Carpal Tunnel Syndrome
Carpal tunnel syndrome (CTS) is a common problem affecting the hand and wrist. Symptoms begin when the median nerve gets squeezed inside the carpal tunnel of the wrist, a medical condition known as nerve entrapment
This syndrome has received a lot of attention in recent years because of suggestions that it may be linked with occupations that require repeated use of the hands, such as typing on a computer keyboard or doing assembly work. Actually, many people develop this condition regardless of the type of work they do. It is more common in middle aged women When non-operative is not effective, surgical release is indicated.
Ulnar nerve at Guyon's canal
De Quervain's Tenosynovitis
The condition called de Quervain's tenosynovitis causes pain on the outside of the wrist and forearm just above the thumb. It is a common in middle aged females Usually easy to diagnose. When non-operative treatment fails, may need surgical release
Dupuytren's Contracture
Dupuytren's contracture is a fairly common hand disorder It most often affects the ring or little finger, Sometimes both, and often in both hands.[7 times more common] It occurs most often in middle-aged, white men Familial: genetic in nature, meaning it runs in families It is more common in men of Scandinavian, Irish, or Eastern European ancestry. Viking culture]. The disorder may occur suddenly but more commonly progresses slowly over a period of years. The disease usually doesn't cause symptoms until after the age of 40.
Arthritis of Base of the Thumb
Arthritis of carpometacarpal joint is a common condition
Patient may have pain over the base of the thumb
Pain is aggravated by pinch or power grip
Local cortisone gives good relief when condition is symptomatic
Occassionally excision of the trapezium is required.
Finger Fusion Surgery

Arthritis of the finger joints may be surgically treated with a fusion procedure. Fusion keeps the problem joints from moving so that pain is eliminated.
Main purpose of this surgery is to improve function of the hand
Once fused loss of movement in the joint is permanent
Smoking delays healing of fusion
Ganglions of the Wrist
It is a common type of hand swlling A ganglion is a small, harmless cyst, or sac of fluid, that sometimes develops in the wrist. Treatment options are available for painful ganglions or ones that cause problems. Best treatment is surgical excision There is 5-10% chance for recurrence.
Hand Fracture
A hand fracture occurs when one of the small bones of the hand is broken. There are several small bones that together make up the supporting framework of the hand. Common fractures: Scaphoid, fracture phalanges, metacarpal fracture Treatment is non-operative or operative
Overtreatment causes stiffness.
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