1. ERGONOMICS :: TRAIN-THE-TRAINER PROGRAM :: UPPER EXTREMITIES OVERVIEW Upper Extremities Overview

2. ERGONOMICS :: TRAIN-THE-TRAINER PROGRAM :: UPPER EXTREMITIES OVERVIEW Bones Ligaments Muscles Tendons Nerves Upper Extremities

3. ERGONOMICS :: TRAIN-THE-TRAINER PROGRAM :: UPPER EXTREMITIES OVERVIEW Muscles and Tendons

4. ERGONOMICS :: TRAIN-THE-TRAINER PROGRAM :: UPPER EXTREMITIES OVERVIEW Model of the Arm

5. ERGONOMICS :: TRAIN-THE-TRAINER PROGRAM :: UPPER EXTREMITIES OVERVIEW Nerves

6. ERGONOMICS :: TRAIN-THE-TRAINER PROGRAM :: UPPER EXTREMITIES OVERVIEW Work-Related Musculoskeletal Disorders (WMSDs) Repetitive Motion Injury Cumulative Trauma Disorders Different Name, Same Problem

7. ERGONOMICS :: TRAIN-THE-TRAINER PROGRAM :: UPPER EXTREMITIES OVERVIEW Tendon Disorders Tendonitis Tenosynovitis Lateral Epicondylitis Medial Epicondylitis Ganglion Cysts Upper Extremity WMSDs Nerve Disorders Nerve entrapments Carpel Tunnel Syndrome Neurovascular Disorder Hand Arm Vibration Syndrome Thoracic Outlet Syndrome

8. ERGONOMICS :: TRAIN-THE-TRAINER PROGRAM :: UPPER EXTREMITIES OVERVIEW Tenosynovitis Swelling of the synovial sheath Pain and swelling Tendonitis Tendon becomes inflamed Pain, swelling, weakness, tenderness Tendon Disorders

9. ERGONOMICS :: TRAIN-THE-TRAINER PROGRAM :: UPPER EXTREMITIES OVERVIEW Tendons/Tendon Sheaths

10. ERGONOMICS :: TRAIN-THE-TRAINER PROGRAM :: UPPER EXTREMITIES OVERVIEW Ganglion Cyst Synovial sheath swells and holds fluid Often seen in the wrist as a bump Epicondylitis (lateral and medial) Unsheathed tendons become irritated Pain that extends from elbow through forearm Tendon Disorders

11. ERGONOMICS :: TRAIN-THE-TRAINER PROGRAM :: UPPER EXTREMITIES OVERVIEW Tendon Disorders

12. ERGONOMICS :: TRAIN-THE-TRAINER PROGRAM :: UPPER EXTREMITIES OVERVIEW Carpel tunnel syndrome Swelling of the tendons in the wrist area that place pressure on the median nerve Symptoms include pain, numbness, and tingling of the hand (thumb and first 3 digits) Nerve Entrapments

13. ERGONOMICS :: TRAIN-THE-TRAINER PROGRAM :: UPPER EXTREMITIES OVERVIEW CARPAL BONES EXTENSOR TENDONS PALMAR BASE LIGAMENTS RADIAL ARTERY FLEXOR POLLICIS LONGUS FLEXOR CARPI RADIALIS TRANSVERSE CARPAL LIGAMENT MEDIAN NERVE PALM ULNAR ARTERY FLUXOR CARPI ULNARIS ULNAR NERVE S 2-5 = SUBLIMIS FLEXOR TENDONS P 2-5 = PROFUNDUS FLEXOR TENDONS Carpal Tunnel

14. ERGONOMICS :: TRAIN-THE-TRAINER PROGRAM :: UPPER EXTREMITIES OVERVIEW Hotdogs and Cream PuffTire and Hose Carpal Tunnel

15. ERGONOMICS :: TRAIN-THE-TRAINER PROGRAM :: UPPER EXTREMITIES OVERVIEW Thoracic Outlet Syndrome Compression of the nerves and blood vessels of the neck and shoulder Symptoms like CTS extending up the arm Hand Arm Vibration Syndrome Disorder of the small vessels and nerves of the fingers and hand Results from vibrating hand tools Localized blanching at the fingertips with numbness on exposure to cold or vibration Neurovascular Disorders

16. ERGONOMICS :: TRAIN-THE-TRAINER PROGRAM :: UPPER EXTREMITIES OVERVIEW Thoracic Outlet Syndrome

17. ERGONOMICS :: TRAIN-THE-TRAINER PROGRAM :: UPPER EXTREMITIES OVERVIEW What does the worker need to know from this presentation?