Hand and Wrist Treatments at Fitzwilliam Hospital
Your hands and wrists are composed of many tissues including bones, muscles, tendons, nerves and ligaments. Each of these elements can become stressed and consequently hand and wrist problems are common.
Hand and wrist conditions can impede your daily lifestyle. Here at Fitzwilliam Hospital we understand the importance of restoring functionality of your hand and wrist and reducing pain early.
Our highly experienced hand and wrist specialists offer rapid access to the diagnosis and treatment of a wide range of hand and wrist conditions including: carpal tunnel syndrome, Dupuytren’s contracture, wrist fractures, ligament tears and thumb arthritis.
We perform keyhole surgery whenever clinically possible to reduce recovery time and scarring for our patients.
Carpal tunnel surgery
Carpal tunnel surgery is performed to release pressure on a nerve in your wrist that is causing you pain, tingling and a weakness in your hand muscles.
Your carpal tunnel is a narrow passageway composed of ligaments and bones. It takes your median nerve to your hand. If your median nerve becomes compressed at your wrist you will suffer from carpal tunnel syndrome.
Carpal tunnel surgery divides your carpal ligament and relieves pressure on your median nerve. It’s performed under local anaesthetic and takes around twenty minutes.
Wrist arthroscopy is used to diagnose and treat a number of wrist conditions, including chronic wrist pain, wrist fractures, ganglion cysts, and ligament tears.
It is keyhole surgery which involves placing a small, thin telescope, called an arthroscope, through a small cut in your skin, to look inside the two main joints of your wrist. Your hand and wrist surgeon will be able to check for damage to your joint surfaces, the ligaments holding your bones together and the joint cartilage.
The procedure is carried out under general anaesthetic and if treatment is required it can be performed at the same time to correct the problems.
Thumb arthritis surgeries
Thumb arthritis surgery aims to offer pain relief and the full return of your hand function caused by thumb arthritis, and is recommended if other treatments have been unsuccessful.
If you have thumb arthritis the cartilage on the bone ends of your thumb will be wearing away. This can cause pain, inflammation, a lack of strength, joint immobility and difficulty pinching or gripping.
There are a number of thumb surgeries including:
• joint fusion or arthrodesis - permanent joining of bones in your thumb joint.
• osteotomy - repositioning of your thumb joint bones.
• trapeziectomy - removal of the trapezium bone in your thumb joint.
• joint replacement or arthroplasty - all or part replacement of your thumb joint.
Your hand and wrist surgeon will discuss the best treatment option for your thumb arthritis.
Dupuytren's disease causes a thickening of the tissues in your palm. Sometimes one or more of your fingers may become contracted or bent and this is known as Dupuytren’s contracture.
Dupuytren's fasciectomy is surgery to remove the thickened tissue in your palm and is frequently used to treat Dupuytren’s contracture. It may be recommended if you struggle to flatten your hand on a table top, or if you have significant reduced hand function.