Case presentation 9-3-2017
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Transcript of Case presentation 9-3-2017
Dr. Abdallah El-Sayed AllamPhysical Medicine, Rheumatology and Rehabilitation. Faculty of Medicine. Tanta University. EgyptMSK US Fellowship. National Taiwan University Hospital. Taiwan
Case Presentation
*Male *26years* Carpenter *24-8-2016 Trauma by sharp object during a quarrel cut LT EDC of ring and little fingers & EDM.
• Repair & slap for 4 weeks• Referred for rehabilitation for
stiffness, pain & paraesthesia* Medical Treatment (NSAIDs, Neurotonics and Pregabaline)Pulsed US - ROM exercises
• Gradual improvement of ROM & PAIN but not paraesthesia
Entrapment of Dorsal Cutaneous branch of
the ulnar nerve
Ultrasound guided block
Discussion
Anatomy
Etiology
• Fractures
• lacerations
• Surgical e.g. Treatment with an external
fixation device or Kirschner wires or tendon
repair
• Compression Watchband
• Stretch: Closed reduction of a forearm
fracture
Diagnosis
• History
• Examination
• Diagnostic block
• NCS
• Ultrasound
TTT
• Medical
• Rehabilitation
• Ultrasound guided interventions
• Surgery
Thank you