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Tag Archives: bones

Why are my hands always cold?

If your hands are always cold, it is due to reduced blood flow. For some people it may be physiological (normal), and resolves with an increase in core temperature. However sometimes chronic poor circulation can result in skin changes that are permanent. Our bodies keep our hands warm primarily by regulating the blood flow that travels from the heart, down the arm, all the way to our fingertips. More blood to the hands means pink, warmer hands; less blood flow means colder and sometimes ... Read More

June 4, 2021 By Jai Sungaran in Hand & Wrist

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

What’s new in hand surgery

Looking forward to sharing some exciting developments with our nursing colleagues at the Australian Orthopaedic Nursing Association (AONA) annual conference today. Hand surgery continues to advance and develop, offering better outcomes for patients. For example, we are now able to 3D print titanium mesh models of the scaphoid bone to replace native bone which is either too damaged or diseased, thereby giving patients an alternative to wrist fusion surgery. It is a reminder that we, as ... Read More

May 3, 2018 By Jai Sungaran in Arthritis, Developments, Robotics, Sporting injury, trauma, Work injury

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

Psychological effects of work-related hand trauma

The hand is a commonly injured part of the body, especially in some occupations. It is critical to both accomplishing tasks and interacting socially so the injured hand becomes an issue in many ways. Our hands are almost always in our line of sight and is also highly visible to others. Therefore it is almost impossible to avoid viewing the disfigured hand, which in itself is a traumatic experience. The psychological effect of hand trauma cannot be ignored when dealing with patients who have ... Read More

January 21, 2018 By Jai Sungaran in Hand & Wrist, lacerations, Nerve injury, Rehabilitation, Sporting injury, Tendon, trauma, Work injury

Can your joints predict the weather?

There's an old wives' tale that claims some people can predict storms almost before the weatherman does. Many patients say that they can feel the cold or an upcoming storm in their bones and joints. This can either be in an old injury or scar, or after surgery such as fracture fixation or joint replacement. But is there any scientific basis to these claims? Bones are covered in a layer called periosteum. This is a thin layer of tissue containing nerve endings. The periosteum is the reason ... Read More

June 18, 2016 By Jai Sungaran in Hand & Wrist, Joint pain

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