Cubital Fossa, Carpal Tunnel, Ulnar Tunnel, Bursae, and Injuries to the UE Session 27 & 28

Back Other Systems LE Neck & Head UE Musculature Attachments Innervations Actions Nerves & Vessels Course Function Protection Injuries Why do injuries occur? Structure/function Stability/mobility

Open Topic Essay  Feedback to help improve each other’s writing 1.Is the scope of the topic too broad or too narrow? a.What could they add or take out? 2.Is the piece organized well? 3.Does the piece feel choppy? How could they make transitions between ideas better? 4.Did you finish reading and thoroughly grasp what they were trying to say? Did they say it well? 5.How could they improve the content? 6.Lastly, check for spelling, grammar, syntax, and citations.

Objectives  Describe how the neurovasculature of the UE is protected by muscles and spaces from the neck and thorax down to the hand.  Analyze the structure/function relationship of the soft tissue regions of the UE.  Compare and contrast the UE joints in terms of stability vs. mobility.  Analyze how the bursae of each joint function to protect surrounding structures.  Recognize common injuries and describe the anatomical structures involved.

What is/are the most important general purpose(s) of fascia? A.Elasticity B.Reduce friction between muscles C.Holds everything in place but still allows motion D.All of the above

Veins tend to be BOTH superficial and deep, while arteries are only deep. A.True B.False

If you used a turniquet around the arm at the distal attachment of Deltoid, which of these would you compress? A.Brachial artery B.Profunda Brachii artery C.Axillary nerve D.Ulnar nerve

Cubital Fossa

Surface Anatomy

Cubital tunnel

What are the most likely symptoms of pronator syndrome? A.Numbness on digits 1-3 B.Weakness flexing thumb and index C.Weakness pronating D.All of these

Back Other Systems LE Neck & Head UE Musculature Attachments Innervations Actions Nerves & Vessels Course Function Protection Injuries Why do injuries occur? Structure/function Stability/mobility

Objectives  Describe how the neurovasculature of the UE is protected by muscles and spaces from the neck and thorax down to the hand.  Analyze the structure/function relationship of the soft tissue regions of the UE.  Compare and contrast the UE joints in terms of stability vs. mobility.  Analyze how the bursae of each joint function to protect surrounding structures.  Recognize common injuries and describe the anatomical structures involved.

Carpal Tunnel

What is inside the carpal tunnel along with FDS and FDP? A.Median nerve B.FPL C.FCR D.FCU

Ulnar Canal

A cyclist has sensory loss to digits 1-3. This patient most likely has: A.Handlebar Neuropathy B.Carpal Tunnel Syndrome C.Pronator Syndrome

Digits

Your patient walks in with bilateral cyanosis to the digits. You decide this patient has Raynaud’s disease without further testing. A.True B.False

Shoulder complex Bursae  Subtendinous bursae of subscapularis  Continuous with joint capsule inferior to coracoid  Scapulothoracic bursa  Subscapular bursa

Overview and Conclusion

Wrist Injury Case Study  Second Year DPT – Fell on right hand