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The Elbow, Forearm, Wrist and hand

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The Elbow, Forearm, Wrist and hand – PowerPoint PPT presentation

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Title: The Elbow, Forearm, Wrist and hand


1
The Elbow, Forearm, Wrist and hand
2
Main Anatomy
  • Phalanges
  • Metacarpals
  • Carpal
  • Radius
  • Ulna
  • Humerus

3
Carpals
  • How many bones make up the wrist?
  • 8
  • The wrist is formed where the distal aspect of
    the radius and the ulna joins.  There are eight
    carpal bones in all.  The carpal bones are
    gliding joints and are stabilized by anterior,
    posterior, and connecting ligaments.

4
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5
Muscles of the arm
  • Forearm main muscles
  • carpi ulnaris
  • brachioradialis
  • muscles of forearm

6
Elbow Dislocation
  • Occurs when athlete falls on an outstretched
    hand, or a direct blow
  • Radius and Ulna are forced away from humerus
  • Take immediately to hospital
  • Why?
  • Danger of damage to blood vessels and nerves that
    can lead to paralysis of fingers
  • Splint as is, and apply cold
  • To help with prevention of injury, teach athletes
    correct way to fall/tumble (gymnastics)

7
Elbow Dislocation
8
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9
Elbow Hyperextension
  • When the elbow is extended past normal range
  • Falling onto an outstretched hand
  • Athlete is normally apprehensive of straightening
    the arm
  • S/S
  • Swollen area
  • 1st Aid
  • Cold and Compression and elevation (if possible)
  • Start mild ROM exercises asap

10
Elbow Hyperextension
11
Little League Elbow
  • Cause
  • Too much stress on the elbow
  • When muscle is stronger than the bone
  • Muscle pulls away a chip of bone
  • Occurs in children who have not gone through
    puberty yet
  • Repetitive throwing motions
  • Prevention
  • Try to reduce the amount of throwing motions
  • Stop at the first sign of pain

12
Little League Elbow
13
Tennis Elbow
  • Tennis Elbow - Sports Injury Clinic
  • Causes
  • Poor technique
  • Inadequate warm-up
  • overuse

14
Wrist Sprains
  • One of the most common injuries
  • Landing on wrist, collision with another athletes
  • Ask is athlete heard a pop, look for deformity
    and swelling
  • 1st aid
  • ICE
  • Taping can help prevent further injury

15
Wrist Sprain TX
  • Wrist Sprain - Sports Injury Clinic
  • Wrist Taping

16
Wrist Fracture
  • Happen to the radius, ulna and one bone from the
    carpal
  • The navicular
  • Same mechanisms as sprain
  • Make sure it is not a sprain, or it can lead to
    necrosis, death of the bone
  • Look for swelling and point tenderness at the
    navicular
  • Splint and apply ice

17
Sprained Thumb
  • Most common in basketball and football
  • Ball hits the end of the thumb when trying to
    catch it
  • The joint that is injured
  • MCP joint (metacarpophalangeal joint)
  • MCP joint
  • Swelling and pain at base of thumb
  • Try to pinch thumb and first finger together
  • 1 elastic tape is best material to use to tape

18
Thumb sprain
19
Taping for sprained Thumb
  • Thumb Sprain Taping - Sports Injury Clinic

20
Jammed Finger
  • Ball striking end of finger is most common MOI
  • What joint is most commonly sprained?
  • PIP joint (proximal interphalangeal joint)
  • S/S
  • Swelling and soreness localized to that joint
  • TX
  • Compression and Ice
  • Elastic tape is best way to maintain compression
  • Use wood or metal splint to immobilize joint
  • Protect by buddy taping. Taping it to the
    stronger adjacent finger. Try to put foam
    between fingers if available

21
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22
Jammed fingers
23
Dislocated Fingers
  • Volleyball and Football
  • Direct blow to tip of finger
  • Usually which joint?
  • Middle phalangeal joint
  • Splint as is
  • Apply cold
  • Physician

24
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