Industrial or traumatic injury to the hand area can include crush injuries, burns, detached digits and limbs, and injury to the blood vessels and nerves. Common procedures to treat these injuries include resetting and repairing fractures and dislocations, tendon and nerve repairs, burn care, and microsurgical replantation (reattachment) of severed fingers and limbs. After the initial injury has been repaired, patients may require additional procedures performed by a specialized plastic and reconstructive surgeon, such as skin grafting, local skin and muscle flaps, and microsurgical transplantation of tissue to reconstruct missing skin, muscle, bone, and nerves.
Carpal Tunnel Syndrome is a condition affecting the hand and wrist. The carpal tunnel is a space in the wrist surrounded by wrist bones and by a rigid ligament that links the bones together. Symptoms range from a burning, tingling numbness in the fingers, especially the
thumb and the index and middle fingers, to difficulty gripping or making a fist,
to dropping things.
Carpal tunnel syndrome is treated by immobilizing the wrist in a splint to minimize or prevent pressure on the nerves. If that fails, patients are sometimes given anti-inflammatory drugs or injections of cortisone in the wrist to reduce the swelling. There is also a surgical procedure in which doctors can open the wrist and cut the ligament at the bottom of the wrist to relieve the pressure. However, only a small percentage of patients require surgery.