Ulnar deviations
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PREPARED BY: MUHAMMAD ARIFF B. MAHDZUB BACHELOR MEDICINE AND SURGERY (MBBS) UNIVERSITY COLLEGE SHAHPUTRA, KUANTAN
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- Determinants of gait like pelvic rotation, knee flexion, and foot/ankle mechanics help minimize vertical displacement of the center of gravity and increase efficiency.
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Books Refered :
Text Book Of ANATOMY - Vishram Singh
Joint Structure And Function – Cynthia Norkin
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Orthopaedic Medicine – L. Ombregt
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Arthrodesis refers to the surgical fusion of a joint. It is indicated for pain and instability in the joint. With improvements in joint replacement surgery, arthrodesis is now less commonly performed. It permanently relieves pain by fusing the bones and eliminating joint movement, at the cost of stiffness. The optimal positions for fusing different joints are described. Common complications include malposition and nonunion.
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This document discusses lower limb prosthetics. It defines key terms like prosthesis, residual limb, and orthosis. It then describes the ideal characteristics of a prosthesis and factors considered in prescribing one, like amputation level and activity level. The major components of a lower limb prosthesis are also outlined, including the suspension system, socket, knee joint (for transfemoral prosthetics), pylon, and terminal device. Different types of each component are explained. Complications from prosthetics are noted.
Pes cavus (High ArchFoot) - PHYSIO
Deformities observed with Pes cavus includes :
*clawing of the toes
*posterior hind foot deformity (described as an increased calcaneal angle)
*contracture of the plantar fascia
*cock-up deformity of the great toe
Following References were used to prepare this powerpoint presentation which makes the slides accurate and relaible for studying purpose; Therapeutic Exrercise – Carolyn Kisner
Orthopaedic Physical Assessment – Magee
Orthopaedic Medicine – L. Ombregt
Campbell’s Operative Orthopaedics
Slides includes following headings;
DEFINITION
TYPES
ORTHOPAEDIC ASSESSMENT
MEDICAL MANAGGEMENT
PHYSIOTHERAPY MANAGEMENT
SURGICAL MANAGEMENT
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This document provides guidance on evaluating a patient presenting with elbow pain. It outlines steps for gathering a clinical history including details on pain, disability, occupation, and previous treatment. Physical examination instructions are provided for inspecting alignment and deformities, palpating for tenderness, and measuring range of motion. Specific tests are described to evaluate for conditions like ulnar nerve subluxation, instability, tennis elbow, and golfer's elbow. The full neurovascular and musculoskeletal exam of related areas is also recommended.
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Effectiveness of Manual Mobilization with Movement on Pain and Strength in Ad...
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smile and make others smile ....;)
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Ulnar deviations
- 1. 1 ULNAR DEVIATIONSPROBLEM BASED LEARNING (PBL) PREPARED BY: MUHAMMAD ARIFF B. MAHDZUB BACHELOR MEDICINE AND SURGERY (MBBS) UNIVERSITY COLLEGE SHAHPUTRA, KUANTAN
- 2. • Also known as ulnar drift. • Condition: • Wrist or fingers shift in the direction of the Ulna • Or it shift towards the little finger side of the forearm. • Due to inflammation at metacarpophalangeal joints.
- 3. involvement in both hands with enlarged metacarpophalangeal joints and ulnar deviation
- 4. Physiological movement of the wrist Measure by protractor goniometer.
- 6. • In trigger 2, - The patient noticed the formation of boggy swelling on her fingers, wrist and elbows.
- 7. Causes: Synovitis - Synovitis causes ‘boggy’ joint swelling - The skin overlying the affected joint is warm and red due to increased in blood flow. - On palpation, the swelling is tender (not hard but pain)
- 8. In RA, immune system attacks the lining of the joint (synovium) Inflammation Releasing chemicals Synovium thickening and damaging the bones, cartilage, ligament and tendon
- 11. • PIP joint to become flexed (bent) • DIP joint is pulled up into too much extension (hyperextension)
- 12. CAUSES • This disorder most often results from rheumatoid arthritis • but can also result from injury (such as deep cuts, joint dislocations, or fractures) • People with rheumatoid arthritis can develop the disorder because they have long-standing inflammation of the middle joint of a finger. • If the deformity is caused by an injury, the injury usually occurs at the base of a tendon (called the middle phalanx extensor tendon)
- 13. The tendons which straighten these joints are a bit complicated. They are like strings running from the the sides and the back of the finger to a sheet on the top of the finger. When the finger is hit or bent forcefully in just the wrong way, the sheet on the top of the finger (the central slip of tendon) tears away from its attachment As a result, the middle joint (called the proximal interphalangeal joint) becomes “buttonholed” between the outer bands of the tendon that runs to the end of the finger (that is, the bones of the joint push out through the bands of the tendon like a button through a buttonhole).
- 15. NON SURGICAL Protection: If you participate in sports, you may have to wear protective splinting for several weeks after the splint is removed. Exercises: Your physician may recommend stretching exercises to improve the strength and flexibility in the fingers. Splints: A splint will be applied to the finger at the middle joint to straighten it. This keeps the ends of the tendon from separating as it heals. It also allows the end joint of the finger to bend. It is important to wear the splint continuously for the recommended length of time -- usually 6 weeks for a young patient and 3 weeks for an elderly patient. Following this period of immobilization, you may still have to wear the splint at night.
- 17. SURGICAL • The deformity results from rheumatoid arthritis. • The tendon is severed. • A large bone fragment is displaced from its normal position. • The condition does not improve with splinting.
- 18. BOUTONNIERE VS SWAN NECK