Question 1 Needs Grading LOCATION: Outpatient, Hospital PATIENT: Glory Ann Borden SURGEON: Mohomad Almaz, MD DIAGNOSIS:Right carpal tunnel syndrome PROCEDURE PERFORMED:Right carpal tunnel release PROCEDURE: The patient was placed in the supine position on the operating room table, where her right hand and forearm were prepped with Betadine and draped in a sterile fashion. We infiltrated the
CAUSES This condition is caused by excess pressure or strain (stress) applied to the intermetacarpal ligaments. This often happens because of a hard, direct hit or injury (trauma) to the hand.
1. Ann Borden | SURGEON: | Mohomad Almaz, MD | DIAGNOSIS: | Right carpal tunnel syndrome | PROCEDURE PERFORMED: | Right carpal tunnel release | 2. | | | 3. PROCEDURE: The patient was placed in the supine position on the operating room table, where her right hand and forearm were prepped with Betadine and draped in a sterile fashion. We infiltrated the thenar crease area with 1% Xylocaine, and once adequate anesthesia had been achieved, we exsanguinated the hand and forearm with an Esmarch bandage. We then created a longitudinal incision just at the ulnar aspect of the thenar crease and carried the dissection down through the subcutaneous tissue. We identified the transverse carpal ligament and incised this
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
Patient is a 57-year-old male fuel tank driver who sustained cumulative trauma on 2/7/2004 due to repetitive movement caused by delivering fuel. As per QME dated 1/25/14, the patient has numbness in the fingers and the patient is diagnoses that he has carpal tunnel syndrome. The left wrist had undergone carpal tunnel surgery; however, he gets numbness from the wrist up into his forearm and numbness in the fingertips. It was also noted that on 12/5/13, the patient complains of shoulder pain bilaterally at 7/10. It is constant and goes into noth arms, along with weakness with numbness in the hands, decreased ability to perform activities of daily living, and impared grip. The pain in the bilateral shoulders is constant and aching with intermittent
DOI: 1/23/2014. This is a 36- year old male relief driver who sustained injury while he was putting away the automatic tarper when he was struck on the right shoulder and got driven into the ground and twisted his right foot. Per OMNI, he was diagnosed with right shoulder strain, and back/neck/right foot fracture. As per office notes dated 6/3/16, the patient is complaining of numbness in all extremities specifically the bilateral feet, arms and bilateral elbows. He has had a flare-up of pain that past couple of weeks around lateral column of the right foot made worse with walking and standing. He has been taking Neurontin 300 mg thrice a day which is helping control his symptoms. He apparently had a bilateral upper extremity upper extremity
DOI: 4/01/2015. The patient is a 53-year-old-male old carpenter /foreman who sustained a work- related injury while lifting a high beam when the beam slipped before being placed into the ground pushing him between the beam and leads, crushing his right ankle and foot.
DOI: 1/19/2015. Patient is a 44-year-old female machine operator who sustained injury while lifting pieces of cardboard into the machine when she felt pain to both sides of her shoulders and neck. Per OMNI, she was diagnosed with cervical and shoulder sprain/strain.
HISTORY OF PRESENT ILLNESS: This patient is a 40-year-old male. Industrial injury, he got his finger caught in something at work. He sustained an open fracture, distal phalanx of the left small finger. He was seen in the ER. The finger was sutured in the ER. He presents for followup here.
Elvis Presley, well respected beyond his untimely passing in August of 1977 as one of the most iconic rock and roll musicians of the 20th century, continues to be examined for more than his musical talents. In the 41 years since his death, numerous health care providers and medical researchers
Smith’s Fracture Introduction An elderly female patient presented to the emergency department with obvious deformity in the distal aspect of her forearm following a fall onto her left arm. The patient had fallen backwards onto her left side and landed on her wrist which was in a flexed position. Due to the way the patient had fallen, as well as her age, the primary pathology the doctor had suspected was a Smith’s fracture (also known as a reverse Colles fracture). “Smith fractures are fractures of the distal radius with associated palmar angulation of the distal fracture fragment” (Goel & Gaillard, 2015, para. 1). An x-ray was required to determine if it was a Smith’s fracture or another type of fracture. If the fracture turned out to be
The term “Lisfranc” refers to the tarso-metatarsal articulation. These injuries may include sprains, fractures, and/or dislocations. The term was coined from the name of the French field surgeon Jacques Lisfranc, who first discovered the amputation technique through this joint. Lisfranc injuries are rare (0.2% of all fractures) and commonly missed. Approximately 20% of all Lisfranc injuries remain undiagnosed. Although there is low incidence and prevalence, overlooked Lisfranc injury is cited as one of the most common reasons for malpractice lawsuits against radiologists and emergency medicine physicians. These injuries occur in an area whose bony anatomy is not clearly visualized. Lack of a properly diagnosing the injury and delayed treatment
DOI: 10/01/2012. This is a case of 63-year-old male welder who sustained bilateral hand injuries due to repetitive motion injury from grinding. The patient is subsequently diagnosed with primary osteoarthritis, left hand. As per office notes dated 6/27/16, the patient is 87 days status post left thumb carpometacarpal joint arthroplasty. The patient complains of pain over the metacarpophalangeal joint and occasionally over the interphalangeal joint. The patient still has 3 sessions to complete. Objective findings revealed that the left anterior forearm, dorsal radial wrist, dorsal hand, the scars are healing nicely with no evidence of hypertrophic scarring or pigmentation changes. There is tenderness to palpation over the carpal metacarpal joint
Backround The upper quarter of the human body is defined as beginning at the cervical region, continuing to the shoulder girdle, elbow, wrist, and digits (Hand Therapy Certification Commission, 2002). The upper extremity is used for physical interaction with the world that surrounds an individual, allowing function, production, expression, and
Chris Yanak & Chris Boyd Anatomy & Physiology Hertzler, Brandon 14 October 2017 Tissue and Organ Donation Research Assignment Injuries or Pathologies (diseases) that require reconstructive hand surgery include: Hand Sepsis, Buergers Disease , and Symbrachydactyly. These diseases cause abnormalities within the limbs of an individual. Individuals born with Buergers and Sepsis can develop infections