WristHand Anatomy Radford Universitywristhand解剖雷德福大学.pptVIP

Wrist/Hand Anatomy Carpals-8 Scaphoid Trapezium Trapezoid Capitate Hamate Pisiform Triquetral Lunate /class/bio201/hand/anhand.htm Metacarpals-5 Phalanges - 5 1-5 1=Thumb 5=Pinky Wrist/Hand Anatomy (2) Radiocarpal joints (beween wrist and hand) Metacarpal joints Metacarpalphalangeal Joints Phalangeal joints-PIP and DIP Normal resting position Proximal, Middle, Distal phalanx Blood Supply -______________________ Nerve supply Radial Medial Ulnar Colles Fracture ______________________________________ HOPS: ______________________________________ extreme pain __________________________________ numbness along the median nerve distribution, extreme pain Treatment: splint, refer /library/xray/blxray-fxapcolles.htm /ClinicImages/Colles fracture.jpg /hw/colles1.gif Carpal tunnel syndrome (1) Carpal tunnel is located in the anterior of the wrist. ____________________, their synovial sheaths and the median nerve lie in the tunnel _____________________________________________________________ /mcj/hand/carpal.jpg Carpal Tunnel (2) Overuse condition caused by repeated wrist flexion, ulnar deviation HOPS numbness, tingling, median nerve area muscle atrophy (in advanced cases) decreased RROM in thumb movement + Phalen’s test, pn w/ compression of carpal tunnel + Tinel Sign Tx: rest, wrist splint, anti-inflammatory medication, if severe, surgery http://www.ccohs.ca/images/office15.gif Scaphoid Fracture (1) ________________________________ Lies beneath the “anatomical snuff box” Does not have a good blood supply – often does not heal – “non-union” /hha/b.wrstfx ???????????????????????? Scaphoid Fracture (2) HOPS fall on the outstretched hand some swelling pain in anatomic snuff box Tx: refer to physician, immobilization x 6 weeks, protection against impact for 3 months Mallet finger “Baseball”, “basketball” finger __________________________________________________________________ HOPS: MOI: blow to tip of finger, pain over the DIP joint bent DIP joint (about