Wrist instability is a common injury treated by many hand therapists. The anatomy of the wrist includes eight carpal bones that, with the combined efforts of the intercarpal ligaments, allow for circumduction of the wrist joint while imparting stability anywhere within the range of motion. An injury to one or several of the ligaments can lead to wrist instability.
Lori Algar OTD, OTR/L, CHT on Thu, Jun 25,2015 @ 04:14 PM
Lori Algar OTD, OTR/L, CHT on Wed, Jun 17,2015 @ 01:14 PM
As we know, trigger finger is a common hand issue that occurs with the locking or triggering of a finger, pain in the middle joint, and tenderness with palpation at the base of the finger. Trigger Finger commonly occurs between the ages of 55 and 60 years old and is said to occur 2-6 times more frequently in women than in men.
Tags: Trigger finger
Your patient caught the tip of his finger in a drawer and now his fingertip is drooping because the extensor tendon has stretched, pulled away, or torn. The finger can be pushed into extension, but cannot stay straight without support. Mallet Finger, also called Baseball Finger, affects a small area but can become a big problem if left untreated.
Tags: Mallet finger
The primary cause of Ulnar Deviation of the Metacarpal Phalangeal joints (MP) of the fingers, a chronic, irreversible condition, is Rheumatoid Arthritis (RA). The MP joints are a primary site of rheumatoid deformities due to several anatomical and biomechanical factors. Chief amongst the factors are:
- The shape of the metacarpal head allows for a certain degree of motion in an ulnar direction which contributes to the hands ability to create a strong grip.
Tags: Ulnar Deviation
Jennifer Curtis on Fri, May 15,2015 @ 10:13 AM
In most cases, de Quervain’s is caused by overuse or repetitive stress, although the condition may develop for unknown reasons.
- Radial-sided wrist pain with or without inflammation at the base of the thumb
- Pain with thumb abduction or flexion
Jennifer Curtis on Fri, May 08,2015 @ 10:33 AM
Hypermobility, hypereleasticity, fragile skin, and poor healing are the hallmark of a rare group of genetic disorders collectively called Ehlers-Danlos Syndrome (EDS). There are six major forms of EDS, all of which affect the joints and skin. The most common form of EDS is the hypermobility type (previously called Type III). These patients may have been incorrectly deemed “double-jointed;” however, the condition is far from benign as patients are plagued by excessive joint mobility, instability and dislocation, and chronic pain.
To date, there is no specific gene test for the hypermobility type (as there is for type 1 or Classical EDS). There is no cure for EDS but it can be managed with lifestyle changes, physical and occupational therapy, NSAIDs, and splinting.
Jennifer Curtis on Thu, Apr 23,2015 @ 09:42 AM
Trigger Finger and Trigger Thumb are common causes of hand pain and disability. Enlargement, thickening, or inflammation of the flexor tendon along the distal aspect of the palm, inhibit normal tendon gliding within the tendon sheath, causing the finger to “stick” when flexed and “trigger” when pulled into extension.
Triggering is frequently experienced after prolonged gripping or in the morning after sleeping with the hand in a fisted position for a long period. There may be tenderness when pressure is applied in the palm over the A1 pulley at the level of the MP joint.
Jennifer Curtis on Thu, Apr 16,2015 @ 11:06 AM
Oval-8 Finger Splints provide a highly effective finger orthosis that stabilizes or limits finger joint motion to treat several conditions with a simple turn of the splint. The Oval-8 is uncomplicated, inexpensive, and often provides immediate relief to patients. Oval-8s come in a variety of sizes, and may be worn differently, to ease pain and correct problems associated with many conditions including, but not limited to:
Jennifer Curtis on Tue, Apr 07,2015 @ 02:31 PM
Buddy taping is an easy effective treatment for your patient’s stubbed, jammed, hyperextended, hyperflexed, hyperabducted, broken, or “turfed” toe? Proper buddy taping – taping the healthy toe next to the injured toe and taping the two together- helps prevent movement of the injured toe during the healing stage of rehabilitation.
Jennifer Curtis on Tue, Mar 24,2015 @ 03:23 PM
The Triangular Fibrocartilage Complex (TFCC) is a group of ligaments and cartilage on the ulnar side of the hand. The TFCC ligaments attach the cartilage to the small wrist bones which also suspend the ends of the two forearm bones, the ulna and the radius.
Athletes, particularly gymnasts who bare weight on their hands, are especially prone to TFCC problems.
Sometimes misdiagnosed as a “wrist sprain,” proper diagnosis is crucial to treatment. The most common symptoms of a TFCC problem are wrist pain on the ulna side of the wrist with a clicking or popping sound when moving the wrist or rotating the forearm. Wrist pain is generally felt when gripping tightly or when pushing on the hand to rise up from a chair.
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