Best Practice Case Studies-Case 158 Asset 5 Non-Traumatic Injuries of the Hand and Wrist

Video Transcription

Video Summary

The lecture introduced Dr. Eric Latzke and focused on diagnosing and treating non-traumatic hand and wrist injuries, especially for sports medicine fellows preparing for the CAQ exam. Dr. Latzke organized the talk by injury type: bony, nerve, tendon/muscle, ligament, and fascia.<br /><br />Key conditions included CMC osteoarthritis, distal radial epiphysitis (“gymnast wrist”), ganglion cysts, Kienböck disease, ulnar impaction syndrome, and bowler’s thumb. He reviewed common nerve problems such as carpal tunnel syndrome, ulnar neuropathy/cyclist palsy, and Wartenberg syndrome, along with exam findings, imaging, and treatment options.<br /><br />He also covered de Quervain tenosynovitis, intersection syndromes, extensor tenosynovitis, ECU subluxation, trigger finger, Dupuytren disease, scapholunate ligament tears, and TFCC tears. For many conditions, he emphasized ultrasound, splinting, corticosteroid injections, and when surgery is needed. He highlighted newer ultrasound-guided procedures, especially for carpal tunnel and trigger finger.<br /><br />A recurring theme was that “non-traumatic” overuse injuries in younger patients should raise suspicion for inflammatory or rheumatologic disease. The lecture aimed to improve clinical recognition, imaging selection, and management decisions for common hand and wrist complaints.

Meta Tag

Edition 4th Edition

Related Case 4th Edition, Case 158

Topic Wrist

Keywords

4th Edition

4th Edition, Case 158

Wrist

hand and wrist injuries

sports medicine

carpal tunnel syndrome

de Quervain tenosynovitis

TFCC tears

ultrasound-guided procedures

CMC osteoarthritis

Dupuytren disease