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A-1155 The Common Culprits (main)
Friday, June 15, 2018 · 8:13 a.m. · 10m 16s
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our brain is constantly hearing what the owner said the structures are saying
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the one thinks about the potential causes of pain in the
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owner side along wrist of problems can be easily done
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almost thirty problems and that obviously is curse that's cares a lot
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but if one tries to follow this principle
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and starts by putting these conditions in order it will end in six groups
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that from a comprehensive point of view are the sources of pain
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article or problems of the d. l. a. j. ligament injuries interactions in the rooms
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couple instability this other couple conditions we can say an
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extra couple extra caps record courses of pain
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making that even simpler it helps us to distinguish between to be cut their bodies
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intact capsule or an extra cops or courses of on a least restating their start with an entire
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capsule problems we have caught the first group particular problems of the d. r. u. g.
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where to go our problems would mean any condition that affects the joints or phase or the joint capsule or sign of you
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basically the everyday santa why this frequently seen in inflammatory diseases or directly j. f. property
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as two thirds of the owner had are accessible with the phone in permissions enemy these would be easily recognise
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in cases of of property pane or painful computation appears when the owners per second the
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radios and the form is passively rotated the so called radio or compression test
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we have named the second group as ligament injuries
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and we will include here interest to the distant read your ligaments which as you have seen
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it's part of the t. f. c. c. but also to the soft issues surrounding structures
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in fact among the usual suspects for on our side that grease paint the t.
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f. c. c. is almost always the first one to be considered guilty
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in such cases patients may complain about painful laxity
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when the clinical exam looks for laxity probably the best well norman were if the
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so called east along about meant this would be a huge instability test
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but remember that any laxity needs in terms to be considered as instability
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like in this patient with a clear laxity but able to start belies the joint by means of
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the dynamics that the lasers so as he's a symptomatic he's lax but he's not unstable
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in these ligament injury group would have said that patients may have instability
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but they may also complain of pain secondary turning completely come into it for example
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different clinical man worst continue spain and they have been
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described they are quite sensitive but not extremely specific
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remember also that around forty percent forty percent of
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people over fifty years can have degenerative changes
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and that the f. c. c. animal i so be careful with them or in print interpretation and always link it to the clinic
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needless to say in these cases direct vision by office copy will come from the problem
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and you the opportunity to treat it and for us is the gold standard too
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then next crowbar interactions and it's just to make things a little
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bit more difficult there are different types of interactions interns
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and not only at your carpal level the first one is the well known on a couple of admin syndrome
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but also interaction between the owner style of anti keep them can cause pain
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this interaction usually happens in all now minus wrist with
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big style persons but it's not the only cost
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almost pilot nonunion especially those that happen in early eighty s. can also impact with it i keep them
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young women playing racket sports mostly if they hit the ball with that to
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hand the backend of the typical example of this second type of interaction
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placing the resisting the interaction position with the owners that uh try keep them interaction test can
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reproduce pain and this is always in should be nation extension and or not inclination
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pathology of the on the carpal menus causal model was our main is quite this portion
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of richly unit baited softly sure is another source of pain in interactions in
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this condition can be detected with the many scored infringement yes
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but not only the only can produce impinge men in the other side of the rest you
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may know how frequent knock on the lesions in the wrist without type to nate
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or a less common imp action in the medial side of it i keep the homage and kind of core
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and obviously painful regular interaction after any type of all or or nectar section my
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fifteen this group also and this is usually because of our yet virginia
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it's both the source at the final the sensitive carpal instabilities may cause on our side the pain
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patients with a palm are made couple instability actually pneumatic
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this function in with the proximal rose stays inflection
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and suddenly ins extends and rip reduces with a clank at the end of all and
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they be asian country for pain and this is usually in the other side
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less common door some it couple instability up the priest when the cap could be pretty
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good stores only in all night inclinations for the opus it aspen money carpet instability
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can present us on our side that pain this condition is secondary to an insufficient or something that couple they can and
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and the uncommon lunatic it'll do so should if instability with uh basically for me the
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an alteration of proximal cut about art in state the cases as you see here
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is that condition that can be supported with little not take it at the moment test
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and at last but not least they're somewhat painful carpal conditions localised in your site
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he mocks the seas or state of still mine the owner couple wants the truly frequent condo
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casinos is also the coast may percent with on our side it among many other questions
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and now that you completely hate me let's go for the second category the extra caps are courses of pain
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about one third of all reduced with owner say that pain to not
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be right from into caps right but from an extra cops records
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so no inter articulate exploration of the joint neither would make a
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diagnosis nor will solve the problem twenty five percent of them
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extract capsule or oversight that pain may originate from ten don't nerve fall or vascular
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structures around the wrist let's see how well or which standing up at this
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pathology related to the c. u. ten is by far the most common the
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most frequent extra cops are source of on our side that recently
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as you have seen anatomy of the u. c. u. it's unique it's under the sixth also
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compartment as as as the extensive but in economics not that that's to the on that
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d. c. u. has and only sheath that maintains that then in close relation to the stand on that
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we always says that the tandem and the only dance together the move to canada
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you see you may be affected by tennis invitees instability or even rapture
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very useful clinical pool in you see it in the night is the well known you see you sooner to test
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and we're looking for instability d. c. instability pass and the sense could test aren't really useful
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in such cases of the shoe imaging techniques will be reliable information especially
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useful is the dynamic information you can get from other some
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less frequently the end part of the f. c. of the pricey form level can be involved
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pathology affecting other bones and joints than the deer you taken cost thing
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factors of that like you can practically the frequent about showing fractures of the strong but also radio carpal ligament
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and also by c. form factors will cause on our side that pain after trauma
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who got the time it fractures on on unit also bonus source of owner say the pain
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who got the hammett look this will create compression of the fracture or non union side and recreate pain
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finally i said take it will turn can be painful instability sign of i. p.'s are ourselves right is can
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explain why the gen is painful and can be affected by that by so take it for granted just
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and the last group of courses of pains are now of some bestsellers remember that nerve problems causing on
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or said that we spend our user related to that also sensor branch of the on and off
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that can be injured especially after surgical procedures in the other part of the reduced so we argued before that
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and some other conditions or some other never found vascular problems
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causing pain male core the variance cannot so in conclusion
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caller sided restraint has many attention origins but it
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can be simplified in several groups of syndromes
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one of every four patients will have an extra caps lock problem
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and in those cases no in particular vision will have
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i'm listening to the patient and doing a good clinical exam
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might make the diagnoses easier and really less expensive
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so let's see is facing owner say that pain a little bit different
Conference Program
A-1153 Introduction
David Shewring, UK
June 15, 2018 · 8:01 a.m.
A-1154 Anatomy of the Distal Radioulnar Joint and Ulnocarpal Complex
Elisabet Hagert, Stockholm, Sweden
June 15, 2018 · 8:01 a.m.
284 views
A-1155 The Common Culprits (start)
Alex Lluch, Barcelona, Spain
June 15, 2018 · 8:11 a.m.
155 views
A-1155 The Common Culprits (main)
June 15, 2018 · 8:13 a.m.
138 views
A-1156 Assessment and Investigation
Michael Solomons, South Africa
June 15, 2018 · 8:23 a.m.
126 views
