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