Hand Surgery is all about optimising your function. Surgery can be a powerful way to improve your pain and disability.
We work closely with our hand physiotherapy/ hand therapy colleagues to prepare you for surgery and to rehabilitate afterwards.
We will be honest and realistic about your time off work and the lifestyle modifications that you may need to make during your recovery. Many conditions can be managed for long periods without surgery and we are happy to guide you through this.
For more information on hand surgery click here.
A fracture of the distal phalanx of the finger beneath the nail.
A fracture of the middle phalanx of the finger between the first (PIP joint) and second finger joints (DIP joints).
A fracture of the proximal phalanx of the finger between the knuckle (MCP joint) and the first finger joint (PIP joint).
A fracture of one of the five main hand bones.
A fracture of the growing part of a bone.
Hyperextension of the finger, usually at the proximal interphalangeal joint. This may be associated with subluxation (partial joint dislocation), or complete dislocation. Three stabilising structures of the interphalangeal joint are progressively injured: the volar plate; radial collateral ligament; and ulna collateral ligament.
When should I see a Surgeon?
A crush injury to the tip of the finger results in a tear of the pale pink nailbed (sterile matrix), beneath the nail. An accumulation of blood develops under the nail (subungual haematoma). The injury is often associated with a small fracture of the distal phalanx (tuft fracture).
An avulsion of the flexor tendon insertion onto the distal phalanx. May be associated with a fracture.
An avulsion of the extensor tendon insertion onto the distal phalanx. May be associated with a fracture.
Tendons are like ropes which flex and extend the wrist, hand, and fingers. Sharp injuries such as a knife laceration commonly injure the tendons. Partial tendon injuries can rupture with ongoing use.
A partial or complete tear of the ulna collateral ligament of the MCP joint of the thumb. This ligament is important in stabilising the thumb during pinching. The ligament injury may be associated with an avulsion fracture.
Compression of the median nerve as it passes through the wrist (carpal tunnel).
What are the symptoms?
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Compression of the ulnar nerve at the elbow (cubital tunnel).
Compression of the abductor pollicis longus and extensor pollicis brevis tendons within the 1st extensor compartment.
A synovial cyst originating from the scapholunate ligament.
A ganglion arising from the distal interphalangeal joint.
Synovial cyst originating from the tendon sheath.
Contracture of the palmar fascia between the skin and underlying flexor tendons.
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The flexor tendons are swollen and catch (trigger) in the tendon tunnel at the A1 pulley in the palm (site of maximum pain).
Autoimmune arthritis with synovitis
The cartilage articular surfaces of the joints erode away, and the underlying bony surfaces come into contact.
The cartilage articular surfaces of the joints erode away, and the underlying bony surfaces come into contact
when the pain recurs after Step 1