Effectiveness of two finger splints for swan neck deformity in patients with rheumatoid arthritis: a randomized, crossover trial.
The objective of this study was to compare the effectiveness and acceptability of silver ring splints (SRS) and commercial prefabricated thermoplastic splints (PTS) in treating swan neck deformities in patients with rheumatoid arthritis (RA). In 2 different sequences, 50 patients with RA used both splints for 4 weeks, with a washout period of 2 weeks. [...]
Early mobilization after flexor tendon repair in children.
Moehrlen U, Mazzone L, Bieli C, Weber DM The aim of the study was to provide an age-adapted rehabilitation protocol for flexor tendon repairs of children and to evaluate a patient series accordingly. A modified Kessler's technique was used to repair 49 flexor tendon injuries in 39 children. All children had immediate postoperative mobilization according [...]
A randomized clinical trial comparing immediate active motion with immobilization after tendon transfer for claw deformity.
Rath S, Selles RW, Schreuders TA, Stam HJ, Hovius SE This study compared the effectiveness of immediate active motion protocol (IAMP) with that of conventional immobilization after tendon transfer. Fifty supple claw hand deformities were randomized postoperatively into 2 equal groups for IAMP and immobilization. Therapy began on the second postoperative day for the IAMP [...]
A six-week hand exercise programme improves strength and hand function in patients with rheumatoid arthritis.
Brorsson S, Hilliges M, Sollerman C, Nilsdotter A The objective of this study was to evaluate the effects of hand exercise in patients with rheumatoid arthritis, and to compare the results with healthy controls.Forty women (20 patients with rheumatoid arthritis and 20 healthy controls) performed a hand exercise programme. The results were evaluated after 6 [...]
Assessing the accuracy of a combination of clinical tests for identifying carpal tunnel syndrome.
Boland RA, Kiernan MC The aim of the study was to investigate whether a combination of selected provocative manoeuvres and sensory testing could improve the accuracy of clinical diagnosis of carpal tunnel syndrome (CTS). Prospective studies were undertaken in 43 of 296 consecutive patients who were referred with suspected CTS and had undergone nerve conduction [...]
Effect of triangular ligament tears on distal radioulnar joint instability and evaluation of three clinical tests: a biomechanical study.
Moriya T, Aoki M, Iba K, Ozasa Y, Wada T, Yamashita T Using 11 fresh/frozen cadaver specimens, instability of the distal radioulnar joint (DRUJ) during passive wrist motion was measured by motion analysis and three clinical tests (ulno-carpal stress test, piano-key test, and DRUJ ballottement test) were performed. Release of the triangular ligament from the [...]
Clinical Features Influencing the Patient-Based Outcome After Carpal Tunnel Release
Hyun Sik Gong, Joo Han Oh, Sung Woo Bin, Woo Sung Kim, Moon Sang Chung and Goo Hyun Baek This study analyzed several clinical features of carpal tunnel syndrome to identify potential prognostic factors influencing a patient-based outcome assessment after carpal tunnel release. 102 hands of 64 patients with carpal tunnel syndrome using the Boston [...]
Objective Evaluation of Fine Motor Manipulation-A New Clinical Tool.
Andersen Hammond ER, Shay BL, Szturm T A new performance-based tool has been developed to accurately and precisely evaluate finger/hand function during manipulation of any object, independent of geometric and surface properties. The objectives of this study were to show test-retest reliability and evaluate criterion validity. Twenty healthy, right-handed participants were recruited.Two testing periods, one [...]
Upper Extremity Injuries in the National Football League: Part I: Hand and Digital Injuries
Mall, N. A., Carlisle, J. C., Matava, M. J., Powell, J. W., Goldfarb, C. A. This study investigated hand, first ray, and finger injuries and the effect of upper extremity injuries in professional American football players. A retrospective review of all documented injuries to the hand, first ray, and fingers sustained by American football players [...]
The de Quervain’s screening tool: Validity and reliability of a measure to support clinical diagnosis and management
Rachel Batteson, Alison Hammond, Frank Burke , Shiladitya Sinha The aim of this study was to provide evidence for the content and construct validity and test-retest and inter-rater reliability of the DQST. The DQST diagnostic criteria were initially generated from a literature review and content validity was established. The DQST was then tested in people either [...]
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