News and Updates

Johanna Buick

Silicone Gel Sheeting for Treatment of Scars

June 23, 2017
Silicone gel sheeting (SGS) has been used in scar therapy for over 30 years, during which its efficacy has been the subject of numerous clinical evaluations. While the exact mechanisms by which SGS improves scar healing are yet to be fully agreed upon, its ability to do so remains largely undisputed. As such, topical silicone gel treatments seem to remain the first point of clinical recommendation in scar management. Carpal tunnel scar The formation of scar tissue is generally characterised by...

Buenos Aires Conference October 2016

June 23, 2017
13th Congress of the International Federation of Societies for Surgery of the Hand 10th Congress of the International Federation of Societies of Hand Therapy Jenny Turner was fortunate to attend the International Conference for Hand Surgeons and Hand Therapists with assistance from the Merivale Hand Clinic. The meeting was held in the beautiful city of Buenos Aries, Argentina and was an inspiring and educational mix of news and trends in research and clinical work in the areas of hand rehabilitation....
Filed under Hand Therapy \ Staff

Ruptured Flexor Tendon

June 1, 2017
Ruptured Flexor Tendon The flexor digitorum profundus (FDP) is a muscle that has 4 tendons with one tendon attaching to the end of each finger on the palm side of the hand. A ruptured FDP tendon results in a person being unable to actively bend the end of their finger. This injury can occur when a player grabs another player's jersey with the tips of one or more fingers while that player is pulling or running away. The force of this...
Filed under Hand Therapy \ Injury

Mallet Finger

June 1, 2017
Ruptured Extensor Tendon A mallet finger injury is suspected when the end of the finger is bent and cannot straighten actively. This injury can happen to anyone when an unyielding object (like a ball) strikes the tip of a finger or thumb and forces it to bend further than it is intended to go. This causes an injury to the tendon that straightens the end of the finger. Less often, the cause is a fracture at the bottom of the...
Filed under Hand Therapy \ Injury

New Specialist Clinic at Pegasus

April 10, 2017
New North Canterbury Hand Assessment Service Mr Ram Chandru (Orthopaedic Hand and Upper Limb Surgeon) in conjunction with the Merivale and Kaiapoi Hand Clinics is excited to announce a new combined hand assessment service for people living in the North Canterbury region. The new service located within the Pegasus Medical Centre in the Pegasus Township is held fortnightly on a Tuesday morning and allows GP’s to directly refer patients to Mr Chandru for an assessment and diagnosis of any hand, wrist...
Filed under General

Avenue Health & Mr Kirk Williams

February 9, 2017
In our last clinic newsletter we announced that Mr Barnaby Nye (plastic surgeon) had moved into his new purpose built consulting rooms at Avenue Health located at 202 Bealey Avenue. We have had a close working relationship with Barnaby over many years and are pleased to announce that we have extended this working relationship by offering clinics with his colleague at Avenue Health, Mr Kirk Williams (plastic surgeon). Kirk will conduct monthly clinics, run in conjunction with the Merivale Hand...
Filed under General

Mountain Biking and Injuries

February 9, 2017
Mountain biking is a popular recreational and competitive sport, appealing to a wide age group . Christchurch has an excellent array of tracks for all age groups and abilities including the flat and fast tracks of Bottle Lake forest and McLean’s Island, to the single track network and downhill runs in the Port Hills. In late 2016, a purpose built adventure park opened in the Port Hills and has proven to be very popular. As the sport gains popularity, an...
Filed under Sport

Case Study: Synovial Chondromatosis

January 29, 2017
A 66 year old woman presented to our clinic with a swollen, stiff and painful right thumb. On palpation over the painful interphalangeal (IP) joint it was obvious that there were small, hard, tender lumps. An x-ray confirmed soft tissue swelling with multiple, small, bony ossicles related to the joint space (Figure 1). These changes represent a benign condition related to the joint synovium, synovial chondromatosis. Synovial Chondromatosis affects a single joint, most commonly the large joints such as the elbow,...

Reducing the Incidence of Complex Regional Pain Syndrome in Distal Radius Fractures

January 6, 2017
Complex regional pain syndrome (CRPS) is a common complication of distal radius fractures (DRF), reported in studies as occurring in up to 25% of cases. It has the potential to turn a usually straight forward injury into a chronic, painful and debilitating condition. Ongoing symptoms and a lengthy rehabilitation period often result in high medical costs. In a recently published a study (2016) one hospital department showed how they reduced their incidence of CRPS post distal radius fracture from 25%...
Filed under Healing

Radial Nerve Palsy Splinting

November 20, 2016
While in Fiji, Jo and Nicky were able to share some splinting expertise with the Fijian therapists as they prepared to splint a patient with a Radial Nerve Palsy. A radial nerve palsy occurs when the radial nerve has been damaged in the arm - typically by compression or laceration, sometimes by fracture of the humerus. Nerve damage then results in an inability to extend (lift) the wrist or to straighten the fingers/thumb. The injured hand is floppy, able to grip...
Filed under Hand Therapy
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