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Wrist and Hand Anatomy PowerPoint Presentation

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Description : Check out this medical presentation on Orthopaedics, which is titled "Wrist and Hand Anatomy", to know about the Anatomy of Wrist and Hand.

Tags : Orthopaedics, Wrist, Hand, Anatomy

Published on : Aug 10, 2021 | Views : 2208 | Downloads : 16

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Slide 1-

Wrist/Hand Anatomy Carpals-8 Scaphoid Trapezium Trapezoid Capitate Hamate Pisiform Triquetral Lunate www.eatonhand.com http://www.gwc.maricopa.edu/class/bio201/hand/anhand.htm Metacarpals-5 Phalanges - 5 1-5 1=Thumb 5=Pinky
Slide 2-

Wrist/Hand Anatomy (2) Radiocarpal joints (beween wrist and hand) Metacarpal joints Metacarpalphalangeal Joints Phalangeal joints-PIP and DIP Normal resting position Proximal, Middle, Distal phalanx Blood Supply -______________________ Nerve supply Radial Medial Ulnar
Slide 3-

Colles Fracture ______________________________________ HOPS: ______________________________________ extreme pain __________________________________ numbness along the median nerve distribution, extreme pain Treatment: splint, refer http://orthopedics.about.com/library/xray/blxray-fxapcolles.htm
Slide 4-

http://sfghed.ucsf.edu/ClinicImages/Colle's fracture.jpg http://www.eatonhand.com/hw/colles1.gif
Slide 5-

Carpal tunnel syndrome (1) Carpal tunnel is located in the anterior of the wrist. ____________________, their synovial sheaths and the median nerve lie in the tunnel _____________________________________________________________
Slide 6-

http://www.mayo.edu/mcj/hand/carpal.jpg
Slide 7-

Carpal Tunnel (2) Overuse condition caused by repeated wrist flexion, ulnar deviation HOPS numbness, tingling, median nerve area muscle atrophy (in advanced cases) decreased RROM in thumb movement + Phalen’s test, pn w/ compression of carpal tunnel + Tinel Sign Tx: rest, wrist splint, anti-inflammatory medication, if severe, surgery
Slide 8-

http://www.ccohs.ca/images/office15.gif
Slide 9-

Scaphoid Fracture (1) ________________________________ Lies beneath the “anatomical snuff box” Does not have a good blood supply – often does not heal – “non-union”
Slide 10-

http://www.hughston.com/hha/b.wrstfx
Slide 11-

Scaphoid Fracture (2) HOPS fall on the outstretched hand some swelling pain in anatomic snuff box Tx: refer to physician, immobilization x 6 weeks, protection against impact for 3 months
Slide 12-

Mallet finger “Baseball”, “basketball” finger __________________________________________________________________ HOPS: MOI: blow to tip of finger, pain over the DIP joint bent DIP joint (about 30 degrees) inability to extend the DIP joint TX: refer, splint in extension 6 – 8 weeks
Slide 13-

Mallet Finger http://www.utahmountainbiking.com/firstaid/pics/fing-mal.jpg www.eatonhand.com
Slide 14-

Boutonneire Deformity ____________________________________________________________ HOPS: forced flexion of the interphalangeal joint swelling, flexion deformity of PIP joint point tenderness over middle phalanx (dorsal side) ____________________________ Tx: refer, splint in extension
Slide 15-

Boutonneire Deformity www.eatonhand.com
Slide 16-

Jersey Finger _________________________________________________________________ ________________________________ HOPS: MOI: rapid ext. of the finger while actively flexed Swelling point tenderness over DIP joint ____________________________ Tx: Refer to physician
Slide 17-

Jersey Finger http://www.handlibrary.org/images/jnslide5-s.jpg
Slide 18-

Gamekeeper’s thumb Sprain of ulnar collateral ligament in thumb MOI: ________________________________ ___________________ HOPS: Swelling over palmar aspect Instabilty in the joint Laxity in thumb flexion Tx: refer to physician, tape, rest, surgery
Slide 19-

http://www.weissortho.com/images/body_parts/skiers_thumb.jpg
Slide 20-

Boxer’s Fracture Fracture to the 4th and/or 5th metacarpal(s). MOI - caused by punching something harder than the hand, such as a wall or another person's head. The end of the metacarpal bone takes the brunt of the impact, which usually breaks through the narrowest area near the end (the "neck"), and bends down toward the palm.
Slide 21-

http://www.eatonhand.com/hw/hw005.htm
Slide 22-

http://ranney.com/~mjr/Image_Library/20020516/05160005.JPG
Slide 23-

Boxer’s Fracture – (2) HOPS- _________________________ ____________________________ Swelling/Discoloration in area Deformity Pain Pt tender at location of fracture ___________________________________ Treatment- Splint, refer for x-rays, possible surgery
Slide 24-

ROM/Strength Testing Wrist Flexion-Palmaris Longus Wrist Extension-Extensor Digitorum Wrist Radial Deviation-Flexor/Extensor Carpi Radialis Wrist Ulna Deviation-Flexor/Extensor Carpi Ulnaris Finger Flexion/Extension-Flexor Digitorum/ Extensor Digitorum Finger Abduction/Adduction Opposition
Slide 25-

Test Valgus Stress Test - Ulna Collateral Ligament - +sign laxity Varus Stress Test - Radial Collateral Ligament - +sign laxity Phalen’s- Median Nerve - +sign numbness/tingling Tinel’s – Ulna and Median Nerve - +sign numbness/tingling Fracture Testing- Compression, Flick