Musculoskeletal Issues

Musculoskeletal Issues

1. Dupuytren's Contracture

   • localized fibrosis/ shortening of palmar aponeurosis
   • Pull MCP and PIP of finger 4-5: Flexion
   • DIP's not involved

2. Olecranon Bursitis

   • Repetitive Rubbing or single trauma
   • Synovial fluid acucmulation

3. Carpal Tunnel Syndrome

   • Accumulation of fluid
   • Affects motor innervation to thumb + digits
   • Affects Cutaneous innervation: palm/digits

4. Lateral Epicondylitis

   • overuse injury
   • Affects extensor carpi radialis brevis

5. Edema

   • Infection
     • Tenosynovitis
       • Acute: Thenar/midpalmar spaces
       • Stenosing: De Quervain's disease
         • abductor pollicis longus/extensor pollicis brevis
         • cause: repetitive hand movements

6. Finger Deformities

   • Boutonniere
     • Extended DIP
     • Flexed PIP
   • Swan-neck
     • Extended PIP
     • Flexed DIP