Hand Surgery - Dallas/Ft. Worth, TX
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Hand Surgery - Dallas/Ft. WorthDallas Hand Surgery Plastic surgeons were instrumental in the development of hand surgery beginning in the early 1900’s. Hand surgery is an important part of the Anderson-Mason Plastic Surgery practice. Common problems treated in our office include carpal tunnel syndrome, cubital tunnel syndrome, tendon injuries, hand and finger fractures, trigger fingers, ganglions and other tumors, arthritis, fingertip injuries and other acute injuries. This page lists some of the most common problems of the hand along with a brief discussion of treatment options.Carpal Tunnel Syndrome Carpal tunnel syndrome results from pressure on the median nerve, one of the major nerves of the hand. A variety of symptoms can develop from carpal tunnel syndrome. Common symptoms include pain, tingling, numbness, or weakness of the thumb, index, middle and ring fingers.The median nerve travels down the arm and through the deep carpal tunnel in the wrist on it’s way to the hand. Any condition that causes swelling or inflammation within the carpal tunnel may lead to increased pressure on the median nerve. Carpal tunnel syndrome symptoms may then develop. Special nerve tests done by a neurologist help make the diagnosis. Early treatment for carpal tunnel syndrome includes splinting, medication and physical therapy. Activities that aggravate the condition must also be identified and eliminated. Surgery may be required in advanced or more severe cases of carpal tunnel syndrome. This involves releasing the carpal tunnel at the wrist so the median nerve will have more room. This is possible through an incision in the palm or through very small incisions using the endoscope.
Cubital Tunnel Syndrome Cubital tunnel syndrome is the result of excess pressure on the ulnar nerve, one of the major nerves of the hand. Common symptoms of cubital tunnel syndrome include pain, swelling, tingling, numbness or weakness of the hand involving the ring and little fingers.The ulnar nerve travels from the upper arm behind the elbow and through the forearm to the hand. The ulnar nerve can be “pinched” at the elbow where it travels through the cubital tunnel, or it may be stretched above or below the elbow. Excess pressure on the ulnar nerve at any of these sites leads to the bothersome symptoms. Special nerve tests done by a neurologist help make the diagnosis and find the point where the ulnar nerve is injured. Treatment in mild cases includes medication, physical therapy, and sometimes splints. Surgery may be necessary in cubital tunnel syndrome to relieve the excess pressure or stretching on the ulnar nerve. This may involve opening up the cubital tunnel at the elbow or even moving the nerve to a new position in front of the elbow. Flexor Tendon Injuries Flexor tendons are the structures that let you bend your fingers, or flex, your fingers. They are long smooth cords that arise in the muscles of the forearm and end on the fingers. They work like a bicycle brake cable to flex your fingers, sliding in and out as the fingers bend and straighten. Flexor tendons are usually damaged by a cut. The creases on the palm side of your fingers are special places where the flexor tendons are just beneath the skin. Even a small cut in the skin at these areas can damage the flexor tendons underneath. If a finger will not bend properly after a cut, most likely the flexor tendon has been damaged. If a flexor tendon is cut in half, the ends separate and there is no way the tendon can heal on it’s own. Surgery is necessary to repair the tendon at the point it is cut. Surgery is only half the battle for this problem After surgery, vigorous physical therapy is a must to decrease the amount of stiffness in the finger.Extensor Tendon Injuries Extensor tendons are the structures that let you straighten, or extend your fingers, Like the flexor tendons, they are long smooth cords that arise from the muscles in the forearm and end on the fingers. They work like a bicycle brake cable to extend your fingers, sliding in and out as the fingers bend and straighten.A cut, a crush injury, or a sudden force that bends the finger may damage extensor tendon. If these tendons are cut in half, they tendon ends usually separate so that healing will not take place on it’s own. A surgical procedure is required to stitch the cut ends of the tendon back together. Surgery is only half the battle for this problem. After surgery, vigorous physical therapy is needed to decrease the amount of stiffness in the injured finger. Finger Fractures These small bones make up each finger and two small bones make up the thumb. These small bones are call phalanges. A break in one of these small bones is called a fracture. Some type of trauma to the finger if the visual cause of a fracture. Symptoms of a fractured finger include pain, swelling, bruising, and stiffness. X-rays are usually needed to confirm exactly where the break in the bone is located.Treatment of finger fractures includes splinting or casting to keep the broken bones still for a period of time. Surgery may also be necessary to align the broken bones. Pain medication and sometimes antibiotics are necessary to assure comfort and healing. Physical therapy is important after fractures have healed to minimize stiffness. This educational content is for educational purposes only and does not constitute legal, financial, home improvement or health advice. Content on this page is provided by Ask The Experts and not the featured advertiser.Back to the top
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