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Ebook Murtach''s general practice (7/E): Part 2

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Nội dung chi tiết: Ebook Murtach''s general practice (7/E): Part 2

Ebook Murtach''s general practice (7/E): Part 2

Page 722CHAPTER 64Pain in the arm and handA pain in the hand is worth a look at the neck. By heck don't forget the neck!Orthopaedic Surgeon to Student

Ebook Murtach''s general practice (7/E): Part 2ts, 1965Pain in the arm and hand is a common problem in general practice, tending to affect the middle aged and elderly in particular.Overview of caus

es of a painful arm and handLike pain in the shoulder, pain originating from the cervical spine and shoulder disorders can extend down the arm. While Ebook Murtach''s general practice (7/E): Part 2

pain from disorders of the shoulder joint (because of its C5 innervation) does not usually extend below the elbow, radiculopathies originating in the

Ebook Murtach''s general practice (7/E): Part 2

cervical spine can transmit to distal parts of the arm (see FIG. 64.4 ỄP , later in this chapter).Important causes are illustrated in FIGURE 64.1 (§).

Page 722CHAPTER 64Pain in the arm and handA pain in the hand is worth a look at the neck. By heck don't forget the neck!Orthopaedic Surgeon to Student

Ebook Murtach''s general practice (7/E): Part 2trauma and arthritis)Soft tissue disorders of the elbow are extremely common, especially tennis elbow. Two types of tennis elbow are identifiable: ‘ba

ckhand' tennis elbow, or lateral epicondylitis, and ‘forehand’ tennis elbow, or medial epicondylitis, which is known also as golfer's or pitcher's elb Ebook Murtach''s general practice (7/E): Part 2

ow.other significant elbow disorders include inflammatory disorders of the elbow joint, such as rheumatoid arthritis, osteoarthritis and olecranon bur

Ebook Murtach''s general practice (7/E): Part 2

sitis, which may follow recurrent trauma, gout, rheumatoid arthritis or infection.Another important group of disorders are the various regional pain s

Page 722CHAPTER 64Pain in the arm and handA pain in the hand is worth a look at the neck. By heck don't forget the neck!Orthopaedic Surgeon to Student

Ebook Murtach''s general practice (7/E): Part 2ngus) and to a lesser extent the extensor tendons to the fingers. Pain from these overuse syndromes can be referred in a retrograde manner into the fo

rearm.A fascinating and poorly understood syndrome is that related to dysfunction of the upper four vertebral segments of the thoracic spine, which ca Ebook Murtach''s general practice (7/E): Part 2

n cause referred pain in the arm that does not correspond to the dermatomes. This syndrome is often confused with the more common regional pain disord

Ebook Murtach''s general practice (7/E): Part 2

ers such as tenosynovitis and tennis elbow.The various causes of the painful arm can be considered with the diagnostic strategy model (see TABLE 64.1

Page 722CHAPTER 64Pain in the arm and handA pain in the hand is worth a look at the neck. By heck don't forget the neck!Orthopaedic Surgeon to Student

Ebook Murtach''s general practice (7/E): Part 2shoulderMedial or lateral epicondylitisOveruse tendonitis of the wristCarpal tunnel syndromeOsteoarthritis of the thumb and DIP jointsSerious disorder

s not to be missedCardiovascular:Neoplasia:Severe infections:Pitfalls (often missed)Entrapment neuropathies (e.g. median nerve, ulnar nerve)Pulled elb Ebook Murtach''s general practice (7/E): Part 2

ow (children)Foreign body (e.g. elbow)

Page 722CHAPTER 64Pain in the arm and handA pain in the hand is worth a look at the neck. By heck don't forget the neck!Orthopaedic Surgeon to Student

Page 722CHAPTER 64Pain in the arm and handA pain in the hand is worth a look at the neck. By heck don't forget the neck!Orthopaedic Surgeon to Student

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