Lori Algar OTD, OTR/L, CHT on Fri, Mar 27,2020 @ 02:50 PM
Causes of Deformity in the Rheumatoid Thumb
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.Read More
Lori Algar OTD, OTR/L, CHT on Fri, Jan 17,2020 @ 03:57 PM
Scaphoid fractures most often occur in males between the ages of 15 to 30 years old and usually are sustained with wrist hyperextension and radial deviation as a consequence of a fall onto an outstretched hand. Individuals with a scaphoid fracture often present with pain, swelling, decreased range of motion, and tenderness in the anatomic snuffbox.Read More
Lori Algar OTD, OTR/L, CHT on Tue, Jan 07,2020 @ 12:30 PM
The term Gamekeeper’s Thumb is used when referring to an ulnar collateral injury caused by repetitive stress on the thumb during such activities as using a wrench, twisting electrical cords or wringing out heavy cloths. The term Skier’s Thumb is commonly used when there is an acute, forceful abduction of the thumb as when a skier falls without letting go of the ski pole. The injury may also be the result of falling on an outstretched thumb or catching a ball with an outstretched thumb.Read More
Lori Algar OTD, OTR/L, CHT on Fri, Nov 22,2019 @ 02:09 PM
Along with a more common thumb deformity caused by osteoarthritis and rheumatoid arthritis, thumb deformities can also be a result of thenar wasting, caused by median nerve injury or compression.
What causes the deformity?
The median nerve innervates the opponens pollicis (OP) and abductor pollicis brevis (APB). These two muscles make up most of the bulk of the thenar eminence and allow the thumb to perform palmar abduction (thumb opening away from the palm) and rotation for pad to pad prehension.Read More
Lori Algar OTD, OTR/L, CHT on Wed, Nov 06,2019 @ 11:00 AM
Types of Carpal Tunnel Release Surgery
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.Read More
Lori Algar OTD, OTR/L, CHT on Tue, Sep 17,2019 @ 10:45 AM
With the NFL season off to a strong start, it's highly likely that many players are starting to sustain injuries not only to their knees, shoulders and ankles but also to their hands. Jersey Finger is an injury that primarily occurs in football and other contact sports. As we roll into the football season, this may be a good time to review what jersey finger is and how it's treated.
What is Jersey Finger?
Jersey finger injury is a traumatic rupture of the flexor digitorum profundus (FDP) tendon from its point of attachment at the base of the distal phalanx.Read More
Lori Algar OTD, OTR/L, CHT on Thu, Aug 29,2019 @ 03:30 PM
Testing for de Quervain's Tenosynovitis
You may have heard about a newer way to test for de Quervain’s Tenosynovitis. This test applies stress to the abductor pollicis longus (APL) and extensor pollicis brevis (EPB) tendons without stressing the thumb and wrist joints.Along with this testing standard for de Quervain’s, the terminology used to describe the condition has also changed over the years.
Lori Algar OTD, OTR/L, CHT on Tue, Aug 20,2019 @ 11:25 AM
With Rheumatoid Arthritis, the immune system mistakenly attacks the body’s own tissues affecting the lining of the joints and causing swelling that may eventually result in bone erosion and joint deformity. The wrist and fingers are involved in approximately 75% of cases.
The early stages of RA include pain, swelling, and stiffness upon waking, while the later stages include progression to significant deformity and instability. A common treatment in the early stages is the use of a resting orthosis at night during sleep.Read More
Lori Algar OTD, OTR/L, CHT on Fri, Jul 12,2019 @ 10:15 AM