News and Updates

Injury

SWAN NECK DEFORMITY

What is It? Swan neck deformity is caused by abnormal stress on the volar plate, the ligament around the middle joint of the finger (PIP joint). The resulting shape of the finger looks similar to a swan's neck, which is how the condition got its name. What is it caused by? For a swan neck deformity to occur, abnormal stress must be put on the ligament around the PIP joint of the finger. The stress causes the ligament to loosen,...

BOUTONNIERE DEFORMITY

February 27, 2020
What is It? A Boutonnière deformity is also known as a ‘central slip’ injury. This is because it involves injury to the central slip of the extensor tendon of the finger. This means the part of the tendon which straightens the middle joint of the finger has been injured (see figure 1). What is it caused by? A Boutonnière deformity is commonly caused by a forceful blow to the top side of a bent middle joint of a finger. It...
Filed under Hand Therapy \ Injury

Scaphoid Fractures

October 25, 2019
The scaphoid is one of eight carpal bones in the wrist. It is a commonly fractured bone in the wrist, accounting for over 85% of all sport-related carpal bone fractures. Scaphoid fracture is particularly common in sports involving high impact injuries to the wrist. Young males and persons between 10 and 19 years of age are at highest risk for scaphoid fracture. When an injury occurs, pain (with or without swelling or bruising at the “thumb side” of the wrist) can...
Filed under Hand Therapy \ Injury

Imaging for Diagnosis of Bony Injury in the Wrist

August 19, 2019
Diagnosing the cause of wrist pain is a challenge for hand therapists, surgeons and radiologists alike because of the small and complex anatomical structures involved within the wrist. There are 29 bones that together make up the hand and wrist. Advances in imaging modalities (e.g. X-rays, CT scanners and MR Imaging) have aided specialists in the diagnosis of a number of hand and wrist conditions including fractures. Current research has focussed on the sensitivity and specificity of the results obtained by...
Filed under Hand Therapy \ Injury

INJURY JARGON AND WHAT IT MEANS

May 10, 2019
Many words in the English language are a part of common, everyday speech. On the other hand, injury jargon is often used by medical providers, sometimes without patients really understanding what words really mean. Below are some common terms used when discussing injury and what they mean, in plain English. TENDON A tendon is an cord of strong fibres located at each end of a muscle that attaches a muscle to bone. LIGAMENT A ligament is a fibrous connective tissue...
Filed under Hand Therapy \ Injury

HOW TO REDUCE THE RISK OF WRIST INJURY WHEN TRAINING.

Regular exercise has many health benefits but when the body is put under load (e.g. by lifting weights, yoga poses or Pilates exercises) there is a risk of injury. The following are ideas for reducing stress on the wrist while still staying active: Warm Up Always warm up before working out to ensure the muscles and tendons are warm and ready to work. Warming up and stretching becomes even more important with age, as the tissues (muscle, tendons and ligaments) become...
Filed under Hand Therapy \ Injury

CAN I WORK OUT WITH TENDONITIS?

January 10, 2019
The beginning of a new year and the resolutions people make to improve their health and fitness often sees an increase and surge in gym memberships. The sudden increase in physical activity experienced by the body and in particular the wrist and elbow region can in some instances lead to the development of tendon pain. Understanding and managing tendon pain is important to ensure your new year resolution to improve your health and fitness doesn’t end within the first few weeks...

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...

RUGBY INJURIES

July 10, 2018
In New Zealand, rugby is the national sport and also has the highest injury rate of all major sports. Because rugby union has high participation levels as well as a high injury rate, this sport results in more hospitalisations, more visits to the accident and emergency departments and more claims to the Accident Rehabilitation and Compensation Insurance Corporation (ACC) than any other sport. Played typically by young people, rugby requires the skills of tackling, scrummaging, mauling and lineout play. On average...
Filed under General \ Injury \ Sport

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...
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