Hand and Upper Extremity Surgery

Common Conditions:

1. Carpal Tunnel Syndrome: Carpal tunnel syndrome occurs when the median
nerve, which runs through the wrist, becomes compressed, leading to symptoms
such as pain, numbness, and tingling in the hand and fingers. Surgical treatment
may involve releasing the pressure on the nerve through carpal tunnel release
surgery.

2. Fractures and Dislocations: Fractures and dislocations of the hand, wrist,
forearm, elbow, and shoulder are common injuries that may require surgical
intervention to realign bones, stabilize joints, and promote proper healing.

3. Tendon Injuries: Tendon injuries, such as tendonitis, tendon ruptures, or tendon
lacerations, may occur due to trauma, overuse, or degenerative changes.
Surgical repair or reconstruction may be necessary to restore tendon function
and mobility.

4. Arthritis: Arthritis can affect the joints of the hand, wrist, and elbow, causing
pain, stiffness, and decreased range of motion. Surgical options for arthritis may
include joint fusion, joint replacement, or arthroscopic procedures to remove
inflamed tissue.

5. Nerve Compression Syndromes: In addition to carpal tunnel syndrome, other
nerve compression syndromes, such as cubital tunnel syndrome (compression of
the ulnar nerve at the elbow) or radial tunnel syndrome (compression of the
radial nerve), may require surgical intervention to relieve pressure on the affected
nerve.

Treatment Approaches:

1. Reconstructive Surgery: Reconstructive surgery of the hand and upper
extremity may involve repairing or reconstructing soft tissue structures, such as
tendons, ligaments, or nerves, to restore function and improve mobility.

2. Joint Replacement: For severe arthritis or joint degeneration in the hand, wrist,
or elbow, joint replacement surgery may be considered to remove damaged joint
surfaces and replace them with artificial implants, reducing pain and improving
joint function.

3. Microsurgery: Microsurgery techniques may be used in hand and upper
extremity surgery to repair small blood vessels, nerves, or soft tissue structures
with precision, often using a microscope or magnifying loupe for enhanced
visualization.

4. Minimally Invasive Techniques: Minimally invasive approaches, such as
arthroscopy or endoscopic surgery, may be utilized to treat certain hand and
upper extremity conditions, resulting in smaller incisions, less tissue disruption,
and faster recovery times compared to traditional open surgery.

Rehabilitation and Recovery: Rehabilitation following hand and upper extremity
surgery is essential for restoring function, strength, and mobility. This may involve
physical therapy, occupational therapy, exercises to improve range of motion and
dexterity, and education on proper hand and upper limb care.