Jersey Finger: Treatment For a Common Contact Sport Injury

Posted by 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.

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De Quervain’s Tenosynovitis - What’s New About An Old Condition?

Posted by 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.
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Rheumatoid Arthritis and Night Time Orthosis Use

Posted by 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.

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Ulnar Collateral Ligament Injury of the Thumb

Posted by Lori Algar OTD, OTR/L, CHT on Fri, Jul 12,2019 @ 10:15 AM

Treatment for Gamekeeper's and Skier's Thumb

The thumb metacarpal phalangeal (MP) joint has a collateral ligament at the radial and ulnar aspect of the joint which provides stability for static lateral pinch. The ulnar collateral ligament (UCL) is susceptible to injury when radial deviation and hyperextension force is applied to the MP joint. The “classic” acute Skier’s thumb occurs when the thumb is forcefully abducted and hyperextended by the pole during a fall. Gamekeeper's thumb is differentiated from Skier’ Read More

Ulnar-Sided Wrist Pain: Lunotriquetral Dissociation

Posted by Lori Algar OTD, OTR/L, CHT on Mon, Jun 10,2019 @ 11:15 AM

Anatomy of the Wrist

The lunate and the triquetrum make up the ulnar side of the proximal carpal row at the wrist. Ligaments, particularly the lunotriquetral (LT) ligament, provide support to this joint. This ligament is horse-shoe or c-shaped and contains a volar, dorsal and proximal component.

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Comparison of Braces for Lateral and Medial Epicondylitis

Posted by Lori Algar OTD, OTR/L, CHT on Mon, Apr 22,2019 @ 12:06 PM

Pain associated with lateral or medial epicondylitis (also known as tennis and golfer’s elbow respectively) is common and can interfere with functional use of the involved extremity. According to research study, an elbow brace or wrist orthosis can assist with decreasing pain and increasing function for this diagnosis. The following information provides a comparison of commonly used braces and splints to treat the symptoms associated with lateral or medial epicondylitis.

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Treating Trigger Thumb with an Oval-8 Finger Splint

Posted by Ginny Wolfe on Thu, Apr 04,2019 @ 11:32 AM

With trigger thumb, patients present with a painful thumb that sticks or catches, often audibly, upon flexion or extension. Or, the patient’s thumb may be stuck or locked in the flexed position. Trigger thumb is thus named because once the thumb unlocks (often by passive manipulation), it snaps back much like discharging a trigger on a gun.

Symptoms of Trigger Thumb

  • Audible popping sound and pain upon flexion and extension
  • Thumb catches or gets stuck in flexion and may need to be pulled straight
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Orthoses to Treat PIP Joint Contractures

Posted by Lori Algar OTD, OTR/L, CHT on Thu, Mar 21,2019 @ 10:12 AM

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.

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Using Thumb Splints to Treat De Quervain’s Tenosynovitis

Posted by Ginny Wolfe on Fri, Mar 08,2019 @ 03:35 PM

When treating patients with de Quervain’s Tenosynovitis, they may complain of a swollen thumb and radial-sided wrist pain. The pain may become worse, and may radiate up the thumb or forearm, during activities that require abduction or flexion of the thumb. In most cases, de Quervain’s is caused by overuse or repetitive stress, although the condition may develop for unknown reasons.

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Carpal Tunnel Syndrome: What Do the Lumbricals Have to Do With It?

Posted by Lori Algar OTD, OTR/L, CHT on Fri, Feb 22,2019 @ 01:00 PM

At any one point in time, Carpal Tunnel Syndrome (CTS) affects 3% of the entire population. This figure does not include the individuals who have had CTS in the past and those who will get it in the future. Needless to say, CTS is common and impacts hand function for many individuals. As we know, the carpal tunnel contains the flexor tendons and the median nerve. Of note is the fact that upon finger flexion, there is incursion of the lumbricals in the carpal tunnel and they have been found to have an impact on CTS.

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