Elbow,Wrist,Hand Flashcards
Causes release of chemotactic Agents
Inflammation
Chemotaxis causes
Vasodilation
Increases interstitial fluid, macrophages, activates fibroblasts, block drainage
Vasodilation
Characterized by exuberant fibrous tissue, loss of elasticity, scarring
Chronic inflammation
Sensory function of hands
exploration Fine touch Temp Stereognosis Protective sensation
Motor functions of hand
Grasp and grip
Healing requires immobilization
Rehab requires motion
Therapy paradox
Percussion over irratated area of peripheral nerve elicit electrical sensation distally
Tinel sign
Wrist flexion increase compression of median nerve at wrist
Phalens test
Acute or chronic compression of median nerve
Carpal Tunnel Syndrome
Symptoms of carpal tunnel
Numbness
Tingling
Night pain
Complications of Carpal tunnel release surgery
Scar hypersensitivity
What runs through listers tubercle
Extensor Pollicus longus
Entrapment and inflammation of tenosynovium of extensor tendons to the thumb
deQuervains tenosynovitis
What are signs of deQuervain’s disease
Tenderness at 1st dorsal compartment of wrist
+finkelstein test (passive)
Tx for deQuervains
Rest Heat and antiinflammatories Splint Injection Surgery
Pinning and internal fixation of hand fractures allow
Controlled mobilization of uninvolved joints but doesnt stabalize fragments
External fixator allows
Immediate skin and edema care
Joint mob @ 4 weeks post
Will S-L ligament tear heal?
Naww
OA of CMC joint of thumb
Basilar Joint Arthritis
Functional ROM of elbow
30-130 degrees
50% of hand strength comes from
Forarm muscles
Fractures of necessity are fractures that
Require surgical fixation
Most common elbow fx and cause
Radial head
Indirect force from fall on hand
