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Case Study

HELP FOR PEOPLE WITH HAND AND ARM SPASTICITY

SPLINTING HANDS WITH INCREASED TONE (NEURO SPLINTING) Spasticity is caused by an imbalance of signals from the central nervous system (brain and spinal cord) to the muscles. This imbalance is most often found in people with cerebral palsy, traumatic brain injury, stroke, multiple sclerosis, and spinal cord injury. Arm and hand spasticity refers to involuntary and abrupt movements known as spasms that frequently occur in the arms or hands. The spasms are often accompanied by stiff arm muscles, discomfort, and difficulty...

ROTATIONAL DEFORMITY

What Is It? Rotational deformity describes abnormal alignment of a finger. When a bone is broken in the hand, X-ray imaging helps to identify where the break is, and determine whether it is in correct alignment. If the bones are in correct alignment, the fingers of the hand will remain in good alignment too. If the bones have shifted position, this causes a shift in the finger’s alignment. What is it caused by? Trauma is the most common cause of...
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Should I Donate Blood When Recovering from Injury?

Q. I broke my wrist four weeks ago and had to have surgery. The surgeon used a plate and screws to fix the fracture in a good position. I normally give blood every three months. Should I still donate blood while I am healing – or will this affect my recovery? A. The average adult has around 10 pints of blood (which is roughly 8% of body weight). When donating blood, 1 pint (or 10 percent of total blood volume) is...
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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,...

Metacarpal Shaft Fracture Case Study

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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