• MUSCULOSKELETAL,  WRIST/HAND

    Carpal Tunnel Syndrome

    Risk factors and causes of CTS Fluid retention Inflammation of structures within/around the carpal tunnel Space occupying lesions Other conditions Pregnancy Menopause Obesity Repetitive strain injury causing tendinopathy (overuse in jobs such as gardening, assembly line work and use of vibrational power tools) Inflammatory arthropathy (e.g. rheumatoid arthritis) Ganglion cysts…

  • MUSCULOSKELETAL,  WRIST/HAND

    Cubital tunnel syndrome

    Introduction Ulnar Nerve Anatomy Etiology Epidemiology Pathophysiology History and Physical Presenting Complaint: Physical Examination Findings: Motor Symptoms: Evaluation Treatment / Management Differential Diagnosis Prognosis Complications Postoperative and Rehabilitation Care Deterrence and Patient Education Pearls and Other Issues

  • MUSCULOSKELETAL,  WRIST/HAND

    Distal Radius Fractures

    directly from : https://coreem.net/core/distal-radius-fractures/ written by – Mark Mikhly, MD Definition: Fracture at the metaphysis or the articulation of the distal radius Mechanism: Most common mechanism is a fall on an outstretched wrist that is dorsiflexed Epidemiology Physical Exam Colles’ Fracture (studyblue.com) Fracture Classification X-Ray Fracture Patterns: Lateral and AP x-ray of a…

  • MUSCULOSKELETAL,  WRIST/HAND

    Ganglia

    Ganglia are the most common soft tissue tumours of the wrist. Around 60% to 70% occur on the dorsal aspect, the vast majority of these arising from the dorsal scapholunate ligament. Occult dorsal ganglia are difficult to diagnose. An MRI scan may be required for their detection. Conservative management often involves aspiration…

  • MUSCULOSKELETAL,  WRIST/HAND

    HAND FRACTURES

    Fracture management Fracture Period of full immobilisation Position of immobilisation Criteria for referral Important notes Proximal phalanx Up to 3 weeks Safe position Intra-articular surface involvement >30%Unstable fractures– rotation– excessive angulation– Multiple fingers Review X-ray in 1 week Begin active exercise early Middle phalanx Up to 3 weeks Interphalangeal joints…

  • MUSCULOSKELETAL,  WRIST/HAND

    Scaphoid Fracture

    Anatomy and Ossification: Prevalence and Causes: Classification: Clinical Examination: anatomic snuffbox tenderness dorsally scaphoid tubercle tenderness volarly Radiological Investigations: X-Ray Appearance: Other Investigations: Reduction Requirements: Orthopedic Referral: ED Management: Immobilization Options: Parental Advice: Potential Complications: