News and Updates
Adapted in part from the Hospital for Special Surgery PlayBook
Sports related injuries can be the result of a single trauma or due to repetitive overuse. Certain sports such as boxing, basketball, and volleyball have greater risk of injury to the bones, ligaments and muscles of the hand and wrist.
One common injury is a boxer’s fracture, which is a fracture of one of the metacarpal bones: it happens when your punch lands wrong.
Basketball and volleyball players frequently get ‘jammed’ fingers. This happens with a forceful encounter with the ball. There may be visible misalignment of the finger. A jammed finger can be anything from an innocent sprain to a bad fracture-dislocation requiring urgent surgery.
Looks can be deceiving and these injuries should never be underestimated.It is easy but costly to dismiss a serious injury. If pain and swelling do not go away in reasonable time, you should seek medical attention including proper x-rays.
Appropriately sized, and well applied hand wraps and/or gloves protect the hands from such injuries, and proper training is essential to prevent such injuries. Some of these injuries come with an easy fix while others require surgery and dedicated hand therapy.
While still recovering, you may still work on staying in shape and game ready by running, working on lower body and strengthening your core.Your treating physician, together with your therapist, will set the schedule and time frame towards full use and will let you know when it is safe to start exercising your injured hand.If you do too much too soon and push through pain, you may be delaying your recovery or reversing the outcome of your treatment.
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
“Congratulations on being nominated and selected for the Carpal Tunnel Syndrome Appropriate Use Criteria voting panel.”
> Dear Dr. Sraj,
> I am pleased to inform you that your manuscript A Simple Phalangeal External Fixator Using Kirschner Wires and Locking Balls: No need for Cement or Rubber Bands has been accepted for publication in The Journal of Hand Surgery.
> We look forward to seeing this manuscript published and to receiving your next one.
> Best wishes,
> Section Editor
> The Journal of Hand Surgery
My patient showed me today a neat trick to cover up the sharp edges of a Fiberglass cast.
She simply used a glue gun. The glue holds very well. In this case, for over a week. The edges are soft and it holds well to fiberglass. No more catching on clothes. She has not tried it close to her skin, and if you do want to try it, be careful not to burn yourself.
Adapted from Science magazine
In 1996, an amateur archaeologist found a humerus bone north of Berlin. A flint arrowhead was embedded into the one end of the bone, ( funny it is nicknamed the surgical neck) prompting archaeologists to dig more. They found 130 people and five horses so far, and the bones were dated to about 1250 B.C.E., Europe’s Bronze Age. It is estimated that as much as 4000 warriors took part in the fighting- a large number for the bronze age which reflects significant advances in social organization to supports armies of this scale. “It could be the first evidence of a turning point in social organization and warfare in Europe,” one author said.
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.
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…
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.
1- Santa Claus was perceived to be friendlier.
2- Both were equally reliable….
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.
Paper accepted for publication: “Providing Orthopedic Care for the Incarcerated: Obstacles and Challenges” has been accepted for publication in JAAOS
From: Journal of the American Academy of Orthopaedic Surgeons
Ref.: Ms. No. JAAOS-D-15-00215R3
Dear Dr. Sraj,
We are pleased to inform you that your manuscript "Providing Orthopedic Care for the Incarcerated: Obstacles and Challenges" has been accepted for publication in the Journal of the American Academy of Orthopaedic Surgeons.
Thank you again for considering JAAOS for your work.
Peter S. Rose, MD
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.
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.