Proximal interphalangeal (PIP) joint flexion contractures, or loss of extension at the middle joint of the finger, can occur after injury, disease and surgery and can interfere with the functional use of the hand. Loss of extension at the PIP joint can cause difficulty reaching into your pocket or may interfere with opening your hand to grab a glass of water.
Tags: PIP Joint Contractures
Lori Algar OTD, OTR/L, CHT on Thu, Jul 27,2017 @ 03:07 PM
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 splinstability.
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
Lori Algar OTD, OTR/L, CHT on Thu, Jul 06,2017 @ 12:29 PM
Medial epicondylitis or golfer's elbow as it is commonly termed, is characterized by pain at or around the boney prominence at the medial aspect of the elbow where the wrist flexors and one of the forearm pronators (pronator teres) originate. This diagnosis is associated with degenerative changes of the musculotendinous origins at the medial elbow and most often involves the pronator teres, flexor carpi radialis or palmaris longus.
Tags: medial epicondylitis
Lori Algar OTD, OTR/L, CHT on Thu, Jun 22,2017 @ 10:26 AM
AnatomyThe triangular fibrocartilage complex (TFCC) is a complicated component of the wrist comprised of several ligaments, an articular disc, a meniscus homolog and the sheath for one of the extensor tendons that crosses the ulnar wrist.
You can’t open up a professional journal without seeing clinical evidence of the effects of inflammation on the human body:
- Brain inflammation has been linked to clinical depression
- New evidence links inflammation with hypertension
- Inflammation resulting from obesity is likely the root cause of diabetes
Lori Algar OTD, OTR/L, CHT on Tue, May 09,2017 @ 12:32 PM
AnatomyThe carpal bones of the wrist make 2 rows of bones, the proximal and distal carpal row. Midcarpal instability (MCI) is related to lack of ligament support between the proximal carpal row and the midcarpal joint (between the 2 rows of bones). Midcarpal instability is most often of palmar type, but can also be considered dorsal or extrinsic depending on the specific ligament(s) involved in causing the instability.
Tags: Ulnar Sided Wrist Pain
Lori Algar OTD, OTR/L, CHT on Mon, May 01,2017 @ 12:22 PM
Carpal tunnel syndrome is the most common nerve compression and at any one point in time it impacts 3% of the population. Surgery for a carpal tunnel release is considered a gold standard in treatment and is performed when symptoms are severe enough to warrant surgical intervention. There are two main categories for types of carpal tunnel releases at this point in time.
Tags: carpal tunnel syndrome
Instability in the ulnar carpal wrist may present with pain, swelling, and tenderness in the ulnar aspect of the wrist. Instability due to weakened or rupture ligaments, can occur between the ulna and the carpus, the lunate-triquetral joint, and/or the triquetrohamate joint. The following describes a few important assessments to assist clinical evaluation of ulnar sided wrist pain when the symptoms are suspected to be related to ulnar carpal instability.
Tags: Ulnar Carpal Instability
Lori Algar OTD, OTR/L, CHT on Fri, Mar 24,2017 @ 03:02 PM
This year the Philly Hand Show was once again packed with educational sessions, a variety of vendors with many helpful products and most importantly, great hand therapy wisdom allowing all attendees to leave with some valuable clinical techniques. The following are just a few of the take home messages gained from the meeting.The Ulnar Wrist
Dr. Sanjeev Kakar did an informative presentation in which he seemed to be able to simplify the ever complicated ulnar side wrist pain.
This blog is presented for informational purposes. We will gladly answer questions pertaining to products, however, we cannot provide specific patient diagnoses or treatment recommendations.