Thoracic outlet syndrome
• Compression of neurovascular bundle (brachial plexus, subclavian artery and vein, vagus and phrenic nerves, sympathetic trunk) between soft and boney structures
Occurs when size or shape of TO is altered
• Areas of compression:
Scalene triangle
Superior TO
Between clavicle and 1st rib
Between pec minor and thoracic wall
• Diagnosis
X-ray, MRI, electrodiagnostic .
• Special Test: Adson, Roos, Costoclavicular
• Rx:
Surgery, acetaminophen, NSAIDS, postural reeducation, biomechanical restoration, mobs (1st rib)
|
Colle's Fracture
• Most common fracture caused by fall onto outstretched UL
"Dinner fork" deformity of wrist and hand with posterior displacement of distal fragment of radius and radial shift of wrist and hand.
• Complications: Median nerve compression due to edema, decreased grip strength, CRPS, carpal tunnel
Immobilized from 5-8 weeks
• Rx:
Acetaminophen, NSAIDs. Correct biomechanical faults caused by joint restrictions, manual therapy, flexibility exercises, strengthening, endurance, coordination.
| |
|
