News and Updates

Hand Therapy

BUDDY STRAPPING SOLUTIONS

September 20, 2017
Following finger ligament sprains or stable finger fractures it is common practice to buddy strap the injured finger to its uninjured neighbour. In this way, the healthy digit acts as a splint keeping the damaged one in a natural position for healing and encouraging normal movement patterns. Often this technique is used on return to sport, to protect the finger from further injury. It is important to note that fingers should only be buddy strapped on the advice of a medical...

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

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,...

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

Hand Therapy in Fiji

November 1, 2016
In June 2016, three of our therapists were fortunate enough to attend a hand therapy conference in Fiji. While there, Johanna and Nicky visited the physiotherapy department in Lautoka Hospital, which is approximately 30 minutes from Nadi. Although Lautoka is the second largest hospital in Fiji (Suva is the largest) it is far less well-equipped than western hospitals. The reason for this comes down to funding. Health expenditure per capita of population in NZ was last measured at USD$4000.00 per annum....
Filed under Hand Therapy

Dupuytren's Contracture

October 18, 2016
Dupuytren's contracture is a hand deformity that usually develops over years. The condition affects a layer of tissue that lies under the skin of the hand. Knots of tissue form under the skin, eventually creating a thick cord that can pull one or more fingers into a bent position (Figure 1). The affected fingers can't be straightened completely, which can complicate everyday activities such as putting hands in pockets or shaking hands. FIGURE 1 FIGURE 2 Dupuytren's contracture mainly affects...
Filed under Hand Therapy

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