The Experts below are selected from a list of 1056 Experts worldwide ranked by ideXlab platform
M M Alqattan - One of the best experts on this subject based on the ideXlab platform.
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outcome of conservative management of spiral long oblique fractures of the metacarpal shaft of the fingers using a palmar Wrist Splint and immediate mobilisation of the fingers
Journal of Hand Surgery (European Volume), 2008Co-Authors: M M AlqattanAbstract:Conservative management of spiral/long oblique fractures of the shaft of the metacarpal almost always results in shortening and hence these fractures have the reputation of ending up with an extension lag and reduced grip strength. In a prospective study, 42 patients with 54 fractures were treated with a palmar Wrist Splint and immediate mobilisation of all finger joints. All fractures united. Extension lag of fractured fingers was initially seen in all fingers, but eventually recovered. Grip strength progressively increased to reach a mean of 94% of the contralateral hand by 1 year after injury.
M. M. Al-qattan - One of the best experts on this subject based on the ideXlab platform.
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Outcome of Conservative Management of Spiral/Long Oblique Fractures of the Metacarpal Shaft of the Fingers Using a Palmar Wrist Splint and Immediate Mobilisation of the Fingers
The Journal of hand surgery European volume, 2008Co-Authors: M. M. Al-qattanAbstract:Conservative management of spiral/long oblique fractures of the shaft of the metacarpal almost always results in shortening and hence these fractures have the reputation of ending up with an extension lag and reduced grip strength. In a prospective study, 42 patients with 54 fractures were treated with a palmar Wrist Splint and immediate mobilisation of all finger joints. All fractures united. Extension lag of fractured fingers was initially seen in all fingers, but eventually recovered. Grip strength progressively increased to reach a mean of 94% of the contralateral hand by 1 year after injury.
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Metacarpal shaft fractures of the fingers: treatment with interosseous loop wire fixation and immediate postoperative finger mobilisation in a Wrist Splint.
Journal of hand surgery (Edinburgh Scotland), 2006Co-Authors: M. M. Al-qattanAbstract:It is widely believed that interosseous loop wire fixation of metacarpal shaft fractures alone is not rigid enough to allow immediate postoperative mobilisation. In this report, the author reviews the results in 36 cases of metacarpal shaft fractures of the fingers treated by interosseous loop wire fixation and immediate postoperative mobilisation of all finger joints. The study included 30 males and six females, with a mean age of 31 (range 12-52) years. The fracture pattern was transverse in 26 and oblique, or spiral, in the remaining 10 patients. Following loop wire fixation, the Wrist was immobilised using a volar plaster Splint for 3 weeks but all finger joints were mobilised immediately after surgery. After a mean follow-up of 8 weeks, all patients, except two, had regained full range of motion of the fingers and no complications were noted. It was concluded that interosseous loop wire fixation of metacarpal shaft fractures is rigid enough to allow immediate postoperative finger mobilisation in a Wrist Splint and achieve good functional results.
C E Bruce - One of the best experts on this subject based on the ideXlab platform.
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simple treatment for torus fractures of the distal radius
Journal of Bone and Joint Surgery-british Volume, 2001Co-Authors: J S Davidson, D J Brown, S N Barnes, C E BruceAbstract:Torus (buckle) fractures of the distal radius are common in childhood. Based on the results of a postal questionnaire and a prospective, randomised trial, we describe a simple treatment for this injury, which saves both time and money. Over a six-month period, we randomised 201 consecutive patients with this injury to treatment with either a traditional forearm plaster-of-Paris cast or a ‘Futura-type’ Wrist Splint. All patients were treated for a period of three weeks, followed by clinical and radiological review. There was no difference in outcome between the two groups, and all patients had a good result. Only one patient did not tolerate the Splint which was replaced by a cast. The questionnaire showed a marked variation in the way in which these injuries are treated with regard to the method and period of immobilisation, the number of follow-up visits and radiographs taken. We suggest that a ‘Futura-type’ Wrist Splint can be used to treat these fractures. The patient should be reviewed on the following day to confirm the diagnosis and to give appropriate advice. There is no evidence that further follow-up is required. This simple treatment has major benefits in terms of cost and reduction of the number of attendances.
Fahimeh Sadat Jafarian - One of the best experts on this subject based on the ideXlab platform.
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The Immediate Effects of Orthoses on Pain in People with Lateral Epicondylalgia
Pain research and treatment, 2013Co-Authors: Ebrahim Sadeghi-demneh, Fahimeh Sadat JafarianAbstract:Objective. Tennis elbow is a common cause of upper limb dysfunction and a primary reason for pain at the lateral aspect of the elbow. The purpose of this study was to investigate the effects of three commonly used orthoses on pain severity. An elbow band, an elbow sleeve, and a Wrist Splint were assessed for their ability to reduce the level of reported pain. Method. A crossover randomized controlled trial was used. The orthoses were worn in a randomized order, and all participants were required to complete a control trial for which they wore a placebo orthosis. 52 participants with lateral epicondylalgia were recruited, and the level of pain at their elbow was recorded using the visual analogue scale (VAS). Results. The reported pain for all orthoses was lower than that of the placebo (P < 0.05). Pain reduction was significantly greater with a counterforce elbow band or a counterforce elbow sleeve compared to a Wrist Splint (P < 0.01). There was no significant difference between a counterforce elbow band and a counterforce elbow sleeve (P = 0.23). Conclusion. All the types of orthoses studied showed an immediate improvement on pain severity in people with lateral epicondylalgia. The counterforce elbow orthoses (elbow band and elbow sleeve) presented the greatest improvement, suggesting that either of them can be used as a first treatment choice to alleviate the pain in people with tennis elbow.
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The immediate effect of orthotic management on grip strength of patients with lateral epicondylosis
The Journal of orthopaedic and sports physical therapy, 2009Co-Authors: Fahimeh Sadat Jafarian, Ebrahim Sadeghi Demneh, Sarah F TysonAbstract:Study Design Controlled laboratory study using a randomized crossover design. Objective To determine the immediate effect of 3 common types of orthoses (2 elbow counter-force orthoses and a Wrist Splint) on grip strength in individuals with lateral epicondylosis. Background Lateral epicondylosis is a common cause of pain and upper limb dysfunction. Although the effectiveness of orthoses has been reported, comparisons of effectiveness among orthoses are limited. Methods And Measures Fifty-two subjects with lateral epicondylosis were recruited (20 men, 32 women; mean ± SD age, 41 ± 8 years). Maximum and pain-free grip strength were assessed using a digital hand grip dynamometer immediately after the application of each orthosis. The 4 testing conditions included a placebo orthosis as a control condition, an elbow strap orthosis, an elbow sleeve orthosis, and a Wrist Splint. Data were analyzed using a 1-way analysis of variance for each outcome measure. Results Pain-free grip-strength was greater when using ...
Martin Singer - One of the best experts on this subject based on the ideXlab platform.
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A prospective study to assess the outcome of steroid injections and Wrist Splinting for the treatment of carpal tunnel syndrome.
Plastic and reconstructive surgery, 2004Co-Authors: Roger G Graham, Donald A. Hudson, Michael Solomons, Martin SingerAbstract:Surgery is the definitive treatment for carpal tunnel syndrome. Conservative treatments, such as Wrist Splinting and steroid injections, are also effective for the relief of carpal tunnel symptoms, but their use remains controversial because they only offer long-term relief in a minority of patients. A prospective study was performed to assess the role of steroid injections combined with Wrist Splinting for the management of carpal tunnel syndrome. A total of 73 patients with 99 affected hands were studied. Patients presenting with known medical causes or muscle wasting were excluded. Diagnosis was made clinically and electrodiagnostic studies were performed only when equivocal clinical signs were present. Each patient received up to three betamethasone injections into the carpal tunnel and wore a neutral-position Wrist Splint continuously for 9 weeks. After that period, symptomatic patients received an open carpal tunnel release, and those who remained asymptomatic were followed up regularly for at least 1 year. Patients who relapsed were scheduled for surgery. At a minimum follow-up of 1 year, seven patients (9.6 percent) with 10 affected hands (10.1 percent) remained asymptomatic. This group had a significantly shorter duration of symptoms (2.9 months versus 8.35 months; p = 0.039, Mann-Whitney test) and significantly less sensory change (40 percent versus 72 percent; p = 0.048, Fisher's exact test) at presentation when compared with the group who had surgery. It is concluded that steroid injections and Wrist Splinting are effective for relief of carpal tunnel syndrome symptoms but have a long-term effect in only 10 percent of patients. Symptom duration of less than 3 months and absence of sensory impairment at presentation were predictive of a lasting response to conservative treatment. It is suggested that selected patients (i.e., with no thenar wasting or obvious underlying cause) presenting with mild to moderate carpal tunnel syndrome receive either a single steroid injection or wear a Wrist Splint for 3 weeks. This will allow identification of the 10 percent of patients who respond well to conservative therapy and do not need surgery.
