Hand and wrist assessment and treatment can be overwhelming. There are a lot of tendons, ligaments and bones crammed into a small area, you need to worry about ligament and cartilage tears, rehabing fine and gross motor control, strengthening, and then there are a bunch of fancy-looking splints. How would you like to get a better grip on hand and wrist injuries?
In this podcast with Physiotherapist (English Institute of Sport Boxing Technical Lead Physio) Ian Gatt, we discuss hand and wrist injuries in general, and dive into details on contact-related injuries encountered in boxing. If you treat patients that fall onto their hands and wrists, cop a blow to their fingers in ball sports, are boxers or martial artists, or just occasionally get involved in confrontations with walls or other immovable objects, you will enjoy this episode. You will explore:
- How to take a comprehensive subjective history for hand and wrist pain patients
- Questions you need to ask your hand and wrist patients
- Identify likely diagnoses for your patients injuries based on their pattern of symptoms
- When imaging is useful
- Figure out if your patient is likely to have a quick or slow recovery
- What is most important - pathology &structural diagnosis, biomechanics or function?
- Common boxing or contact-related hand and wrist injuries
- How to establish the severity of an injury
- Carpometacarpal (CMC) joint injury management
- Knuckle (Sagittal band) injuries
- Bone stress injuries of the hand and wrist
- Triangular fibrocartilage complex (TFCC) injuries, and why these are not as common now in contact sports
In the next two podcasts with Ian, we will explore how you can assess and treat these injuries.