This article is the tenth from our Manual Therapy Student Handbook (see the class 'Contents panel’ for further details) and it describes how to assess and treat common wrist and hand complaints. As well as listing a comprehensive assessment procedure, the treatments are described in full and have accompanying videos, which provides a great practical resource for the clinician.
This content consists of a 10 minute video presentation professionally produced and presented at the Fisic Conference 2015.
This content consists of a 13 minute video presentation professionally produced and presented at the Fisic Conference 2015.
This content consists of a 11 minute video presentation professionally produced and presented at the Fisic Conference 2015.
This content consists of a 12 minute video presentation professionally produced and presented at the Fisic Conference 2015.
Ms Alice Bremner-Smith trained in Orthopaedic Surgery on the Bristol rotation. She completed two years specialist Fellowship training in Hand and Wrist Surgery at prestigious units in Oxford (UK), Sydney (Australia), London (UK), Leeds (UK), and Paris (France).
Ms Bremner-Smith's practice is exclusively adult Hand and Wrist Surgery and she covers all aspects of this discipline including elective conditions such as Dupuytrens disease, Carpal tunnel syndrome and arthritis with a particular interest in distal radius and scaphoid injuries and secondary reconstruction for flexor tendon injuries. She works closely with Hand Therapists and specialises in tailoring treatment to the individual concerned with emphasis on a wholistic approach. She has particular experience in treating high level sports players and performing artists.
Ms Bremner-Smith is a member of the National AO and Synthes Teaching Faculty for hand and wrist trauma. She is Educational and Clinical Supervisor for senior hand surgical trainees and mentor for the British Diploma of Hand Surgery examination. She is an active member of the British Society for Surgery of the Hand and the Royal College of Surgeons, England.
She is an Honorary Senior Lecturer at Imperial College, London and a reviewer of publications for the Annals of the Royal College of Surgeons.
As a consultant hand, wrist and elbow surgeon, Mr David Hargreaves treats a wide range of degenerative and traumatic conditions in adults and children. He specialises in minimal access surgery.
Mr Hargreaves studied at Middlesex Hospital Medical School and undertook his surgical training at Kings College Hospital and St Mary's. He completed a Hand Fellowship in Sydney, Australia with Clinical Fellowships at the Mayo Clinic, USA, and Schultess Clinic, Zurich.
Mr Hargreaves has a special interest in arthroscopic procedures of wrist and elbow and research interests include wrist instability and elbow injuries. A keen amateur sportsman himself (golf, tennis coach, sailing and skiing), Mr Hargreaves understands the importance of technical excellence. He has developed an expertise in the management of sports injuries of the upper limb from a wide range of sports, including international cricket, hockey, rugby, football, sailing and golf. He also has experience with the management of musicians and performing artists, and fully recognises the importance they place on manual dexterity.
Mr Hargreaves' recent and current appointments include Honorary Senior Lecturer at the University of Southampton. He is a member of the British Orthopaedic Association, the British Society of Surgery of the Hand and the British Elbow and Shoulder Society.
Mr Douglas Campbell graduated from the University of Dundee in 1986, completed a fellowship at Massachusetts General Hospital, Boston, USA 1995 and was appointed as a Consultant Hand & Wrist Surgeon in 1998. He completed a two-year Master of Surgery (ChM) research degree in 2000 on the late effects of hand injuries and his thesis was published by the University of Leeds where he is now an Honorary Senior Lecturer.
Mr Campbell has developed a strong clinical reputation in the field of sports injuries, complex problems of wrist function, and traumatic problems of both hand and wrist. His contribution to Sports Medicine was recognised by the award of a Foundation Fellowship of the Faculty of Sports and Exercise Medicine (FFSEM) in 2009.
He is a Member of the Medical Advisory Board of the European PGA Tour, providing support to Europe's elite golfers. He is the Club Surgeon of Leeds United FC and also acts as specialist medical adviser to a number of professional football clubs, the Scottish Rugby Union, Premiership Rugby Union clubs, almost half of the Super League Rugby League clubs, county cricket clubs and UK Gymnastics. In addition, he is consultant to the Northern Ballet Theatre and regularly treats professional musicians, both classical and contemporary.
Mr Campbell was Visiting Professor to the Australian Orthopaedic Association in 2008 and the Western Australian Hand Surgery Society in 2010, and has also been a Plenary Lecturer to the Asia Pacific Federation of Societies for Surgery of the Hand and Visiting Lecturer to the South African Hand Surgery Society, American Society for Surgery of the Hand and Belgian Hand Surgery Society.
This content consists of a 9 minute video presentation professionally produced and presented at the Fisic Conference 2015.
Mr Grey Giddins is the Editor-in-Chief of the Journal of Hand Surgery (European) which has achieved impact factor of 2.19 under his leadership; the top ranking amongst Hand Journals.
Mr Giddins has a range of research interests including hand, wrist and elbow biomechanics working with the department of Mechanical Engineering at Bath University, minimal access hand surgery including techniques for closed wrist and hand fusion and corrective osteotomies, non-operative or minimal access techniques for managing hand fractures, techniques to reduce wrist fractures, and systematic reviews in hand surgery.
He is also a member of the Councils of the British Society for Surgery of the Hand (BSSH), the British Orthopaedic Association (BOA) and the Federation of European Societies for Surgery of the Hand (FESSH). He represents the BOA on the committee of the Confidential Reporting System for Surgery (CORESS).
Mr Jeremy Field has an extensive practice in Gloucestershire, where 90% of his work is hand surgery and the rest is general orthopaedics. This involves both trauma (broken fingers/wrists and tendon and nerve repairs) and non-emergency work, treating conditions such as Carpal Tunnel, Trigger Finger, Dupuytrens treatment and Arthritis in the hand.
In addition to his surgery, Mr Field has a strong research interest, a keen interest in teaching trainees and also more senior surgeons. Mr Field also has a large hand medico-legal practice acting as an expert witness in personal injury and medical negligence cases.
Mr Field qualified in London, then was appointed to an Orthopaedic Registrar job in Bristol. A move to Sydney in Australia followed, where Mr Field did a hand fellowship for a year. On his return to Bristol, Mr Field completed his registrar training writing various papers on Colles fractures, Darrachâ's procedure and algodystrophy.
With a very strong academic background, he still has a keen research interest, submitting a paper in a peer-reviewed journal approximately once a year. His particular interests are Dupuytren's disease and arthritis and consequently joint replacement in the hand.
Mr Field was appointed as an orthopaedic college examiner in 2004. He is a very keen teacher to nurses, medical students, and trainee doctors. Mr Field has been chairman of the AO principles of fracture fixation course which teaches young orthopaedic surgeons the practical aspects of fracture fixation.
Mr Field is now chairman of the UK hand and wrist course which involves teaching more advances trainee orthopaedic and plastic surgeons key aspects of fracture fixation in the hand. He has been writing Medico-Legal reports for 15 years initially as a Registrar in Bristol and now as a consultant hand surgeon in Cheltenham. He has recently started doing Medical litigation cases. Mr Field performs about 100 medico-legal reports a year.
He has also written many publications over the years.
Mr Mike Hayton is an Orthopaedic Consultant, and his clinical practice is exclusively surgery of the hand, wrist and elbow. In addition he is an Honorary Senior Lecturer in the Human Bone cell research group at the University of Liverpool and also at the University of Salford.
Mr Hayton has a special interest is sports medicine and treats all aspects of hand and wrist disorders. He is the hand surgeon to over 40 professional sports teams and national sporting bodies, and has been awarded the status of a Founding Fellow in the Faculty of Sports and Exercise Medicine (FFSEM UK). He is also an examiner for the Faculty.
Mr Hayton is a keen teacher and regularly lectures in the UK, Europe and North America. He has been invited to lecture at the American Society of Surgery of the Hand for the last 4 years, including programme chair for a hand and wrist sports injuries session in Chicago in 2012.
Mr Hayton's research is regularly published in European and American Literature, and he is an examiner for the Intercollegiate Board of Examinations for the FRCS (Trauma and Orthopaedics).
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