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Palpation of soft tissue

Feel for the pisiform bone and place the palpating finger against its proximal aspect. Ask the subject to actively abduct the little finger. The tightening of the flexor carpi ulnaris can be felt.The tendon can now be followed distal to the pisiform until its insertion on the base of the fifth metacarpal bone. The pisiform […]

The carpal tunnel

The carpal tunnel lies between

– on the ulnar side – the pisiform bone and the hook of the hamate bone and – on the radial side – the tubercle of the scaphoid bone and the trapezium bone.

It can be localized on the heel of the hand and somewhat towards the ulnar side. It […]

Palpation of soft tissue

Over the olecranon lies the olecranon bursa,which is only really palpable when it becomes inflamed and swollen.Keep the subject’s elbow flexed. Palpate for the upper border (apex) of the olecranon. Feel just lateral to this apex for the insertion of the tendon of the triceps muscle. Move the fingers upwards: a broad and flat tendon […]

Entrapment of the Ulnar Nerve (Ulnar Neuritis)

If the medial posterior aspect of the elbow is accidentally hit, pain can be felt radiating to the fourth and fifth fingers of the hand. The ulnar nerve runs along the medial edge of the elbow just behind the epicondyle to which the flexor muscles of the wrist are attached. In throwing or racket sports […]

Medial Elbow Injuries

Thrower’s elbow or golfer’s elbow (medial epicondylitis, medial elbow tendinosis)

Thrower’s or golfer’s elbow is similar to tennis elbow, but the symptoms are located over the inner (medial) epicondyle of the elbow. A right-handed golf player may well suffer from tennis elbow in the (leading) left elbow and golfer’s elbow in the (following) right […]