Procedures: Hand

Following are our Hand Procedures. Click on the following links to view the procedure of your choice:

Carpal Tunnel Syndrome

Carpal Tunnel Syndrome is a condition that occurs when the median nerve, which runs from the forearm into the hand, becomes compressed within the carpal tunnel – a narrow passageway in the wrist. This compression can lead to a variety of symptoms, including:

  • Numbness and tingling in the thumb, index, middle, and ring fingers.

  • Hand weakness makes it difficult to perform fine motor tasks.

  • Pain, which may radiate up the arm

Indications for Carpal Tunnel Surger

Carpal Tunnel Surgery, also known as carpal tunnel release, is typically considered when conservative treatments, such as splinting, physical therapy, and medication, have failed to provide relief.

Ganglion Cysts

Ganglion cysts are fluid-filled lumps that typically form near joints or tendons, most commonly in the hand and wrist. These cysts are non-cancerous and may change in size, causing discomfort and aesthetic concerns. Understanding the characteristics and origins of ganglion cysts is essential for effective treatment.

Indications for Ganglion Cyst Removal

  • Surgical intervention may be recommended when a ganglion cyst causes pain and discomfort or impairs the hand's function.

  • Cosmetic Concerns: Ganglion cysts can be aesthetically bothersome. Patients seeking cosmetic improvement may opt for removal.

  • Failure of Non-surgical Treatments: Surgery becomes a viable solution when conservative treatments like aspiration (draining) or immobilization fail to provide lasting relief.

Soft Tissue and Nerve Issues

Soft tissue and nerve issues encompass various conditions, from injuries and deformities to age-related changes and congenital anomalies. These conditions can affect not only the appearance of the body but also its ability to function correctly. Determining the need for soft tissue and nerve correction procedures depends on several factors:

  • Functional Impairment: When issues like nerve compression, tendon injuries, or muscle abnormalities hinder proper functioning, surgical intervention may be necessary.

  • Aesthetic Concerns: Deformities, scars, or age-related changes can affect a person's self-esteem and body confidence, making correction procedures desirable.

  • Reconstructive Needs: For patients with traumatic injuries, congenital anomalies, or tumors, soft tissue and nerve correction can restore appearance and function.

Nerve Decompression:

  • This involves relieving pressure on compressed nerves, as in carpal tunnel syndrome or cubital tunnel syndrome.

  • The surgeon identifies the compression site and releases the constricting tissue, restoring nerve function.

Tendon Repair:

  • Surgical procedures for repairing tendons that have been damaged or severed, often due to traumatic injuries.

  • Techniques may include tendon reattachment, grafting, or transfer to restore function.

Muscle and Soft Tissue Reconstruction:

  • Procedures for correcting muscle abnormalities or deformities.

  • Techniques can range from muscle transfers to complex soft tissue grafts.

Tendon Injury Repair

Tendons connect muscle to bone, enabling joint movement and dexterity. Tendon injuries can range from mild strains to complete ruptures and affect the hand's form and function. 

Tendon injuries can occur due to various factors:

  • Trauma: Sudden impact, falls, or accidents can lead to tendon injuries.

  • Overuse: Repetitive motion or excessive strain, particularly in sports or certain occupational activities.

  • Age-related Changes: Tendons can weaken and become more prone to injury with aging.

Tendon injuries encompass a range of conditions, including:

  • Tendonitis: Inflammation of a tendon, often due to overuse or aging.

  • Tendon Tears: Partial or complete tears can affect the ability to move a joint.

  • Tendon Lacerations: Trauma can lead to sharp cuts or damage to tendons.

  • Tendon Adhesions: Scarring or adhesions that hinder tendon movement.

Trigger Finger Release

Trigger finger or stenosing tenosynovitis, is a condition that affects the tendons in the fingers, causing one or more fingers to get stuck in a bent position. This condition typically results from inflammation within the tendon sheath, creating finger extension and flexion difficulties. Understanding the condition is essential for determining the appropriate course of treatment.

Indications for Trigger Finger Release surgery

  • Severe symptoms: When non-surgical treatments such as rest, splinting, and corticosteroid injections do not provide adequate relief, surgery becomes a viable option.

  • Functional impairment: Surgery may be recommended if the condition interferes with a patient's ability to perform daily activities or work.

  • Recurrent trigger finger episodes: In cases where the condition repeatedly returns, surgery may be a more permanent solution.