This audit reviewed the trauma theatre time utilisation during April 2000 to March 2001. Instead of a scheduled 8 30 am start, first patient was on the table by only 9 40 am because of various reasons. To use this redundant time carpal tunnel release was started under local anaesthesia, as first case. On re-auditing, it was found that the patient for carpal tunnel release was on the table at 8 ...

OBJECTIVE To observe the efficacy of modified acupotome combined with blocking therapy in patients with carpal tunnel syndrome (CTS). METHODS Fifty-five patients with CTS were divided into three groups, which were modified acupotome group including 26 CTS patients with 28 lesions treated by modified acupotome combined with blocking therapy, traditional acupotome group including 14 CTS patient...

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Mechanical perturbations applied to the wrist joint typically evoke a stereotypical sequence of cortical and muscle responses. The early cortical responses (<100 ms) are thought be involved in the "rapid" transcortical reaction to the perturbation while the late cortical responses (>100 ms) are related to the "slow" transcortical reaction. Although previous studies indicated that both responses...

BACKGROUND Intra-articular glucocorticoid treatment is frequently used in arthritic disorders. Postinjection rest has been shown to improve the outcome of knee injections. OBJECTIVE To investigate whether better treatment results might also be achieved by a similar postinjection regimen for the wrist, which is non-weightbearing. METHODS 117 patients with rheumatoid arthritis and wrist synov...

QUESTIONS What is the incidence of contractures six months after stroke? Can factors measured within four weeks of stroke predict the development of elbow, wrist, and ankle contractures six months later? DESIGN Prospective cohort study. PARTICIPANTS Consecutive sample of 200 adults with stroke admitted to a Sydney hospital. OUTCOME MEASURES Loss of range of motion in major joints of the b...

Introduction Ligamentotaxis is the application of axial tension to reduce and hold distal radius fractures through the extrinsic ligaments of the wrist. Longitudinal, external traction applied with a wrist external fixation device may also utilize the principle of the ligamentotaxis. Kaempffe et. al. has shown that as duration of distraction across the wrist joint increases, functional outcome ...

Wrist stiffness has been shown to have a greater effect on wrist dynamics than inertia and damping for all but the fastest wrist rotations [1]. Therefore, making coordinated wrist rotations requires that humans predict and compensate for the effects of wrist stiffness. Because wrist stiffness is anisotropic (with greater stiffness in radial-ulnar deviation than flexion-extension), some movement...

Background Intra-articular fractures of the distal part of the triquetrum within the pisotriquetral joint are uncommon, and can be associated with tears of the dorsal carpal ligaments, pisiform subluxation and/or FCU dislocation. Their diagnosis is difficult and requires a high clinical suspicion and a proper radiological examination including oblique wrist x-rays, computed tomography and MRI s...

This paper proposes a human-assisting manipulator teleoperated by electromyographic (EMG) signals and arm motions. The proposed method can realize a new master–slave manipulator system that uses no mechanical master controller. A person whose forearm has been amputated can use this manipulator as a personal assistant for desktop work. The control system consists of a hand and wrist control part...