Removal of Distal Radius Plate

Julia had originally fractured her wrist and a distal radius plate had been placed to stabilize the fractures. It has been a few years now and the fracture has healed well but Julia was complaining of pain when gripping objects with her hand. As can be seeing from the xrays, the plate has allowed the fracture to heal but has a prominant projection on the palmer side which would be causing the discomfort. We removed the distal radius plate (as seen in image 3). The healing process takes about a week followed by post operative hand therapy. *Please note that the patient has given us consent to share this story.

Finger Avulsion Injury - Outcome

Tim was throwing a set of keys over a palicade fence when his right ring finger was avulsed. Unfortunately the finger had to be amputated. He sustained a ring avulsion injury of his right ring finger. A replantation attempt failed, the use of a dorsal hand flap reconstruction allowed the maximum length of the finger to be spared including the first joint of the finger (as opposed to a lower amputation level) which has allowed Tim a better grasp function of the hand. Reconstruction of amputated digits allows for a greater functional improvement. Tim regained full functional use of his hand and is satisfied with the outcome.

Finger Avulsion Injury

Tim was throwing a set of keys over a palicade fence when his right ring finger was avulsed. Unfortunately the finger had to be amputated. He sustained a ring avulsion injury of his right ring finger. A replantation attempt failed, the use of a dorsal hand flap reconstruction allowed the maximum length of the finger to be spared including the first joint of the finger (as opposed to a lower amputation level) which has allowed Tim a better grasp function of the hand. Reconstruction of amputated digits allows for a greater functional improvement. Surgeon: Dr Chetan Patel

Dupuytren's Fasciectomy

Over time, Dupuytren's contracture can cause one or more fingers to stay bent toward the palm. This can complicate everyday activities.Treatment, if required, includes using a needle to break the tissue that's keeping the finger bent, enzyme injections to soften the tissue and surgery

Rare Lipoma of the Tendon Sheath of the Fifth Extensor Compartment of the Hand

Lipoma of an extensor tendon compartment is an extremely rare tumour of the hand. Although benign, it can cause pain, finger stiffness and nerve compression, necessitating surgical excision. As patients frequently present to Hand Therapists for an opinion and symptomatic management; it is important that therapists are aware of the existence of lipoma’s and their treatment, so as to not delay referral to a hand surgeon for surgical release and histological examination. Case Study: David, a 49 year old man presented to Hand Therapy with an 8 month history of a lump on the dorsum of the left hand between the 4th and 5th Metacarpals. The lump was causing pain and stiffness of his ring and little

Rheumatoid Arthritis

Rheumatoid Arthritis can be a painful and debilitating disease if it is not managed correctly. Marjorie had RA since she was 7 years old but only developed joint deformities in her 50's. The best treatment option for her was to have the MCP joints of her right hand replaced with prosthetic joints. Professor Biddulph performed the operation and promptly referred her to Hand Therapy. The rehabilitation process required patience and dedication and included the need for a dynamic splint that encouraged early movement of her fingers. The result was a pain-free, aesthetically pleasing, functional hand. Fortunately we see fewer joint deformities these days because of the excellent drugs that are av

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