Hand, Wrist and Elbow in Gloucestershire

Hand, Wrist and Elbow Surgery

The human hand and wrist is made up of 27 bones, many of which are small and fragile. The elbow is where the two bones of the forearm meet the bone of the upper arm. These upper body bones are supported by a network of muscles, tendons, ligaments and nerves and all have the potential to suffer from complaints.

Few parts of your body are put under the same amount of stress and strain as your hands, wrist and elbow and this means problems are common. If you regularly partake in sports or repetitive work that uses these parts of your body, then you may be more likely to wear and tear or injury. However, anyone can develop pain in their hands and if that’s the case Winfield Hospital is here to help. 

We can offer diagnosis and specialist orthopaedic treatments for a wide variety of hand, wrist and elbow problems, ranging from carpal tunnel, inflamed tendons, cartilage tear, thumb arthritis, Dupuytren's disease, tennis elbow and fractures.

Our orthopaedic surgeons have a special interest in hands, wrist and elbows. They will discuss with you the best treatment plan for your individual needs be it non-surgical techniques or surgery.

The range of hand, wrist and elbow surgeries we offer

Carpal tunnel release surgery

Carpal tunnel syndrome (CTS) affects the median nerve which shares the narrow carpal tunnel in your wrist with the tendons that move your fingers. This nerve controls the sensation and movement in your hands. When the median nerve is compressed it can cause numbness, tingling and pain in your hand and fingers.

Mild symptoms can be helped by wearing a wrist support or a steroid injection near the carpal tunnel. Carpal tunnel release surgery or carpal tunnel decompression is normally recommended if these non-surgical options don’t provide pain relief. Surgery involves cutting your carpal ligament to reduce the pressure on the median nerve in your wrist.

Dupuytren's fasciectomy

Dupuytren’s contracture or Dupuytren's disease occurs when scarring of the skin on the palm of your hand and fingers worsens over time and the scar-tissue contracts forcing the fingers to curl towards the palm.

Treatment options include: radiation, needle aponeurotomy (outpatient procedure to sever the fibrous tissue in your hand), injections to break up the tissue and surgery. Surgery, called Dupuytren’s fasciectomy is the most effective treatment to correct the curl of your fingers and return the use of your hand. It involves cutting the fibrous band in your hand or removing the affected skin and replacing it with skin graft.

Tennis elbow

Tennis elbow, also known as lateral epicondylitis, is a condition where you have pain on the outer side (lateral epicondyle) of your elbow. It’s often due to overuse and causes damage to the tendons around your elbow.

Symptoms can improve in many people by just stopping activities that strain the affected muscles and tendons. Painkillers and non-steroidal anti-inflammatory drugs (NSAIDs), physiotherapy, corticosteroid injections and shock wave therapy are non-surgical treatment options. If your pain is severe your orthopaedic surgeon may decide surgery is the best treatment. This involves removing the damaged part of the tendon to relieve your pain.

Thumb arthritis

Thumb arthritis is when your cartilage wears away on the bone ends of your thumb joint. It causes pain, swelling, immobility of the joint and lack of strength.  

In the early stages of thumb arthritis, treatments may include: splints, medication and injections. Surgery is the most reliable way of relieving the pain caused by this condition and to return the proper use of your hand.

Surgical options include: osteotomy (repositioning your thumb joint bones), joint fusion (permanently fusing the bones in your thumb joint), trapeziectomy (removing a bone in your thumb joint) and joint replacement (removing all or part of your thumb joint and replacing it with a graft). 

The following Consultants specialise in hand, wrist and elbow surgery at Winfield Hospital

Mr Daniel Engelke

Mr Will Mason

Mr Vinay Takwale

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