title: Clinical conundrums in a case of upper quadrant dysfunction.
abstract: This case study charts the progress of a 60-year-old angling coach presenting with a complex upper quadrant dysfunction. Following a brief summary of the history and physical examination, the main focus of the paper explores the mechanical and physiological rationale for adopting a neurodynamic approach for a proposed double crush condition. This case further highlights mismatches that arose between the clinical findings and traditional healing timescales, and the importance of considering pathomechanics of the whole quadrant in complex clinical circumstances.
authors.affiliation: Therapy Services Department, Southampton University Hospitals (NHS) Trust, Tremona Road, Southampton, Hampshire SO16 6YD, United Kingdom. L.C.Roberts@soton.ac.uk
authors.forename: Lisa
authors.initials: L
authors.lastname: Roberts
mesh_terms: D001132:Arm / Q000294:innervation* / Q000503:physiopathology*; D001696:Biomechanical Phenomena; D002349:Carpal Tunnel Syndrome / Q000503:physiopathology / Q000601:surgery*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D010523:Peripheral Nervous System Diseases / Q000209:etiology / Q000503:physiopathology* / Q000534:rehabilitation*; D026741:Physical Therapy Modalities