Management of Carpal Fractures and Dislocations
CRITICAL POINTS ▪ Carpal bone fracture may lead to pain, weakness of grip, and loss of motion. ▪ Carpal bone fractures may have associated ligament disruption and nerve involvement, which…
Carpal Instability
CRITICAL POINTS Treatment Alternatives for the Different Stages of Scapholunate (SL) Instability Stage 1 (Partial SL Ligament Injury) ▪ Proprioception reeducation of the flexor carpi radialis (FCR) muscle ▪ Percutaneous…
The Distal Radioulnar Joint: Acute Injuries and Chronic Injuries
CRITICAL POINTS ▪ The complex ligamentous support of the distal ulna in the shallow sigmoid notch of the radius provides a delicate balance of stability while allowing great mobility. Change…
Ulnar Wrist Pain and Impairment: A Therapist’s Algorithmic Approach to the Triangular Fibrocartilage Complex
CRITICAL POINTS ▪ When considering the ulnar wrist patient, one must thoroughly investigate the triangular fibrocartilage complex (TFCC); however, a more global look at the functional forearm joint complex is…
Rehabilitation for Carpal Ligament Injury and Instability
CRITICAL POINTS ▪ The goal of rehabilitation of the wrist after ligament injury or with instability is a symptom-free, stable wrist that is capable of withstanding the forces involved in…
Distal Radius Fractures: Classification and Management
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…
Pathophysiology and Surgical Management of the Stiff Hand
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…
Clinical Management of Extensor Tendon Injuries: The Therapist’s Perspective
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…
Tendon Transfers for Upper Extremity Peripheral Nerve Injuries
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…
Manual Edema Mobilization: An Edema Reduction Technique for the Orthopedic Patient
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…
