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Flexor Pollicis Brevis Strain

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The Flexor Pollicis Brevis is the muscle in your hand that helps flex the thumb. If the thumb's muscles were to be impaired, many actions involving your hand would be difficult to do.

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This shows a full body view of where the Flexor Pollicis Brevis is.

This picture shows how you use the Flexor Pollicis Brevis to move the thumb towards the palm.

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A base (in a cheer stunt group) was basing some flyers but when the flyers came down from the previous stunt, the base's thumb was put into hyper flexion due to the flyers foot when stepping down.

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Athletes may experience the following signs and symptoms after the flexor pollicis brevis is injured:

Pain in the joint of the thumb

Pain in the tip of the thumb

Weakness in your grip

Popping or locking of the thumbs' middle joint

Difficulty holding a pen, pencil, or silverware

Difficulty buttoning clothes

Difficulty tying shoelace

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Athlete may use cold therapy gel or ice for pain, the coolness of the gel or ice will be able to slow the rushing amount of blood to the point of injury therefore allowing swelling to reduce on and around the area. Use every 1-2 hours for 15-20 minutes, using the treatment for longer time periods may lead to nerve damage. Ice the first 24 hours the injury occurs to bring down swelling then continue to use heat for the remainder of the injury.

Heat therapy gel for pain and stiffness, use a heating pad or warm object to lay over the injured muscle to keep the muscle warmed up and avoid from getting stiff.

Athlete may use a thumb stabilizer to prevent further injury and is useful to prevent strange movements that will continue to hurt the flexor pollicis brevis muscle. A stabilizer is also useful if the athlete is in a lot of pain when they bend their thumb, it will help keep the thumb in a comfortable and stable position.

A full arm sleeve for elbow, forearm, and wrist pain

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Resistance bands are an inexpensive and effective tool to help the flexor pollicis brevis strain and also the surrounding wrist muscles that help the injured muscle.

Resisted Radial Deviation using the resistance band will help strengthen the muscles in the radial side of your wrist which is useful because that is the side your thumb is on. Place the resistance band underneath your foot and grip the remaining part around the palm of your hand. Pull the band laterally towards your opposite leg while bending your wrist for 2 seconds then unbending for a count of 5 seconds. Place your forearm on your knee for support. Repeat 8-12 times.

Resisted wrist flexion is another exercise that is used to help the muscles surrounding the flexor policies brevis play its role in the hand. Start the exercise by placing the band under your foot and wrap the remaining piece of band around your hand. Make your hand into a fist so your knuckles face upward. Bend your wrist up towards your face for a count of 2 seconds and unbend for 5 seconds. Repeat 8-12 times.

While performing these exercises make sure to focus on only moving your            wrist and keeping your arm still to focus on the injured muscle at hand.

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It may be difficult to prevent a wrist injury if the accident is unexpected but if you are aware that you will be performing repetitive motions using your wrist.

While it may be hard, try not to land on the hands if athlete falls.

If an athlete has experienced a previous wrist injury be sure to take preventive measures by using a wrist stabilizer or getting taped for support to prevent the wrist from bending too far back.

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Athletic Injury & Accident Report: Athlete's name: Bob Sanders                Today's Date: February 1 2018
Injury Date: January 1 2018
Body Part Injured: Right
Sport: Cheer
Was the injury due to athletic participation? yes

Subjective Information: Mechanism of Injury: The base of a cheer stunt group was helping the flyer come down from a stunt but the flyer's foot made the base's thumb go into hyper flexion.
Chief Complaint (CC): pain and stiffness in right wrist, not able to move wrist without feeling pain.
Type of Pain: stiffness in wrist

Objective Information: Inspection observation: Wrist is swollen, with mild bruising proximal to the end of the forearm.
Palpation: Discomfort with palpation on forearm, wrist and hand. Muscle feels tender and noticeable swelling with touch.
Range of Motion & Strength Testing: During passive range of motion test there was approximately less than a 45 degree angle range. During the active-assistive range of motion athlete struggled to flex wrist against intentional resistance, approximately less than a 35 degree angle. During active range of motion the athlete was not able to move the wrist at all due to pain.

Assessment Information: Results of Assessment: Flexor Pollicis Brevis strain
List of problems: swelling, mild bruising, little to none range of motion, discomfort when attempting to move wrist.

Plan of Action: Initial treatment: Ice the first 24 hours after the injury has occurred, apply wrist stabilizer or wrist taping to reduce movement of wrist becasue it is causing athlete pain.
The athlete will be: treated by a certified athletic trainer
Treatment will be: ice first 24 hours after injury for 15-20 minutes every 1-2 hours, then apply heat for the remainder of the injury for the same quantities of time, athlete may massage the muscle to keep it warmed up and soothe pain. Perform the exercises recommended such as resisted radial wrist deviation and resisted wrist flexion 8-12 repetitions of each exercise. Perform and apply this treatment for a week to be sure that the muscle has had enough time to become stronger.
Treatment will consist of: Applying cold and heat therapy to affected muscle, apply wrist stabilizer or taping to help keep the wrist and thumb in a comfortable and safe position that will reduce the chance of further injury. Athlete will also perform strengthening exercises with resistance bands to help the muscles recover and become stronger.
Parents contacted: yes
Date parents contacted: February 1 2018

Athletic Trainer Signature: Carolina Mendez

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Wrist Sprain: Rehab Exercises. (n.d.). Retrieved February 04, 2018, from https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=bo1522

Wrist Sprain Symptoms, Causes, Treatment & Prevention. (n.d.). Retrieved February 04, 2018, from https://www.betterbraces.com/injury-info-center/wrist-thumb-injury-guide/wrist-sprain

Flexor Pollicis Longus Muscle: Thumb Pain. (2017, October 15). Retrieved February 04, 2018, from http://thewellnessdigest.com/flexor-pollicis-longus-muscle-thumb-pain/

Flexor Pollicis Brevis Muscle Anatomy, Function & Diagram | Body Maps. (n.d.). Retrieved February 04, 2018, from https://www.healthline.com/human-body-maps/flexor-pollicis-brevis-muscle#modal-close