HAND and WRIST Clinic

10/05/2025

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04/05/2025

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24/04/2025

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20/04/2025

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11/04/2025

Bent Elbow (Cubitus Valgus), commonly occurs secondary to nonunion lateral condyle. Late presenting cases are difficult to treat with guarded prognosis. This child after trauma got operated with open reduction, still went into nonunion with gradual deformity. Presented 4 yrs after injury with this deformity and X Ray. Plan was to do insitu fixation with ulnar nerve transposition, In Surgery it was a Type III injury with complete instability, so open reduction with reconstruction of lateral epicondylar region was done, much of the trochlea is still not ossified. Were able to correct and restore anatomy. Hope things turn well for this child.

22/11/2024

Here is a comprehensive write-up on measures to prevent the occurrence of carpal tunnel syndrome:

Prevention Measures for Carpal Tunnel Syndrome
1. Ergonomic Workspace Setup

Importance: High

Ensure your computer workstation is ergonomic. Adjust the chair, desk, and computer to promote a neutral wrist position.

Use a keyboard that keeps your wrists in a straight, relaxed position, and consider a wrist rest.

2. Proper Hand and Wrist Position

Importance: High

Maintain a neutral wrist position while typing or performing repetitive tasks. Avoid bending your wrists up or down for extended periods.

Keep your hands warm, as cold conditions can cause stiffness and increase the risk of carpal tunnel syndrome.

3. Regular Breaks and Stretching

Importance: High

Take frequent breaks to rest your hands and wrists. Perform stretching exercises to alleviate tension.

Flex and extend your fingers, and rotate your wrists to maintain flexibility and reduce stress on the median nerve.

4. Proper Technique

Importance: Medium

Use proper technique when typing or using hand tools. Avoid putting excessive pressure on your wrists.

Hold objects with your entire hand, not just your fingers, to distribute the force evenly and reduce strain on the wrist.

5. Strengthening Exercises

Importance: Medium

Perform exercises to strengthen the muscles in your hands and wrists. This can help support the wrist and reduce the risk of carpal tunnel syndrome.

Simple exercises include squeezing a stress ball, or using hand grips to improve muscle strength.

6. Maintain a Healthy Lifestyle

Importance: Medium

Maintaining a healthy weight can reduce the risk of carpal tunnel syndrome, as obesity is a risk factor.

Ensure a balanced diet rich in vitamins and minerals that support nerve health.

7. Avoid Prolonged Repetitive Motions

Importance: Low

Limit activities that involve prolonged repetitive motions of the hands and wrists. If you can't avoid them, take frequent breaks to reduce the strain.

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31/10/2024

Happy Deepawali

26/08/2024

MSK conference Jaipur.

29/07/2024

Basic Hand Surgery course at Kota on 28/7/24

02/06/2024

18/05/2024

Studies suggest that You Tube is not a good medium for education on treatment options.

14/04/2024

Severe deformities correction needs multiple surgeries.