News and Updates

Metacarpal Shaft Fracture Case Study

July 5, 2016
A 19 year old engineering student was seen at the Emergency Department with right hand pain following an accident while “sea-biscuiting” (in which a person holds onto an inflatable ring which is towed behind a motor boat). Spiral fractures of his 2nd, 3rd and 4th metacarpal bones were identified on x-ray and the patient was placed in a plaster cast and referred for hand therapy. The plaster cast was replaced by a thermoplastic splint after ten days. The hand and forearm...
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Why Do a Child's Bones Heal Faster Than an Adults?

July 5, 2016
In any human bone, there are two competing cycles: breakdown and regeneration. Specialised cells called osteoclasts absorb worn-out bone cells, removing them constantly from the bone. Simultaneously, other cells called osteoblasts take calcium from the blood and redistribute it upon the bone. This process occurs throughout life. Until about the age of 20, bones are focused primarily on one thing - growing. Even after maximum height is achieved, bones continue laying down new bone cells in an effort to get...
Filed under Healing


July 5, 2016
Scarring is a natural part of the healing process, but the amount of scar tissue that develops is dependent on the severity and location of the injury. Some individuals are genetically predisposed to laying down thicker scar tissue. Thick, raised scars (called hypertrophic or keloid scars) can restrict movement and appear unsightly. Other problems created by scarring include: pain, hypersensitivity and adhesions (when the scar tethers to the underlying soft tissue structures deep to the wound reducing normal range of...
Filed under Healing

Thumb extensor tendon (EPL) rupture

July 5, 2016
What is the EPL tendon? The long extensor tendon to the thumb is called the Extensor Pollicis Longus (EPL). This tendon straightens the end joint of the thumb (thumbs up or hitch hikers sign – see Figure 1) and also helps pull the thumb in towards the index finger. Why does it rupture? This tendon is vulnerable to rupture in the tunnel at the wrist. There are two situations that are associated with rupture. The first is after a fracture of...
Filed under Injury

Golfing Injuries

July 5, 2016
Golf holds a special place in the life of many New Zealanders. It is the highest participation sport in the country, with 482,000 Kiwis over the age of 18 playing the game. It ranks as the number one sport for men and the second highest sport for women. A total of 125,000 New Zealanders are affiliated to golf clubs around the country and all up around 7 million rounds of golf are played annually. In general, the majority of golf...
Filed under Injury \ Sport

Smoking Does What?

July 5, 2016
Everyone knows that tobacco use can have disastrous consequences on your health. More than 4,000 chemical substances are present in cigarette smoke, including at least 50 that can cause cancer. An estimated 85% of cases of chronic obstructive pulmonary disease (COPD) and of lung cancer are caused by smoking. About a third of all cancer cases are due to smoking. But did you know that smoking delays healing and even affects grip strength? Nicotine is a vasoconstrictor (narrows the blood...
Filed under Health \ Recovery

Hand Therapy In Rarotonga

July 5, 2016
Rarotonga is an easy, warm and welcoming place to relax and is a comfortable four hour flight from Auckland. Sue Sewell has visited Rarotonga now on three occasions… partly to chill out, but also to continue cementing the hand therapy relationship between our clinic and the physiotherapy clinic on the mainland. In early December 2015 Sue was holidaying in Rarotonga for five days and also spent some time sharing her years of hand therapy expertise and introducing the local physios to...
Filed under Hand Therapy \ Staff
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