The trained specialists in the Department of Orthopaedics and Traumatology at Liv Hospital offer surgical treatment for a range of painful hand and wrist conditions that result from injury, fracture and other hand and arm conditions. This unit also treats diseases and fractures of the forearm and the elbow.
The human hand is a complex instrument that is both tough and delicate. Its functions of sensitivity and movement allow us to sense and control the world around us.
One out of every three occupational or home accidents involves an injury to the hands and wrists. Many routine conditions of the hand are treated at Liv Hospital, including:
Trigger finger
The tendons of the thumb and of each of the fingers pass through a sheath that is on the inside of the palm. Certain diseases and excessive actions can cause thickening of this sheath. When the tendon passes through the thickened sheath, it eventually becomes irritated and swollen. Pain and stiffness occur at first, and eventually immobilization of the finger. Early treatment consists of anti-inflammatory medication or injecting Cortisone. If these do not bring relief, the sheath is surgically opened through a small incision at the base of the finger.
Dupuytren's contracture
This disease is a thickening of the ligament in the palm, resulting in nodules on the ligament that, if severe enough, can cause the fingers to be unable to fully extend. The ring finger and little fingers are most commonly affected.
The cause of this disease is unclear. It is more common in males and usually in people of northern European descent.
If the deformity is mild and there is no loss in function, surgery is not necessary. If, however, there is significant contracture that affects the overall use of the palm, then the preferred treatment choice is surgical removal of a part of the ligament to improve functionality and prevent further deformity.
De Quervain's tenosynovitis
Tendinitis of the wrist on the thumb side can be a very painful and crippling condition. Just pinching or twisting can be almost impossible. The tendons to the thumb become inflamed as they pass under the ligament and the slightest movement of the wrist can cause pain.
Treatment consists of rest, medication and occasionally a steroid injection can be used. If these methods do not bring relief over time, the ligaments may be surgically released.
Carpal tunnel syndrome
Carpal tunnel syndrome is a common problem of the palm that results from pressure on the median nerve in the wrist. Symptoms, which usually worsen at night, consist of numbness and/or pain in the wrist and fingers. Eventually there is a loss of strength, good motor control and sensation. Early treatment consists of splinting and anti-inflammatory medications. If symptoms do not improve, an outpatient surgical procedure can be suggested to reduce the pressure on the nerve.