Athletic InjuriesATC 222

Elbow, Forearm, Wrist, Hand, and Fingers

Chapter 19

Anatomy

• Humerus, radius, and ulna

• Carpals

• Metacarpals

• Phalanges

• Joints– MP, PIP, DIP, IP

• Muscles– Elbow flexors/extensors– Wrist flexors/extensors– Finger flexors/extensors

Elbow Injuries

• Olecranon bursitis– acute or chronic onset– treatment

• Sprain/Strains

Lateral Epicondylitis

• “Tennis Elbow”

• Etiology

• S/S

• Treatment– ice– anti-inflammatories– cause?– straps

Medial Epicondylitis

• “Pitcher’s Elbow”, “Little League Elbow”, “Golfer’s Elbow”, etc.

• Etiology

• S/S

• Treatment

Elbow Fracture/Dislocation• Fracture• Dislocation• Volkmann’s Contracture

– impairment of brachial artery• numbness, absent distal pulse, etc

Wrist and Hand Injuries

• Sprain vs. Strain• Metacarpal/Phalange Fracture

– S/S• positive compression/percussion test

• rotational deformity

• diminished MP joint

– Treatment

• MP/PIP/DIP/IP Dislocation– S/S– Treatment

Navicular Fracture

• Etiology

• S/S– pain in snuffbox– pain with thumb compression– pain with passive radial

deviation– pain with passive wrist

extension

• Treatment

Subungual Hematoma• Etiology• S/S• Treatment

– drill– paperclip

Finger Tendon Injuries• Mallet Finger

– Etiology– S/S– Treatment

• extension splint (6 weeks)

• Boutonniere Deformity– Etiology– S/S– Treatment

• PIP extension splint

Miscellaneous

• Triangular fibrocartilage

• Ganglion cyst

• Gamekeeper’s thumb

• Boxer’s Fracture

Boxer’s Fracture

THE END