Elbow, Wrist and Hand

1. Elbow, Wrist and Hand Acute Care Lab Spring ‘10

2. Elbow Anatomy

3. Ligaments of the Elbow • UCL is most important (Tommy John)

4. Elbow Hyperextension Taping • Hyperextension taping • Similar to knee; have the elbow bent about 10-20 degrees • Make a muscle (contract biceps) • Apply 2 anchors to biceps and 2 anchors to mid-forearm • Make a fan, crossing the cubitalfossa (2 fans) • Anchor after each fan • Close tape job • Check circulation

5. Elbow Tape

6. Collateral Ligament Taping • Similar to knee collateral taping- elbow bent 10-20 degrees • Apply two anchor strips to biceps area and mid-forearm • Contracts biceps muscle • Applies a fan on either the medial or lateral aspect, depending on which ligament is injured • Applies two fans • Closes tape job and checks circulation • Not very comfortable to throw with

7. Wrist Anatomy

8. Hand Anatomy

9. Range of Motion (Hand) • Flexion • Extension • Pronation • Palm faces down • Supination • Palm faces up • Ulnar deviation • Hand moves towards your ulna • Radial deviation • Hand moves towards your radius

10. Common Tape Jobs • Wrist • Compression (mostly for weight lifting) • Hyperextension (common in offensive lineman) • Variety of ways to do this • Hand • Hyperextension • Same as above • Fingers • “Buddy tape” • Hyperextension • Thumb taping (common in majority of sports)

11. Wrist Hyperextension

12. Buddy Tape

13. Thumb Tape

14. Summary • The hand and finger tape jobs will take practice! • We use them just as much as an ankle tape • Don’t get frustrated by it • Go off of the proficiencies • Jeff and myself have variations to each tape job as does each athletic trainer • Learn it first then you can add your own variations