Axis Scientific Hand Model with Deep Layers A-105873

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Axis Scientific Hand Model with Deep Layers A-105873 17. Abductor Digiti Minimi Muscle 03. Abductor Pollicis Brevis 01. Palmar Aponeurosis Muscle 03. Abductor Pollicis Brevis Muscle 06. Adductor 18. Flexor Digiti Minimi Brevis Muscle Pollicis Muscle 02. Palmaris Brevis Muscle 11. Ulnar Nerve 21. Palmar Interosseous 12. Ulnar Artery Muscles 22. Palmar 07. Tendon of Palmaris Metacarpal Longus Arteries 20. Deep Palmar (Arterial) Arch 19. Opponens Digiti 04. Flexor Pollicis Brevis Muscle Minimi Muscle 05. Opponens Pollicis Muscle 18. Flexor Digiti Minimi Brevis Muscle 10. Lumbrical 28. Dorsal Interosseous Muscles Muscles 16. Superficial 26. Dorsal Venous Network Palmar Branch of 23. Superficial Branch of Palmar Nerve Radial Artery 25. Radial Artery 24. Dorsal Branch of Ulnar Nerve 27. Extensor Digitorum Tendon 14. 08. Transverse 13. Superficial Median 15. Common Carpal Palmar Arch Nerve Palmar Digital Ligament Nerves and Arteries 07. Tendon 09. Flexor Digitorum of Palmaris Superficialis Tendons Longus 15. Common Palmar Digital 01. Palmar Aponeurosis Nerves and Arteries 16. Superficial Palmar 02. Palmaris Brevis Muscle Branch of Radial Artery 03. Abductor Pollicis Brevis Muscle 17. Abductor Digiti Minimi Muscle 18. Flexor Digiti 04. Flexor Pollicis Brevis Muscle Minimi Brevis Muscle 19. Opponens Digiti 05. Opponens Pollicis Muscle Minimi Muscle 06. Adductor Pollicis Muscle 20. Deep Palmar (Arterial) Arch 07. Tendon of Palmaris Longus 21. Palmar Interosseous Muscles 08. Transverse Carpal Ligament 22. Palmar Metacarpal Arteries 09. Flexor Digitorum Superficialis 23. Superficial Branch of Tendons Palmar Nerve 10. Lumbrical Muscle 24. Dorsal Branch of Ulnar Nerve 11. Ulnar Nerve 25. Radial Artery 26. Dorsal Venous 12. Ulnar Artery Network of Hand 13. Superficial Palmar Arch 27. Extensor Digitorum Tendon 14. Median Nerve 28. Dorsal Interosseous Muscles © 2018 AXIS SCIENTIFIC.

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And Thoracic Outlet Syndrome
• Palpatory diagnosis and manipulative management of carpal tunnel syndrome: Part 2. 'Double crush' and thoracic outlet syndrome BENJAMIN M. SUCHER, DO 1( The physician treating carpal nificant. Ultimately, palpatory assessment was tunnel syndrome needs to be aware of the instrumental in guiding the author with initial or possible concomitant occurrence of thoracic subsequent methods (or both) of effective treat outlet syndrome, the so-called double crush syn ment. Palpatory monitoring was the key to clinical drome. Palpation is used to differentiate carpal management in all cases. tunnel syndrome from thoracic outlet syn drome. Such palpatory examination assists Methods the physician in planning the initial treat Patients with CTS were assessed as previously described.? ment, including osteopathic manipulation They all underwent electrodiagnostic testing, which and self-stretching maneuvers, targeted specif included a minimum of median and ulnar distal motor ically at the most clinically significant patho and sensory conduction studies. Needle electromyograms logic region. Supplemental physical medicine and more extensive conduction studies were also per formed if not done previously, or as clinically indicated. modalities such as ultrasound may enhance They were treated according to the outlined protocols the treatment response. Some illustrative for osteopathic manipulation and self-stretching exer cases are reported. cises.B,9 Palpatory assessment routinely included axial rota (Key words: Carpal tunnel syndrome, osteo tion. When restriction was noted for this motion, treat pathic manipulation, thoracic outlet syn ment included the "opponens roll"? technique. As a drome, double crush syndrome) self-stretch maneuver, the thumb is abducted with slight extension and rotated laterally (Figure 1). The primary The initial presentation of carpal tunnel syn limitations or precautions to this new self-stretch involve advanced degenerative changes in the first carpometacarpal drome (CTS) often is a diagnostic challenge, espe joint and bilateral CTS.
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