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Description:
Thumb Basal Joint Arthritis is a condition of cartilage degeneration at the joint between the base of the thumb and the adjacent wrist bone. Arthritic changes occur in a joint that has been exposed to previous trauma, repetitive use, or commonly for unspecified causes. As the cartilage between the two bones wears away, the bones begin to rub against each other - causing pain with use of the hand and eventually even at rest.Surgical Treatment:
Surgical reconstruction often includes removal of the arthritic joint and the use of a tendon from your forearm to replace it. The surgery takes approximately 1 hour on an outpatient basis at the hospital or surgery center. A split is placed onj the arm immediately following the procedure.
Description:
Carpal Tunnel Syndrome (CTS) is a set of symptoms that result from pressure on the median nerve. Because the median nerve provides sensation to the thumb, index, middle and 1/2 of the ring finger, a person with CTS will have numbness in these areas. Compression of the median nerve most often occurs at the carpal tunnel, under the transverse carpal ligament which is located in the palm of the hand. Carpal Tunnel Syndrome is diagnosed by the patient's history, physical exam and if necessary, by special nerve tests.Surgical Treatment:
Carpal Tunnel Release involves a small incision on the palm of the hand. The transverse carpal ligament is released, resulting in relief of pressure on the median nerve. Once the carpal tunnel is opened, the nerve and tendons that pass through this area are inspected. The surgical wound is closed with stitches, and the hand is wrapped with soft dressings.
Description:
DeQuervain’s Tenosynovitis is an inflammation around the tendons on the thumb-side of the wrist which results in pain in this area. Repetitive use of the hand in activities that require gripping, grasping, pinching, or lifting tends to aggravate the inflammation, and therefore, increase one’s pain.Surgical Treatment:
Surgical treatement for DeQuervain’s Tenosynovitis involves a small incision over the thumb-side of the wrist. The synovial tissue and pulley that surround the tendon are then incised, to relieve the pressure exerted by the inflamed tendon, and to allow the tendon to glide smoothly.
Description:
Stenosing Tenosynovitis or “Trigger Finger” occurs as a result of localized swelling or enlargement in a tendon on the palm side of the hand. It affects the tendons that are responsible for flexing or bending the fingers. Therefore it is often symptomatic when the person bends and straightens the affected finger. As the swelling continues, it forms a nodule in the tendon.Surgical Treatment:
Surgery is often performed under local anesthesia on an outpatient basis. A small incision is made on the palm side of the hand, at the base of the involved finger. The pulley that restricts tendon motion is released, allowing the tendon to glide smoothly. Stitches close the incision and a soft dressing is used to cover the wound. The procedure typically takes about 15 minutes.
Description:
Tennis Elbow (Lateral Epicondylitis) or Golfer’s Elbow (Medical Epicondylitis) are identical processes that occur on the outside and inside of the elbow. Brought on by repetitive gripping, lifting or excessive use of the arm, micro tears develop in a forearm tendon that attaches at the elbow. The tearing results in swelling and pain. The tendons that are involved in epicondylitis extend down the forearm into the hand. Therefore, certain hand and wrist motions may initiate or aggravate symptoms.Surgical Treatment:
The surgical procedure to relieve epicondylitis involves making a small incision over the painful area of the elbow and removing the involved tendon from its’ attachment to the bone. As this is typically an out-patient procedure, most people will leave the hospital on the day of surgery, with soft dressings and possible split covering their surgical wound.
Description:
Cubital Tunnel Syndrome is a combination of signs and symptoms that result from the compression of the ulnar nerve at the elbow. Irritation of the ulnar nerve most commonly results from repetitive elbow flexion which stretches the ulnar nerve or from direct contact of the elbow against an arm rest.Surgical Treatment:
Surgery for Cubital Tunnel Syndrome involves releasing constricting bands crossing the ulnar nerve. In addition, the ulnar nerve may be relocated, so that it is cushioned under muscle or fat tissue. Following this outpatient procedure, a split or soft dressings are placed over the surgical wound.
Description:
A ganglion cyst is a fluid-filled sac that protrudes from a joint or tendon sheath. Lubricating fluid surrounds all bones and tendons to allow them to move smoothly during motion. On occasion, and often for no identifiable reason, fluid bulges out of the joint or tendon sheath into a pouch or sac. This process results in a ganglion cyst.Surgical Treatment:
Surgical removal of the cyst requires an outpatient procedure at the hospital or surgery center. A small skin incision is mad over the ganglion, and the entire structure is removed. The incision will be closed with a few stitches, and the entire procedure takes less than 30 minutes.
Description:
Impingement Syndrome refers to pain that develops in the subacromial space of the shoulder. Inflammation of the bursa or tendon results in enlargement of these structures due to swelling, causing them to abut up against the acromion, one of the bones near the shoulder joint. This results in pain an disk own as Impingement Syndrome.Surgical Treatment:
Surgery for Impingement Syndrome may be performed through an arthroscopic approach. During surgery all bone spurs and inflamed bursa are removed to relieve pain. The procedure typically takes less than two hours, and most patients leave the hospital the same day with soft dressings over the surgical wounds.
Description:
A tear in the Rotator Cuff can occur gradually from degeneration or suddenly with a traumatic event. Traumatic tears of the Rotator Cuff can occur from injuries such as falling onto the shoulder, or breaking a fall with the involved arm. Tears can also occur from progressive break down of the tendon tissue, and can be non-painful.Surgical Treatment:
The surgical procedure to repair a torn Rotator Cuff may be performed arthroscopically, through an open incision, or as a combination of both. The torn tendon, which often retracts like a rubber band into the back of the shoulder, is indentified and pulled back into place. It is then secured to the top fo the humerus with sutures where it had previously been attached.
Description:
The thumb has ligaments that run along both sides of the joint which help maintain stability and function. With sudden or repeated stress to the inside aspect of the thumb, laxity or rupture of the ulnar collateral ligament can occur. When this happens, the thumb becomes unstable, and is associated with pain and poor pinching ability.Surgical Treatment:
Surgical repair of a Gamekeeper’s Thumb consists of reattaching the torn ligaments with suture bone anchors. On occasion, depending on how old the injury is and the activity level of the patient, a joint fusion may be the preferred form of treatment.