Kinesiology 2236A/B Lecture Notes - Lecture 17: Extensor Pollicis Brevis Muscle, Carpal Tunnel Syndrome, Scaphoid Fracture

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Wrist sprains: diagnosis of exclusion, rule everything else out, x rays negative for fracture or dislocation, pain caused by capsular injury is subjective and varies from patient to patient. Moi: foosh or direct blow to or twisting of the wrist in combination with flexion or extension moment. Symptoms: pain, tenderness, swelling and limited rom, notel some fractures will not show on x ray, some dislocation/subluxations are position dependent. Prognosis: good, the athlete should return to sport in 1-2 weeks, monitor for a week to 10 days. If no improvement refer back to physician for x rays: rule out scaphoid fracture or lunate subluxation. De quervian"s disease: tendinopathy of the extensor pollicis brevis and abductor pollicus longus, most common radial sided tendinopathy, occurs with racket sports, rowers canoeists. Assessment: local tenderness and swelling which may extend proximally and distally along the tendon, positive finkelstein"s test.

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