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Today...
Elbow, Wrist,
& Hand!
Elbow:
Anatomy,
Injuries,
Treatment, &
Rehabilitation
Bones of the Elbow
Humerus
Radius
ulna
Ligaments of the Elbow
Medial Collateral
Lateral Collateral
Annular ligament
Muscles of the Elbow
Biceps
Triceps
Brachialis
Elbow Dislocation
May result in serious
damage to ligaments,
arteries, veins, and nerves
paralysis of the fingers,
arm, or hand is possible
Treatment: Elbow Dislocation
Don’t move the injury!
Splint it as it is and
apply icepacks.
Go to ER immediately.
Elbow Hyperextension
Elbow is forced past its
usual range of motion
(ROM)
athlete will keep the elbow
in a bent position and won’t
want to straighten the arm
TX: Hyperextension
RICE method
check for deformity,
swelling, discoloration,
and point tenderness
Tennis Elbow
Inflammation of
the lateral
epicondoyle of the
humerus
Tennis Elbow
Causes: overuse,
weakness, poor
technique, lack of
flexibility, or inadequate
warmup
Tennis Elbow
Athlete will
experience general
weakness of the
muscles of the lower
arm
Little League Elbow
Occurs in younger
athletes when the muscle
is stronger than the bone
Muscle pulls away a
bone chip from the arm
Little League Elbow
Possible for ulnar nerve
to be injured, resulting in
numbness, weakness, or
tingling of the forearm,
hand, or fingers (check
CSM!!!)
TX: LL Elbow
RICE
see physician
or go to ER
Wrist & Hand:
Anatomy, Injuries,
Treatment, &
Rehabilitation
Bones: Wrist & Hand
Distal ends of the radius
and ulna
carpals
metacarpals
phalanges
Wrist Sprains & Fractures
Most common of all the
upper extremity injuries
because there are so many
small wrist bones, always
see a doctor to check for
fractures
TX: Sprains & Fractures
RICE method
always check for
point tenderness
Check CSM!!!
Sprained Thumb
Very common in
basketball
sprain of the M-P
joint at the base of
the thumb
Sprained Thumb
See physician, especially if
there is pain going up
through the wrist or the
athlete is unable to pinch
the thumb & forefinger
together
Jammed Finger
Sprain of the PIP joint
usually very painful but
pain does not last
RICE
“buddy taping”
Dislocated Finger
Obvious deformity,
swelling, pain
splint as is--do not try to
reduce the dislocation!
RICE, CSM
Mallet Finger
Caused by a direct blow
extensor tendon of one
of the distal phalanges is
torn from the bone
Mallet Finger
Tendon may pull
off part of the bone
(called an avulsion
fracture)
Mallet Finger
The athlete won’t be able
to hold the finger straight;
the finger will appear to be
hanging
RICE, immediate transport
to ER
Ripped Hands
Caused by severe
calluses (common in
gymnastics)
best treatment is
prevention!