CQ Hand + Upper Limb in Rockhampton, Queensland | Orthopaedist

CQ Hand + Upper Limb

Locality: Rockhampton, Queensland

Phone: +61 7 4931 3530

Address: Mater Misericordiae Hospital, Ward Street 4700 Rockhampton, QLD, Australia

Website: http://www.cqupperlimb.com/

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25.01.2022 One of my patients runs a catering company. I love when they visit #orthopaedicsurgery #grazingbox #foodgifts #handsurgery #handtherapy

23.01.2022 Are you a Rockhampton GP? Join us for an exclusive GP education evening, delivered by Mater's leading Orthopaedic Surgeons. With an estimated 1 in 3 (6....9 million) people having arthritis and other musculoskeletal conditions or injuries, orthopedic conditions are the fourth leading contributor to the total disease burden in Australia. Register today shorturl.at/gJY14

21.01.2022 We do our jobs because we get satisfaction from seeing people get better. That being said, a massive gift basket like this for the whole team puts a real spring in your step! #handsurgery #handtherapy #orthopaedicsurgery #orthopaedics #handtrauma #plasticsurgery #upperlimbtherapy #occupationaltherapist #occupationaltherapy #giftbaskets #giftbasket

21.01.2022 We see broken phalanges (the bones of the fingers) relatively often. This patient had fractures in two fingers. Though undisplaced at presentation, the angle of the fractures means that they are likely to displace. By fixing these broken bones with screws through small stab incisions, the patient is free to move straight away and doesn't need a cast or splint. The movement shown in the video is at seven weeks post-op. The patient is back to normal activities. Photos and video...s reproduced with patient permission. #orthopaedics #orthopaedicsurgery #handsurgery #handtherapy #occupationaltherapy #occupationaltherapist #fingerfracture #fingerfractures #handinjury #handinjurytreatment #handtrauma #physiotherapy #bonescrews

20.01.2022 The rotator cuff stabilises the humeral head in the glenoid, allowing the deltoid to lift the arm. In patients with small tears of the rotator cuff, the body can adapt, and not all will require surgery. In patients with massive tears, shoulder weakness can cause significant distress. Usually, a rotator cuff repair will help these patients, but sometimes the damage is irreparable. Elderly patients do very well with a reverse geometry shoulder replacement, but this is a less de...sirable option in younger patients. Dr Teruhisa Mihata from Japan developed superior capsular reconstruction in 2007. This arthroscopic procedure has recently gained a lot of attention, and the results have been promising for young patients with an irreparable rotator cuff tears. In this operation, a cadaveric collagen graft is sutured into the shoulder, restoring its' mechanics. The surgery takes several hours, so a shortened version has been published here after the clinical videos. We have been performing this procedure for approximately one year in selected patients. This video shows one such patient who had a failed cuff repair. We performed a superior capsular reconstruction, and this video shows the preoperative and three month post-operative range of motion. The most significant finding is the evident decrease in pain experienced by the patient at his follow-up appointment.

18.01.2022 I've decided I love treating patients that own pineapple farms #handsurgery #handtherapy #handsurgeon #handtherapistsaustralia #pineapple #gifts #presents #orthopaedicsurgery #orthopaedicsurgeon

17.01.2022 One of our patients brought us some Byfield Ferns to say thank you after her operation #handsurgery #handtherapy #thankyougift #thankyougifts #ferns #orthopedicsurgery #workgifts

14.01.2022 Our students made cupcakes to thank us for teaching them . #medicalstudentlife #goodbye #cupcakelife #student #orthopaedics

14.01.2022 Antman (a patient that has featured here before) gave me a gift to say thank you. I am an utter sucker for a good superhero t-shirt and I must admit that this one is my favourite ever @ Gladstone Hospital

13.01.2022 The shoulder joint is relatively unstable by design. This instability allows a large range of motion compared to more stable joints such as the hip, but means that the shoulder is easier to dislocate. Once a shoulder has dislocated, it is more likely to dislocate again, especially in young people. When a shoulder dislocates the capsule of the shoulder joint gets stretched, and the cartilage rim around the shoulder socket (glenoid) is torn out of place. Every time a shoulder ...dislocates, the patient gradually loses bone from the front of the glenoid (Bankart lesion) and the back of the humeral head (Hills Sachs lesion). If there is too much bone loss, then a soft tissue stabilisation will not work, and the patient requires something more involved such as a Latarjet procedure. If the bone loss is minimal, then repairing the soft tissue of the shoulder and tightening up the shoulder capsule can make the shoulder stable again. This patient underwent an arthroscopic soft tissue stabilisation. Plastic anchors with attached sutures were drilled into the bone of the glenoid, and these were used to secure the glenoid labrum back in position and to tighten the capsule. This patient is now several years down the line and has not experienced any more dislocations. #shoulderdislocation #shouldersurgery #shoulderstability #sportssurgery #physiotherapy #physiotherapist #sportssurgeon #arthroscopy #arthroscopysurgery #arthroscopicsurgery #arthroscopicshouldersurgery #shoulderarthroscopy #shoulderarthroscopicsurgery #shoulderinjury

12.01.2022 I have gradually moved away from plating phalangeal fractures. There is very little soft tissue to cover the plate, and the patient's extensor tendons tend to stick, resulting in significant stiffness. However, sometimes plating a phalanx is unavoidable. This patient injured their little finger proximal phalanx playing sport. It was in multiple pieces, and there was a piece of the joint surface punched into the fracture. I performed an ORIF using plates and screws. He was lef...t free of any splint and encouraged to perform hand therapy. At three weeks, his movement was minimal, but he continued his rehab and returned to light duties at work. At eight weeks, he has full range of motion at the MCP joint (which was the one he damaged). There is still some stiffness at the PIP joint, but he is continuing to work on getting the movement improved. #orthopaedics #orthopaedicsurgery #handsurgery #handtherapy #occupationaltherapy #occupationaltherapist #fingerfracture #fingerfractures #handinjury #handinjurytreatment #handtrauma #physiotherapy #bonescrews #handtherapist #sportsinjury #sportsinjuryrehab #sportsinjuryrecovery

12.01.2022 Officially opened today at the Mater Hospital Rockhampton. Currently we can see emergencies and urgent elective cases. #rockhampton #handsurgery #shouldersurgery #shoulderpain #traumasurgery #emergencysurgery #elbowsurgery #physiotherapy #physicaltherapy #handtherapy #occupationaltherapy

12.01.2022 Fractures of the metacarpal neck, or "Boxer's Fractures", are incredibly common. A significant amount of angulation (up to 40-70*) is acceptable in fractures at the neck. A smaller amount of angulation (around 15*) can be tolerated in fractures of the shaft. Patients tend to feel the knuckle 'disappears' and will often have an extensor lag. When the angle of a little finger metacarpal neck fracture is greater than 30 grip strength is reduced*. Boxer's fractures are chall...enging to fix as there is very little bone distal to the break, which makes fixation difficult. I tend to avoid plates in the hand if possible, as I find the extensor tendons stick to them, resulting in significant stiffness (the rate of moderate complications in metacarpal plating is 36% overall, with stiffness in 76%*). My preference for fractures of the metacarpal shaft (that require operation) is an intramedullary K-wire, which corrects the deformity and allows early mobilisation. In my practice, this technique works very well, but it is less effective in boxer's fractures. A technique that is gaining popularity is a retrograde intramedullary screw. I was initially hesitant to try this procedure as the screw goes through the articular surface of the knuckle, but the evidence is growing that this doesn't cause a problem. The Xrays and video here show my first case using this technique. I reduced the fracture closed and inserted the screw through a stab incision directly over the knuckle. Followup Xrays at two weeks show that the fracture is well on the way to being healed. This patient only had one therapy session immediately post-op to show her how to do gentle range of motion. The video is at two weeks, and she already has a full pain free range of motion. Overall both the patient and I are delighted with the results of this technique. Published with patient permission. *Metacarpal fractures: treatment and complications. KM Kollitz et al. Hand (N Y). 2014 Mar; 9(1): 1623.

09.01.2022 One of the most common conditions we see is trigger finger (or thumb). Trigger finger is a condition caused by swelling of either the tendons or the tendon pulley of the affected finger. These pulleys hold the flexor tendons close to the bones of the finger to make them work more efficiently. As the tendon or pulley becomes thickened, it causes painful catching in the palm, which results in a difficulty bending or straightening the finger. Occasionally the catching becomes so... severe that the tendon locks and the finger cannot straighten at all. Often we cannot identify a cause for someones trigger finger, but it is more likely in females and people in their 40s or 50s. Other conditions associated with trigger finger are diabetes, rheumatoid arthritis, gout, hypothyroidism, carpal tunnel syndrome, Dupuytren's contracture and De Quervain's tenosynovitis. The initial treatment for trigger finger includes the use of steroid injections to decrease swelling, and hand therapy. Splints are occasionally used for symptomatic relief. In patients who fail conservative treatment, the operation shown in this video can be performed. The pulley that catches the tendon in the palm is released, which allows free movement of the finger. There is a minor risk to the nerve and vessels that supply the finger. There is also a risk of infection, tenderness in the scar or recurrence. By doing the operation under local anaesthetic, the patient can confirm that there is no catch when moving their finger after the pulley has been divided.

04.01.2022 We have had a busy weekend setting up our new rooms. We are now located in Suite 8, on the second floor of the Kenmore building. It's just round the corner from our previous location. A massive thank you to Adriaan Smith for allowing us to work out of his suite whilst we started up. We are eternally grateful to the IT staff, maintenance staff and the Mater Executive for getting us setup so quickly

04.01.2022 It's awesome when your junior brings in a portion of her mum's home cooked curry for your lunch She even brought roti #lunchtime #lunchatwork #mumscooking #lunchbreak #foodgifts #orthopaedics #handtherapy

03.01.2022 #blackouttuesday

02.01.2022 We received the most amazing basket of treats in the middle of a busy clinic day. It was perfectly timed and amazing A massive thank you to these two amazing humans #treatboxes #supplydrop #giftbaskets #thankyougifts #handsurgery #candydelivery #patientgiftsarethebest #patientgifts #plasticsurgery #handtherapy

01.01.2022 The hospital ordered me a new lead gown which arrived while I was away. My Anaesthetist found it and decided to take it for a spin #theatrelife #anaesthetist #radiationsafety #workclothes #orthopedicsurgery #handsurgery #traumasurgery #orthopaedic

01.01.2022 Time for more professional development. This facility has hosted many educational events I have had the privilege of attending over the years #orthopedicsurgery #surgicaltraining #brisbane #shoulderreplacement #shouldersurgery

01.01.2022 We aim to have happy patients. This patient has been an absolute trooper all the way though her surgeries and rehab. She has always had a smile on her face and a positive attitude, which goes a really long way in getting a good result after injury She also sneakily messaged my Practice Manager to find out what bottle to get me The gift is very much appreciated

01.01.2022 This patient sustained an injury to their middle, ring and little fingers from broken glass. There was a division of one digital nerve in each of the three fingers, and both of the flexor tendons of the ring finger were entirely cut. The first clinical photo shows the ring finger being held slightly straighter than the others, which is due to the flexor tendons being injured. The nerves were repaired using microsurgical techniques, and the flexor tendons were repaired with a ...3-0 prolene 4 strand Modified Kessler repair, with a 5-0 prolene circumferential stitch. Rehabilitation commenced on day 3 using the Manchester Protocol, which I learnt from @viv_lees, and now I ask my therapists to use this technique on all tendon repairs. The Manchester Protocol uses a short dorsal blocking splint to allow some wrist movement during the rehabilitation period. The video shows the patient's movement at 6 weeks post-operatively. The splint has been discontinued, and now rehabilitation will focus on strengthening. Photos and videos reproduced with patient permission. #handsurgery #orthopaedicsurgery #orthopaedicsurgeon #handsurgeon #handtherapy #handtherapist #handtherapists #handtherapistsaustralia #tendoninjury #handtrauma #handtraumarecovery #plasticsurgery #microsurgery #injuryrecovery #woundhealing