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Tag Archives: digit

Just because you can, doesn’t mean you should…

As Surgeons we are trained to "fix" a problem. If a bone is broken we can use plates and screws to realign it and relieve pain. If someone cuts their finger, we can repair their nerves, tendons, and arteries to restore its appearance and function. If you have an arthritic joint, chances are we have a replacement that we can implant to improve your motion. But one of the hardest things to do as a Surgeon, is to tell a patient that you cannot help them with an operation. Just think about ... Read More

June 22, 2019 By Jai Sungaran in Developments, Hand & Wrist, Injections, Joint pain, Nerve injury, Research, Teaching, trauma, Work injury

I think I’ve just “jammed” my finger…

Finger injuries are common in sport, especially ball sports. One pattern of injury is the direct blow to the tip of the finger by a ball. As the joint is hyperextended the force goes through the volar plate. This is a thick ligament that prevents further hyperextension at the PIP joint (proximal interphalangeal joint). It is also common for a part of the bone to be torn off by the volar plate. This is called an avulsion fracture. Often these injuries can be managed with a custom made ... Read More

August 14, 2018 By Jai Sungaran in Hand & Wrist, Joint pain, Sporting injury, trauma, Work injury

Why are my fingers so stiff?

Diabetes is a systemic condition with multiple areas involved. These can range from eye, kidney and circulation problems, as well as nerve issues. The "diabetic foot" has always been a concern for patients and their doctors, but the diabetic hand has not gained enough recognition as yet. The diabetic hand includes diabetic-related conditions like (LJM) or limited joint mobility, but also non diabetic conditions like trigger finger, carpal tunnel compression and Dupuytren's contracture. LJM ... Read More

May 16, 2018 By Jai Sungaran in Diabetes, Hand & Wrist, Joint pain

3-d printing replacement bones – the future is here!

In an article published last month in the Journal of Hand Surgery (Eur), a research group in Switzerland reported on the first use of a 3D printed bone replacement with amazing results. They used a 3D printer to recreate the scaphoid bone made out of alumina ceramic (same material as some hip replacements) and re-implanted it back into the body to undergo testing. Granted the study was performed in a laboratory rather than real life, but the implications for the future are ... Read More

February 25, 2018 By Jai Sungaran in Developments, Hand & Wrist, Robotics

What should I do with my clicky finger?

Trigger digits are a common condition that patients present with. Usually it is more a nuisance problem, but sometimes when a finger "locks" and stays in a flexed position it can lead to permanent damage to the joint and reduce the likelihood of regaining the motion in the finger. A trigger finger or thumb is caused by thickening of the covering sheath through which a flexor tendon runs. The A1 pulley thickens and causes friction against the tendon below. This leads to a cycle of ... Read More

June 28, 2017 By Jai Sungaran in corticosteroid, Hand & Wrist, Injections, Joint pain, Tendon, Work injury

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