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Palmar Creases
Radial Longitudinal Crease partially encircles thenar eminence Proximal Transverse Palmar Crease commences on the lateral border of the palm with the radial longitudinal crease Midpalmar Crease landmark for the hypothenar eminence Distal Transverse Palmar Crease begins at or near the cleft b/n the 2nd and 3rd fingers and cross the palm
PULLED/SLIPPED ELBOW
Subluxation of the head of the radius Sudden lifting by the upper limb when the forearm is pronated Sudden pulling tears the distal attachment of the annular ligament (neck of radius)
COLLES FRACTURE
Transverse fracture of the distal 2-3 cm of the radius Fragment is displaced proximally causing shortening of the radius silver fork deformity or dinner fork deformity
TENOSYNOVITIS
Inflammation of the flexor tendons and digital synovial sheath secondary to infection Digits swell and movement becomes painful
DUPUYTRENS CONTRACTURE
progressive fibrosis of the palmar aponeurosis resulting in shortening and thickening of the fibrous bands that extend from the aponeurosis to the bases of the phalanges MCP joint cant be straightened
ELBOW TENDONITIS
tennis elbow, lateral epicondylitis follow repetitive pronation-supination of the foremarm Pain and point tenderness at or just distal to the lateral epicondyle
GANGLION
Cystic nontender swelling of atendon on the dorsum of the wrist or hand Flexion swelling larger ; extension swelling smaller
PRONATOR SYNDROME
Compression of the median nerve near the elbow Nerve may be compressed between the 2 heads of the pronator teres Pain and tenderness on the proximal aspect of the forearm
Occasionally there is a communication between the median and ulnar nerves in the forearm
Clinically important because even with complete lesion of the median nerve, some muscles may not be paralyzed and lead to an erroneous conclusion that the median nerve has not been damaged