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At the ASSH Annual Meeting

Presenting my ” Nerve Conduction Studies in Surgical Cubital Tunnel Syndrome” at the American Society for Surgery of the Hand, Boston MA.

Hand and Upper Extremity Clinical Practice Guidelines

Presenting my findings on “Hand and Upper Extremity Clinical Practice Guidelines” at the Cleveland Clinic 16th Annual New Technology in Upper Extremity: The Cutting Edge, with Advancing Translational Research

Just received from the Evidence-Based Medicine Unit, American Academy of Orthopaedic Surgeons

“Congratulations on being nominated and selected for the Carpal Tunnel Syndrome Appropriate Use Criteria voting panel.”

No More Powdered Gloves

Adapted from Medscape

For several years, there has been a push to ban using powder in medical gloves. The US Food and Drug Administration (FDA) recently unveiled a proposal to ban powdered surgeons’ gloves and the absorbable powder lubricating them, as well as powdered gloves for patient examinations. Both synthetic gloves and those manufactured from natural rubber latex are covered.

Professional groups such as the American College of Surgeons, the American Academy of Allergy, Asthma and Immunology, and the American Nurses Association had already taken stands against powdered gloves. Government agencies such as the Centers for Disease Control and Prevention joined the chorus, as did the healthcare systems of Germany and the United Kingdom, as well as several healthcare organizations, such as Cleveland Clinic and Johns Hopkins, have either restricted or forbidden the use of these gloves.

Surgical gloves were first used in 1889, and soon, all sorts of lubricants were used to make them easier to don. Several studies has indicated respiratory complications.

 

 

What Happens when Knuckles Crack?

Adapted from: MDLinx and UC Davis

Recent research at UC Davis Health System looked into two questions about knuckle cracking: What causes the “crack” sound, and does it damage the hand? Ultrasound evaluations showed that the knuckle–cracking sound occurs when gas bubbles form in joints very quickly — faster than the blink of an eye. The study also suggests that the “crack” is caused by bubble forming, rather than bubble bursting.

Examinations by hand specialists found no problems in the joints of knuckle crackers, a finding that contradicts a previous study that suggested that knuckle cracking may cause joint swelling and weaken grip.

Author’s note: I personally used to crack my knuckles. My 8-years-old don does that now. I keep telling him not to do it, but- I guess- I do not have a good reason anymore…

Doctors and Santa Claus may be Equally Reliable

Source: Doctors are as Reliable as Santa Claus (or Vice Versa)

A team of researchers decided wanted to find out what people thought of doctors how that compared to … Santa.

The researchers showed a film in which a narrator dressed as either Santa Claus or a doctor and told an identical story.

The results:

1- Santa Claus was perceived to be friendlier.

2- Both were equally reliable….

 

It’s More Than A Strong Handshake: Resistance Training Helps Ease Hand Osteoarthritis Symptoms

Give it a Strong Handshake: Resistance Training Helps Hand Osteoarthritis

Adapted from the American College of Rheumatology

Resistance strength training reduces pain and increases function  in patients with hand osteoarthritis, according to new research findings presented this week at the American College of Rheumatology Annual Meeting in San Francisco.

Several studies have shown the effectiveness of exercise therapy on osteoarthritis of the hips and knees. Researchers in Brazil shared the results of their study on the effectiveness of progressive resistance strength training on pain, function and strength in people with hand OA.

The researchers followed 60 participants — who had doctor-diagnosed hand OA for at least one year and who were experiencing pain in the joints of their fingers — for 12 weeks. One group followed a resistance exercise program for targeted at the small muscles in the hand and fingers the remainder of the study, and the second group did not.

The evaluators found that patients in the exercise group show better function, and less pain compared to group that did not follow the exercise program.

Dr Sraj’s Commentary: This article brings good news for patients of osteoarhritis of the hand. It does not, however, clarify which fingers or joints were involved and whether the two groups were comparable in this regards. Thumb arthritis and pinky arthritis have very different impact on hand function and pain, and this information is critical to determine the validity of the results.

 

2015 WV State Medical Association Healthcare Summit

The West Virginia State Medical Association Health Summit at the  Greenbrier Resort was memorable! I learned that there is a lot more to caring for patients than treating them.

I look forward to participate next year.
Source: 2015HealthcareSummitPhotos

Proposal for “WV Orthopedic Society Stance on Informed Consent” passed

During the WVOS board meeting today, past of the WV State Medical Association annual meeting, my proposal for “WVOS stance on Informed Consent” was approved by the Board.

The Oldest Humanlike Hand Bone

From NBC news

Scientists have recently discovered the oldest known fossil of a hand bone to resemble that of a modern human. They suggest it belonged to an unknown human relative,  much taller and larger.

A key  feature that distinguishes humans from all other species alive today is the ability to make and use complex tools. This capability depends not only on the brain,but also on the dexterity of human hands. Human hands allow a variety of grips and manipulation. This manipulation capability together with brain power allowed to tools, which in return helped develop intelligence.

For more details check out Nature Communications.

 

 

Presenting ” A Simple K-wire Fixator for Phalangeal Fractures”

At the15th Annual New Technology in Upper Extremity Surgery, the Cutting Edge, Cleveland OH.

Struder Conference

The Struder Conference I attended end of last month covered medical leadership, hospital administration, and costumer service. It was one conference that was all about healthcare but none about medical care! It emphasized that there is a lot more about care than medicine; more to treating people well than prescriptions and injections. I left the conference the same medical doctor but a much better healthCARE provider.

Just nominated and elected Member-at-Large, WV Orthopedic Society

Presenting at the WV Orthopedic Society Meeting

Title: written Informed Consent- Requirement or Interpretation?

Will A Transplanted Hand Feel Like One’s Own?

Adapted from National Public Radio

Hand transplants have been controversial for decades because, to prevent rejection, patients have to take powerful drugs that suppress the immune system and prevent it from attacking the transplant hand.

Until now, everyone who’s had a hand transplant got it because of an accident, or an illness. Would you request a transplant hand because of a birth defect?

The situation may be different, and Ethics specialist are looking into it.

Patients with birth defect had had lived their whole childhood with their defect and had adjusted well to it for the most part. Besides,  a hand transplant could end be a huge disappointment. The patient has to accept somebody else’s body part as their own, especially that the transplanted hand is visible, compared for heart and lung transplants. The first person to have hand transplant surgery couldn’t get used to having someone else’s hand; he ended up asking his doctors to remove it.

Besides no one knows whether the patient’s brain is even wired to use a new hand- there was never one on that side since before birth!

At the American Academy of Orthopedic Surgeons

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Presenting “Elbow Fractures” at the 2014 WW Trauma Symposium

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