Patient Satisfaction with Treatments for Dupuytren’s Disease

October 24, 2016

Patient Satisfaction with Collagenase rather than Surgery for Dupuytren's Disease Collagenase injection for mild to moderate Dupuytren's contracture is used to rupture the Dupuytren's cord and improve the posture of one's finger without actual removal of the otherwise prominent disease. A study by Witthaut reported 71% of patients being very…

Computers and CTS – Is there an association?

October 17, 2016

Computers and CTS - Is there an association? To date I have been unconvinced from the literature and personal experience that use of computers ties to the development or progression of carpal tunnel syndrome. An article by Mediouni, Bodin and Dale published in the British Medical Journal Open in 2015,…

Endoscopic Carpal Tunnel Release

August 15, 2016

Endoscopic Carpal Tunnel Release Endoscopic carpal tunnel release (ECTR) is preferred over mini-open release. Despite the overwhelming advantage of endoscopic carpal tunnel release over open technique which involves much greater tissue injury, discomfort, and delay in return to work, there is still a controversy among many surgeons. Most of them…

Failed Cubital Tunnel Surgery

August 4, 2016

Failed Cubital Tunnel Surgery Recurrent or persistent cubital tunnel/ulnar nerve symptoms or failed cubital tunnel surgery. Risk of Cubital Tunnel Syndrome Recurrence For the past 10 years there has been a lot of interest in the failure rate of cubital tunnel surgery. In review of the English literature up to…

Smoking and Orthopaedic Surgery

July 19, 2016

Research demonstrates that there is an increased risk of infection and reduced rate of healing among people who smoke. A person has to be away from cigarettes/tobacco for a month before the negative wound effects of it are eradicated from a person's body. No wonder spine surgeons refuse to operate…