FINGER INJURIES. Chapter 24, pgs ,

Size: px
Start display at page:

Download "FINGER INJURIES. Chapter 24, pgs ,"

Transcription

1 FINGER INJURIES Chapter 24, pgs , Demonstrate mastery of anatomical references to the hand and fingers. 2. Compare and contrast Mallet Finger, Swan Neck Deformity and Boutonnière Deformity. Prentice, W. (2014). Principles of athletic training: A competency based approach. (15th ed.). New York: McGraw Hill.

2 Spring 2014 EXSC Bony Anatomy (Joints) 5th Metacarpal 1 st MP joint 2 nd PIP joint 4th DIP joint

3 Spring 2014 EXSC Soft Tissue Anatomy 1. collateral ligaments 2. volar plate 3. flexor & extensor tendons

4 Spring 2014 EXSC Collateral Ligaments (MCP joints) looser in extension; tighten during increasing flexion stabilize joints during motion

5 Spring 2014 EXSC Soft Tissue Box at DIP & PIP Joints 1. joint capsule, 2. collateral ligaments, 3. central slip, and dorsal extensor tendon divides into a central slip that extends the PIP joint; the two lateral bands extend the DIP joint flexor digitorum superficialis tendon attaches to base of the middle phalanx and flexes the PIP joint; the flexor digitorum profundus tendon is under and splits the flexor digitorum superficialis tendon to flex the DIP joint 4. volar plate

6 Spring 2014 EXSC

7 Spring 2014 EXSC Volar Plate forms the floor of PIP & DIP joints; separates the joint space from the flexor tendons ligamentous at its origin on proximal phalanx and cartilaginous in its insertion onto the middle phalanx

8 Spring 2014 EXSC Volar Plate Injuries 1. Symptoms & Signs pain & stiffness at joint discoloration, swelling & point tenderness at joint, esp. volar surface collateral ligament injury may be present 2. Mechanism of Injury hyperextension of joint

9 Spring 2014 EXSC Volar Plate Injuries Lateral radiograph of the hand. This shows an avulsion fracture of the base of the middle phalanx of the third digit.

10 Spring 2014 EXSC Volar Plate Injuries 3. Treatment typically RIC & immobilization if needed 4. Return to Play Criteria sport dependent; in most, return can be immediate with buddy taping for support

11 Spring 2014 EXSC Soft Tissue Anatomy 1. collateral ligaments 2. volar plate 3. flexor & extensor tendons

12 Spring 2014 EXSC Mallet Finger avulsion of the extensor tendon of distal phalanx, causing a deformity where there is fixed flexion at the DIP also called baseball finger

13 Spring 2014 EXSC Mallet Finger 1. Symptoms & Signs pain at DIP, dorsal surface dropped finger inability to extend DIP 2. Mechanism of Injury blow to fingertip

14 Spring 2014 EXSC Mallet Finger 3. Treatment RIC & NSAID for pain Constant splint of DIP at 0 for 8 weeks followed by night & activity splint for 6 weeks Do not hesitate to refer to M.D. 4. Return to Play Criteria sport dependent; in most, return can be immediate with buddy taping for support

15 Spring 2014 EXSC Swan Neck Deformity a deformity where there is fixed flexion at the DIP & hyperextension at the PIP may be a complication of a poorly treated Mallet Finger: hyperextension of PIP because of imbalance of pull distributed along extensor mechanism may also occur acutely or because of degenerative disease

16 Spring 2014 EXSC

17 Spring 2014 EXSC Boutonnière Deformity avulsion of the extensor tendon over the middle phalanx which causes a deformity where there is fixed flexion at the PIP and hyperextension at the DIP also called buttonhole deformity

18 Spring 2014 EXSC Boutonnière Deformity 1. Symptoms & Signs pain at PIP, dorsal surface obvious deformity (DIP is extended, PIP is flexed) inability to extend DIP 2. Mechanism of Injury blow to fingertip

19 Spring 2014 EXSC Boutonnière Deformity 3. Treatment RIC & NSAID for pain Constant splint of PIP at 0 for 8 weeks followed by night & activity splint for 6 weeks Do not hesitate to refer to M.D. 4. Return to Play Criteria sport dependent; in most, return can be immediate with buddy taping for support

20 Spring 2014 EXSC Surgical Repair Mallet Finger, Swan Neck or Boutonnière 1. fix DIP (or PIP) with pin to allow tendon to repair 2. retrieve tendon + do as noted above + other reconstructive work 3. fuse joint no motion occurs 4. replace joint

21 Spring 2016 EXSC Homework 1. Review these notes. 2. Terms Test?!

This presentation is the intellectual property of the author. Contact them for permission to reprint and/or distribute.

This presentation is the intellectual property of the author. Contact them for permission to reprint and/or distribute. The Stiff Hand: Boutonniere & Sylvia Dávila, PT, CHT San Antonio, Texas Extensor Mechanism Central slip inserts into base of the middle phalanx Lateral bands lie dorsal to the PIP joint center of rotation

More information

5/8/2017. Finger Injuries in Football. Tendon Injuries of the Hand and Wrist in Football Steve Kronlage, MD Andrews Institute Gulf Breeze, Florida

5/8/2017. Finger Injuries in Football. Tendon Injuries of the Hand and Wrist in Football Steve Kronlage, MD Andrews Institute Gulf Breeze, Florida Finger Injuries in Football Tendon Injuries of the Hand and Wrist in Football Steve Kronlage, MD Andrews Institute Gulf Breeze, Florida A jammed finger is an injury (at very least a torn ligament) A swollen

More information

Mallet Baseball Finger

Mallet Baseball Finger Mallet Baseball Finger Introduction When you think about how much we use our hands, it's not hard to understand why injuries to the fingers are common. Most of these injuries heal without significant problems.

More information

Swan-Neck Deformity. Introduction. Anatomy

Swan-Neck Deformity. Introduction. Anatomy Swan-Neck Deformity Introduction Normal finger position and movement occur from the balanced actions of many important structures. Ligaments support the finger joints. Muscles hold and move the fingers.

More information

Fractures and dislocations of the fingers

Fractures and dislocations of the fingers Chapter 1 Fractures and dislocations of the fingers Felix S. Chew, M.D., and Catherine Maldjian, M.D. Case 1 1 Phalangeal tuft avulsion fracture 31-year-old woman injured in a ground-level fall. Lateral

More information

Trigger Digits, Mallet Finger & Metacarpal Injuries. Joseph P. McCormick, M.D. Affinity Orthopaedics & Sports Medicine 2013

Trigger Digits, Mallet Finger & Metacarpal Injuries. Joseph P. McCormick, M.D. Affinity Orthopaedics & Sports Medicine 2013 Trigger Digits, Mallet Finger & Metacarpal Injuries Joseph P. McCormick, M.D. Affinity Orthopaedics & Sports Medicine 2013 Overview Trigger Digits: diagnosis and treatment Bonus: approach in children Mallet

More information

PIP Joint Injuries of the Finger A Patient's Guide to PIP Joint Injuries of the Finger

PIP Joint Injuries of the Finger A Patient's Guide to PIP Joint Injuries of the Finger PIP Joint Injuries of the Finger A Patient's Guide to PIP Joint Injuries of the Finger Introduction We use our hands constantly, placing them in harm's way continuously. Injuries to the finger joints are

More information

The Rheumatoid Hand Deformities & Management. Dr. Anirudh Sharma Resident Department of Orthopedics

The Rheumatoid Hand Deformities & Management. Dr. Anirudh Sharma Resident Department of Orthopedics + The Rheumatoid Hand Deformities & Management Dr. Anirudh Sharma Resident Department of Orthopedics + Why is Rheumatoid Arthritis important? + RA is a very debilitating disease median life expectancy

More information

Common. Common Hand Problems in Elite Athletes

Common. Common Hand Problems in Elite Athletes Common Hand Problems in Elite Athletes Fred Corley M.D. Dept. of Orthopaedic Surgery UTHSCSA I have no disclosures concerning this talk. The University of Texas Health Science Center @ San Antonio - Orthopaedics

More information

MR: Finger and Thumb Injuries

MR: Finger and Thumb Injuries MR: Finger and Thumb Injuries Laura W. Bancroft, M.D. Professor of Radiology University of Central Florida Florida State University Outline Normal anatomy of the fingers and thumb MR imaging protocols

More information

Clinical Orthopaedic Rehabilitation Volume 1 and 2

Clinical Orthopaedic Rehabilitation Volume 1 and 2 Clinical Orthopaedic Rehabilitation Volume 1 and 2 COURSE DESCRIPTION This program is a practical, clinical guide that provides guidance on the evaluation, differential diagnosis, treatment, and rehabilitation

More information

Physical therapy of the wrist and hand

Physical therapy of the wrist and hand Physical therapy of the wrist and hand Functional anatomy wrist and hand The wrist includes distal radius, scaphoid, lunate, triquetrum, pisiform, trapezium, trapezoid, capitate, and hamate. The hand includes

More information

The Forearm, Wrist, Hand and Fingers. Contusion Injuries to the Forearm. Forearm Fractures 12/11/2017. Oak Ridge High School Conroe, Texas

The Forearm, Wrist, Hand and Fingers. Contusion Injuries to the Forearm. Forearm Fractures 12/11/2017. Oak Ridge High School Conroe, Texas The Forearm, Wrist, Hand and Fingers Oak Ridge High School Conroe, Texas Contusion Injuries to the Forearm The forearm is constantly exposed to bruising and contusions in contact sports. The ulna receives

More information

Finger fractures and dislocations may

Finger fractures and dislocations may Common Finger Fractures and Dislocations JAMES R. BORCHERS, MD, MPH, and THOMAS M. BEST, MD, PhD, The Ohio State University, Columbus, Ohio Finger fractures and dislocations are common injuries that are

More information

Revisiting the Curtis Procedure for Boutonniere Deformity Correction

Revisiting the Curtis Procedure for Boutonniere Deformity Correction 180 Letter to Editor Revisiting the Curtis Procedure for Boutonniere Deformity Correction Lee Seng Khoo*, Vasco Senna-Fernandes Ivo Pitanguy Institute, Rua Dona Mariana 65, Botafogo, Rio De Janeiro, Brazil

More information

Mallet Finger Injuries

Mallet Finger Injuries A Patient s Guide to Mallet Finger Injuries 228 West Main St., Suite D Missoula, MT 59802-4345 Phone: 406-721-3072 Fax: 406-721-2619 info@eorthopod.com DISCLAIMER: The information in this booklet is compiled

More information

Interesting Case Series. Swan-Neck Deformity in Cerebral Palsy

Interesting Case Series. Swan-Neck Deformity in Cerebral Palsy Interesting Case Series Swan-Neck Deformity in Cerebral Palsy Leyu Chiu, BA, a Nicholas S. Adams, MD, a,b and Paul A. Luce, MD, a,b,c a Michigan State University College of Human Medicine, Grand Rapids,

More information

Andrew B. Stein, MD Boston University Medical Center May 2 & 3, 2016

Andrew B. Stein, MD Boston University Medical Center May 2 & 3, 2016 Andrew B. Stein, MD Boston University Medical Center andrew.stein@bmc.org Work Related Workshop WorkInjuries Related Injuries Workshop Tendon injuries may be obvious or subtle History (mechanism of injury)

More information

Hand Fractures: When is closed treatment OK? Epidemiology in USA: Metacarpal fractures: Page 1

Hand Fractures: When is closed treatment OK? Epidemiology in USA: Metacarpal fractures: Page 1 Hand Fractures: When is closed treatment OK? Robert J Strauch MD Professor of Orthopaedic Surgery Columbia University New York City Epidemiology in USA: 2009 Distal radius fx s: 16/10,000 Phalangeal fx

More information

What you don t want to miss

What you don t want to miss March 25, 2009 Vishal Michael Shah, M.D. What you don t want to miss Spectrum of Injuries Contusions Sprains Dislocations Fractures Lacerations Tendon Avulsions Ligament Tears Overuse Injuries FINGER

More information

Hand injuries. The metacarpal bones may fracture through the base, shaft or the neck.

Hand injuries. The metacarpal bones may fracture through the base, shaft or the neck. Hand injuries Metacarpal injuries The metacarpal bones may fracture through the base, shaft or the neck. Shaft fractures; these are caused by direct trauma which may cause transverse # of one or more metacarpal

More information

Fractures of the Hand in Children Which are simple? And Which have pitfalls??

Fractures of the Hand in Children Which are simple? And Which have pitfalls?? Fractures of the Hand in Children Which are simple? And Which have pitfalls?? Kaye E Wilkins DVM, MD Professor of Orthopedics and Pediatrics Departments of Orthopedics and Pediatrics University of Texas

More information

Reversing PIP Joint Contractures:

Reversing PIP Joint Contractures: Reversing PIP Joint Contractures: Applicability of the Digit Widget External Fixation System John M. Agee M.D. Reversing PIP Joint Contractures: Applicability of the Digit Widget External Fixation System

More information

1. A 40-year-old male has dislocated his right 2 nd MCP. You have pulled as hard as you can but cannot reduce the dislocation. The problem is likely:

1. A 40-year-old male has dislocated his right 2 nd MCP. You have pulled as hard as you can but cannot reduce the dislocation. The problem is likely: CHAPTER 50 HAND 2 OCTOBER 2013 1. A 40-year-old male has dislocated his right 2 nd MCP. You have pulled as hard as you can but cannot reduce the dislocation. The problem is likely: A. He is a gamer and

More information

BASIC PRINCIPLES OF HAND TRAUMA: ARE CHILDREN DIFFERENT? SUSAN THOMPSON, MD, FRCSC

BASIC PRINCIPLES OF HAND TRAUMA: ARE CHILDREN DIFFERENT? SUSAN THOMPSON, MD, FRCSC BASIC PRINCIPLES OF HAND TRAUMA: ARE CHILDREN DIFFERENT? SUSAN THOMPSON, MD, FRCSC EPIDEMIOLOGY HAND FRACTURES MAKE UP 2.3% OF ER VISITS INCIDENCE VARIES WITH AGE LOW IN TODDLERS INCREASES WITH AGE (20

More information

Kinesiology of The Wrist and Hand. Cuneyt Mirzanli Istanbul Gelisim University

Kinesiology of The Wrist and Hand. Cuneyt Mirzanli Istanbul Gelisim University Kinesiology of The Wrist and Hand Cuneyt Mirzanli Istanbul Gelisim University Bones The wrist and hand contain 29 bones including the radius and ulna. There are eight carpal bones in two rows of four to

More information

Volar Plate Avulsion Fractures

Volar Plate Avulsion Fractures Journal of the Accident and Medical Practitioners Association (JAMPA) 2006; Vol. 3 (No. 1) Accident and Medical Practitioners Association, New Zealand Volar Plate Avulsion Fractures Sarah Cooper, MBChB

More information

Hand Anatomy A Patient's Guide to Hand Anatomy

Hand Anatomy A Patient's Guide to Hand Anatomy Hand Anatomy A Patient's Guide to Hand Anatomy Introduction Few structures of the human anatomy are as unique as the hand. The hand needs to be mobile in order to position the fingers and thumb. Adequate

More information

Wrist and Hand Complaints

Wrist and Hand Complaints Wrist and Hand Complaints Charles S. Day, M.D., M.B.A. Chief, Hand & Upper Extremity Surgery St. Elizabeth s Medical Center Tufts University School of Medicine Primary Care Internal Medicine 2018 Outline

More information

AROM of DIP flex/ext, 10 reps hourly.

AROM of DIP flex/ext, 10 reps hourly. BRIGHAM AND WOMEN S HOSPITAL A Teaching Affiliate of Harvard Medical School 75 Francis St. Boston, Massachusetts 02115 Department of Rehabilitation Services Physical Therapy The intent of this protocol

More information

RHEUMATOID HAND. History Pain Loss of function Neck pain. Diminished ADL assessment:

RHEUMATOID HAND. History Pain Loss of function Neck pain. Diminished ADL assessment: RHEUMATOID HAND History Pain Loss of function Neck pain Diminished ADL assessment: Using toothbrush, hairbrush, knife, fork Dressing bra, Pulling up trousers / stockings Operating remote control Hobbies

More information

Main Menu. Wrist and Hand Joints click here. The Power is in Your Hands

Main Menu. Wrist and Hand Joints click here. The Power is in Your Hands 1 The Wrist and Hand Joints click here Main Menu K.5 http://www.handsonlineeducation.com/classes/k5/k5entry.htm[3/23/18, 1:40:40 PM] Bones 29 bones, including radius and ulna 8 carpal bones in 2 rows of

More information

Finger Mobility Deficits Fracture of metacarpal Fracture of phalanx of phalanges

Finger Mobility Deficits Fracture of metacarpal Fracture of phalanx of phalanges 1 Finger Mobility Deficits ICD-9-CM codes: 715.4 Osteoarthrosis of the hand 815.0 Fracture of metacarpal 816.0 Fracture of phalanx of phalanges ICF codes: Activities and Participation code: d4301 Carrying

More information

A Patient s Guide to Adult Finger Fractures

A Patient s Guide to Adult Finger Fractures A Patient s Guide to Adult Finger Fractures 2350 Royal Boulevard Suite 200 Elgin, IL 60123 Phone: 847.931.5300 Fax: 847.931.9072 1 DISCLAIMER: The information in this booklet is compiled from a variety

More information

Kristin Kelley, DPT, OCS, FAAOMPT Orthopaedic Manual Physical Therapy Series Charlottesville Trauma/Fractures

Kristin Kelley, DPT, OCS, FAAOMPT Orthopaedic Manual Physical Therapy Series Charlottesville Trauma/Fractures WRIST/HAND PATHOLOGY Kristin Kelley, DPT, OCS, FAAOMPT Orthopaedic Manual Physical Therapy Series Charlottesville 2017-2018 Trauma/Fractures Hook of Hamate Fractures Triangular Fibrocartilage Complex (TFCC)

More information

Trauma/Fractures WRIST/HAND PATHOLOGY. TFCC Injury. Hook of Hamate Fracture. Property of VOMPTI, LLC

Trauma/Fractures WRIST/HAND PATHOLOGY. TFCC Injury. Hook of Hamate Fracture. Property of VOMPTI, LLC WRIST/HAND PATHOLOGY Kristin Kelley, DPT, OCS, FAAOMPT Orthopaedic Manual Physical Therapy Series Charlottesville 2017-2018 Trauma/Fractures Hook of Hamate Fractures Triangular Fibrocartilage Complex (TFCC)

More information

FINGER FINGER STRIPS BEDFORD FINGER SPLINTS MALLET FINGER SPLINT STATIC FINGER EXTENSION SPLINT

FINGER FINGER STRIPS BEDFORD FINGER SPLINTS MALLET FINGER SPLINT STATIC FINGER EXTENSION SPLINT BEDFORD FINGER SPLINTS Made from elasticated latex free stockinette, they provide firm support for injured fingers and give a small amount of protection. Minimum order of 20 per size. Width Length HBEDC

More information

Wrist and Hand Anatomy

Wrist and Hand Anatomy Wrist and Hand Anatomy Bone Anatomy Scapoid Lunate Triquetrium Pisiform Trapeziod Trapezium Capitate Hamate Wrist Articulations Radiocarpal Joint Proximal portion Distal portion Most surface contact found

More information

Metacarpophalangeal Joint Implant Arthroplasty REHABILITATION PROTOCOL

Metacarpophalangeal Joint Implant Arthroplasty REHABILITATION PROTOCOL Andrew McNamara, MD The Orthopaedic and Fracture Clinic 1431 Premier Drive Mankato, MN 56001 507-386-6600 Metacarpophalangeal Joint Implant Arthroplasty REHABILITATION PROTOCOL Patient Name: Date: Diagnosis:

More information

ACUTE HAND INJURIES FOR THE PRIMARY CARE PHYSICIAN

ACUTE HAND INJURIES FOR THE PRIMARY CARE PHYSICIAN Vincent Shaw, MD, FAAFP Program Director Baton Rouge General Family Medicine Residency Program Baton Rouge General Sports Medicine Fellowship ACUTE HAND INJURIES FOR THE PRIMARY CARE PHYSICIAN Disclosures

More information

PIPR Proximal Interphalangeal Replacement. Operative Technique

PIPR Proximal Interphalangeal Replacement. Operative Technique PIPR Proximal Interphalangeal Replacement Operative Technique Contents PIPR Proximal Interphalangeal Replacement Developed in association with Mr I Trail and The Wrightington Hospital. Contents Section

More information

Fracture and Dislocation of Metacarpal Bones, Metacarpophalangeal Joints, Phalanges, and Interphalangeal Joints ( 1-Jan-1985 )

Fracture and Dislocation of Metacarpal Bones, Metacarpophalangeal Joints, Phalanges, and Interphalangeal Joints ( 1-Jan-1985 ) In: Textbook of Small Animal Orthopaedics, C. D. Newton and D. M. Nunamaker (Eds.) Publisher: International Veterinary Information Service (www.ivis.org), Ithaca, New York, USA. Fracture and Dislocation

More information

Extensor Tendon Repair Zones II, III, IV

Extensor Tendon Repair Zones II, III, IV Zones II, III, IV D. WATTS, MD Indications Lacerations to the central slip, lateral bends and/or triangular ligament Rupture of the central slip in association with a PIP joint volar dislocation Avulsion

More information

The Painful Elbow, Wrist, and Hand. Jennifer R Marks, MD

The Painful Elbow, Wrist, and Hand. Jennifer R Marks, MD The Painful Elbow, Wrist, and Hand Jennifer R Marks, MD The Painful Elbow A 44 yo M presents to clinic complaining of a sore elbow What further questions do you have for this patient? What is on your differential

More information

Wrist & Hand Assessment and General View

Wrist & Hand Assessment and General View Wrist & Hand Assessment and General View Done by; Mshari S. Alghadier BSc Physical Therapy RHPT 366 m.alghadier@sau.edu.sa http://faculty.sau.edu.sa/m.alghadier/ Functional anatomy The hand can be divided

More information

FOOSH It sounded like a fun thing at the time!

FOOSH It sounded like a fun thing at the time! FOOSH It sounded like a fun thing at the time! Evaluating acute hand and wrist injuries Larry Collins, MPAS, PA-C, ATC, DFAAPA Assistant Professor, Physician Assistant Program Assistant Professor, Department

More information

THE EPIDEMIOLOGY OF HAND EMERGENCIES

THE EPIDEMIOLOGY OF HAND EMERGENCIES THE EPIDEMIOLOGY OF HAND EMERGENCIES Dr. Adel Abdel Aziz Senior Emergency Physician Honorary Senior Clinical Lecturer, University of Southampton Training Program Director Emergency Medicine/ Health Education

More information

FINGER & THUMB. MobiDig Flexion Finger Splint. MobiDig Extension Finger Splint

FINGER & THUMB. MobiDig Flexion Finger Splint. MobiDig Extension Finger Splint MobiDig Flexion Finger Splint Finger splint for flexion of DIP or PIP joints. By careful bending of spring, flexion can be increased or decreased. High wearing comfort by elaborated, wear-resistant, foam

More information

SPECIAL ARTICLE. Missed tendon injuries INTRODUCTION

SPECIAL ARTICLE. Missed tendon injuries INTRODUCTION Archives of Emergency Medicine, 1991, 8, 87-91 SPECIAL ARTICLE Missed tendon injuries H. R. GULY Consultant in A & E, Derriford Hospital, Plymouth INTRODUCTION The timing of the repair of divided tendons

More information

FOOSH It sounded like a fun thing at the time!

FOOSH It sounded like a fun thing at the time! FOOSH It sounded like a fun thing at the time! Evaluating acute hand and wrist injuries Larry Collins, MPAS, PA-C, ATC, DFAAPA Assistant Professor, Physician Assistant Program Assistant Professor, Department

More information

Hand & Wrist Injuries. DR MA Manjra

Hand & Wrist Injuries. DR MA Manjra Hand & Wrist Injuries DR MA Manjra 1 Background Up to 25% of all athletic injuries General population Sport people Sport specific Position specific Multifaceted Time of season Level of athlete Parents

More information

HAND INJURY REHAB CONCEPTS AND RETURN TO PLAY

HAND INJURY REHAB CONCEPTS AND RETURN TO PLAY HAND INJURY REHAB CONCEPTS AND RETURN TO PLAY DAVID COLVIN, PT, DPT, OCS, MS, ATC Presentation Overview Discuss common hand and finger injuries/rehabilitation in baseball UCL of the Thumb Tear Rehab comparisons

More information

Trapezium is by the thumb, Trapezoid is inside

Trapezium is by the thumb, Trapezoid is inside Trapezium is by the thumb, Trapezoid is inside Intercarpal Jt Radiocarpal Jt Distal Middle Proximal DIP PIP Interphalangeal Jts Metacarpalphalangeal (MCP) Jt Metacarpal Carpometacarpal (CMC) Jt Trapezium

More information

The Upper Limb. Elbow Rotation 4/25/18. Dr Peter Friis

The Upper Limb. Elbow Rotation 4/25/18. Dr Peter Friis The Upper Limb Dr Peter Friis Elbow Rotation Depending upon the sport, the elbow moves through an arc of approximately 75⁰ to 100⁰ in about 20 to 35 msec. The resultant angular velocity is between 1185

More information

Trauma muskuloskeletal

Trauma muskuloskeletal Trauma muskuloskeletal Arterial injuries associated with fractures or dislocations Clavicle fracture Shoulder fx/dislocation Supracondylar humerus fx Elbow dislocation Pelvic fracture Femoral shaft fx

More information

Biceps Brachii. Muscles of the Arm and Hand 4/4/2017 MR. S. KELLY

Biceps Brachii. Muscles of the Arm and Hand 4/4/2017 MR. S. KELLY Muscles of the Arm and Hand PSK 4U MR. S. KELLY NORTH GRENVILLE DHS Biceps Brachii Origin: scapula Insertion: radius, fascia of forearm (bicipital aponeurosis) Action: supination and elbow flexion Innervation:

More information

Volar plate avulsion injury. Information for patients The Sheffield Hand Centre

Volar plate avulsion injury. Information for patients The Sheffield Hand Centre Volar plate avulsion injury Information for patients The Sheffield Hand Centre page 2 of 8 What is volar plate avulsion injury? The volar plate is a thick ligament in the finger that prevents the joint

More information

Ascension. Silicone MCP surgical technique. surgical technique Ascension Silicone MCP

Ascension. Silicone MCP surgical technique. surgical technique Ascension Silicone MCP Ascension Silicone MCP surgical technique WW 2 Introduction This manual describes the sequence of techniques and instruments used to implant the Ascension Silicone MCP (FIGURE 1A). Successful use of this

More information

SPORTS RELATED HAND INJURIES

SPORTS RELATED HAND INJURIES HKJOT 2010;20(1):13 18 ORIGINAL ARTICLE SPORTS RELATED HAND INJURIES IN HONG KONG Hercy C.K. Li 1 and Cecilia W.P. Li-Tsang 2 Objective: This study attempted to review the incidence of sports related hand

More information

Pediatric Phalanx Fractures

Pediatric Phalanx Fractures Pediatric Phalanx Fractures Julie Balch Samora, MD/PhD/MPH March 1, 2019.... Disclosures Board/committee member: AOA, AAOS, ASSH, RJOS, POSNA Globus (spouse) Goals To identify the most common phalanx fractures

More information

Top 10 Ortho Urgent Care Injuries. J.C. Clark, M.D. ORA Orthopedics

Top 10 Ortho Urgent Care Injuries. J.C. Clark, M.D. ORA Orthopedics Top 10 Ortho Urgent Care Injuries J.C. Clark, M.D. ORA Orthopedics 10. Proximal Humerus Fractures Treatment Simple sling ICE, pain meds Button-down shirts Recliner to sleep in It will be up to the surgeon

More information

Muscles of the hand Prof. Abdulameer Al-Nuaimi

Muscles of the hand Prof. Abdulameer Al-Nuaimi Muscles of the hand Prof. Abdulameer Al-Nuaimi a.alnuaimi@sheffield.ac.uk abdulameerh@yahoo.com Thenar Muscles Thenar muscles are three short muscles located at base of the thumb. All are innervated by

More information

Hand and Wrist Injuries in the Athlete

Hand and Wrist Injuries in the Athlete Hand and Wrist Injuries in the Athlete Diagnosis, Treatment, and Return to Play Guidelines Patrick H. Smock, MD June 15 th, 2018 Allina Health Sports Medicine Conference June 15, 2018 Financial Disclosures

More information

10/10/2014. Structure and Function of the Hand. The Hand. Osteology of the Hand

10/10/2014. Structure and Function of the Hand. The Hand. Osteology of the Hand Structure and Function of the Hand 19 bones and 19 joints are necessary to produce all the motions of the hand The Hand Dorsal aspect Palmar aspect The digits are numbered 1-5 Thumb = #1 Little finger

More information

CAUSES OF PROLAPSE AND COLLAPSE OF THE PROXIMAl" INTERPHALANGEAL JOINT J. C. VAN DER MEULEN. Rotterdam

CAUSES OF PROLAPSE AND COLLAPSE OF THE PROXIMAl INTERPHALANGEAL JOINT J. C. VAN DER MEULEN. Rotterdam Causes of Prolapse and Collapse of the Proximal Interphalangeal Joint-f. C. Vander Meu{en CAUSES OF PROLAPSE AND COLLAPSE OF THE PROXIMAl" INTERPHALANGEAL JOINT J. C. VAN DER MEULEN. Rotterdam INTRODUCTION

More information

Closed Injuries: Bone, Ligament, and Tendon

Closed Injuries: Bone, Ligament, and Tendon Closed Injuries: Bone, Ligament, and Tendon 2 Leo M. Rozmaryn Mallet Deformity Introduction L. M. Rozmaryn ( ) Division of Uniformed Services, University Health Sciences Center, Washington, D.C, 9420 Key

More information

A novel method of treating isolated unicondylar fracture of the head of the proximal phalanx: A case report

A novel method of treating isolated unicondylar fracture of the head of the proximal phalanx: A case report CASE REPORT 41 OPEN ACCESS A novel method of treating isolated unicondylar fracture of the head of the proximal phalanx: A case report Aysha Rajeev, John Harrison ABSTRACT Introduction: The phalangeal

More information

AOS 3: Rheumatoid Arthritis

AOS 3: Rheumatoid Arthritis AOS 3: Rheumatoid Arthritis Arthritis (General) = inflamed joint - NOT a single disease: covers >100 types - Involves disability + decreased quality of life o Can also occur in young people (not just the

More information

Silicone PIP, MCP & MCP-X (PreFlex)

Silicone PIP, MCP & MCP-X (PreFlex) Silicone PIP, MCP & MCP-X (PreFlex) Finger Joint Arthroplasty Operative Technique Silicone PIP Silicone MCP Silicone PreFlex (MCP-X) Stryker Disclaimer This publication sets forth detailed recommended

More information

Ascension PIP Post-Operative therapy protocol

Ascension PIP Post-Operative therapy protocol Ascension PIP Post-Operative therapy protocol This brochure summarizes post-operative care guidelines for the Ascension PIP. HUMANITARIAN DEVICE: The Ascension PIP is authorized by Federal law for use

More information

This article discusses the evaluation, Acute Finger Injuries: Part II. Fractures, Dislocations, and Thumb Injuries

This article discusses the evaluation, Acute Finger Injuries: Part II. Fractures, Dislocations, and Thumb Injuries Acute : Part II. Fractures, Dislocations, and Thumb Injuries JEFFREY C. LEGGIT, LTC, MC, USA, General Leonard Wood Army Community Hospital, Fort Leonard Wood, Missouri CHRISTIAN J. MEKO, CAPT, MC, USA,

More information

Elbow/Wrist/Hand Pointers

Elbow/Wrist/Hand Pointers Elbow/Wrist/Hand Pointers Elbow Injuries -break elbow into 4 quadrants -Lateral -Medial -Posterior -Anterior 1. Lateral Epicondylosis (Tennis Elbow) a. extensor supinator tendinopathy b. repetitive gripping/wrist

More information

Oval-8 ebook for Health Care Professionals How to Size, Fit and Purchase Oval-8 Finger Splints

Oval-8 ebook for Health Care Professionals How to Size, Fit and Purchase Oval-8 Finger Splints Oval-8 ebook for Health Care Professionals How to Size, Fit and Purchase Oval-8 Finger Splints Oval-8 is a registered Trademark of 3-Point Products, Inc. TABLE OF CONTENTS Chapter One How the Oval-8 Works

More information

Study of clinical problems: Mallet injuries

Study of clinical problems: Mallet injuries Review Article Study of clinical problems: Mallet injuries Hin-Keung WONG Department of Orthopaedics & Traumatology, Princess Margaret Hospital, Hong Kong SAR INTRODUCTION The extensor mechanism of the

More information

Silicone Finger Implant

Silicone Finger Implant Silicone Finger Implant Manufactured from high tear resistant implant grade silicone Surgical Technique Eleven, evenly scaled sizes for comprehensive anatomical fit Simple, precise instrumentation Designed

More information

2019 Philadelphia Meeting Conservative Management of Mallet, Swan Neck, and Boutonniere

2019 Philadelphia Meeting Conservative Management of Mallet, Swan Neck, and Boutonniere 2019 Philadelphia Meeting Conservative Management of Mallet, Swan Neck, and Boutonniere Jeanine Beasley, EdD, OTR, CHT, FAOTA Professor, Grand Valley State University Grand Rapids, Michigan Mallet Finger

More information

15 17 November 2018, Dubai, UAE. Event Overview

15 17 November 2018, Dubai, UAE. Event Overview 15 17 November 2018, Dubai, UAE Event Overview Dear Friends and Colleagues, Over the last 4 years, the International Advanced Orthopaedic Congress (IAOC) has firmly established itself as the region s only

More information

Musculoskeletal Imaging of the Digits. Arash David Tehranzadeh, MD UCSD MSK Radiology May 11 th, 2006

Musculoskeletal Imaging of the Digits. Arash David Tehranzadeh, MD UCSD MSK Radiology May 11 th, 2006 Musculoskeletal Imaging of the Digits Arash David Tehranzadeh, MD UCSD MSK Radiology May 11 th, 2006 Musculoskeletal Imaging of the Digit Anatomy & Internal Derangement The Extensor System The Flexor System

More information

CHAPTER 6: THE UPPER EXTREMITY: THE ELBOW, FOREARM, WRIST, AND HAND

CHAPTER 6: THE UPPER EXTREMITY: THE ELBOW, FOREARM, WRIST, AND HAND CHAPTER 6: THE UPPER EXTREMITY: THE ELBOW, FOREARM, WRIST, AND HAND KINESIOLOGY Scientific Basis of Human Motion, 12 th edition Hamilton, Weimar & Luttgens Presentation Created by TK Koesterer, Ph.D.,

More information

Open irreducible fracture/dislocation of the four ulnar metacarpals at the metacarpophalangeal joints: case report

Open irreducible fracture/dislocation of the four ulnar metacarpals at the metacarpophalangeal joints: case report Open irreducible fracture/dislocation of the four ulnar metacarpals at the metacarpophalangeal joints: case report Eurico Monteiro, Pedro Negrão, Vitor Vidinha, Manuel Gutierres & Rui Pinto European Orthopaedics

More information

UCLA UCLA Previously Published Works

UCLA UCLA Previously Published Works UCLA UCLA Previously Published Works Title FRACTURES OF THE SESAMOID BONES OF THE THUMB Permalink https://escholarship.org/uc/item/6g3274q7 Journal AMERICAN JOURNAL OF SPORTS MEDICINE, 23(3) ISSN 0363-5465

More information

Shaun P. Garff, DO Physician of Sports Medicine

Shaun P. Garff, DO Physician of Sports Medicine Shaun P. Garff, DO Physician of Sports Medicine Speaker Disclosure I have no actual or potential conflicts of interest to disclose as it relates to this presentation. A little about me Born and raised

More information

Interesting Case Series. Zone I Flexor Tendon Injuries

Interesting Case Series. Zone I Flexor Tendon Injuries Interesting Case Series Zone I Flexor Tendon Injuries Evgenios Evgeniou, MBBS, MRCS, a and Harriet Walker, MBBS, MRCS b a North Bristol NHS Trust, Bristol, United Kingdom, b Plymouth Hospitals NHS Trust,

More information

Elbow, Wrist & Hand Evaluation.

Elbow, Wrist & Hand Evaluation. Elbow, Wrist & Hand Evaluation www.fisiokinesiterapia.biz Common Injuries to the Elbow, Wrist, Hand & Fingers Lateral epicondylitis tennis elbow Medial epicondylitis golfer s s elbow, little league elbow

More information

MODIFIED EXTENSION BLOCK PINNING FOR LARGE MALLET FRACTURES

MODIFIED EXTENSION BLOCK PINNING FOR LARGE MALLET FRACTURES Benha M. J.. Vol. 26 No 1 Jan. 2009 MODIFIED EXTENSION BLOCK PINNING FOR LARGE MALLET FRACTURES Abdel-Salam A. Ahmed MD and Islam H. Hegazy MD Department oj Orthopedic Surgery. BenhaJaculty ojmedicine.

More information

Exam of the Injured Hand and Wrist. Christina M. Ward, MD Regions Hospital TRIA Woodbury

Exam of the Injured Hand and Wrist. Christina M. Ward, MD Regions Hospital TRIA Woodbury Exam of the Injured Hand and Wrist Christina M. Ward, MD Regions Hospital TRIA Woodbury Disclosures We have no disclosures that are pertinent to this presentation Terminology Ring Long Index Small Thumb

More information

Management of Wrist and Hand Injuries

Management of Wrist and Hand Injuries Sunday General Session Management of Wrist and Hand Injuries Shaun Garff, DO Sports Medicine Physician Methodist Health System Dallas, Texas Educational Objectives By the end of this educational activity,

More information

Posttraumatic boutonnière and

Posttraumatic boutonnière and Review Article Posttraumatic Boutonnière and Swan Neck Deformities Kathleen E. McKeon, MD Donald H. Lee, MD Abstract Boutonnière and swan neck deformities of the finger can be the result of trauma. The

More information

JuggerKnot Soft Anchor 1.0 mm Mini

JuggerKnot Soft Anchor 1.0 mm Mini JuggerKnot Soft Anchor 1.0 mm Mini Ulnar Collateral Ligament (UCL) Repair of the Thumb Surgical Technique Surgical Protocols by Mark Rekant, M.D. A. Lee Osterman, M.D. One Surgeon. One Patient. Over 1

More information

Sick Call Screener Course

Sick Call Screener Course Sick Call Screener Course Musculoskeletal System Upper Extremities (2.7) 2.7-2-1 Enabling Objectives 1.46 Utilize the knowledge of musculoskeletal system anatomy while assessing a patient with a musculoskeletal

More information

Review relevant anatomy of the foot and ankle. Learn the approach to examining the foot and ankle

Review relevant anatomy of the foot and ankle. Learn the approach to examining the foot and ankle Objectives Review relevant anatomy of the foot and ankle Learn the approach to examining the foot and ankle Learn the basics of diagnosis and treatment of ankle sprains Overview of other common causes

More information

Management of Proximal Interphalangeal Joint Fractures and Dislocations

Management of Proximal Interphalangeal Joint Fractures and Dislocations Management of Proximal Interphalangeal Joint Fractures and Dislocations Shrikant J. Chinchalkar, BScOT, OTR, CHT Hand and Upper Limb Centre St. Joseph s Health Care London, Ontario, Canada Bing Siang Gan,

More information

HAND SURGERY- GUIDELINES for POST-OP TREATMENT and REFERRAL to HAND THERAPY

HAND SURGERY- GUIDELINES for POST-OP TREATMENT and REFERRAL to HAND THERAPY HAND SURGERY- GUIDELINES for POST-OP TREATMENT and REFERRAL to HAND THERAPY Please use the specific hand therapy referral form. Always give at least one telephone number for the patient so that there is

More information

MEDIAL EPICONDYLE FRACTURES

MEDIAL EPICONDYLE FRACTURES MEDIAL EPICONDYLE FRACTURES Demographic 20% of elbow fractures 60% of which are associated with elbow dislocation. 75% in boys between 6-12 years 20% of elbow dislocation with ME fracture, the ME is incarcerated

More information

Introduction to Ultrasound Examination of the Hand and upper

Introduction to Ultrasound Examination of the Hand and upper Introduction to Ultrasound Examination of the Hand and upper Emil Dionysian, M.D. Ultrasound of upper ext. Upside Convenient Opens another exam dimension Can be like a stethoscope Helps 3-D D visualization

More information

Carpal and Finger Fractures. Donald S. Bae, MD Children s Hospital Boston

Carpal and Finger Fractures. Donald S. Bae, MD Children s Hospital Boston Carpal and Finger Fractures Donald S. Bae, MD Children s Hospital Boston Objectives Epidemiology of hand and wrist injuries Discuss injuries requiring surgical care Common complications & strategies for

More information

Ulnar Collateral Ligament Injuries of the Thumb Game Keeper s Thumb A Patient's Guide to Ulnar Collateral Ligament Injuries of the Thumb

Ulnar Collateral Ligament Injuries of the Thumb Game Keeper s Thumb A Patient's Guide to Ulnar Collateral Ligament Injuries of the Thumb Ulnar Collateral Ligament Injuries of the Thumb Game Keeper s Thumb A Patient's Guide to Ulnar Collateral Ligament Injuries of the Thumb 1 Introduction Injury to the ulnar collateral ligament of the thumb

More information

Therapy Management PIPJ stiffness. Gemma Willis SUHT

Therapy Management PIPJ stiffness. Gemma Willis SUHT Therapy Management PIPJ stiffness Gemma Willis SUHT Anatomy Hinge joint with arc of motion 90-100 Surrounded and stabilised by Volar Plate Lateral and accessory collateral ligaments Extensor expansion

More information

JuggerKnot Soft Anchor 1.0 mm Mini

JuggerKnot Soft Anchor 1.0 mm Mini JuggerKnot Soft Anchor 1.0 mm Mini Ulnar Collateral Ligament (UCL) Repair of the Thumb Surgical Technique Surgical Protocols by Mark Rekant, M.D. A. Lee Osterman, M.D. One Surgeon. One Patient. Over 1

More information