Orthopedics- Upper Body Injuries
- Types of Injuries/Pathology
- Fractures of the Wrist
- Smith’s fracture – fracture of the distal radius with volar displacement
- Colles’ fracture – fracture of the distal radius with dorsal displacement
- Fractures of the Hand
- Carpal fracture – fractures to individual carpal bones; most common fracture seen and often missed is the scaphoid
- Fractures of the Forearm
- Radial head fractures account for 33% of elbow fractures, usually caused by a forceful load through an outreached arm
- Type I (nondisplaced) – can be treated with a long arm sling
- Type II (displaced with a single fragment) – typically treated nonoperatively with immobilization for 2-3 weeks and early motion with medical clearance
- Type III (comminuted) – treated operatively, with immobilization and early motion within the first postoperative week as medically prescribed
- Fractures of the Upper Arm (Humeral Fractures)
- Dependent on location of the fracture (head, neck, shaft of humerus), fracture of greater tuberosity may result in rotator cuff injuries
- Fractures of the Wrist
Evaluation
- Establish rapport, review medical history and history of the current condition
- Identify client’s occupational profile
- Observe posture, spontaneous use of an extremity, guarding, scars, wounds, and skin
- Use a gentle approach to palpation to check for pain, adhesions, and edema
- Use nerve tests to elicit symptoms and clarify the injury
- Specific testing
- ROM – goniometric measurements (AROM and PROM)
Evaluation
- Disabilities of the Arm, Shoulder, and Hand (DASH) Questionnaire Part 1
- Disabilities of the Arm, Shoulder, and Hand (DASH) Questionnaire Part 2
- Dynamometer Ranges - Female
- Dynamometer Ranges - Male
- Movement Science Questionnaire
- Nine Hole Peg Test - Female
- Nine Hole Peg Test - Male
- Orthopedic Special Tests- Upper Body
- Pain Assessment Part 1
- Pain Pattern Assessment Part 2
- Protocol for Coordination
- Quick DASH
- Range of Joint Motion Evaluation Chart
Treatment
- Physical Agent Modalities
- Edema and Pain Management
- Edema Control of the Arm
- Edema Swelling
- Edema (Swelling) Instructions
- Elbow Exercises
- Elbow, Forearm, and Wrist Active ROM Exercises
- Elbow Forearm - Passive and Isometric
- Missing Attachment
- Hand Exercises Part 1
- Hand- Extensor Tendon Repairs Zones 5 _ 6 Part 1
- Hand- Extensor Tendon Repairs Zones 5 _ 6 Part 2
- Hand- Extensor Tendon Repairs Zones 7 _ 8
- Hand- Finger Exercises and Activities
- Hand- Flexor Tendon Early Repairs Zones 1 _ 2 Part 1
- Hand- Flexor Tendon Early Repairs Zones 1 _ 2 Part 2
- Hand- Flexor Tendon Repairs - Zones 4 _ 5 Part 1
- Hand- Flexor Tendon Repairs - Zones 4 _ 5 Part 2
- Hand- Flexor Tendon Repairs Zones 1 _ 2- Delayed Mobilization
- Hand- Flexor Tendon Repairs Zones 1 _ 2 Early Passive Mobilization Part 1
- Hand- Flexor Tendon Repairs Zones 1 _ 2 Early Passive Mobilization Part 2
- Hand- Flexor Tendon Repair Therapy Protocol
- Hand- Intrinsic Muscle Stretches
- Hand- Lateral Band Repair
- Missing Attachment
- Hand- Putty Exercises
- Hand Putty Exercises Part 2
- Hands- DIP Flexion
- Hand- Six Pack Exercises
- Hand- Tendon Exercises
- Hand- Therapeutic Putty Exercises
- Hand- TheraPutty Exercises 4
- Hand- Thumb Intrinsic Strengthening
- Hand- Transverse Sagittal Band Repair at the MP Joint
- Scar- Home After the Hospital_ Scar Massage
- Scar Massage 1
- Scar Massage 2
- Shoulder- Anterior Shoulder Dislocation Part 1
- Shoulder- Anterior Shoulder Dislocation Part 2
- Shoulder- Exercise Program
- Shoulder Exercises
- Shoulder Flexion and Extension
- Shoulder Flexion and Rotation
- Missing Attachment
- Missing Attachment
- Missing Attachment
- Missing Attachment
- Missing Attachment
- Missing Attachment
- Shoulder- Proximal Humeral Fracture Post-Surgical Rehabilitation Protocol
- Shoulder Strengthening
- Shoulder- Wand Exercises to Increase ROM
- Treatment Interventions for Upper Body
- Triceps Repair
- Upper Body Home Exercise Program Video Links
- Upper Extremity Range of Motion
- Upper Extremity Range Of Motion Exercises
- Wrist- Active Exercises
- Missing Attachment
Clinical Resources
- A Handy Guide to Managing Everyday Activities with One Hand
- Anatomy of the Elbow, Wrist, and Hand Joints
- Anatomy of the Hand and Wrist
- An Introduction to the Shoulder Complex Part 1
- Helpful links
- Medical Screening and Associated Nerve Palsies
- Modalities
- Missing Attachment
- Physical Agent Modalities
- Rancho ROADMAP
- Rehab for the Hand and Upper Extremity
- Shoulder Rehabilitation General Information
- Splint Care and Wearing Schedule
- Splinting Techniques
- Elbow Anatomy
- Hand Anatomy Part 2
- Hand Joint Anatomy
- Wrist Anatomy
