Common upper extremity problem
stenosing tenosynovitis
- - De Quervain disease
- - Extensor carpi ulnaris (ECU) tendinitis (reverse De Quervain disease)
- - Trigger finger
De Quervain disease
- - first extensor compartment
- abductor pollicis longus (APL)
- extensor pollicis brevis (EPB)
- - Sign and symptoms
- tenderness : radial styloid
- Finkelstein’s test
- - Differential diagnosis
- Fracture scaphoid , Fractureradius
- - Treatment
- Thumb brace
- NSAIDs
- local steroid injection
- decompression of the first extensor compartment
Extensor carpi ulnaris (ECU) tendinitis (reverse De Quervain disease)
- - Sign and symptoms
Trigger Finger
- - A1 pulley
- - Sign and symptoms(4stage)
- Inflammation
- Triggering
- Locking
- flexion contracture
- - Treatment
- NSAIDs
- local steroid injection
- A1 pulley release( Open , Percutaneus)
ganglion cyst
- Pathophysiology
- partial thickness injury
- mucoid degeneration
- - Sign and symptoms
- Transillumination
- - Treatment
- Observe
- manual reduction , needle rupture
- Excision
entrapment neuropathy of the upper extremity
carpal tunnel syndrome
- - Pathophysiology
- transverse carpal ligament (flexor retinaculum)
- - Sign and symptoms
- nocturnal pain
- lateral thenar atrophy
- Phalen’s test, Tinel’s test, abductor pollicis brevis power
- Sensation
- - electrodiagnostic study
- - Treatment
- Medication
- nerve stretching exercise
- Local steroid injection
- Carpal tunnel release
cubital tunnel syndrome
- - Ulnar nerve
- - Sign and symptoms
- Tinel’s test
- elbow flexion test
- claw hand
- Sensation
- - Investigation: X-ray elbow
- - Treatment
- Medication
- Local steroid injection
- Surgery
