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Cubital Fossa, Carpal Tunnel, Ulnar Tunnel, Bursae, and Injuries to the UE
Session 27 & 28
BackOther
Systems
LE Neck & Head
UE Musculature
AttachmentsInnervationsActions
Nerves & Vessels
CourseFunction Protection
Injuries
Why do injuries occur?Structure/functionStability/mobility
Open Topic Essay
Feedback to help improve each other’s writing
1. Is the scope of the topic too broad or too narrow?
a. What could they add or take out?
2. Is the piece organized well?
3. Does the piece feel choppy? How could they make transitions between ideas better?
4. Did you finish reading and thoroughly grasp what they were trying to say? Did they say it well?
5. How could they improve the content?
6. Lastly, check for spelling, grammar, syntax, and citations.
Objectives
Describe how the neurovasculature of the UE is protected by muscles and spaces from the neck and thorax down to the hand.
Analyze the structure/function relationship of the soft tissue regions of the UE.
Compare and contrast the UE joints in terms of stability vs. mobility.
Analyze how the bursae of each joint function to protect surrounding structures.
Recognize common injuries and describe the anatomical structures involved.
What is/are the most important general purpose(s) of fascia?
A. ElasticityB. Reduce friction
between muscles
C. Holds everything in place but still allows motion
D. All of the above
Elasti
city
Reduce fr
iction bet
ween m
u...
Holds eve
rything i
n place but..
.
All of t
he above
0%
71%
24%
6%
Veins tend to be BOTH superficial and deep, while arteries are only deep.
A.TrueB.False
True
False
74%
26%
If you used a turniquet around the arm at the distal attachment of Deltoid, which of these would you compress?
A. Brachial arteryB. Profunda Brachii
arteryC. Axillary nerveD. Ulnar nerve
Brach
ial arte
ry
Profunda B
rach
ii arte
ry
Axillary nerv
e
Ulnar nerve
29% 28%
16%
27%
Cubital Fossa
Surface Anatomy
Cubital tunnel
What are the most likely symptoms of pronator syndrome?
A. Numbness on digits 1-3
B. Weakness flexing thumb and index
C. Weakness pronating
D. All of these
Numbness on digits
1-3
Weak
ness flexing th
um...
Weak
ness pro
nating
All of t
hese
3%
82%
15%
0%
BackOther
Systems
LE Neck & Head
UE Musculature
AttachmentsInnervationsActions
Nerves & Vessels
CourseFunction Protection
Injuries
Why do injuries occur?Structure/functionStability/mobility
Objectives
Describe how the neurovasculature of the UE is protected by muscles and spaces from the neck and thorax down to the hand.
Analyze the structure/function relationship of the soft tissue regions of the UE.
Compare and contrast the UE joints in terms of stability vs. mobility.
Analyze how the bursae of each joint function to protect surrounding structures.
Recognize common injuries and describe the anatomical structures involved.
Carpal Tunnel
What is inside the carpal tunnel along with FDS and FDP?
A. Median nerveB. FPLC. FCRD. FCU
Median
nerve FP
LFC
RFC
U
25% 25%25%25%
Ulnar Canal
A cyclist has sensory loss to digits 1-3. This patient most likely has:
A. Handlebar Neuropathy
B. Carpal Tunnel Syndrome
C. Pronator Syndrome
Handlebar Neuro
pathy
Carpal
Tunnel Syn
drome
Pronato
r Syndro
me
33% 33%33%
Digits
Your patient walks in with bilateral cyanosis to the digits. You decide this patient has Raynaud’s disease without further testing.
A.TrueB.False
True
False
50%50%
Shoulder complex Bursae
Subtendinous bursae of subscapularis
Continuous with joint capsule inferior to coracoid
Scapulothoracic bursa
Subscapular bursa
Overview and Conclusion
Wrist Injury Case Study
Second Year DPT – Fell on right hand