Musculoskeletal Key

CRITICAL POINTS ▪ Distal radius fractures are not a single injury that can be treated with one method of management. ▪ Patterns of injury should be characterized in the context…

CRITICAL POINTS Indications For Surgical Management Failure to progress with further nonoperative treatment options; typically 4 months or longer from time of injury or initial surgery Priorities Regain passive motion…

CRITICAL POINTS ▪ Extensor tendons in all zones except digital I and II and thumb TI and TII tolerate controlled active tension by the third post-operative day with precise orthotic…

CRITICAL POINTS ▪ Potential donors for transfer are those muscles with 1 Adequate power to motor the recipient tendon 2 Similar tendon excursion to the recipient 3 Function synergistic or…

CRITICAL POINTS ▪ All edema is not the same. ▪ Stimulation of the lymphatic system is necessary to decrease subacute and chronic edema. ▪ The proteins associated with subacute and…

CRITICAL POINTS ▪ After a peripheral nerve lesion, muscle denervation and sensory loss contribute to upper extremity prehensile limitations, leading to incoordination and maladaptive strategies. ▪ The key to successful…

CRITICAL POINTS ▪ A team approach is critical to effectively address preoperative issues and enhance postoperative success. ▪ Preoperative factors considered by the team include (1) psychosocial issues, (2) status…

CRITICAL POINTS Donor Nerve ▪ Near target muscle ▪ Expendable ▪ Pure motor fibers ▪ As large a number of motor axons as possible ▪ Synergistic to target muscle Transfer…

CRITICAL POINTS Evaluation Evaluation techniques should be reproducible and standardized. Simple Lymphatic Massage ▪ Start and end proximally. ▪ Use minimal pressure needed to traction the skin. ▪ Pressure will…

CRITICAL POINTS ▪ There are two major types for the therapist to consider, compressive and entrapment. ▪ Appropriate therapist classification of patients into one of two types is imperative to…