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Hand InjuriesThe most common procedures in hand surgery are those done to repair injured hands, including injuries to the tendons, nerves, blood vessels, and joints; fractured bones; and burns, cuts and other injuries to the skin. Among the techniques now used are:
In many cases, surgery can restore a significant degree of feeling and function to injured hands. However, recovery may take months, and a period of hand therapy will most often be needed. Carpal Tunnel Syndromethe carpal tunnel is a passageway through the wrist carrying tendons and one of the hand's major nerves. Pressure may build up within the tunnel because of disease (such as rheumatoid arthritis), injury, fluid retention during pregnancy, overuse, or repetitive motions. The resulting pressure on the nerve within the tunnel causes a tingling sensation in the hands, often accompanied by numbness, aching, and impaired hand function. This is known as carpal tunnel syndrome. In some cases, splinting of the hand and anti-inflammatory medications will relieve the problem. Surgery may be required. In the operation, we make an incision from the middle of the palm to the wrist. Pressure is relieved when the ligament covering the nerve is opened. A smaller incision (Endoscopic approach) can sometimes be used, which results in less scaring and a faster recovery.
Dupuytren's ContractureDupuytren's contracture is a disorder of the skin and underlying tissues on the palm side of the hand. Thick, scar-like tissue forms under the skin of the palm and may extend into the fingers, pulling them toward the palm and restricting motion. The condition usually develops in mid-life and has no know cause (though is has a tendency to run in families). Surgery is the only treatment for Dupuytren's contracture. We will cut and separate the bands of thickened tissue, freeing the tendons and allowing better finger movement. The operation must be done very precisely, since the nerves that supply the hand and fingers are often tightly bound up in the abnormal tissue. In some cases, skin grafts are also needed to replace tightened and puckered skin. The results of the surgery will depend on the severity of the condition. You can usually expect significant improvement in function, particularly after physical therapy.
Other ConditionsWe may choose to operate on other hand conditions including: Congenital defects, ganglions, cysts, tumors, nail and nail bed problems.
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Dramatic advances have been made
in recent years in treating patients with hand injuries, degenerative disorders,
and birth defects of the hand. 
