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4.2 Common Hand Injuries, shoulder surgery - Coggle Diagram
4.2 Common Hand Injuries
physes:
hand soreness, growth spurts in teenagers, could look like a fracture
fracture
metacarpals:
4th & 5th metacarpals more mobile, rotation
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forearm:
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check for radial, ulnar & median nerve damage
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muscular
distal biceps rupture:
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if insertional -> surgical,
if musculotendinous -> not surgical
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shoulder cuff tear:
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50% of pop has small tear, common in elderly dislocation
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shoulder surgery
causes
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trauma
age (grey hair, cuff tear)
neuro
timing
position
mechanical
do not forget neuro
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thoracic outlet
suprascapular nerve
radicular (neck exam, dermatomal, Spuerlings)
Spuerlings test: lean on pts head check for pain going up
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capsulitis:
common, atraumatic, severe pain
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calcific tendonopathy
v v sore, presents like impingement
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shoulder cuff fx
rotation of humeral head,
support
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