Hand surgery is a specialized type of procedure that may be performed to correct a wide range of diseases, injuries and defects that may cause symptoms and/or affect the appearance of the hand. Hand surgery can be performed for both medical and cosmetic purposes. Your hand surgery procedure will be customized in order to repair your individual condition and leave your hands looking and feeling their bests.
Because of their frequent use, the hands are a common location for injuries and degenerative disorders such as arthritis. Many people are born with birth defects of the hand as well. Hand surgery can restore function, relieve pain and improve the appearance of the hands for patients suffering from cysts, nerve condition such as carpal tunnel syndrome, arthritis, birth defects and other problems. Hand surgery may also be performed to re-attach or reconstruct severed fingers after trauma.
Effective hand surgery requires the skill and precision of an experienced surgeon, in order to successfully treat the condition and restore full function to the hand. At Beth Israel Orthopedics and Sports Medicine, our surgeons have years of experience performing a full range of hand surgery procedures, and utilize the latest techniques while doing so.
Carpal Tunnel Syndrome – is a common condition involving numbness, pain, tingling and instability in the wrist, hand and fingers. It occurs when pressure is put on a nerve in the wrist called the median nerve, which controls motor function in the wrist and hand. This pressure, called impingement, is most often caused by bone spurs, rheumatoid arthritis, repetitive use or injury.
Trigger finger is a condition that involves one of the fingers becoming stuck in a bent position and then rapidly straightened like the trigger of a gun. This condition is caused by a narrowing of the sheath that surrounds the tendons in the finger, and is common in people who perform repetitive gripping actions. It is also more common in women and people with diabetes. Trigger finger causes stiffness, pain and may eventually lead to an inability to completely straighten the finger.
Dupuytren’s contracture is a rare hand deformity in which knots of tissue form under the skin that can pull fingers into a bent position. This makes it difficult for the fingers to straighten and can interfere with normal hand function. Dupuytren’s contracture is not usually painful but can lead to other conditions such as plantar fibromatosis. Although the cause of this condition is not known, it may run in families and can be influenced by tobacco and alcohol use.
Wrist Tendonitis (also called deQuervain’s tendonitis or tenosynovitis) is an inflammation of the tendons that cross the wrist and attach to the thumb. If you have deQuervain’s tendonitis, it hurts to bend, extend or turn your wrist or form a fist with the thumb tucked inside. Pain is usually located in the front of the wrist and worsens with activity. Other symptoms include sensitivity to touch, limited mobility, and wrist weakness.
Treatments and Procedures
Laparoscopic Surgery- uses a long, thin tube with a camera at the end to help your doctor clearly visualize the targeted area during surgery. The camera and surgical instruments are inserted into the body through several tiny incisions that are carefully placed to minimize scarring and allow for easy concealment. These small incisions also decrease the amount of bleeding during surgery and reduce the risk of infection or other complications.
Carpal Tunnel Release – is an outpatient procedure performed to relieve pressure on the median nerve and reduce the symptoms of carpal tunnel syndrome. This procedure can help restore muscle strength and dexterity, and is typically performed on patients who have had persistent symptoms that do not respond to conservative treatment methods.
Open Reduction Internal Fixation is commonly used to treat fractures within the wrist, forearm and hand, in order to restore function to these essential bones and allow patients to once again perform everyday tasks. The surgical hardware used during this treatment is often left in the bone permanently, as long as no symptoms arise at the incision sites.
Grafting – transfers bones, nerves or other tissue from healthy areas of the body to the damaged area, commonly performed after trauma.
Who to Contact
Upon setting up an appointment, the below doctors can answer your questions and concerns regarding various conditions and treatment options: