Elbow, Hand, and Elbow, Hand, and FingersFingers

Elbow, Hand, and Elbow, Hand, and FingersFingers

• AnatomyAnatomy• MotionsMotions• InjuriesInjuries• EvaluationEvaluation• RehabilitationRehabilitation

AnatomyAnatomy

• BonesBones• LigamentsLigaments• MusclesMuscles

BonesBones

• HumerusHumerus• RadiusRadius• UlnaUlna

BonesBones

Landmarks of the Landmarks of the humerushumerus

• Medial/lateral epicondyleMedial/lateral epicondyle• Capitulum (lateral)Capitulum (lateral)• Trochlea (medial)Trochlea (medial)• Olecranon fossaOlecranon fossa• Coronoid fossaCoronoid fossa

Landmarks of the Landmarks of the humerushumerus

Landmarks of the Radius Landmarks of the Radius and Ulnaand Ulna

• Olecranon process (point of elbow) Olecranon process (point of elbow) is part of the ulnais part of the ulna

• Articulates (connects) with the Articulates (connects) with the olecranon fossa on the humerus on the humerus

• Coronoid process (ULNA) (ULNA) articulates with articulates with coronoid fossa on on the humerusthe humerus

Landmarks of the Radius Landmarks of the Radius and Ulnaand Ulna

ElbowElbow

Elbow ligamentsElbow ligaments

• Medial (Ulnar) collateral (MCL) or Medial (Ulnar) collateral (MCL) or UCLUCL

• Lateral (radial) collateral (LCL) or Lateral (radial) collateral (LCL) or RCLRCL

• Annular ligamentAnnular ligament

Elbow ligamentsElbow ligaments

Elbow ligamentsElbow ligaments

Muscles acting on the Muscles acting on the elbowelbow

• Biceps- elbow flexionBiceps- elbow flexion• Triceps- elbow extensionTriceps- elbow extension• PronatorsPronators• SupinatorsSupinators

Bones of the hand/wristBones of the hand/wrist

• CarpalsCarpals• MetacarpalsMetacarpals

Bones of the hand/wristBones of the hand/wrist

How to remember the How to remember the carpal bonescarpal bones

NNever ever LLeave eave TThe he PPlayer, layer,

TThe he TTrainer rainer CCan an HHelpelp

Wrist motionsWrist motions

Wrist motionsWrist motions

FingersFingers

Motions and muscles of the Motions and muscles of the fingers/thumbfingers/thumb

• FlexionFlexion• ExtensionExtension• Ab/AdductionAb/Adduction• Circumduction (Thumb)Circumduction (Thumb)

InjuriesInjuries

• ContusionsContusions• StrainsStrains• SprainsSprains• HyperextensionHyperextension• EpicondylitisEpicondylitis• BursitisBursitis• DislocationsDislocations• FracturesFractures• Carpal tunnelCarpal tunnel

• Subungal Subungal hematomahematoma

• Mallet fingerMallet finger• Jersey fingerJersey finger• Skier’s thumbSkier’s thumb• Dislocated fingerDislocated finger

ContusionsContusions

StrainsStrains

• Occurs to a muscle/tendonOccurs to a muscle/tendon• Due to over stretching or overuse of Due to over stretching or overuse of

the muscle or tendon.the muscle or tendon.

SprainsSprains

• Occur to a ligamentOccur to a ligament

Hyperextension of elbowHyperextension of elbow

• An overstraightening of the elbow.An overstraightening of the elbow.• Caused from a posterior force on the Caused from a posterior force on the

elbow joint.elbow joint.

EpicondylitisEpicondylitis

• Epicondylitis is a tendonitis that Epicondylitis is a tendonitis that occurs in the area of the medial and occurs in the area of the medial and lateral epicondyles of the humerus.lateral epicondyles of the humerus.

• It is caused by overuse of the It is caused by overuse of the tendon, which results in pain and tendon, which results in pain and inflammation.inflammation.

Medial epicondylitisMedial epicondylitis

• Also known as:Also known as:

Lateral epicondylitisLateral epicondylitis

• Also known as:Also known as:

BursitisBursitis

• Due to repetitive Due to repetitive stress or a direct stress or a direct blow to the elbow.blow to the elbow.

BursitisBursitis

DislocationsDislocations

DislocationDislocation

Forearm fractureForearm fracture

Radial/Ulnar FracturesRadial/Ulnar Fractures

Colles FractureColles Fracture

Causes of wrist FxCauses of wrist Fx

Boxer’s FractureBoxer’s Fracture

Boxer’s FractureBoxer’s Fracture

Carpal TunnelCarpal Tunnel

Carpal TunnelCarpal Tunnel

Subungal hematomaSubungal hematoma

• Bleeding under Bleeding under fingernailfingernail

Nina’s fingerNina’s finger

Mallet fingerMallet finger

Mallet fingerMallet finger

Jersey fingerJersey finger

Skier’s thumbSkier’s thumb

Dislocated fingerDislocated finger