Hand

CARPAL TUNNEL SURGERY

Carpal Tunnel Syndrome is a condition caused by pressure to the median nerve within the wrist, or carpal tunnel. It may cause a tingling sensation, numbness of the fingers, weakness or aching. Carpal tunnel syndrome can be caused by repetitive motion or overuse, fluid retention during pregnancy, injury to the nerve in the carpal tunnel or rheumatoid arthritis.

Dupuytren’s contracture is a disabling hand disorder in which thick, scar-like tissue bands form within the palm and may extend into the fingers. It can cause restricted movement, bending the fingers into an abnormal position.

HAND CYSTS

Ganglion cysts are common lumps within the hand and wrist that occur adjacent to joints or tendons. The most common areas they are found are the top of the wrist, the palm side of the wrist, the base of the finger on the palm side, and the top of the end joint of the finger.

These cysts originate from a joint or tendon and may change in size or even disappear completely, and they may or may not be painful. These cysts are not cancerous and will not spread to other areas.

An aspiration can be performed to remove the fluid from the cyst. This can be performed in most office settings. If non-surgical options fail to provide relief or if the cyst recurs, surgical alternatives are available.

HAND FRACTURES

The hand is made up of many bones that form its supporting framework. A fracture occurs when enough force is applied to a bone to break it. When this happens, there is pain, swelling, and decreased use of the injured part. Some fractures will cause an obvious deformity, such as a crooked finger, but many fractures do not. Some displaced fractures may need to be set and then held in place with wires or pins without making an incision. This is called closed reduction and internal fixation. Other fractures may need surgery to set the bone. Once the bone fragments are set, they are held together with pins, plates, or screws.

Fractures that disrupt the joint surface usually need to be set more precisely to restore the joint surface as smooth as possible. On occasion, bone may be missing or be so severely crushed that it cannot be repaired. In such cases, a bone graft may be necessary. In this procedure, bone is taken from another part of the body to help provide more stability. Sometimes bone graft substitutes may be used instead of taking bone from another part of the body.

TENDON INJURY

A tendon injury occurs from a deep laceration, such as a cut from a knife, sharp tool, or broken glass. It also can occur from a crush injury, burn, tissue tear or deep abrasion. Workers using tools are most likely to lacerate the tendons of the hand. Finger dexterity is completely dependent on normal tendon function since the tendons link muscles controlling hand motion to the bones of the hand and forearm. H3 – When a tendon is injured, repair is essential for restoration of finger and hand function. The goal of tendon repair is to restore the integrity and continuity of the damaged tendon and thereby restore as much function as possible.

TRIGGER FINGER

Trigger finger is a common condition that involves pain and snapping of the tendons within the fingers that occurs when there is a difference in size between the tendon and its protective sheath. The affected finger will remain flexed in a trigger position until enough force has been gathered to straighten the finger. While some cases of trigger finger can be treated with steroid injections that relieve swelling and inflammation, others may require surgery to release the tendon.