Hand and wrist surgery in Aberdeen

Carpal tunnel syndrome is one of the most common causes of hand and wrist pain, affecting thousands of people every year. It occurs when the median nerve, which runs from the forearm into the hand, becomes compressed as it passes through a narrow passage in the wrist known as the carpal tunnel.

This pressure on the nerve can lead to a range of uncomfortable symptoms such as: 

• Tingling or pins and needles in the thumb, index finger, middle finger, and part of the ring finger
  
• Numbness in the hand or fingers
  
• Pain in the wrist, hand, or forearm
  
• Weakness when gripping objects
  
• Difficulty carrying out fine movements such as buttoning clothes or writing
  
• A tendency to drop objects unexpectedly
  
• Symptoms that are often worse at night or first thing in the morning
  

• Wrist splints, particularly for night time use
• Activity modification to reduce pressure on the nerve
• Anti-inflammatory medication
• Hand therapy and exercises
• Corticosteroid injections to reduce swelling around the nerve
  
   

If symptoms are severe or fail to improve with non-surgical treatment, carpal tunnel release surgery may be recommended. This straightforward procedure involves releasing the ligament that forms the roof of the carpal tunnel, creating more space for the median nerve and relieving pressure

 

Dupuytren's contracture is a common hand condition that affects the connective tissue beneath the skin of the palm and fingers. Over time, this tissue can thicken and tighten, causing one or more fingers to bend towards the palm. The condition usually develops gradually and can make everyday tasks increasingly difficult. Although Dupuytren's contracture is not typically painful, it can significantly affect hand function, making it harder to grip objects, shake hands, put hands in pockets, or carry out routine activities.

The symptoms of Dupuytren's contracture often develop slowly over several months or years. Many people initially notice a small lump or thickened area in the palm before experiencing changes in finger movement.

Common symptoms include:

• Small, painless lumps or nodules in the palm of the hand
• Thickened cords of tissue beneath the skin
• Difficulty fully straightening one or more fingers
• Fingers gradually curling towards the palm
• Reduced hand function and grip
• Difficulty placing the hand flat on a table
• Challenges with everyday activities such as wearing gloves, washing hands, or gripping larger objects

Early assessment is recommended if a patient notices lumps in the palm, difficulty straightening their fingers, or increasing hand stiffness.

Not everyone with Dupuytren's contracture requires treatment. If symptoms are mild and hand function is not significantly affected, a specialist may recommend monitoring the condition over time.
When treatment becomes necessary, several options may be available depending on the severity of the contracture.In the early stages, some patients may simply require regular review appointments to monitor progression. Treatment is often recommended once the fingers begin to interfere with normal daily activities.

For more advanced cases, surgery may be recommended to remove or release the thickened tissue causing the finger deformity.The aim of Dupuytren's surgery is to:

• Improve finger movement
• Restore hand function
• Make everyday activities easier
• Improve overall quality of life

Trigger finger, also known as stenosing tenosynovitis, is a common hand condition that can make it difficult to bend or straighten a finger or thumb. It occurs when a tendon becomes irritated and swollen, preventing it from moving smoothly through its natural tunnel (sheath) in the finger. The condition can affect people of all ages and is often seen in those who perform repetitive gripping activities, although it can also develop without an obvious cause.

Symptoms can include:

• Pain or tenderness at the base of the affected finger or thumb
• Stiffness, particularly first thing in the morning
• A clicking, popping, or catching sensation when moving the finger
• The finger locking in a bent position before suddenly straightening
• Difficulty gripping objects or performing everyday tasks
• Swelling or a small lump in the palm near the base of the finger

In more severe cases, the finger may become stuck in a bent position and require assistance to straighten.

Treatment depends on the severity of symptoms and how much the condition is affecting day-to-day life. Many patients find relief through conservative treatments, including:

• Rest and activity modification
• Anti-inflammatory medication
• Hand therapy exercises
• Steroid injections, which can reduce inflammation and allow the tendon to move more freely

If symptoms persist or the finger becomes locked, trigger finger release surgery may be recommended. This quick procedure is usually performed under local anaesthetic and involves releasing the tight section of the tendon sheath to restore smooth movement. The procedure is typically carried out as a day case, allowing patients to return home the same day.

Base of thumb arthritis, also known as thumb arthritis or thumb joint osteoarthritis, is a common condition that affects the joint at the base of the thumb. It occurs when the protective cartilage within the joint gradually wears away, causing the bones to rub together. The condition is particularly common with age and can make simple everyday activities such as opening jars, turning keys, writing, or gripping objects painful and difficult.

Symptoms often develop gradually and may worsen over time. Common signs include:

• Pain at the base of the thumb, especially during gripping or pinching activities
• Stiffness in the thumb joint
• Swelling or tenderness around the base of the thumb
• Reduced grip strength
• Difficulty opening jars, turning door handles, or holding objects
• A grinding or clicking sensation when moving the thumb
• Enlargement or prominence of the joint in more advanced cases

At Albyn Hospital in Aberdeen, patients are assessed by an experienced consultant orthopaedic surgeon specialising in hand and wrist conditions. Diagnosis typically involves discussing symptoms, examining the thumb joint, and, where necessary, arranging X-rays to assess the level of arthritis and joint damage.

During the initial consultation, patients will meet with an experienced Consultant Orthopaedic Surgeon who will discuss their symptoms, medical history, and overall health.

A thorough examination of the hand or wrist will be carried out to help identify the cause of the problem. If needed, diagnostic imaging such as X-rays or scans can be arranged conveniently at Albyn Hospital.

Once a diagnosis has been made, the consultant will explain the available treatment options and create a personalised care plan tailored to the patient's needs, lifestyle, and goals.

(Please note that any diagnostic test required are charged in addition to the initial consultation fee)

• Expert assessment from an experienced orthopaedic consultant specialising in hand and wrist conditions. You will see the same consultant throughout the entirety of their treatment journey.
• A multidisciplinary clinic. Your consultant is supported by a number of other healthcare professionals such as nurses, radiographers and physiotherapists. This multidisciplinary team approach ensures you will receive support and treatment from the most appropriate specialist throughout your time with us.
• Our state-of-the-art imaging facilities include Xray, CT, MRI and ultrasound.  These diagnostic imaging procedures can all be easily arranged if required. Our Radiologists work closely with our consultants to provide an accurate diagnosis as soon as possible.
• Treatment plans tailored to meet your individual health needs.
• Fixed-price surgery packages.

Want to make an appointment with our consultant orthopaedic surgeon here at Albyn Hospital? Simply call our friendly team on 01224 595993.

Alternatively, you can use our handy online booking system.