radius and ulna backward and upward
14S/Sx: In most cases there is forward displacement of the radius that causes deformity of the wrist. Positive percussion and compression test.Tx: Apply ice, splint the wrist and refer to a doctor. Athlete will be out 1-2 months.
15Mallet FingerDef: An avulsion of the extensor tendon usually along with a piece of bone.MOI: Common in sports, particularly baseball and basketball. Caused by a blow to the tip of the finger.
20S/Sx: The athlete complains of severe pain and the inability to extend the PIP (middle) joint. The PIP joint is fixed in flexion and the DIP (end) joint is fixed in extension.Tx: Apply ice and splint finger with the middle joint in extension. Refer to a doctor.
21Jersey FingerDef: Rupture of flexor digitorum profundus tendon off distal phalanxMOI: most often occurs in the ring finger when the athlete tries to grab the jersy of an opponent
22S/Sx: DIP joint is fixed in extension, inability to actively flex DIP joint, can passively flex it, pain and point tenderness over distal phalanx.Tx: Tendon needs to be surgically repaired or athlete will never be able to flex DIP joint. Rehab lasts approximately 12 weeks.
26S/Sx: Point tenderness over the ulnar aspect of the MCP joint S/Sx: Point tenderness over the ulnar aspect of the MCP joint. Pain with or inability to grip. Positive valgus stress test.Tx: RICE, NSAIDs, splint the thumb close to the hand. In cases of severe disability refer to a doctor.
27Dislocated FingerDef: A dislocation of any joint in the finger. Usually, the first of second joint is displaced dorsally.MOI: A blow to the finger, usually directed from the palmar side upward.
29S/Sx: Obvious deformity. Inability to move injured joint. Tx: Dislocations may be reduced without doctor referral. After reduction, ice and a splint should be applied. If a fracture or tendon rupture is suspected refer to a doctor.Note: never reduce a dislocated thumb!
30Navicular fractureDef: fracture of the navicular/scaphoid bone. Most commonly fractured carpal boneMOI: fall on an outstretched hand
32S/Sx: often appears to be a wrist sprain S/Sx: often appears to be a wrist sprain. Increased pain with palpation in the anatomical snuff box. Swelling in anatomical snuff box. Pain when pressure is applied to long axis of thumbTx: ice, immobilize, refer to doctor. Cast for about 4 months
33Complications: The scapoid has a poor blood supply If not immobilized properly part of the bone will not healThat part of the bone will die due to avascular necrosisMay result in arthritis
36Open Dislocation of Thumb Def: Dislocation of thumb which breaks the skin.MOI: Direct blow to the thumb.S/Sx: Pretty obviousTx: Reduce the dislocation using sterile gloves. Place sterile gauze over injury and send immediately to a doctor.