Nerve injuries can result from cuts, pressure, or stretching. An injured nerve can cause lack of sensation, movement, or both. Some nerve injuries require surgical repair and occasionally nerve grafting may be necessary. End-to-end approximation procedures involve carefully stitching the two endings of severed nerves together. Nerves regenerate very slowly. Recovery time and the degree of recovery are different for everyone.
MEDIAN NERVE COMPRESSION
Median nerve compression can actually start in the upper arm causing pain, numbness and tingling. To decompress the nerve, the connective band or scar tissue has to be released or cut away from the nerve. The incision depends on where the compression is located. Without proper treatment, there is a risk of developing permanent loss of function of the hand.
CARPAL TUNNEL SYNDROME
Carpal tunnel release consists of making an incision up to 2 inches in the wrist and then cutting the carpal ligament to enlarge the carpal tunnel. Recurrence of carpal tunnel syndrome after treatment is rare and the majority of patients recover completely.
Tendons are tough cords of tissue that connect muscles to bones. They aid in a wide range of physical movement. Tendon damage can be caused from cuts, bites, sports injuries, crush injuries or rheumatoid arthritis. Tendon repair involves making an incision at the site to locate the ends of the divided tendon, and then suturing the ends together. Recovery time can take 6-12 weeks and you will need to wear a hand splint to protect the repair for 6-8 weeks.
Dupuytren’s contracture is a fixed flexion contracture of the hand where the fingers become bent towards the palm and are unable to fully straighten out. To release the contracture a z-plasty is performed. The diseased cords and fascia are excised. Sutures are generally removed in 10-14 days. Approximately 6 weeks after surgery patients are able to completely use their hands.
SURGICAL TREATMENT OF NEUROPATHIES
Through surgical intervention most neuromas (any type of tumor composed of nerve cells) or twisted nerve trunks can be identified and repaired thereby alleviating symptoms.
TREATMENT OF ACUTE HAND TRAUMA
Often hand trauma is acute and requires immediate surgery to repair. Surgical treatment could be as simple as suturing a cut or laceration, or more complex requiring setting of fractured bones or joints, or simple or complex amputation. This can be achieved by our surgeons.