​Hand & Wrist

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Injuries or disorders of the hand and wrist can have a major impact on the ability to perform everyday functions and severely decrease quality of life. Weiss orthopedic surgeons use the latest procedures to expertly treat your hand and wrist issues, including:

  • Carpal Tunnel Surgery
  • Ganglion Cyst Removal
  • Wrist Fracture Repair
  • Ulnar Tunnel Syndrome

Carpal Tunnel Surgery

Carpal tunnel syndrome is a condition in which the median nerve is compressed as it passes through an opening from the wrist to the hand called the carpal tunnel. The carpal tunnel is formed by the carpal bones on the bottom of the wrist and the transverse carpal ligament across the top of the wrist. Since the median nerve provides sensory and motor functions to the thumb and three middle fingers, many symptoms may result.

Symptoms

  • difficulty making a fist
  • difficulty gripping objects with the hand(s)
  • pain and/or numbness in the hand(s)
  • "pins and needles" feeling in the fingers
  • swollen feeling in the fingers
  • burning or tingling in the fingers, especially the thumb and the index and middle fingers
  • pain and/or numbness that is worse at night, interrupting sleep

Treatment

  • splinting of the hand (prevents wrist movement and decreases nerve compression)
  • oral or injected anti-inflammatory medications (to reduce swelling)
  • changing position of a computer keyboard, or other ergonomic changes
  • occupational therapy
  • surgery (to relieve compression on the nerves in the carpal tunnel)
Surgery can be performed in the traditional open manner or endoscopically, which is minimally invasive. During both procedures, the transverse carpal ligament is cut to release the pressure on the median nerve and relieve carpal tunnel symptoms.


Ganglion Cyst Removal

A ganglion cyst is a tumor or swelling on top of a joint. It appears as a fluid-filled lump that changes in size, and may appear after injury.

Symptoms

  • swelling may appear over time or suddenly, may get smaller in size, and may even go away, only to come back at another time
  • the pain is usually nonstop, aching, and made worse by joint motion
  • when the cyst is connected to a tendon, you may feel a sense of weakness in the affected finger

Treatment

  • splinting of the wrist
  • exercises to strengthen wrist and improve range of motion
  • aspiration
  • surgical removal - recommended when the mass is painful, interferes with daily function, or when numbness or tingling of the hand or fingers occurs

Ulnar Tunnel Syndrome

Ulnar tunnel syndrome is a condition in which the nerve is compressed as it passes through an opening from the wrist to the hand. This differs from carpal tunnel syndrome, in that the area of the hand affected includes the pinky and ring finger.

Symptoms

  • pain and/or numbness in the outside of the hands
  • "pins and needles" feeling in the ring and pinky fingers
  • burning or tingling in the fingers, especially the ring and pinky fingers

Treatment

  • splinting of the hand (prevents wrist movement and decreases nerve compression)
  • oral or injected anti-inflammatory medications (to reduce swelling)
  • occupational therapy
  • surgery (to relieve compression on the nerves)


Trigger Finger

Known by doctors as stenosing tenosynovitis, trigger finger is a painful condition that causes your fingers or thumb to get stuck in a bent position. Tendons in your fingers are covered by a protective, lubricating barrier called a sheath. When tendons become inflamed they can catch on this sheath, causing trigger finger.

Symptoms

  • stiffness or difficulty straightening fingers or thumbs
  • bump or tenderness, especially near the base of the finger
  • pops or cracking when bending and straightening fingers
  • finger stuck in a bent position

Treatment

  • anti-inflammatory medicine
  • hot/cold therapy
  • rest
  • splinting affected fingers
  • surgery


Wrist Fracture Repair

A fracture is a partial or complete break in the bone. When a fracture occurs, it is classified as either open or closed:

  • open fracture - the bone exits and is visible through the skin, or where a deep wound exposes the bone through the skin
  • closed fracture - the bone is broken, but the skin is intact

Fractures occur when there is more force applied to the bone than the bone can absorb. Bones are weakest when they are twisted. Breaks in bones can occur from falls, trauma, or as a result of a direct blow or kick to the body.

Symptoms

  • pain in the injured area
  • swelling in the injured area
  • ·obvious deformity in the injured area
  • difficulty using or moving the injured area in a normal manner
  • warmth, bruising, or redness in the injured area

Treatment

Wrist fractures may be treated by casting, surgical repair, and/or physical therapy or rehabilitation