Hand Surgery

Comprehensive Orthopedic Hand Surgery: Expert Treatment for Hand, Wrist and Finger Conditions

Wrist conditions and procedures

  • Arthritis, both osteoarthritis (OA) and rheumatoid arthritis (RA), can affect the wrist, causing pain, stiffness, and limited mobility.
  • Carpal instability resulting from ligament injuries can lead to wrist pain, weakness, and difficulty in gripping.
  • In cases of severe wrist arthritis or instability, partial arthrodesis, a fusion procedure, may be recommended to stabilize the joint and alleviate symptoms.
  • Scaphoid fractures or nonunions, which occur in the small bone located near the thumb, require surgical intervention to promote proper healing and restore function.
  • De Quervain’s tenosynovitis, characterized by tendon inflammation in the wrist, can cause pain and difficulty moving the thumb. Surgical treatment may be necessary when conservative measures fail to provide relief.
  • Ganglions, fluid-filled cysts that commonly develop on the wrist joint or tendons, can be surgically removed if they cause pain or limit wrist movement.
  • The triangular fibrocartilage complex (TFCC) is a group of ligaments and cartilage that stabilizes the wrist joint. Injuries to the TFCC may require surgical repair or reconstruction to restore stability and function.
  • The distal radioulnar joint (DRUJ), located at the wrist, can be affected by injuries or conditions like instability or arthritis, leading to pain and impaired forearm rotation. Surgical procedures such as ligament repair or reconstruction may be performed to address DRUJ-related issues and improve wrist function.

Hand conditions and procedures

  • Dupuytren’s involves the treatment of a condition that causes the fingers to bend inward. Surgical procedures, such as fasciectomy or fasciotomy, are performed to release the tight bands of tissue and restore hand function.
  • Skier’s Thumb or Gamekeeper’s Thumb refers to injuries of the thumb’s ulnar collateral ligament. Orthopedic hand surgery addresses these injuries through repair or reconstruction of the ligament to stabilize the thumb and restore its strength and stability.
  • Base of Thumb Problems, including osteoarthritis (OA) and instability, can cause pain, stiffness, and limited mobility. Orthopedic hand surgery aims to alleviate these symptoms through procedures such as joint reconstruction, arthroscopy, or joint fusion, depending on the severity of the condition.
  • Trigger Thumb is a condition where the thumb gets stuck in a bent position. Orthopedic hand surgery can be performed to release the constricting tendon, allowing for smooth thumb movement.
  • Ulnar or Medial Nerve Entrapment Syndromes, such as carpal tunnel syndrome or Guyon’s canal syndrome, result in nerve compression leading to symptoms like pain, numbness, and tingling in the hand and fingers. Orthopedic hand surgery may involve carpal tunnel release or decompression of the Guyon’s canal to relieve pressure on the affected nerves and restore sensation and function.

Finger conditions and procedures

  • Osteoarthritis and rheumatoid arthritis can affect the finger joints, causing pain, swelling, and deformity. Surgical interventions such as joint fusion or joint replacement may be recommended to alleviate pain and improve finger function.
  • Deformities in the fingers, which can be congenital or acquired, may require surgical correction to restore proper alignment and functionality. Orthopedic hand surgery aims to address these deformities through procedures like osteotomy or tendon transfers.
  • Tendon injuries in the fingers, such as tendon ruptures or lacerations, may result in impaired finger movement and grip strength. Surgical repair or reconstruction of the damaged tendons is often performed to restore finger function and dexterity.
  • Dupuytren’s contracture is a condition characterized by the thickening and tightening of the tissue beneath the skin of the palm and fingers, leading to finger flexion deformities. Orthopedic hand surgery can involve procedures like fasciectomy or needle aponeurotomy to release the contracted tissue and restore finger extension.
  • Bumps, such as ganglions or mucous cysts, can develop on the fingers, causing pain or limiting joint movement. Surgical removal of these bumps may be necessary to relieve symptoms and restore finger function.
  • Trigger finger is a condition where the finger gets stuck in a bent position and then suddenly snaps straight. Orthopedic hand surgery can involve releasing the constricted tendon sheath to allow for smooth finger movement.
  • Mallet and Boutonniere deformities refer to finger deformities caused by tendon injuries. Orthopedic hand surgery aims to repair the damaged tendons and restore proper finger alignment and function.

These are just a few examples of the conditions and procedures involved in orthopedic hand surgery. Consultation is essential to determine the most appropriate treatment options for individual cases.