Five-minute Hand Evaluation

And Common Injections

Keith Bengtson, MD

Jeff Brault, DO

Mayo Clinic

Hand Center

Purpose

• Prevalence of upper extremity dysfunction

• Vast majority treated non-operatively

• PM&R profession is uniquely suited to fill the current void

• Review upper extremity anatomy and how to evaluate common UE conditions

• Demonstrate common unguided and guided injection techniques for upper extremity conditions.

Who is seen by Hand PM&R

• 2272 new evals in Hand PM&R at Mayo

• Common Diagnosis• Carpal Tunnel Syndrome (317)• Osteoarthritis (168)• Wrist pain (147)• Trigger finger (125)• Lateral epicondylitis (81)

• 314 patients referred to hand surgeons• 14% of total patients

• Physiatrists bring extra expertise in• return to work issues• treating disability• chronic pain

Mayo Clinic Rochester, MN