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Sprains and Strain of the Radial Collateral Ligament

Definition:

An injury to the radial collateral ligament when the joint is carried through a of motion greater than normal, but without dislocation or fracture; or an injury resulting from tensile force.

Symptoms:

Pain in the wrist and thumb
Loss of ROM in the wrist and thumb
Swelling in the wrist and thumb
Pain with pinching
Thumb instability

Causes:

Forced adduction of the thumb
Repetitive thumb adduction

Treatment:

Period of immobilization
ROM and stretching
Hand intrinsic muscle strengthening
Upper extremity strengthening

Phase 1

Elbow Flexion Stretch

Elbow Supination Stretch

Putty Gripping

Passive Elbow Extension

Full Anterior Stretch

Phase 2

Wrist Curls

Wrist Pronation Supination

Curl Press

Ulnar Radial Deviation

Rice Wrist Flexion And Extension

Phase 3

Ulnar Radial Deviation

Rice Wrist Flexion And Extension

Wrist Curls

Rice Wrist Pronation Supination

Rice Hand Opening Closing

Eccentric Wrist Flexion

Eccentric Wrist Extension

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