Hand Injury Clinic
Your hands are one of the most important parts of the body. These are the tools that allow you to do a large variety of work. You lift heavy weights by holding with your hands and you also use these same hands to perform intricate workmanship.
As hands are also one of the most used parts of the body they are also more vulnerable to injuries and disorders. There are a large number of congenital (birth) defects as well as other developmental bone disorders which can damage the hand. Injuries to the hands are probably the most common orthopedic injuries treated.
How does the hand work?
Every muscle and tendon in the arm are responsible for controlling the strength and movement in the hand (and wrist).
The bending of the fingers is controlled by the flexor muscles in the inside of your arm. These are seen passing from the front of the wrist and are strengthened by the carpal tunnel ligament.
The extensor muscles on the back and outside of your forearm let the hand open (extend). Smaller muscles in the arms provide the finer movements in the hands.
There are two main nerves that are responsible for sensation in the hands:
- Median (Carpal) Tunnel nerve – This is seen under the carpal tunnel ligament and is responsible for providing sensation to most of your hand (thumb to half of ring finger). The muscles at the base of the thumb are also strengthened by it.
- Ulnar nerve – This nerve runs from the inner side of the forearm all the way to the little finger and the other half of the ring finger. The other muscles of the hands are powered by this nerve.
The radial and ulnar arteries are responsible for supplying blood to the hand. This is seen in the lower side of the wrist.
When is Hand Surgery needed?
In most cases of arthritis-related or musculoskeletal problems in the hands, surgery might not be needed. However, there are certain factors that help to decide when hand surgery is needed, such as:
The severity of symptoms (pain/loss in function in and)
Other alternative treatment methods have been unsuccessful in treating the hand problem
Reconstructive hand surgery is also carried out in order to improve appearance as well as the functioning of the hand.
The orthopedic doctors and hand surgeons at Cocoona Day Surgical Center will discuss all the aspects of hand surgery with you and make you aware of the advantages and possible risks (if any) before the surgery to ensure that you are at peace of mind while undergoing the procedure with expecting realistic results.
What are the types of Hand Surgery?
These are some of the commonly performed hand surgeries at Cocoona Day Surgical Center:
Carpal Tunnel Release
Carpal tunnel syndrome develops when the median nerve experiences pressure inside the carpal tunnel on the wrist. This causes a sensation similar to pins/needles as well as numbness in the fingers frequently.
Surgery is required to release the pressure on the median nerve inside the carpal tunnel in the wrist. This is done by injecting local anesthesia to numb the carpal tunnel ligament and splitting it to make more space for the median nerve.
This is mostly an outpatient procedure at the Cocoona Day Surgical Center. The doctor will bandage the hand for 1-2 weeks and remove the stitches after ensuring that the incision is closed.
Dupuytren’s Contracture Fasciectomy
Dupuytren’s contracture is caused when excess tissue forms in the palms and fingers. This is often a painless condition which is identified mainly through the formation of hard nodules on the hand or as severe as forming hard bands of tissue that make the fingers bend in towards the palm.
Surgery is mostly required to remove the hardened tissue bands and release your fingers from their permanently curled position. This is performed to provide as much release of the fingers as possible.
This surgery is performed as an outpatient procedure at Cocoona Day Surgical Center. It usually takes around 1-2 weeks before you can use yours normally. A hand therapist is also advised to regain the strength and movement in the affected fingers.
The hand and wrist are controlled by two main tendon groups:
- Flexor Tendons – These enable your fingers to curl into a fist and are helpful in gripping objects.
- Extensor Tendons – These help the fingers to open from curled position.
At times, these tendons can get damaged (torn) and cause ‘Tendon Rupture’. This is an uncommon condition and is mostly caused due to rheumatoid arthritis or other similar inflammatory arthritis type. Prompt and effective surgery is required to treat the torn tendons as well as to prevent the other tendons from getting damaged.
Mostly, our expert orthopedic surgeons at Cocoona Day Surgical Center will use healthy tendons from your body to repair the damaged tendons.
You will require around 4-6 weeks recovering completely from this surgery. You should avoid using your hand during this time. Certain light exercises may also be advised by our trained physiotherapists to restore movement and flexibility in the hand and wrist.
What are the advantages of Hand Surgery?
The main advantages of having a hand surgery at Cocoona Day Surgical Center are:
- Long-lasting relief from constant and disabling pain
- Restoration of strength and movement in the hand
- Restoring hand appearance to make it look better
Hand surgery is one of the most commonly performed orthopedic surgical procedures at Cocoona Day Surgical Center. We have extensively trained orthopedic specialist and surgeons who are expert at performing various hand surgeries successfully each month.