Injuries Part 3 A Few More Wrist Hand

Injuries, Part 3 A Few More Wrist, Hand, & Finger Injuries

“Before & After” BELLWORK On a piece of notebook paper, draw two columns. Label the first column ‘Before’ and the second column ‘After. ’ Then answer the following questions under the ‘Before’ column. Put the paper aside until the end of class. 1. How does inflammation occur? 2. What is tendonitis? 3. What are symptoms of tendonitis? 4. What is the treatment for tendonitis?

Objectives Differentiate between chronic hand & wrist injuries and their mechanisms, signs & symptoms, and treatments.

Think-Pair-List Think back to the various treatments for injuries that we have learned about and recorded on your Injury Tracker. Make a list with your neighbor. Share. PROPERTY OF PIMA COUNTY JTED, 2010 3

Terminology Carpal tunnel: area on the anterior wrist where the median nerve and tendons cross the wrist and are enclosed by the transverse carpal ligament Paresthesia: tingling sensation or loss of normal sensation

Chronic Injuries • Carpal tunnel syndrome • Wrist tendonitis

Carpal Tunnel Syndrome • Mechanism: o Inflammation of the tendons passing through the carpal tunnel leads to compression of the median nerve. This injury occurs most often in sports requiring repeated wrist flexion. • Signs & Symptoms: o Pain o Paresthesia o Muscle weakness – thumb, index and middle fingers • Treatment: o o Ice NSAIDs Immobilization Surgery may be indicated if symptoms don’t decrease

Wrist Carpal Tunnel http: //old. ourhealthnetwork. com/pain_carpaltunnelsyndrome. php

Carpal Tunnel Syndrome http: // www. thaimedicalnews. com /

Wrist tendonitis • Mechanism: o Chronic injury caused by repetitive wrist flexion o Often occurs in racquet or rowing sports • Signs & Symptoms: o Pain with active or passive movement o Decreased muscle strength • Treatment: o o Rest Ice Splint or pad Rehabilitation to increase flexibility and strength

• Jersey Finger Mechanism o Common in football & other contact sports when a player grabs another player’s jersey who is running away. Their hand gets caught in fabric & the flexor digitorum profundus tendon is ruptured. • Signs & Symptoms o o o Pop or snap heard or felt at the time of injury Pain Swelling Inability to move the DIP joint Possible palpable deformity in the palm Mallet finger deformity • Treatment o REFER FOR SURGERY! o If this injury is ignored permanent loss of function occurs

• De Quervain’s Tenosynovitis Mechanism o Overuse of the extensor pollicus brevis and or longus tendons causing inflammation of the tendon sheath o Repetitive hand & wrist movement • Such as what? • Signs & Symptoms o o Pain near the base of the thumb Possible swelling Decreased ROM & function of the thumb “Sticking” or jumpy sensation in your thumb while moving • Treatment o Rest & ice o Immobilize with a splint or brace for 2 -3 weeks during rehab o ROM & stretching, along with massage to break down the inflammation o Referral for possible surgery if there’s no relief

Other Finger Deformities

“What’s My Injury? ” • With a partner, choose an injury from today’s lesson. • Write a creative scenario for that injury including the mechanism, signs & symptoms, and treatment. • Be prepared to share your injury with the class.

“Before & After” CLOSURE On your bellwork sheet, answer the following questions in the ‘After’ column. This will assess your new learning for the day! 1. How does inflammation occur? 2. What is tendonitis? 3. What are the symptoms of tendonitis? 4. What is the treatment for tendonitis