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HAND INJURY, Cumulative Trauma Disorder, Structural, In many cases the…

- - - - Carpal tunnel release
- - - - Pain exacarbated by gripping and raising objects with wrist in neutral
- - - - May also be injured in afall or a direct hit to the
        tip of the thumb
    - - Xray
        
        Surgery
  - - - Examples of mechanism of injury include;
    - - Ice to minimize swelling
        
        Splint when not playing
        
        To play “buddy tape” to the next
        largest finger
        
        Pad if necessary
  - - - P- protection
        
        R-rest
        
        I-ice
        
        C-compression
        
        E-elevation
    - - Signs & symptoms
        
        • Pain
        
        • Decreased ROM (possibly)
        
        • Decreased grip strength
        
        • Swelling
  - - - When a dislocation of the IP or MCPjoint occurs, one
        bone usually movesdorsal and one
        anterior.
        
        The team physician
        should relocate alldislocated fingers and
        thumbs because tinytendons, nerves, and
        blood vessels.
        
        If not reduced
        properly there can bepermanent damage
        to that finger.
    - - Use ice to control swelling and pain
        
        Refer to physician for reduction and x-ray
        
        Most dislocations are splinted for about 3 weeks in 30 degrees of flexion
- - - - Splint in extension
        
        Refer to physician
        
        The doctor has two courses of action; treat it surgically or keep it splinted in
        extension.
        
        This will result in a permanent flexion
        of the DIP joint
      - Treatment:
  - - - Send for an x-ray and
        evaluation by doctor
        
        Physician will determine
        the need for surgery or further splinting
  - - - • Overuse
      - • Stretching
      - • Impact
    - - • Generalized Swelling
      - • Tenderness
      - • Inability to flex the wrist
    - - PRICE (Cycles of 10 to 15 minutes on and 1 to 2
        hours off )
      - Gradually begin heat
      - Begin hand-strengthening
  - - - A hard hit to the PIP joint can cause the joint capsule
        to tear and the extensor tendons to fall laterally.
        
        When this happens, the athlete will be able to flex the
        DIP joint but will not be able to extend the PIP joint
- - - - Swelling in area of the carpal bones
      - Severe point tenderness in the
        anatomical snuffbox
      - Pain elicited by upward pressure
        exerted on the long axis of the thumb and radial flexion