Hands are considered highly complex in terms of surgical correction and treatment. Trauma, arthritis, carpal tunnel syndrome, and fractures are the leading instigators of surgical intervention. Surgery may be used to address all of these conditions.
Arthritis affects the joints and is considered particularly disruptive in the hands. If left untreated, it may wear away at joints and eventually bone tissue, resulting in discomfort and loss of fine motor skills. Osteoarthritis and rheumatoid arthritis are the most common forms of this disease. Gradual degeneration of the cartilage which provides cushioning for the joints is resultant of both forms of arthritis. There are numerous therapeutic approaches of treatment, including hot and cold therapies, non-steroidal anti-inflammatory medications, exercise, steroid injections, immobilization, and DMARDs (disease-modifying anti-rheumatic drugs). In the event these therapies prove inadequate, surgical intervention may be beneficial.
Carpal Tunnel Syndrome
This disease is often presented with pain, tingling or numbness of the arm and hands. It is caused by compression of the medial nerve running from the wrist into the hand. Early detection often results in successful recovery.
Fractures are a common form of hand trauma. The hand is made up of two bone types: phalanges, which comprise the fingers, and metacarpals which are located in the palm. Twisting, crushing, and impact can break the fragile bones within the hand. Often, through casting and splints, hand fractures heal without surgery. If complications such as misalignment of the bones or tendon damage occur, surgery may be necessary. Additionally, trauma to the nerves and arteries often requires surgical intervention.
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