News and Updates
Featured on WVNews West Virginia
“MORGANTOWN — Folks suffering from Dupuytren’s contracture, or Dupuytren’s disease, once had a prognosis of complicated and invasive treatment options. But the work of Dr. Shafic Sraj at WVU Medicine is changing the outlook.
Dr Sraj has just completed a project on the disease, leading to more information about what people want to get out of their treatment and what they value the most. “We find that a lot of people actually have pain,” Sraj said. “Historically, we didn’t talk about this. This is something new.” A less invasive treatment is also something that Dr. Sraj and his WVU Medicine team are expert at. The surgeon just uses a tip of a needle that is inserted to “pop” the cord.
“I can take care of it immediately,” he said. “You’re done literally in seconds.”
“Friday, June 19, 2020
It’s a common disorder that progressively pulls the fingers towards the palm, preventing full extension of the fingers. It’s called Dupuytren’s Disease and there is now a faster treatment for it. Shafic Sraj, MD, explains in this WVU Medicine Health Report.”
Adapted from AAOS Now.
Hand surgeons started seeing more gamers with overuse-type injuries. Little we know about this She realized she knew very little about the eSport industry, but at the article cited above, it is serious business and is here to stay. Similar to other repetitive and sometimes intense activities such as Fortnite competitions, gamers can and do develop overuse injuries including tendonitis. AAOS Now offers an insight of what goes in these competitions.
A New Device Lets You Feel Sound https://www.wsj.com/articles/hearing-loss-a-new-device-lets-you-feel-sound-11567691822
“If you need hand surgery such as carpal tunnel surgery or cyst removal, you don’t necessarily have to go to the hospital to have it done. There’s a newer way to do hand surgery — in the doctor’s office with local anesthesia. Mary Ravasio Minard explains WALANT — wide awake surgery.”
Follow the link to watch it on Youtube
Background: Electrodiagnostic studies (EDX) serve a prominent role in the diagnostic workup of cubital tunnel syndrome (CBTS), but their reported sensitivity varies widely. The goals of our study were to determine the sensitivity of EDX in a cohort of patients who responded well to surgical cubital tunnel release (CBTR), and whether the implementation of the Association of Neuromuscular and Electrodiagnostic Medicine (AANEM) criteria improves the sensitivity.
Methods: We identified 118 elbows with clinical CBTS who had preoperative EDX and underwent CBTR. The EDX diagnoses were CBTS, ulnar neuropathy (UN), and normal ulnar nerves. We divided the 118 elbows into those that received above-elbow stimulation (XE group) and those that did not (non-XE group). We calculated the sensitivities for all groups and reinterpreted the results according to the AANEM guidelines.
Results: Cubital tunnel release provided significant relief in 93.6% of the elbows. Based on the EDX reports, 11% patients had clear CBTS, 23% had UN, and 66% showed no UN. The sensitivities were 11.7% for CBTS and 34.2% for any UN. In the XE group, the sensitivity of the EDX reports for CBTS and UN climbed to 33.3% and 58.3%, respectively. When we calculated the across-elbow motor nerve conduction velocity, the sensitivity for CBTS and UN was 87.5% and 100%, respectively. The XE and non-XE groups showed no difference except for sex, bilaterality, concomitant carpal tunnel release, and obesity (P < .05).
Conclusion: Implementing AANEM guidelines results in significant improvement in correlation of clinical and electrodiagnostic findings of CBTS.
Advocating for Public Health and the Practice of Medicine at the WV State Capitol.
Presenting my ” Nerve Conduction Studies in Surgical Cubital Tunnel Syndrome” at the American Society for Surgery of the Hand, Boston MA.
Avocado, the green-skinned, egg-shaped fruit, is getting more popular than ever. With it, there are increasing reports in media and medical news about avocado related hand injuries .
Accidental knife injuries happen to fingers of the hand holding the avocado while peeling it. Such injuries has increased to the point that is they have been named ‘ Avocado hand’.
The hard shell covering a soft fruit allows the knife to slip through the flesh of the avocado and aim straight to ones fingers. The best way to safely cut the avocado is not to hold it in your hand, but on a plate and aim the sharp edge of the knife away from your fingers. This can lead to serious injuries such as cut tendons, nerves, and blood vessels.
Earlier this month, I was proud to help publish the first issue of the YPSgram, the newsletter of the Young Physician Section of the West Virginia State Medical Association. Here is a link to the newsletter titled: On Customer Service and the ‘Good’ Doctor
adapted from WVU Medicine CONNECTions
I am glad to share that WVU Medicine cut a ribbon at the new Fairmont facility on Sept. 22. A photo gallery from the ribbon-cutting ceremony is available on CONNECT.
The $13.9 million, 25,000-sq ft. outpatient center is located off Downtown Fairmont Exit 136 of I-79, near the Fairmont Gateway Connector.
I am pleased to be part of he Fairmont clinic team providing Hand, Elbow, shoulder orthopaedic care to the residents of Marion county and surrounding areas. new building and providers, a community open house is planned for Saturday, Oct. 21, from 10 a.m.-2 p.m. Watch for more details.
From the BBC
Researches chose the image of a human hand, representing the first form of human painting, to be the first DNA encoded image in a living form!
They inserted DNA sequences that represent the image into the genome of bacteria. Later, They decoded the sequences into an image using a computer algorism with at least 90% accuracy.
Adapted from BBC–
Washing your hands- straightforward, or is it?
There’s plenty of evidence that washing one’s hands can reduce the spread of disease, only 5% of people wash their hands ‘properly’ ‘all the time’.
10% of 3000 people were witnessed leaving public toilets without washing their hands, and of those who did,33% didn’t use soap. While it is well established that we need to wash our hands properly, there are plenty of myths about what is proper.
Does the water need to be hot to get your hands clean?
In a survey of 500 adults, 69% believed that the temperature of the water has an impact on the effectiveness of hand-washing. Researchers found that water temperature made no statistically significant difference when other factors are controlled. Temperature still affects washing, though, because excessively cold or hot water lets people spend less time washing their hands than comfortable water temperature.
Is anti-bacterial hand wash better than soap?
A 2007 and a 2015 review both concluded that anti-bacterial hand washes did not reduce the number of bacteria remaining on people’s hands after washing any more than soap did, nor was it any better than soap. Triclosan, a main ingredient on most antibacterial hand soaps, May increase anti-bacterial resistance and that and has been banned in the US and in the European Union.
Do you need to dry your hands afterwards?
Letting new hands air-dry is fine as long as he did not contaminated hands before they try out. Durkan’s transfer to your hands more easily if they’re wet.
Hand dryer or hand towel?
There’s a lot of debate surrounding this one. Most of us don’t want for as long as 45 minutes needed for the hands to dry using hand dry. New were hand dryers take 10 seconds hand and our equivalent to paper towels.
Making toilets nicer also makes a difference. One study observe 3,000 people in the US, found that if the toilets were clean and well-kept, people were more likely to stop and wash their hands properly. When the sinks were dirty, they just wanted to get out of there.
Whichever way you choose to wash and dry your hands, do it for longer than you think.
I am happy to be part of the American Academy of Orthopaedic Surgeons’ CPG for the Rotator Cuff.