News and Updates

Hand Therapy

EXTENSOR CARPI ULNARIS TENOSYNOVITIS PILOT STUDY

October 19, 2018
A pilot study undertaken by the Merivale Hand Clinic in conjunction with Ram Chandru (Orthopaedic Hand and Wrist Surgeon) The extensor carpi ulnaris (ECU) muscle plays an important role in wrist movement and also provides stability to the outer side of the wrist. ECU tendonitis is the result of inflammation of the ECU tendon. This condition is most common in non-athletes, however ECU injuries frequently occur in tennis, golf and the rugby codes. Raphael Nadal is probably the best known...

Hand Therapist - Christchurch

October 10, 2018
The Merivale Hand Clinic in Christchurch provides expertise in the assessment, treatment and leading edge rehabilitation of hand, wrist and forearm conditions. The clinic is recognised as a leader in the field of hand therapy and operates from sites throughout Christchurch and North Canterbury. Visit our website at www.merivalehandclinic.co.nz for more information. The clinic currently operates four fulltime clinics and works at accident and emergency fracture clinics within the city. The successful candidate will work 35-40 hours as a hand...

Recovery Milestones for Carpal Tunnel Release Surgery

March 26, 2018
Carpal tunnel syndrome is a common nerve compression condition estimated to affect between 3 – 6% of the population. It may be up to three times more common in woman than men with the highest prevalence of this condition seen in the 45 – 55 year old age group. Carpal tunnel syndrome is caused by pressure on the median nerve as it passes through a narrow tunnel in the wrist. When the median nerve has pressure placed on it, patients may...

Hand Injuries in Volleyball

November 22, 2017
Over the past few years, I have been fortunate to travel overseas as the physiotherapist for Volleyball New Zealand. One of the perks of my role is that I get to travel with various teams to domestic and international tours and competitions. This year I travelled with the NZ Junior Men’s squad (U18) to Fort Lauderdale in Florida to attend the USA Junior High Performance Indoor Championships. This tournament involved 200 teams and the best young athletes from around the...

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...

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
Page 1