Hand Wrist and Elbow

Hand Wrist and Elbow Surgery

Your hands, wrists and elbows are made up of many tissues that include: bones, muscles, tendons, nerves and ligaments. They’re subjected to a lot of stress and problems can be common. As well as causing pain, conditions of the hands, wrists and elbows impact greatly on your quality of life as even regular activities such as getting dressed can become difficult.

Here at Mount Stuart Hospital we treat a broad range of injuries and disorders of the hand, wrist and elbow including: wrist sprains and fractures and tennis elbow due to sports injuries, carpal tunnel syndrome, thumb arthirits and Dupuytren’s contracture.

Our expert orthopaedic surgeons with a special interest in hands, writs and elbow provide you with the best possible care to alleviate your pain and restore the function of your hands, wrist and elbow. We offer a wide range of non-surgical options such as bracing or splinting, medication and steroid injections as well as surgical procedures.

The range of hand, wrist and elbow surgeries we offer

Carpal tunnel release surgery

The carpal tunnel is a narrow passageway at the base of your hand. It’s made of ligament and bones and houses your median nerve and tendons. Carpal tunnel syndrome (CTS) occurs when the median nerve, which runs from your forearm into the palm of your hand, becomes pressed or squeezed at the wrist. Pain, numbness and tingling can result.

If symptoms are mild wearing a wrist support or a steroid injection near the carpal tunnel may help. Carpal tunnel release surgery or carpal tunnel decompression is a common procedure where your hand and wrist surgeon will cut your carpal ligament to reduce the pressure on the median nerve in your wrist.

Dupuytren's fasciectomy

Dupuytren’s contracture or Dupuytren's disease causes thickening of tissues in the palm. If the disease progresses, you may develop a contracture of one or more fingers. The bending or contracture of your fingers can take a long time to develop. It often happens in the ring finger first.

Often Dupuytren’s disease doesn’t need treatment and the condition causes little interference in the use of your hand. If you’re not able to place your hand flat on a table top or if your hand function is significantly affected then treatment may be advised. Radiation may be recommended to soften the abnormal tissue and aims to stop or slow down the disease.

Dupuytren’s fasciectomy is the most common treatment method. It’s a form of surgery to remove the abnormal thickened tissue in your hand and it gives the best chance of a long-term cure.

Tennis elbow

Tennis elbow is also known as lateral epicondylitis as it’s a condition where you have pain on the outer side (lateral epicondyle) of your elbow. It’s often due to an overuse strain that causes damage to the tendons around your elbow.

Symptoms can improve in many people by just stopping activities that strain the affected muscles and tendons. Painkillers and non-steroidal anti-inflammatory drugs (NSAIDs), physiotherapy, corticosteroid injections and shock wave therapy are non-surgical treatment options. If your pain is severe your surgeon may decide surgery is the best treatment. The damaged part of the tendon will be removed and pain will be relieved.

Thumb arthritis

Thumb arthritis is when your cartilage on the bone ends of your thumb joint wears away and causes pain, swelling, immobility of the joint and lack of strength.

In the early stages of thumb arthritis treatments may include: splints, medication and injections. Surgery is the most reliable way of relieving the pain caused by this condition and for the return of proper use of your hand. Surgical options include: joint fusion or arthrodesis (the permanent joining together of the affected bones in your thumb joint), osteotomy (the repositioning of your thumb joint bones), trapeziectomy (the removal of one of your bones, called the trapezium, in your thumb joint), and joint replacement or arthroplasty (the replacement of all or part of the affected thumb joint with a graft). 

The following Consultants specialise in hand, wrist and elbow surgery at Mount Stuart Hospital

Mr Birdsall

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