1. The Forearm,Wrist, and Hand Sports Medicine 2

2. Anatomy Bones- Bones-  Metacarpals  Radius and Ulna Muscles- Muscles-  Flexor carpi radialis – flexes and abducts  Flexor carpi ulnaris – flexes and adducts  Extensor carpi radialis (brevis and longus) – extends and abducts  Extensor carpi ulnaris – extends and adducts  Palmaris longus – flexes

6. Forearm Fractures MOI: MOI:  Blow or fall on the outstretched arm S&S: audible pop or crack, pain, swelling, and disability S&S: audible pop or crack, pain, swelling, and disability TX: RICE, Splinting and casting TX: RICE, Splinting and casting

8. Colles’ Fracture MOI: Fall on outstretched hand MOI: Fall on outstretched hand S&S: Forward displacement of the radius, others are same as forearm fracture S&S: Forward displacement of the radius, others are same as forearm fracture TX: RICE, and casting TX: RICE, and casting

10. Wrist Tenosynovitis MOI: MOI:  Repetitive wrist acceleration and deceleration  Inflammation of the sheath around the extensor carpi radialis longus and brevis S&S: pain (active and passive stretching), tenderness over tendons S&S: pain (active and passive stretching), tenderness over tendons TX: Ice massage, NSAIDS, and rest TX: Ice massage, NSAIDS, and rest

11. Tendonitis MOI: MOI:  Overuse of the wrist S&S: Pain on active or passive stretch and weakness S&S: Pain on active or passive stretch and weakness TX: RICE, NSAIDS TX: RICE, NSAIDS

12. Carpal Tunnel Syndrome Carpal tunnel is located on the anterior aspect of the wrist Carpal tunnel is located on the anterior aspect of the wrist MOI: Repetitive wrist flexion MOI: Repetitive wrist flexion S&S: Sensory and motor deficits S&S: Sensory and motor deficits TX: PRICE, sometime surgery TX: PRICE, sometime surgery

13. De Quervain’s Disease Stenosing tenosynovitis in the thumb Stenosing tenosynovitis in the thumb MOI: MOI:  Overuse S&S: S&S:  Aching pain TX: TX:  Immobilization, RICE, NSAIDS

14. Dislocation of Lunate Bone MOI: MOI:  Forceful hyperextension of the wrist S&S: S&S:  Pain, swelling, and difficulty executing wrist and finger flexion TX: TX:  Ice and send to DR. for reduction  If not properly treated necrosis of the bone is likely

15. Hamate Fracture MOI: MOI:  Fall on outstretched arm, racket sports S&S: S&S:  Wrist pain and weakness, and point tenderness TX: TX:  Cast and padding or removal of hook

16. Scaphoid Fracture MOI: MOI:  Hyperextension of wrist S&S: S&S:  Pain and point tenderness in “snuff box” TX: TX:  Surgery to fixate

17. Wrist Ganglion MOI: MOI:  Synovial cyst  Usually occurs on the back of wrist after wrist strain S&S: S&S:  Occasional pain and a lump TX: TX:  Surgical removal, aspiration, or bursting with pressure pad afterwards

18. Mallet Finger MOI: MOI:  Blow that strikes the tip of the finger causing a jamming or avulsion of the extensor tendon S&S: S&S:  Pain on the interphalangeal joint, deformity TX: TX:  RICE and splinting

20. Boutonniere Deformity Extension of DIP AND Flexion of PIP Extension of DIP AND Flexion of PIP MOI: MOI:  Rupture of the extensor tendon dorsal to the middle phalanx S&S: S&S:  Severe pain and inability to extend DIP joint TX: TX:  RICE, and splinting

22. Jersey Finger MOI: MOI:  grabbing a jersey or opponent and tendon ruptures S&S: S&S:  DIP joint cannot be flexed TX: TX:  Surgically repaired

24. Gamekeepers Thumb MOI: MOI:  UCL Sprain of the thumb  Forced hyperextension S&S: S&S:  Pain, weakness TX: TX:  RICE, Splint

25. Swan Neck Deformity MOI: MOI:  Severe hyperextension S&S: S&S:  Pain and swelling in PIP joint TX: TX:  RICE, splinting in 20-30 degrees flexion

27. Bennett’s Fracture MOI: MOI:  Fracture at the carpometacarpal joint  Axial load and abduction S&S: S&S:  Pain and swelling over base of thumb TX: TX:  Surgery

28. Boxer’s Fracture MOI: MOI:  Fracture to the 5 th metacarpal S&S: S&S:  Pain, point tenderness, swelling TX: TX:  Surgery to pin