Transcript What caused it? - Petal School District

What am I?
Articulations of the humerus, radius, and ulna. [ olecranon
process ]
Medial collateral ligament: 3 portions, anterior,
posterior, oblique
The anterior fibers are tight in extension, while the posterior fibers are tight in flexion [ beyond
90 degrees ] The posterior fibers are fan shaped and thin when compared to the anterior fibers.
Causes: Back Hand Swing (tennis); Painting ; Carrying
heavy buckets
Lateral Epicondylitis
Symptoms: Point tenderness @ lateral epicondyle; radiating pain to mid forearm and into
the middle and ring finger; stiffness in elbow.
Medial Epicondylitis – Golfer’s Elbow
Movements of elbow
Elbow: flexion - extension
Wrist: supination - pronation - ulnar and radial deviation flexion and
extension
Flexion and extension originate at the humeroradial and humeroulnar joints
while pronation and supination occur from the radio scaphoid (Navicular)
articulations at the wrist and the radioulnar joint at the elbow.
Elbow Dislocations
6. Dislocations (fractures of the coronoid process occur in approx. 35-40% of elbow dislocations)
Dislocations of the elbow are infrequent occurrences in intercollegiate athletics.
However, when they do occur, the are often serious injuries due to the potential for fractures and impaired distal circulation.
Muscles of elbow, wrist, &
hand
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Biceps = primary supinator of the forearm also primary for elbow
flexion.
Brachial, originates on the humerus, extends anteriorly across
the joint and inserts into the ulna.
Triceps, 3 heads, Primary responsible for extension of elbow.
Flexor - pronator group, originates on medial side
Extensor - supinator group,
Olecranon bursae, separates the skin over the tip of the elbow
from the pointed end of the ulna. [ Olecranon process ]
Radial - humeral bursae, lies anteriorly between the radial head
and the lateral epicondyle between the muscle attachments
Hand & Wrist Injuries
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Gamekeeper’s Thumb
Mallet Finger
Jersey Finger
Central Slip Injury /
Boutenniere Deformity
Swan Neck Deformity
Colles Fracture / Smith
Fracture
Scaphoid Fracture
Bennet’s Fracture
• Boxer’s Fracture
• Dislocated Fingers
• Smash/Avulsion Injuries
Gamekeeper’s Thumb
Normal thumb
Normal Carrying Angle
Gamekeeper’s Sprain
(Notice the opening of joint
Mallet Finger
 How ?
 Hit on tip of finger with ball
 S/S?
 Tip of Finger Drops
 Blood under nail
 Swelling
 Tx?
 PRICE, Splint into ext., Need to refer within a
week
Mallet Finger
Jersey Finger
 How? – Flexor tendon rupture
 Finger caught in jersey
 S/S?
 Unable to actively flex finger at DIP or PIP joint
 DIP represents Profundus rupture
 PIP represents Superficialis rupture
 TX?
 Surgery
 Splint
Jersey Finger
Swan Neck Deformity
Swan Neck Deformity
•DIP goes into extension
•PIP goes into flexion
Central Slip Injury /
Boutenniere Deformity
 How?
 PIP forceabley flexed and extended @ same time
 Common in Basketball Players
 S/S?
 Unable to actively extend the joint
 Tenderness over the dorsal aspect of the middle
phalanx
 Tx?
 Splint in full extension x 6 weeks
Central Slip Injury /
Boutenniere Deformity
Colles Fracture
 What?
 TX?
 Distal Radial Fracture
 PRICE
 Most common arm fracture
 Refer to MD
 How?
 Fall on outstretched hand
 Wrist goes into extension
 S/S?
 immediate (acute) pain,
 tenderness, bruising, and swelling
 Frequently, the wrist hangs in an
odd or bent way (deformity).
 Cast if no surgery
 Surgery possible
Colles Fracture
Smith Fracture
 What?
 Distal Radial Fracture
 How?
 Fall on flexed hand
 S/S?
 Same as Colles Fracture
 TX?
 Same as Colles Fracture
Scaphoid Fracture
 What?
 Fracture small carpal bone
 2nd most common wrist fracture
 How?
 Fall on outstretched hand
 S/S?
 Swelling
 Point tenderness (anatomical
snuff box)
 TX?
 Refer for xray – CYA!!!
Bennett’s Fracture
 Fracture of 1st MCP jt
 Fall on outstretched
hand
 Dropped object
 TX
 Refer for xray
 Splint
Boxer’s Fracture
 Break in the
small end of the
5th metacarpal
 What caused it?
Punching
something harder
than the hand, such
as a wall or another
person's head.
 TX?
 PRICE
REFER
Dislocated Fingers
 During sports activities, a
basketball or baseball may
strike the tip of an
outstretched finger.
 Your finger might get caught
in equipment such as a game
jersey or pads.
 You might fall onto your
outstretched hand.
Dislocated Finger
 S/S
 Do Not Try to Reduce!
 Obvious Deformity
 Splint
 Pain
 Refer
 Swelling
Smash / Avulsion Injury
Smash / Avulsion Injury
3 months post op