Motion:
> Dorsiflexion- 0-50
Palmarflexion 0-60
Radial deviation 0-15
Ulnar deviation 0-50
Supination/Pronation 75-80 each
ULNAR TUNNEL SYNDROME
Compression of sensory, motor or both in Guyons canal at wrist
Guyons canal fibro-osseous triangular space ulnar aspect of volar wrist, roof volar carpal ligament and pisohamate ligament, lat. Wall TCL and hook of hamate, medial wall pisiform and fibrous structures
Ulnar nerve and artery
Causes- SOL like ganglions, aneurysms, lipoma
# hook of hamate, repeated trauma vibration tools, long distance cyclists
Symotoms – numbness and tingling ring and little finger, weakness of intrinsic muscles, pain at wrist
Sensory deficit – sparing of dorsal hand
Motor – weak intrinsics, clawing, Froments sign, confrontation test, Egawa test
Diagnosis – history, clinical tests, Tinels sign, Nerve Conduction study
Treatment – Cessation of provocative activities, NSAID, Local steroid injection, Surgery
CARPAL TUNNEL SYNDROME
Compression of median nerve at wrist in carpal tunnel
Carpal tunnel three sides by carpal bones, roof by Transverse Carpal Ligament
Causes– Secondary, Idiopathic
Clinical features:
aching and burning pain along median nerve distribution, night symptoms, aggravated by elevation, repetitive activities and prolonged wrist flexion, clumsiness of hand, female predominance
Physical signs :
Sensory loss, Motor weakness and atrophy
PROVOCATIVE TESTS
Phalen's test
Carpal compression test
Tinel's test
Diagnosis
History, Physical findings, Provocative tests, NCV study
Treatment:
Avoiding aggravating activities and posture, Splinting, NSAIDS, Local steroid, Surgery
De QUERVAINS DISEASE
- Tenosynovitis of 1st compartment – APL, EPB
- Overuse, spontaneous
- Woman, 40-50 yrs, pain radial side, swelling over radial styloid, tenderness
Finkelstein's test
Treatment
- Crepe bandage and slab application
- Analgesics
- Local steroid injection
- Chronic case excision of part of tendon sheath
mbbs in Philippines
ReplyDeleteEvery year, almost 8000 foreign students take admission in Philippines Medical universities and out of which around 50% are Indian students. The standard of education in Philippines universities is well known around the world. Thousands of doctors from these medical universities are sent to various countries like USA and UK every year. There are around 2299 higher educational institutions and 40 medical colleges. The main benefits of pursuing MD degree from
Top Medical Colleges in Philippines :
EMILIO AGUINALDO COLLEGE OF MEDICINE
UNIVERSITY OF PERPETUAL HELP SYSTEM DALTA
LYCEUM NORTHWESTERN UNIVERSITY
DAVAO MEDICAL SCHOOL FOUNDATION
SOUTHWESTERN UNIVERSITY
Top Searched Topics on MBBS in Philippines
study mbbs in philippines
philippines medical colleges list
best medical colleges in philippines for indian students
philippines medical colleges
best medical colleges in philippines
mci approved medical colleges in philippines
for more information contact us : +91 90329 55688
UV GULLAS COLLEGE OF MEDICINE is one of Top Medical College in Philippines in Cebu city. International students have the oppertunity to study medicine in phillipines at affordable cost and world class University. The college has successful alumni who have achieved well in the fields of law, business, politics, academe, medicine, sports and other endeavors. At University of the Visayas, we prepare students for a global competition.
ReplyDeleteDirect MBBS Admissions Open: 2020-21
Mobile No: +91 90329 55688
Apply Now: https://www.careerplus.org.in/philippines-medical-college/uv-gullas-college-of-medicine
MBBS in Philippines Wisdom Overseas is authorized India's Exclusive Partner of Southwestern University PHINMA, the Philippines established its strong trust in the minds of all the Indian medical aspirants and their parents. Under the excellent leadership of the founder Director Mr. Thummala Ravikanth, Wisdom meritoriously won the hearts of thousands of future doctors and was praised as the “Top Medical Career Growth Specialists" among Overseas Medical Education Consultants in India.
ReplyDeleteWhy Southwestern University Philippines
5 years of total Duration
3D simulator technological teaching
Experienced and Expert Doctors as faculty
More than 40% of the US returned Doctors
SWU training Hospital within the campus
More than 6000 bedded capacity for Internship
Final year (4th year of MD) compulsory Internship approved by MCI (No need to do an internship in India)
Vital service centers and commercial spaces
Own Hostel accommodations for local and foreign students
Safe, Secure, and lavish environment for vibrant student experience
All sports grounds including Cricket, Volleyball, and others available for students