Hand & Wrist Surgery
Hand and wrist surgery represents a surgical subspecialty which preoccupies itself with the restoration of form and function in those two anatomical areas in children and adults. In a comparably small volume of the body a large number of anatomical structures are contained. Bones, ligaments, tendons, nerves, blood vessels, muscles and skin may be affected by injuries, congenital deformities and age related disorders. These in turn impede hand function – the ability to move, feel, grasp, manipulate.
Like many other things which render surgery more an art than a science the intricacies of interplay of anatomical elements, which keep the hand functional, are incompletely understood at best. Well defined disorders such as carpal tunnel or trigger finger result in highly satisfactory results, whereas others permit only partial restoration, for example the reattachment of amputated parts of the hand.
A large part of hand surgery is related to the treatment of injuries, from infections, severed tendon and nerves to fractures and dislocated joints, loss of skin cover or interruption of blood supply to the hand. Often, these require the application of microsurgical techniques or tissue transplantation.