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初中思想政治课教材使用情况调查表 T11
The Elbow, Forearm, Wrist and HandPE 236Juan Cuevas, ATC;? 2007 McGraw-Hill Higher Education. All rights reserved.;Prevention of Elbow, Forearm and Wrist Injuries;Recognition and Management of Injuries to the Elbow;Contusion
Cause of Injury
Vulnerable area due to lack of padding
Result of direct blow or repetitive blows
Signs of Injury
Swelling (rapidly after irritation of bursa or synovial membrane)
Care
Treat w/ RICE immediately for at least 24 hours
If severe, refer for X-ray to determine presence of fracture;Elbow Sprains
Cause of Injury
Elbow hyperextension or a valgus force (often seen in the cocking phase of throwing
Signs of Injury
Pain along medial aspect of elbow
Inability to grasp objects
Point tenderness over the MCL
Care
Conservative treatment begins w/ RICE elbow fixed at 90 degrees in a sling for at least 24 hours
Coach should be concerned with gradually regaining elbow full ROM
Athlete should modify activity
Gradual progression involving an increase in number of throws while range and strength return;Ligament Injuries;Lateral Epicondylitis (Tennis Elbow)
Cause of Injury
Repetitive microtrauma to insertion of extensor muscles of lateral epicondyle
Signs of Injury
Aching pain in region of lateral epicondyle after activity
Pain worsens and weakness in wrist and hand develop
Elbow has decreased ROM; pain w/ resistive wrist extension
;Lateral Epicondylitis (continued)
Care
RICE, NSAID’s and analgesics
ROM exercises and PRE, deep friction massage, hand grasping while in supination, avoidance of pronation motions
Mobilization and stretching in pain free ranges
Use of a counter force or neoprene sleeve
Proper mechanics and equipment instruction is critically important;Medial Epicondylitis (Little League Elbow)
Cause of Injury
Repeated forceful flexion of wrist and extreme valgus torque of elbow
Signs of Injury
Pain produced w/ forceful flexion or extension
Point tenderness and mild swelling
Passive movement of wrist seldom elicits pain, but active movem
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