This session explored upper extremity injuries, including the shoulder, elbow, wrist, and hand. Participants learned about a range of common diagnoses, including arthritis, Carpal Tunnel Syndrome, fractures and ligament injuries, Med/Lat Epicondylitis (Tennis Elbow), treatment options, and how to overcome rehabilitation obstacles and challenges to best support the workers’ recovery.
00:00 Introduction
1:48 Welcome to the Injury Insight Series
3:10 Session Speaker
4:13 Outline
4:50 Hand Problems Can Drive People Crazy
5:19 Catastrophization
5:56 Hand Posturing is a Nonverbal Indicator od Catastrophic
6:37 Steroid injections: fact vs myth
9:30 Complications of Steroid Injection: depigmentation
9:47 Depigmentation: Prevention
10:25 Distal Biceps Rupture
10:30 Distal Biceps Rupture: Who Gets it?
11:01 Distal Biceps Rupture in Action
11:43 Distal Biceps Anatomy
12:59 H&P
13:56 MRI: Usually Not Necessary
14:59 Distal Biceps Rupture
16:00 Distal Biceps Fixation
17:08 Rehab
19:12 Lateral Epicondylistis. What is it?
19:49 Anatomy
20:36 Pathology: Tendinosis
20:50 Who Gets it?
21:24 Risk Factors for LE
21:22 If No Inflammation, Why Does it Hurt?
22:36 Diagnosis: Clinical
23:00 Imaging
24:30 Natural History
25:02 Treatment
25:28 Treatment: Contradictory Approaches
26:22 Straps, NSAIDs, Iontophoresis, Ultrasound, Therapy
27:33 RCT: 185 pts, 3 Groups Over 6 Weeks
29:00 Double-blind RCT for Lateral Epicondylitis: PRP vs Corticosteroids
29:43 Treatment of Lateral Epicondylitis With Platelet-Rich Plasma, Glucocorticoid, or Saline
30:20 Other Injectables
31:11 Indications for Surgery
31:45 Surgical Options
33:58 Surgery Results
34:53 ARS Question
36:24 Ulnar Nerve Anatomy
37:27 Anatomy – Innervations
37:46 Symptoms of Ulnar Nerve Compression
39:08 Physical Examination
39:36 How Good are These Tests?
40:45 What is the Underlying Pathology?
41:07 Should We Get Nerve Studies Before Operating
41:42 Nerve Conduction Studies
42:39 Diagnosis: Ancillary Studies
43:13 McGowan Classification
44:00 Nonoperative Treatment
44:33 Surgical Treatment
45:18 Results: Meta – Analyses
46:04 Outcomes
46:57 ARS Question
49:11 Carpal Tunnel Syndrome
50:23 CTS Symptoms
52:07 Who Gets CTS?
52:35 Tinel’s Sign
52:54 Phalen’s Sign
53:04 Durkan’s Sign
53:26 When to Get Nerve Studies? 53:43 Diagnostics: CTS
53:57 CTS Treatment
54:21 What About Typing: Controversial
54:44 Steroid Injections
55:07 Ergonomic Modifications
55:19 When to Operate?
55:33 ARS Question
56:25 CTR: Postop Narcotic Consumption
57:30 Q&A Section
1:02:55 Conclusion