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Hand Rehabilitation Current Awareness Newsletter

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Hand Rehabilitation Current Awareness Newsletter 1 Hand Rehabilitation Current Awareness Newsletter JANUARY 2016 2 Your Local Librarian Whatever your information needs, the library is here to help. As your outreach librarian I offer literature searching services as well as training and guidance in searching the evidence and critical appraisal – just email me at library @uhbristol.nhs.uk OUTREACH: Your Outreach Librarian can help facilitate evidence-based practise for all in the Orthogeriatrics team, as well as assisting with academic study and research. We can help with literature searching, obtaining journal articles and books, and setting up individual current awareness alerts. We also offer one-to-one or small group training in literature searching, accessing electronic journals, and critical appraisal. Get in touch: [email protected] LITERATURE SEARCHING: We provide a literature searching service for any library member. For those embarking on their own research it is advisable to book some time with one of the librarians for a 1 to 1 session where we can guide you through the process of creating a well-focused literature research and introduce you to the health databases access via NHS Evidence. Please email requests to [email protected] 3 Contents New from Cochrane Database of Systematic Reviews ........................................................................... 4 Abstract .................................................................................................................................................. 4 New Activity in Up-to-Date ..................................................................................................................... 4 Current Awareness Database Articles .................................................................................................... 6 Altered Neurodynamics upper limb ................................................................................................ 6 Complex Regional Pain Syndrome (CRPS) ....................................................................................... 7 De-Quervain's tenosynovitis ........................................................................................................... 8 Dupuytrens (fasciectomy .............................................................................................................. 12 Dislocations Fingers (Proximal Interphalangeal Joints) ................................................................ 14 Flexor and Tendon Injuries ........................................................................................................... 17 Mallet Finger/Thumb Deformity ................................................................................................... 19 Nerve Injuries ................................................................................................................................ 21 Soft tissue wrist injuries ................................................................................................................ 24 Trapeziectomy (Osteoathritis thumb) .......................................................................................... 26 Trigger finger/thumb .................................................................................................................... 27 Ulnar Collateral ligament Sprain- Thumb ..................................................................................... 30 Wrist and Finger fractures (distal radius/scaphoid) ..................................................................... 30 Journal Tables of Contents .................................................................................................................... 38 Journal of Hand Surgery (British and European)............................................................................... 38 Journal of Hand Surgery (America) ................................................................................................... 38 Journal of Hand Therapy ................................................................................................................... 38 4 New from Cochrane Database of Systematic Reviews Surgery for Dupuytren 's contracture of the fingers Jeremy N Rodrigues , Giles W Becker , Cathy Ball , Weiya Zhang , Henk Giele , Jonathan Hobby , Anna L Pratt and Tim Davis Online Publication Date: December 2015 Abstract Background: Dupuytren's disease is a benign fibroproliferative disorder that causes the fingers to be drawn into the palm via formation of new tissue under the glabrous skin of the hand. This disorder causes functional limitations, but it can be treated through a variety of surgical techniques. As a chronic condition, it tends to recur. Objectives: To assess the benefits and harms of different surgical procedures for treatment of Dupuytren's contracture of the index, middle, ring and little fingers. New Activity in Up-to-Date New updates in point-of-care evidence summarising tools Up-To-Date Proximal phalanx fractures Author: Rebecca Bassett, MD Literature review current through: Dec 2015. | This topic last updated: Sep 18, 2015. INTRODUCTION — Fractures of the proximal phalanx can be complex owing to forces exerted on the fracture fragments by a number of muscles and tendons which often result in angular or rotational deformity. This topic review will discuss fractures of the proximal phalanx. Finger anatomy, other common finger injuries, and thumb injuries are reviewed separately. 5 To access electronic resources you need an NHS Athens username and password To register, click on the link: https://openathens.nice.org.uk/ You need to register using an NHS PC and an NHS email address. Registration is a quick, simple process, and will give you access to a huge range of online subscription resources, including: UpToDate Dynamed NHS Evidence Anatomy.tv For more information or help with setting up your Athens account, email: [email protected] 6 Current Awareness Database Articles Below is a selection of articles related to Hand Therapy recently added to the healthcare databases, grouped in the following categories: Altered Neurodynamics upper limb Complex Regional Pain Syndrome (CRPS) De-Quervain's tenosynovitis Dupuytrens (fasciectomy) Dislocations Fingers (Proximal Interphalangeal Joints) Flexor and Tendon Injuries Mallet Finger/Thumb Deformity Nerve Injuries Soft tissue wrist injuries Trapeziectomy (Osteoathritis thumb) Trigger finger/thumb Ulnar Collateral ligament Sprain- Thumb Wrist and Finger fractures (distal radius/scaphoid) If you would like any of the following articles in full text, or if you would like a more focused search on your own topic, then get in touch: [email protected] Altered Neurodynamics upper limb Title: Biomechanics of the Median Nerve During Stretching as Assessed by Ultrasonography. Citation: Journal of applied biomechanics, Dec 2015, vol. 31, no. 6, p. 439-444 Author(s): Martínez-Payá, Jacinto Javier, Ríos-Díaz, José, Del Baño-Aledo, María Elena, Abstract: The objective of this observational cross-sectional study was to investigate the normal motion of the median nerve when stretched during a neurodynamic exercise. In recent years, ultrasonography has been increasingly accepted as an imaging technique for examining peripheral nerves in vivo, offering a reliable and noninvasive method for a precise evaluation of nerve movement. Transverse motion of the median nerve in the arm during a neurodynamic test was measured. A volunteer sample of 22 healthy subjects (11 women) participated in the study. Nerve displacement and deformation were assessed by dynamic ultrasonography. Excellent interobserver agreement was obtained, with kappa coefficient of .7-.8. Ultrasonography showed no lateral motion during wrist extension in 68% of nerves, while 73% moved dorsally, with statistically significant differences between sexes (ORlat = 6.3; 95% CI = 1.4-27.7 and ORdor = 8.3; 95% CI = 1.6-44.6). The cross-sectional area was significantly greater in men (3.6 mm2). Quantitative analysis revealed no other statistically 7 significant differences. Our results provide evidence of substantial individual differences in median nerve transverse displacement in response to a neurodynamic exercise. Title: Improving the radial nerve neurodynamic test: An observation of tension of the radial, median and ulnar nerves during upper limb positioning. Citation: Manual therapy, Dec 2015, vol. 20, no. 6, p. 790-796 Author(s): Manvell, Joshua J, Manvell, Nicole, Snodgrass, Suzanne J, Reid, Susan A Abstract: The radial nerve neurodynamic test (ULNT2b), used to implicate symptoms arising from the radial nerve, is proposed to selectively increase strain of the nerve without increasing strain of adjacent tissue, though this has not been established. This study aimed to determine the upper limb position that results in: (1) the greatest tension of the radial nerve and (2) the greatest difference in tension between the radial nerve and the other two major nerves of the upper limb: median and ulnar. Tension (N) of the radial, median and ulnar nerves was measured simultaneously using three buckle force transducers during seven upper limb positions in the axilla of ten embalmed whole body human cadavers (n = 20 limbs). Repeated measures analysis of variance (ANOVA) with Bonferroni post-hoc tests determined differences in tension between nerves and between limb positions. A Composite position consisting of ULNT2b (scapular depression, shoulder internal rotation, elbow extension, forearm pronation, wrist flexion) with
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