Athletic Injuries ATC 222 Elbow, Forearm, Wrist, Hand, and Fingers Chapter 19

Anatomy Humerus, radius, and ulna Carpals Metacarpals Phalanges Joints –MP, PIP, DIP, IP Muscles –Elbow flexors/extensors –Wrist flexors/extensors –Finger flexors/extensors

Elbow Injuries Olecranon bursitis –acute or chronic onset –treatment Sprain/Strains

Lateral Epicondylitis “Tennis Elbow” Etiology S/S Treatment –ice –anti-inflammatories –cause? –straps

Medial Epicondylitis “Pitcher’s Elbow”, “Little League Elbow”, “Golfer’s Elbow”, etc. Etiology S/S Treatment

Elbow Fracture/Dislocation Fracture Dislocation Volkmann’s Contracture –impairment of brachial artery numbness, absent distal pulse, etc

Wrist and Hand Injuries Sprain vs. Strain Metacarpal/Phalange Fracture –S/S positive compression/percussion test rotational deformity diminished MP joint –Treatment MP/PIP/DIP/IP Dislocation –S/S –Treatment

Navicular Fracture Etiology S/S –pain in snuffbox –pain with thumb compression –pain with passive radial deviation –pain with passive wrist extension Treatment

Subungual Hematoma Etiology S/S Treatment –drill –paperclip

Finger Tendon Injuries Mallet Finger –Etiology –S/S –Treatment extension splint (6 weeks) Boutonniere Deformity –Etiology –S/S –Treatment PIP extension splint

Miscellaneous Triangular fibrocartilage Ganglion cyst Gamekeeper’s thumb Boxer’s Fracture

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