Elbow joints and wrist joints are most common joints in upper extremity effected by sports related injury. This injuries can be prevented and treated with different orthosis.
This present power point presentation on soft tissue conditions, is an orthopedic topic useful for a quick glance of the conditions mostly of UL and LL. Physiotherapists and other health professionals will be benefited.
This present power point presentation on soft tissue conditions, is an orthopedic topic useful for a quick glance of the conditions mostly of UL and LL. Physiotherapists and other health professionals will be benefited.
Peripheral nerve damage affecting the upper extremities can vary widely in cause and extent.
Many disorders, ranging from mild carpal tunnel syndrome to severe brachial plexopathy, need to be considered in a patient presenting with pain, sensory loss, or weakness involving the shoulder, arm, or hand.
Hand splinting in common orthopedic & neurological condition 1POLY GHOSH
This Presentation is about role of splinting in orthopedic condition and neurological condition. This presentation can be benefitted for Orthotist, Occupational therapist, phyiotherapist and Physical medicine and rehabilitation specialist.
Best Sports Medicine Surgeon with the Advent of Science & optics in Medical Profession any Joint can be visualised & reconstructed in the body using Arthroscopy with its extensive use in the Knee & Shoulder Joints.
ELBOW JOINT PATHOLOGY AND REHABILITATION 1.pptxSrishti Mahadik
Elbow joint pathomechanics and rehabilitation in physiotherapy explained in detailed manner.Each and every point from reference books mentiuoned above is included.
Peripheral nerve damage affecting the upper extremities can vary widely in cause and extent.
Many disorders, ranging from mild carpal tunnel syndrome to severe brachial plexopathy, need to be considered in a patient presenting with pain, sensory loss, or weakness involving the shoulder, arm, or hand.
Hand splinting in common orthopedic & neurological condition 1POLY GHOSH
This Presentation is about role of splinting in orthopedic condition and neurological condition. This presentation can be benefitted for Orthotist, Occupational therapist, phyiotherapist and Physical medicine and rehabilitation specialist.
Best Sports Medicine Surgeon with the Advent of Science & optics in Medical Profession any Joint can be visualised & reconstructed in the body using Arthroscopy with its extensive use in the Knee & Shoulder Joints.
ELBOW JOINT PATHOLOGY AND REHABILITATION 1.pptxSrishti Mahadik
Elbow joint pathomechanics and rehabilitation in physiotherapy explained in detailed manner.Each and every point from reference books mentiuoned above is included.
An electric wheelchair offer mobility and the freedom to get around. A motorized wheelchair, powerchair, electric wheelchair or electric-powered wheelchair (EPW) is a wheelchair that is propelled by means of an electric motor rather than manual power. Motorized wheelchairs are useful for those unable to propel a manual wheelchair or who may need to use a wheelchair for distances or over terrain which would be fatiguing in a manual wheelchair. They may also be used not just by people with 'traditional' mobility impairments, but also by people with cardiovascular and fatigue-based conditions.The electric-powered wheelchair was invented by George Klein who worked for the National Research Council of Canada, to assist injured veterans after World War II.[1]
Over the past decade, technology and research have greatly expanded the functionality and aesthetics of prosthetic feet. Today, amputees have a wide array of feet from which to choose. Various models are designed for activities ranging from walking, dancing and running to cycling, golfing, swimming and even snow skiing.
Biomechanical principle of hand spliningPOLY GHOSH
Hand splinting are provided to people who need protection and support for painful, swollen or weak joints and their surrounding structures. Their designs make sure you position your wrist and hands correctly. There are two types of hand or wrist splint: splints used for resting joints of the wrist and hand.
Different types of electric terminal devices used for transradial and transhumeral, shoulder disarticutaion prosthesis used for external powered prosthesis.
This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children health.
PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
This lecture briefly covers some of the underrepresented topics in Molecular imaging with cases , such as:
- Primary pleural tumors and pleural metastases.
- Distinguishing between MPM and Talc Pleurodesis.
- Urological tumors.
- The role of FDG PET in NET.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
COVID-19 PCR tests remain a critical component of safe and responsible travel in 2024. They ensure compliance with international travel regulations, help detect and control the spread of new variants, protect vulnerable populations, and provide peace of mind. As we continue to navigate the complexities of global travel during the pandemic, PCR testing stands as a key measure to keep everyone safe and healthy. Whether you are planning a business trip, a family vacation, or an international adventure, incorporating PCR testing into your travel plans is a prudent and necessary step. Visit us at https://www.globaltravelclinics.com/
India Diagnostic Labs Market: Dynamics, Key Players, and Industry Projections...Kumar Satyam
According to the TechSci Research report titled “India Diagnostic Labs Market Industry Size, Share, Trends, Competition, Opportunity, and Forecast, 2019-2029,” the India Diagnostic Labs Market was valued at USD 16,471.21 million in 2023 and is projected to grow at an impressive compound annual growth rate (CAGR) of 11.55% through 2029. This significant growth can be attributed to various factors, including collaborations and partnerships among leading companies, the expansion of diagnostic chains, and increasing accessibility to diagnostic services across the country. This comprehensive report delves into the market dynamics, recent trends, drivers, competitive landscape, and benefits of the research report, providing a detailed analysis of the India Diagnostic Labs Market.
Collaborations and Partnerships
Collaborations and partnerships among leading companies play a pivotal role in driving the growth of the India Diagnostic Labs Market. These strategic alliances allow companies to merge their expertise, strengthen their market positions, and offer innovative solutions. By combining resources, companies can enhance their research and development capabilities, expand their product portfolios, and improve their distribution networks. These collaborations also facilitate the sharing of technological advancements and best practices, contributing to the overall growth of the market.
Expansion of Diagnostic Chains
The expansion of diagnostic chains is a driving force behind the growing demand for diagnostic lab services. Diagnostic chains often establish multiple laboratories and diagnostic centers in various cities and regions, including urban and rural areas. This expanded network makes diagnostic services more accessible to a larger portion of the population, addressing healthcare disparities and reaching underserved populations. The presence of diagnostic chain facilities in multiple locations within a city or region provides convenience for patients, reducing travel time and effort. A broader network of labs often leads to reduced waiting times for appointments and sample collection, ensuring that patients receive timely and efficient diagnostic services.
Rising Prevalence of Chronic Diseases
The increasing prevalence of chronic diseases is a significant driver for the demand for diagnostic lab services. Chronic conditions such as diabetes, cardiovascular diseases, and cancer require regular monitoring and diagnostic testing for effective management. The rise in chronic diseases necessitates the use of advanced diagnostic tools and technologies, driving the growth of the diagnostic labs market. Additionally, early diagnosis and timely intervention are crucial for managing chronic diseases, further boosting the demand for diagnostic lab services.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdf
Orthotic management of Elbow joint, Wrist Joint.pptx
1. Orthotic management of Elbow joint, Wrist Joint
and hand in Sports injuries
Poly Ghosh
Lecturer (P & O)
NILD, Kolkata
2. Introduction
• The term “sports injury” refers to
the kinds of injuries that most
commonly occur during sports or
exercise, but they are not limited to
athletes. Factory workers get tennis
elbow, painters get shoulder
injuries, and gardeners develop
tendinitis, even though they may
not participate in sports.
3. • Anatomical factors
• Individual difference factors
• Age related causes
• Training related causes
• Equipment selection factors
• Impact and contact causes
• Poor techniques
Causes of sports Injury
4. External factors
• Movements factors- types & Velocity of
Movements
• Fatigue response
• Equipments
• Playing surface
• Improper technique
• Poor conditioning
• Lack of warm up
• Increased frequency
• Flexibility
• Stress
Internal factors
• Ligamentt laxity
• Soft tissue tightness/contractures
• Instability/malalignment of joints/
• Lack of co-ordination/ Range of
Motion
• Deficient Balance/ Equilibrium
PREDISPOSING FACTORS
6. Elbow injuries
• Boxing, martial arts,
snowboarding,
skateboarding, tennis,
ice hockey, hockey,
handball, volleyball and
similar sports.
7.
8. Cartilage injury & Loose bodies
• There is acute or gradual onset of
exercise-induced pain around the
elbow with recurrent locking or
pseudo-locking or extension and
flexion lag
• Can occur by repetitive stress or direct
impact, causing mechanical blocking
and synovitis.
9. Distal biceps tendon rupture
• Pain and weakness is provoked by
resisting elbow flexion. There is
often significant swelling, bruising
and/or haemarthrosis
• An acute injury, where the tendon
usually ruptures close to the distal
insertion at the radius during an
excessive elbow extension or flexion
manoeuvre.
• Complete tear- surgical fixations
• Partial tear- immobilization
10. Golfer’s elbow
• Over-use type injury of unknown
aetiology, often affecting the wrist flexor
muscle origins at the medial epicondyle in
racket sports players, javelin throwers and
cricket bowlers. Despite the name, such
injury to golfers is rare.
• Gradual onset of exercise induced pain
around the medial epicondyle of the elbow
that is aggravated by hyper-extension.
• Tenderness on palpation over the medial
humerus epicondyle and pain and
weakness is caused by resisted elbow
hyper-extension.
11. Lateral epicondylitis (tennis elbow)
• Over-use type injury of unknown aetiology,
affecting the wrist extensor muscle origin at
the lateral epicondyle in racket sports
players, javelin throwers and cricket
bowlers.
• Reducing pain, controlling inflammation,
promoting healing, regulating force loads,
and improving muscular strength and
flexibility of structures directly and
indirectly involved
13. Olecranon bursitis
• Gradual or acute onset of localised
swelling and inflammatory signs over the
olecranon
• Can occur after direct trauma and
bleeding, from repetitive stress causing
synovial fluid to fill the bursa, ‘student’s
elbow’ or pus in the bursa from infected
superficial skin wounds.
15. Pronator teres syndrome
• compression neuropathy of the median
nerve at the elbow.
• lack of sensation in the distribution of
the palmar cutaneous branch of the
median nerve
• weakness can develop in the flexor
pollicis longus and flexor digitorum
profundus of the index finger and the
pronator quadratus.
• Pain around the anterior proximal arm
with paraesthesia of the radial three and
a half fingers
16. • Using a resting or night splint
during the inflammatory period
of 1 to 2 weeks to reduce
tension and compression on the
aggravated nerve and tendinous
tissue.
• Splinting for pronator teres
syndrome requires a long arm
splint holding the elbow flexed
to 90" with the forearm and
wrist in neutral
17. Radial tunnel syndrome
• Radial tunnel syndrome refers to a rare
compressive neuropathy of the posterior
interosseous nerve (PIN) as it passes through
the radial tunnel resulting in pain without
motor or sensory dysfunction
18. Triceps tendon rupture
• Results from overloading on the extended elbow,
or an abrupt eccentric contraction of the muscle.
• Acute onset of pain and bleeding around the
triceps, tendor insection at the olecranon of the
elbow, and loss of extension power.
• Tenderness on palpation over the olecranon and
pain and weakness on resisted elbow extension.
• Partial tears can be treated with two to four
weeks’ immobilisation, followed by progressive
rehabilitation over three months.
• A complete rupture requires surgical re-fixation.
19. Little league elbow
• This is a growth plate injury to the elbow
caused by repetitive throwing in youths. It is
most common in pitchers, but any young
athlete who throws repeatedly can get it. The
pain is in the inner part of the elbow.
• Correlated to chronic forces of valgus overload
produced during the early and late cocking
phases of throwing. This valgus force places
tension on the medial structures and
compression of the lateral structures (radial
head, capitellum).
20. Symptoms & Splinting
• Medial/ lateral sided elbow
pain
• Decreased throwing speed or
distance
• Point tenderness
• Effusion
• Flexion contracture (noted up
to 15 degrees)
• Widening and/or fragmentation
of apophysis on radiographs
21. Elbow Sprain
• Intra-articular or extra-articular injuries to the elbow without
fracture are not uncommon and are peculiarly resistant to
treatment. There may be a primary or secondary injury to the
upper radioulnar articulation by sudden overpronation or
oversupination, followed by pain over the articulation and limited
rotation. Overlooking radial-head dislocation is a common
orthopedic pitfall.
23. • The radial head at the elbow transmits the force of a fall on the hand to the
shoulder; thus explaining why the radial head is a common site of fracture in the
elbow area. Subtle impaction fractures of the distal humerus and radial head are
not uncommon and often can only be witnessed on x-ray film after a week or two.
Acute signs are local swelling, tenderness about the radial head, and severe pain
increased on pronation or supination. Severe displacement is not typical.
Fractures and dislocations
25. Baseball mallet finger
• End joint is flexed, cannot
actively straighten – due to
extensor tendon injury or small
fracture.
• Mechanism of injury:
• Sudden and forcibly flexion of
the DIP joint with resistance
force along the long axis of the
finger.
• This may lead to terminal
tendon tear or soft tissue mallet
finger or terminal tendon
avulsion with bony fragments
or bony mallet finger.
26. Classification of mallet finger
TYPE-1
• Closed injury with or without small dorsal
avulsion fracture.
TYPE-2
• Open injury (laceration)
TYPE-3
• Open injury (deep soft tissue abrasion involving
loss of skin and tendon substance.
TYPE-4
• Mallet fracture
•4A= distal phalanx physis injury
•4B=fracture fragments involving 20% to 50% of articular
surface
•4C= fracture fragments involving more than 50% of articular
surface
27. Splinting
• It is most common initial treatment
method for both soft tissue or bony
mallet finger.
• hold the finger tips straight in
extension until it heal.
28. Skier's thumb
An injury to the ulnar collateral ligament (UCL) of the
thumb metacarpophalangeal joint (MCPJ) due to
hyperabduction of thumb, which has a serious risk of
disabling chronic instability if not treated adequately. The
lesion most often occurs in skiers when the ski pole
forces the thumb to deviate radially.
29. Symptoms & Splinting
• Pain at the base of the thumb in the web space
between thumb and index finger
• Swelling of your thumb
• Inability to grasp or weakness of grasp
between your thumb and index finger
• Tenderness to the touch along the index finger
side of your thumb
• Blue or black discoloration of the skin over the
thumb
• Thumb pain that worsens with movement in
any or all directions
• Pain in the wrist (which may be referred pain
from your thumb)
30. Bowlers thumb
• Bowler’s thumb is an overuse injury
/compression neuropathy resulting
from compression or repeated friction
on the inside of the thumb which
causes pressure on the ulnar nerve.
• Numbness and tingling at the end of
the thumb.
• A neuroma can develop, causing
permanent symptoms.
• Pain in the inner thumb and the web
between the thumb and index finger.
• Tender nodule may be felt in the
thumb.
31. Carpal tunnel syndrome
• Carpal tunnel syndrome is pressure
on the median nerve -- the nerve in
the wrist that supplies feeling and
movement to parts of the hand
• It can lead to numbness, tingling,
weakness, or muscle damage in the
hand and fingers.
33. Dequervain syndrome (DQ)
• Stenosing tenosynovitis which affects the
tendon sheaths of the 1st dorsal compartment
of the wrist.
• It is characterized by degeneration and
fibrosis of the tendon sheath
• More common in women and in dominant
hand.
• First dorsal compartment of hand- APL & EPB
34. Signs & symptoms
• Pain
• Tenderness along the radial
styloid
• The Finkelstein test is positive
Differential diagnosis
•Intersection syndrome
•Radial styloid fracture
• Scaphoid fracture
•Basilar arthritis of the thumb
and
• Radial neuritis
36. Dislocation of finger joint
• Intense localised pain and deformation
(bayonet position, where distal phalanx is
retracted over the dislocated joint by flexor
tendons) of a meta-carpo-phalangeal
(MCP), proximal inter-phalangeal joint
(PIP) or distal inter-phalangeal (DIP) joint
after direct trauma from a hard ball or a fall
on a stretched-out finger.
• One or more joints may dislocate and the
joint capsule ruptures, causing bleeding and
other soft tissue injuries.
• Splinting-
• Buddy tapping
• Gutter splint
37. Handlebar palsy
• Paraesthesia of the ulnar one and a half
fingers and weakness and atrophy of the
intrinsic hand muscles. It is common in
cyclists and racket sport players.
• Numbness
• Tingling
• Weakness
• Clumsiness
• Cramping
• Pain
• Possible motor limitation
Prevention : padded handlebars, handlebar
grips ( see image) or padded cycling gloves.
38. Hypothenar syndrome
• Hypothenar hammer syndrome is a condition of the hand in
which the blood flow to the fingers is reduced. It occurs
when workers repeatedly use the palm of the hand
(especially the hypothenar eminence) as a hammer to grind,
push, and twist hard objects. These activities can damage
certain blood vessels of the hand especially the ulnar artery.
This artery goes through the hypothenar area of the palm and
supplies blood to the fingers. Damage to the ulnar artery
results in a reduction of blood flow to the fingers.
Sometimes a single significant episode can cause hypothenar
hammer syndrome.
• Pain and a sensation of cold in the fingers. Often sleep is
disturbed by pain. It is common in martial arts and lacrosse.
• Caused by spasm, thrombosis or aneurysm in the ulna artery
in guyon’s canal.
• Ulceration of a distal finger tip and swelling around the base
of the palm.
39. Jersey/Rugby finger
• The traumatic rapture of the FDP tendon from its point of
attachment at the base of the distal phalanx.
• Mechanism of injury typically forced extension of the flexed
finger.
• On examination the affected digits remain in slight extension
compare to noninvolved digits and no active flexion of DIPJ.
40. Leddy
and
Packer
classification
(1977)
Type-I: FDP tendon retracted to
palm. Leads to disruption of the
vascular supply
Type-II: FDP retracts to level of PIP
joint
Type-III:PIP joint flexion is limited
irrespective of Large avulsion
fracture limits retraction to the
level of the DIP joint
41. Splinting
• Mainly recommended for surgery.
• Splinting is recommended for type-ii & iii for acute patients to
restricts the motion and maintain the finger DIP in neutral
position and allow maximum time for healing.
42. Scaphoid fracture
• Scaphoid fractures are the most common carpal
bone fracture, often occurring after a fall onto an
outstretched hand.
• Mechanism of injury is axial load across a hyper-
dorsiflexed, pronated and ulnarly-deviated wrist
• Variable level of pain over wrist
• Worsened wrist pain with circumduction
• Pain with resisted pronation
• Anatomic snuffbox tenderness dorsally
• Scaphoid tubercle tenderness volarly
• The prognosis varies depending on whether there
is vascular disruption leading to avascular
necrosis.
43. • Management:- cast immobilization
• A stabilising cast, brace or strapping
• should be applied over six to twelve weeks
depending
• on clinical findings and healing
44. Scapholunate ligament tears
• The scapholunate ligament usually tears when there
is a lot of stress put on the wrist. A common cause is
a fall onto the hand. Typically, the ligament is
injured when the wrist is bent backward or into an
unusual position. Sometimes, the ligament stretches
out over time. This can be due to repeated strains or
loosening with age. Long-standing inflammation
can also cause gradual breakdown of the ligament
• Pain when bending the wrist backward
• Limited range of motion
• Bruising
• Pain and swelling that has developed over several
days, usually on the back side of the wrist
• Popping or grinding
• Weakness in the wrist
45. Oarsman’s/ Squeaker’s wrist
• Painful inflammation of the forearm
• Caused by friction occurring at site where four
muscles of the forearm cross over each other.
• Common complain amongst rowers.
• Swelling over the distal forearm
• Pronation is typically found more uncomfortable
than supination
• A temporary splint for protection and comfort at
night may also be beneficial (a neutral position
with a splint)
46. Stress fracture of the radial epiphysis
• A distal radial epiphysis injury is an injury to
the growth plate at the wrist end of the radius
bone in the forearm. It mostly affects young
athletes and is most often caused by overuse.
• As a result, the blood supply to the area is
compromised.
47. Tenosynovitis of the extensor carpi ulnaris
• Acute or gradual onset of exercise-induced
pain and swelling over the ulnar aspect of the
wrist. Tenosynovitis can affect any tendon in
any location.
• These symptoms are caused by tenosynovitis
and/or subluxation of the extensor carpi
ulnaris tendon. It is common in tennis players,
golf players, weightlifters and jockeys.
• Localised tenderness on palpation and on the
ulnar aspect of the dorsal part of the wrist.
48. Wartenberg’s syndrome
• entrapment of a superficial branch of
the radial nerve between the brachi
radialis tendons. with only sensory
manifestations and no motor
deficits.
• In this condition, the patient reports
pain over the distal radial forearm
associated with paresthesia over the
dorsal radial hand.
• It is common in racket sports; wrist
sweat bands have been suspected of
causing this injury.
• As external compression is a
common underlying etiology,
49. Bennett and reverse-bennett fractures
• An intraarticular fracture that separates the palmar
ulnar aspect of the first metacarpal base from the
remaining first metacarpal. The injury is typically
caused by axial loading on a partially flexed
metacarpal and may be associated with other
carpal bone fractures or ligament injuries.
• A reverse Bennett fracture-dislocation is a
fracture-dislocation of the base of the
5th metacarpal bone. It is pathologically and
radiographically analogous to the Bennett fracture
of the thumb
50. Prevention of sports injury
• Proper biomechanical technique during
activity
• Wear proper protective orthotics/
equipments during sports activity
51. Materials for for protective orthotics/splinting
• Hard/rigid materials for immobilization or when not participating in sports
• Soft spilnts during practice and play
• Wraps and tapes
• Rigid thermoplastics materials – LTTP & HTTP, elastomers
• Open cell and closed cell foam pads and splints – Plastazote, alipast, EVA Foam,
• Pneumatics devices – Mainly for trauma to immobilize injured extremities