Transcript Elbow Injuries - davis.k12.ut.us

Elbow, Wrist, &
Hand Injuries
Elbow Anatomy
• Hinge Joint- Moves
in flexion and
extension
• 3 Bones – Humerus,
radius and ulna
• Radius allows the
forearm to pronate
and supinate
Ligaments of the Elbow
Radial Collateral Ligament
Ulnar Collateral Ligament
Anatomy Cont.
Muscles
• Triceps perform elbow extension
• Biceps perform elbow flexion
• Wrist flexors attach to the medial epicondyle of
the humerus and run toward the hand and
perform flexion of the wrist
• Wrist extensors attach the lateral epicondyle of
the humerus and run toward the hand and
perform extension of the wrist.
Muscles of the Elbow
Treating Elbow Injuries
Ulnar Collateral Lig. Sprain
– More prone to sprains than other ligaments of the elbow
– Caused by repetitive movements
– Caused by a direct blow
Signs & Symptoms
– Medial elbow pain
– Swelling
Treatment
– RICE
– Moderate or Severe may need to be splinted
– Strengthen wrist flexors
Treating Elbow Injuries
Radial Collateral Lig. Sprains
Signs & Symptoms
• Same as ulnar except for pain is on the lateral
side
Treatment
– Same as UCL
– Strengthen wrist extensors
Muscle and Tendon Injuries – Most
often caused by either excessive
resistive forces or overuse
Common Injuries
Lateral epicondylitis – “Tennis Elbow”
Mechanism of
Injury
Signs and Symptoms
Repetitive
extension of the
wrist.
Aching pain in lateral
elbow during and after
activity.
Treatment
RICE, antiinflammatory
medications,
strengthening
exercises.
Prevention
Strategies
Proper technique,
progressive
increase in
frequency/intensity
of training.
Common Injuries
Medial epicondylitis – “Little Leaguer’s or Golfer’s Elbow”
Mechanism of
Injury
Signs and Symptoms
Repetitive flexion
of the wrist.
Pain in medial elbow,
could radiate down arm;
point tenderness, mild
swelling.
Treatment
RICE, antiinflammatory
medications,
strengthening
exercises
Prevention
Strategies
Proper technique,
progressive
increase in
frequency/intensity
of training.
Review!
Wrist and Hand Anatomy
•
•
•
•
•
Radius
Ulna
8 Carpal bones
5 Metacarpal bones
14 Phalanges
Wrist and Hand Joints
• Metacarpal Phalengeal
• MCP
• Thumb
• Interphalengeal
• PIP
• DIP
Common Injuries
Interphalengeal Dislocation
Mechanism of
Injury
Blow to the tip of
the finger.
Signs and Symptoms
Pain, deformity, no
ROM.
Treatment
Splint in position
found, immediate
referral to a physician.
Taping Injuries of
Wrist & Hand
Prophylactic Wrist Taping
(Circular)
1.
First apply pre-wrap below the wrist
joint, around the wrist, and the heel
of the hand.
2.
Make sure that you keep the fingers
spread and hand flat while applying
the tape.
3.
Place the first strip of tape just below
the wrist joint, pulling the tape in a
circle around the wrist, from the
outside toward the inside of the arm.
4.
Apply 3 – 4 additional strips moving
up the wrist toward the hand. Each
strip should overlap about half of the
strip before it.
5.
For additional support, continue back
down the wrist in the same pattern.
Prophylactic Wrist Taping
(Figure 8 – Through the hand)
This tape job can provide slightly more support than the basic circular, and also provides more of
a limit on the wrists range of motion. It works well for mild sprains and provides extra support.
1.Complete steps 1-4 of “Prophylactic Wrist taping (Circular)”.
2.The next strip should start on the first strip, and cross over the back
of the hand, then continue through the space between the thumb
and finger, the across the palm. It may help to fold the tape when it
crosses the thumb web to make it more comfortable.
3.Continue pulling the same strip of tape back across the back of the
hand and back to the point of the wrist where the strip started.
4.Repeat this pattern 3 or 4 times, making the next strip of tape
overlaps half of the previous strip.
Prophylactic Wrist Taping
(Figure 8 – Through the hand)
5. Apply 3 – 4 additional strips
moving up and down the wrist
toward the hand. Each strip
should overlap about half of
the strip before it.
6. The addition of a fan or
checkrein may provide
additional support and
limitation of movement.
7. The tape should allow the
thumb and fingers to move
freely, and only restrict
movement of the wrist.
Prophylactic Thumb Taping
1.
2.
3.
The athlete should fully extend and adduct the fingers while
keeping the thumb in a relaxed, neutral position (as if holding a
can). The taper should stand in front of the athlete’s thumb
Apply pre-wrap to the hand and wrist.
Place an anchor strip around the base of the wrist. Add another
2/3 strip anchor attaching from the wrist anchor to the back of
the hand between the thumb and pointer finger to the palm
side attaching to the wrist anchor.
Prophylactic Thumb Taping
4. Add a series of three “spica” strips. The first spica is started on
the radial side at the base of the thumb and carried under the
thumb, completely encircling it, and then crossing to the
starting point. The strip should continue around the wrist and
finish at the starting point. Each of the following spica strips
should overlap the preceding strip by at least 2/3 inch and
move downward on the thumb.
Prophylactic Thumb Taping
5.
6.
Apply C-strips; starting at base of thumb, apply tape from
dorsal side of hand around the base of thumb to the palmer
side to the hand. Each of the following strips should overlap
the preceding strip by at least 2/3 and move upward on the
thumb.
Secure the open ends of the “C” strips by the single strip of
tape through the hand. Apply anchor strip around the wrist.
Questions?
Everyone Practice
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