Elbow wristhand and wrist2010

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Elbow wristhand and wrist2010

  1. 1. Elbow, Wrist, and Hand
  2. 2. Elbow and Forearm <ul><li>Anatomy Involved: </li></ul><ul><ul><li>Humerus : longest and largest bone in UE </li></ul></ul><ul><ul><li>Radius : lateral bone </li></ul></ul><ul><ul><li>Ulna: medial bone (longer than radius) </li></ul></ul><ul><ul><li>Group of ligaments & tendons </li></ul></ul><ul><ul><li>Surrounded by Capsule </li></ul></ul><ul><ul><ul><li>Lubricates joint via synovial fluid </li></ul></ul></ul><ul><li>Hinged Joint </li></ul><ul><li>Supplied with Veins and Arteries </li></ul><ul><ul><li>Major arteries are </li></ul></ul><ul><ul><ul><li>Radial and Ulnar </li></ul></ul></ul>
  3. 4. BONES!!!
  4. 5. Injuries to the Elbow and Arm <ul><li>Fractures </li></ul><ul><li>Dislocations or Subluxations </li></ul><ul><ul><li>Falls on outstretched arm </li></ul></ul><ul><ul><li>Limb is twisted severely </li></ul></ul><ul><li>Contusions </li></ul><ul><li>Sprains </li></ul><ul><ul><li>Hyperextension- overextending the elbow </li></ul></ul><ul><li>Synovitis or Bursitis </li></ul><ul><ul><li>Repeated stressful motions </li></ul></ul><ul><ul><li>Direct trauma </li></ul></ul><ul><li>Epicondylitis </li></ul><ul><ul><li>Inflammation of epicondyle </li></ul></ul><ul><ul><li>“ tennis elbow” or “golfer’s elbow” </li></ul></ul><ul><li>Biceps Brachii Rupture </li></ul><ul><ul><li>Assist in flexion of elbow </li></ul></ul><ul><ul><li>Assist in rotation of the hands </li></ul></ul><ul><ul><li>Rupture occurs with pulling motion (gymnists, rowing, weight lifting) </li></ul></ul>
  5. 6. ABILITY TO MOVE ? <ul><li>Flexion and Extension </li></ul><ul><ul><li>Muscles involved are above and below the elbow joint </li></ul></ul><ul><li>Supination </li></ul><ul><ul><li>Palm facing up (“Serving supper”) </li></ul></ul><ul><li>Pronation </li></ul><ul><ul><li>Palm face down </li></ul></ul>
  6. 7. Injuries <ul><li>Fractures : </li></ul><ul><li>Elbow Dislocation </li></ul>
  7. 8. MORE INJURIES <ul><li>Contusion </li></ul><ul><li>Bursitis </li></ul>
  8. 9. More-More Injuries <ul><li>Golfer’s Elbow </li></ul><ul><li>Tennis Elbow </li></ul>
  9. 10. The Wrist and Hand
  10. 11. Anatomy of Wrist and Hand <ul><li>Wrist </li></ul><ul><ul><li>Made up of 8 bones (carpals) </li></ul></ul><ul><ul><ul><li>Tightly bound with synovial joints between them. </li></ul></ul></ul><ul><ul><ul><li>Very little movement </li></ul></ul></ul><ul><ul><li>Muscles </li></ul></ul><ul><ul><ul><li>Originate @ humerus </li></ul></ul></ul><ul><ul><ul><ul><li>Flexors are anterior </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Extensors are posterior </li></ul></ul></ul></ul><ul><li>Hand </li></ul><ul><ul><li>5 Metacarpals and the digits (fingers) </li></ul></ul><ul><ul><ul><li>Each articulate one another </li></ul></ul></ul><ul><ul><ul><li>Long bones #’d 1-5 </li></ul></ul></ul><ul><ul><ul><li>2-5 have 3 phalanges </li></ul></ul></ul><ul><ul><ul><li>1 (thumb) only has 2 phalanges </li></ul></ul></ul><ul><ul><ul><ul><li>Held by ligaments </li></ul></ul></ul></ul><ul><ul><li>Muscles </li></ul></ul><ul><ul><ul><li>Originate @ humerus </li></ul></ul></ul><ul><ul><ul><ul><li>Flexors are anterior </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Extensors are posterior </li></ul></ul></ul></ul>
  11. 12. <ul><li>WRIST </li></ul><ul><li>HAND </li></ul>
  12. 13. Carpal Bones <ul><li>S ome L overs T ry P ositions T hey C an’t H andle </li></ul><ul><ul><li>S cottish L ads T ake P rostitutes T o T he C aledonian H otel </li></ul></ul><ul><ul><li>S caphoid (a) </li></ul></ul><ul><ul><li>L unate (b) </li></ul></ul><ul><ul><li>T riquetral (c) </li></ul></ul><ul><ul><li>P isiform (d) </li></ul></ul><ul><ul><li>T rapezium (e) </li></ul></ul><ul><ul><li>T rapezoid (f) </li></ul></ul><ul><ul><li>C apitate (g) </li></ul></ul><ul><ul><li>H amate (h) </li></ul></ul>
  13. 14. What they can do???? <ul><li>Wrist </li></ul><ul><ul><li>Flexion/Extension </li></ul></ul><ul><ul><li>Radial /Ulnar Deviation </li></ul></ul><ul><ul><ul><li>Shifting towards the opposite bone </li></ul></ul></ul><ul><li>Hand </li></ul><ul><ul><li>Flexion/Extension </li></ul></ul><ul><ul><li>Adduction </li></ul></ul><ul><ul><ul><li>Towards the body/part </li></ul></ul></ul><ul><ul><li>Abduction </li></ul></ul><ul><ul><ul><li>Away from body/part </li></ul></ul></ul>
  14. 15. All sorts of Movement
  15. 16. INJURIES <ul><li>Fractures </li></ul><ul><li>Dislocations/subluxations </li></ul><ul><li>Contusions </li></ul><ul><li>Sprains </li></ul><ul><ul><li>Gamekeeper’s Thumb </li></ul></ul><ul><li>Impingement </li></ul><ul><ul><li>Carpal Tunnel </li></ul></ul><ul><li>Tendonitis </li></ul><ul><ul><li>de Quervain’s – Tenosynovitis </li></ul></ul><ul><li>Cysts (wrist) </li></ul><ul><ul><li>Ganglion – fluid filled sac in synovial membrane that penetrates the tendon sheath </li></ul></ul><ul><li>Mallet finger </li></ul><ul><ul><li>Caused by direct blow to outstretched finger </li></ul></ul><ul><ul><li>Baseball, volleyball, basketball </li></ul></ul><ul><ul><li>Tearing of tendon </li></ul></ul><ul><ul><li>Also called “Jersey Finger” </li></ul></ul><ul><li>Buttonhole (Boutonniere) Deformity </li></ul><ul><ul><li>Rupture of tendon in middle phalanx </li></ul></ul><ul><ul><li>Caused by a force pushing the upper-joint (excessive flexion) </li></ul></ul>
  16. 17. Pretty Pictures <ul><li>Fractures: Rolando Fx </li></ul><ul><li>Dislocations: Bennett’s Fx and Dislocation </li></ul>
  17. 18. DID SOMEBODY SAY MMOOORE ???? <ul><li>Mallet Finger </li></ul><ul><li>Boutonniere Deformity </li></ul>

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