Case Study on Compartment Syndrome

Some of the injuries that can occur in the hand are Cubital Tunnel Syndrome and Carpal Tunnel Syndrome along with many more. Cubital Tunnel Syndrome causes pain or numbness in the ring and little fingers, but could also go to the arm (Types of RSI, 2010). Occurs when the ulnar nerve is pinched along the elbow’s edge (“funny bone”), and has tingling or painful feeling (Types of RSI, 2010). Cubital Tunnel Syndrome can be treated by avoiding putting pressure on the “funny bone” (Types of RSI, 2010). Cubital could lead to surgery if the nerve needs to be relieved. Carpal Tunnel Syndrome is similar to Cubital but occurs in the three first fingers. A major nerve is compressed which passes over the carpal bones through the front of the wrist (ASSH, 2015). When the nerve is compressed it causes painful, tingling and numbness in the first three fingers (ASSH, 2015). Carpal Tunnel Syndrome can be treated without surgery by changing the patterns of hand use and/or wearing wrist splints at night (ASSH, 2015). If severe then surgery can take place to make the nerve have more

She said, she fell last night while playing volley ball. She landed on her right shoulder and heard a pop sound, too. She did not take any pain medicines. She applied icepack and felt burning pain. This was an interesting musculoskeletal assessment case. We assessed her right shoulder and compared with the left one. We found slight dislocation of the shoulder joint. She had good circulation in her right arm, no swelling noted in the right hand and the capillary refill was < 2 secs. Mary said, since she had burning pain, it could be a nerve injury, too. We also noted a slight swelling of her trapezius muscle on the right side. She complained of pain on palpation. Mary applied a sling to her right arm to keep it elevated. She may need an MRI to see the damage. Mary sent her to the urgent care. She told her that, since she heard the popped sound, the ER or Urgent care doctor can replace it. It will be a painful procedure, and she will need a strong pain medicine. She gave her the note for her teacher and asked her friend to drive her to the urgent

Cubital tunnel syndrome is a condition that affects the ulnar nerve in the arm. The ulnar nerve runs along the medial portion of the arm, behind the medial epicondyle of the humerus, and down into the hand where it innervates the fifth digit and the medial half of the fourth digit, as well as controlling most of the little muscles for fine movement in the hand and larger muscles in the forearm used for grip strength (The American Center for Spine and Neurosurgery [ACSN], 2015). The ulnar nerve can become compressed in several locations as it travels down the arm from the neck, such as beneath the collarbone, at the elbow, or at the wrist. When this compression occurs at the elbow, is referred to as cubital tunnel syndrome. The ulnar nerve at the elbow is commonly referred to as your “funny bone”, but those who have had the pleasure of hitting it know that it is not funny.

The clinical signs of this fracture are swelling and pain in the scaphoid region, tenderness in the “anatomical snuffbox”, pain on axial compression, pain while pronating the hand, and painful pinch grip2. Radiological diagnosis consists of a scaphoid series of X-rays: Anterior-Posterior, lateral, semipronated and semisupinated views2. In cases of so-called "occult" fractures, the fracture is not visible on the radiographs, if the clinical signs are highly suggestive of fracture a 2 week period of cast immobilization is recommended, followed by a repeat X-ray series2. If further investigation is required, CT and MRI scans can also be implemented.

“Acute pain is short term and self-limiting, often follows a predictable trajectory, and dissipates after an injury heals” (Jarvis, 2012). In contrast, “chronic (persistent) pain is diagnosed when the pain continues for 6 months or longer. It can last 5, 15, or 20 years and beyond” (Jarvis, 2012). “Chronic pain does not stop when the injury heals. It persists after the predicted trajectory. It outlasts its protective purpose, and the level of pain intensity does not correspond with the physical findings” (Jarvis,

A calf muscle strain can be treated different ways. One of the ways would be with self care at home. If you are stubborn and reluctant to go to a doctors, you should take an anti-inflammatory drug such as naproxen or ibuprofen to reduce pain, as well as applying ice packs and elevating the torn part of the muscle. In addition, one should protect the strained muscle from further injury, rest the strain, apply compression with an Ace or other elastic bandage to provide support and decrease swelling, and elevating the injured area. If the home remedies do not work, or the pain persists and is too unbearable, then one should seek medical assistance. When this is the case, the doctors will check your medical history and perform a physical exam. This is to establish whether or not the muscle is partially or completely torn. This is important to make sure the proper healing process and timeframe is recommended, that possible surgery is discussed, or that if needed, a more complicated recovery is discussed. While for more severe injuries, the medical treatment can be quite strenuous, for small injuries, the treatment by doctors is similar to the treatment at home. However, it is important to see a doctor so they can accurately diagnose the extent of the injury, and restrict your activity for a few days, as well as determine if an brace or crutches are

This is part of a group of group of injuries called “overuse injuries”, which are most prevalent in runners and athletes who practice strenuous exercise.

Recent research has found that specific sports, such as soccer, have a higher incidence of abnormal bony features due to the high shear stress that is applied to the femoral head prior to the closure of the athlete’s growth plates. Indicating that Cam impingements occur during skeletal maturation and high-impact sports practice.1 Again it can be assumed that the athlete had been partaking in such practices for quite some time, making him a ‘typical’ case. However, this athlete also had a labrum tear present. This could be due to playing on an FAI for many years, causing additional stresses to the tissues surrounding the hip

Patient is diagnosed with bilateral carpal tunnel syndrome, bilateral elbow pain, lesion of the ulnar nerve of the bilateral upper limb.

Common lower extremity injuries for runners are iliotibial band syndrome, patellofemoral syndrome, patellar tendonitis, and plantar fasciitis. Iliotibial band syndrome occurs in runners who perform long distance training because of excessively bending and extending their knee (Grau, Maiwald, Krauss, Axmann, & Horstmann 2008). This will cause the distal iliotibial band to rub or brush against the lateral femoral condyle which will cause inflammation and swelling of the iliotibial band (Grau, et al., 2008). Patellofemoral pain syndrome or “runner’s knee” can cause excruciating anterior knee pain because of weak hip abductors, quadriceps, and external rotators (Petersen, Ellermann, Gösele-koppenburg, Best, Rembitzki, Brüggemann & Liebau, 2014). This will wear down, disrupt and ultimately damage the cartilage under the knee cap. Patellofemoral pain syndrome will cause imbalance and instability of the patella, hamstring

DOI: 11/17/2015. Patient is a year old male mechanic who sustained injury while he was throwing a broken urinal into dumpster when it broke and cut his left wrist. Per OMNI, he was initially diagnosed with laceration to left wrist/forearm flexor tendons to middle, ring and pinky fingers. Surgery was done on 11/25/15 for left forearm repair.

Compartment syndrome occurs when there is a build-up of pressure within a restricted space it may occur when someone has a sprain or fracture, or has surgery and there is a complication. Some of the symptoms include pain not relived by analgesia, tingling or burning as nerves are very sensitive to

Moreover, Tinel’s sign is positive bilaterally and Jamar grip strength is measured to be 10/10/10 bilaterally. Diagnoses include continuous trauma; cervical strain with radicular complaints; bilateral shoulder rotator cuff tendinitis with rotator cuff tear, status post left shoulder arthroscopy with rotator cuff repair; and bilateral wrist strain with carpal tunnel syndrome and degenerative arthritis of the index/long distal interphalangeal joint, triggering of the bilateral

DIAGNOSIS: Strain of muscle, fascia, and tendon at neck level; Carpal tunnel syndrome, unspecified right limb,;Carpal tunnel syndrome, unspecified left limb; Status post left carpal tunnel release; and Adhesive capsulitis of right shoulder (M75.01).

Compartment syndrome is the pressure built up in the “compartment” underneath your skin that comes from a muscle that is swelling. They have strange ways of measuring the amount of pressure underneath the skin and to release they have to use surgical decompression. It will at first just hurt and after a period of time, cause the loss of muscle in the legs because of its affects of the pressure on the nerves.