Hand surgery

Problems in the joints, muscles and ligaments of the wrist can be caused by injuries, working conditions and various diseases - diabetes, rheumatoid arthritis, gout, thyroid problems, etc. When faced with hand and arm problems, people may experience pain, tingling, numbness, lumps may form under the skin, and difficulty bending or flexing fingers and other parts of the hand. Various exercises, aids and drug therapy can alleviate the condition, but often only surgery can completely solve the problem.

Carpal tunnel syndrome

Carpal tunnel syndrome is a common condition, particularly common in women. The disease manifests itself as sensory disturbances of the I-IV finger, nocturnal pain. Carpal tunnel syndrome most often affects the leading hand and is a common occupational disease that puts at risk people who perform long, heavy, repetitive manual work (office workers, hairdressers, dentists, conveyor line workers, etc.). Carpal tunnel syndrome is caused by nerve compression at the base of the hand or in the cubital tunnel. 

Initially, blockade and stretching exercises can be performed to relieve the symptoms, but carpal tunnel syndrome can only be 
completely eliminated by surgery. During surgery, the ligament is divided to reduce the pressure in the carpal tunnel. The surgery removes tingling in the hands and fingers, hand pain, and muscle strain.

• The surgery is performed under local anaesthesia. It lasts 30 min.

Hygromas or palmar tubercles

Hygromas are joint "hernias" filled with joint fluid - a yellow, transparent, jelly-like mass. Often the disease develops from a tendon sheath. The cause is most often trauma. As they grow larger, these masses can cause pain and make movement difficult. During surgery, the mass is removed and, if necessary, histology is performed.

• The surgery is performed under local anaesthesia. It lasts 30 min.

Dipitren's disease

Dipitren's disease is a connective tissue disease of the palm (palmar aponeurosis) that causes hard nodules to form under the skin of the palm, resulting in retraction and deformity of the fingers and difficulty in finger flexion. During surgery, the interfering connective tissue is removed, eliminating the contracture, and the fingers can be straightened again.

• The surgery is performed under general or local anaesthesia. It lasts 1-1.5 h.

Stenosing ligamentitis

Stenosing ligamentitis, or "calloused" fingers, is caused by long periods of hard, monotonous work. This can be due to both swelling of the tendon and narrowing of the canal itself. Symptoms: pain in the fingers, mobile thickening at the base of the fingers above the tendons, which makes it impossible to bend and flex the fingers. 

• The surgery is performed under local anaesthesia. It takes 30 min.

De Quervain's disease

The condition causes pain in the thumb and inability to bend the finger. During surgery, a ligament above the tendon is split in the forearm, eliminating the pain in the thumb and hand.

• The surgery is performed under local anaesthesia. It takes 30 min.

Cubital tunnel syndrome

The nerve in the elbow joint can be pinched for various reasons, causing tingling in the fingers, tightening of the fingers and loss of strength. During surgery, the ligament in the elbow joint is divided and the ulnar nerve is released. 

• The surgery is performed under general anaesthesia. Duration is 1 h.

Pronator syndrome

During the operation, the ligament in the forearm is divided and the median nerve is released, eliminating tingling in the hands and fingers, hand pain and muscle strain.

• The suregry is performed under general anaesthesia. Duration is 1 h.