Orthopedic Conditions

Hand & Wrist

The hand is involved in almost everything we do during a day, so even minor conditions have a disproportionate effect on daily life. The good news is that most of them have a clear diagnosis and are resolved with short, reliable day-case procedures.

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Carpal Tunnel Syndrome Carpal Tunnel Syndrome Carpal tunnel syndrome is the most common nerve compression condition in the human body. It is caused by compression of the median nerve at the wrist… Learn more De Quervain’s Tenosynovitis De Quervain’s Tenosynovitis De Quervain’s syndrome (or De Quervain’s tenosynovitis) is a painful inflammation of the tendons on the thumb side of the wrist. It causes pain when using… Learn more Trigger Finger Trigger Finger Trigger finger (or “locking finger”) is a common condition of the tendons of the hand, in which a finger “catches” or “locks” in a bent position… Learn more Wrist Ganglion Wrist Ganglion The wrist ganglion is one of the most common benign swellings (“lumps”) of the hand. It is a cystic formation filled with a thick, jelly-like fluid,… Learn more

The typical presentations

Numbness in the thumb, index and middle finger that wakes the patient at night and settles when the hand is shaken is classic carpal tunnel syndrome. Pain on the thumb side of the wrist, worse when lifting a baby or a kettle, suggests de Quervain’s tenosynovitis. A finger that catches in flexion and releases with a snap is trigger finger. And a firm, painless lump on the back of the wrist is almost always a ganglion.

Diagnosis and treatment

Clinical examination is sufficient in most cases. Nerve conduction studies confirm and grade median nerve compression, while ultrasound helps with tendon problems and ganglia. Splints, activity modification, anti-inflammatories and corticosteroid injections form the first line. When symptoms persist, or when there is weakness and muscle wasting, surgical release is short, safe and has very high satisfaction rates.

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