News and Updates

Injury

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 Feature \ 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...

REHABILITATION OF DISTAL RADIUS FRACTURES IN THE OLDER PERSON

October 22, 2017
Fractures of the wrist are a common injury especially fractures of the distal end of the radius. The radius is the larger of the two bones in the forearm and is the most commonly broken bone in the arm. The paediatric and elderly populations are at the greatest risk for this injury, with distal radius fractures accounting for around 25% of fractures in the paediatric population and up to 18% of all fractures in the elderly age group. With the growth...
Filed under Healing \ Injury \ Recovery

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...

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...
Filed under Healing \ Injury \ Recovery

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

Wrist Fractures in the Older Person

July 5, 2016
Fractures of the wrist are a common injury especially fractures of the distal end of the radius. The radius is the larger of the two bones in the forearm and is in fact the most commonly broken bone in the arm. Once women reach middle age they are increasingly more likely to break their wrists than men. The rate of fractures climbs dramatically as women age. (See Figure 1) Three times as many women in their 50’s suffer serious, complex wrist...
Filed under Healing \ Injury \ Recovery

Why Do Old Injuries Ache in the Cold?

July 5, 2016
Ever noticed how an old injury aches in the wintery weather? The idea that certain aches and pains correspond with, and can even predict the weather is widespread, and has been around since at least the days of ancient Greece. Hippocrates was the first to note the phenomenon, in about 400 B.C. Unfortunately over the past 2,400 years, researchers have not come up with a solid evidence-based explanation as to why this happens. The current accepted explanation for bad-weather-related aches is...
Filed under Injury

Imaging for Diagnosis of Bony Injury in the Wrist

July 5, 2016
Pain in the wrist is a diagnostic challenge for hand therapists, surgeons and radiologists alike because of the small and complex anatomical structures involved. There are 29 bones that together make up the supporting framework of the hand and wrist. Advances in imaging modalities (e.g. xrays, CT scanners and MR Imaging) have aided specialists in the diagnosis of fractures. Current research has focussed on the sensitivity and specificity of the results obtained by these investigations. Sensitivity measures the proportion of actual...
Filed under Injury
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