KINE 318 Lecture Notes - Lecture 3: Scaphoid Fracture, Osteochondritis Dissecans, Ulnar Collateral Ligament Reconstruction
7 Mar 2017
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S/s: pain; point tenderness; swelling; transitory paralysis; may result in olecranon bursitis. Def: most will occur posteriorly; most frequently dislocated joint in children under 10 yrs. Moi: fall on outstretched hand; hyperextended elbow; severe twist. Tx: check distal pulse/capillary refill; immobilize; refer to md; x- ray contracture: brachial artery and/or median nerve resulting in permanent flexion of fingers and/or wrist (ape hand); calcium formation. Moi: indirect trauma; overuse; (1st 2 most common baseball throw) hyperextension; valgus force; varus force. S/s: pain; point tenderness; loss of function; swelling instability. Tx: pricemm; rehab; refer to md; may require surgery to full activity (tommy john surgery- palmaris longus to form new ucl) Def: direct blow; fall on an outstretched arm/flexed elbow; S/s: pain; point tenderness; swelling; deformity; loss of function. S/s: pain; swelling; loss of function; loss of rom; transient. Tx: pricemm; nsaids; refer to md; may require surgery if s/s locking; more often than not asymptomatic persist.
