A 55 year old man was bitten by a Mole Snake in Zambia on his thumb. These are the things that were done right by the family and medical team after the bite: 1. The snake was kept for identification purposes so that the correct treatment was possible. If the snake cannot be captured a picture of the snake can be taken. 2. The patient was not given anti-venom. The reason being is because Mole snakes are not toxic snakes that require antivenom. There are only a few highly

The Casting Motion to Mobilise Stiffness Technique (CMMS) was used to treat this lady's stiff and oedematous hand. Initially, an intrinsic minus cast was applied to the hand. This cast design supported the wrist in neutral and immobilized the MCP joints. Motion was directed to the PIP and DIP joints into a hook fist position. After 3 weeks the cast design was changed to an intrinsic plus cast in order to regain flexion of the MCP joints, whilst maintaining the gains made in P

This elderly lady fell on the 17-08-18 and fractured her left little finger as well as lost skin over the dorsum of her wrist and hand, which became necrotic. On the 11-09-18 she had a wound debridement and a split skin graft. Image I shows her initial presentation. The oedema was accumulating distal to the skin graft and was becoming brawny. There was very poor active range of motion. The CMMS technique was applied. The circumferential cast provides the right amount of press