We use our hands and wrists to perform simple everyday tasks. Any damage or tears to the ligaments and tendons in these areas can cause these simple tasks to become chores for many. Since the hand and wrist are complex structures they need a specialists care. Our doctors provide expert hand and wrist surgery at our Wayne, Clifton and Parsippany Offices.
Hand and Wrist Surgery Benefits
Hand and wrist problems can severely impact your life. It can prevent you from performing regular everyday activities such as:
- Bending your fingers normally
- Gripping a door handle
- Grasping a cup of coffee
- Squeezing a tube of toothpaste
- Dressing yourself
- Performing daily tasks at your job
The orthopedic surgeons at AOHSI are also specially trained in the field of hand and wrist surgery and treat all conditions, from very straightforward to the most complex. Furthermore, we believe that even the simplest problems of the hand and wrist deserve evaluation from a hand specialist who has an expertise in understanding of the intricate anatomy of the hand.
Am I a Candidate for Hand & Wrist Surgery?
In many cases of tendonitis or other inflammatory conditions, non-surgical treatment options are utilized first. For individuals who have sustained an obvious traumatic injury, surgery may be the only choice. In non-urgent situations, we may discuss surgery when conservative rehabilitation modalities such as physical therapy, splint therapy, medication, and other techniques are not achieving the desired outcome.
Consulting with a hand and wrist specialist doesn’t mean you agree to have surgery; it means you can find out if surgery is the option you need to consider for an optimal treatment outcome.
Hand & Wrist Pain Symptoms
Conditions affecting the hand and/or wrist can present a number of different symptoms. Every situation is different and various conditions may have their own unique signs. For example, a person with carpal tunnel syndrome may experience a sensation such as a pointer and middle finger falling asleep. Wrist pay may or may not accompany tingling and numbness in the hands. De Quervain's tendinosis may cause pain over the outside of the thumb. Because the hands and wrists are complex joint structures, a thorough examination is vital to achieving an accurate diagnosis of pain.
Types of Hand & Wrist Surgeries
Several surgical techniques exist to address issues affecting the hand or wrist. These include:
- Carpal tunnel release, in which the carpal ligament is surgically cut to relieve compression on the median nerve.
- Trigger finger release severs an area of an affected tendon sheath to release a permanently-bent finger.
- Closed reduction and fixation is a procedure that repairs broken bones in the wrist or hand.
- Tendon repair may be necessary to restore function to a tendon that has ruptured due to arthritis, trauma, or other cause.
- Joint fusion may be necessary to fuse areas of a joint for improved stability.
- Joint replacement may be necessary if the hand or wrist joint has been badly injured or deteriorated by osteoarthritis.
- Dupuytren’s contracture treatment may involve fasciotomy or fasciectomy. In one procedure, connective tissue in the palm and fingers is surgically adjusted. In the other, your surgeon removes connective tissue.
- Some people with Dupuytren’s Contracture may be a good candidate for non-surgical Xiaflex treatment.
- Ganglion removal excises a fluid-filled growth that causes pain and cosmetic concern.
- Surgical drainage and debridement is a procedure that may be necessary to promote healing after infection or injury.
- Trapeziectomy is a bone-removing procedure performed to improve hand function and comfort.
Hand & Wrist Surgery Recovery
The length of surgical recovery is related to the type of hand surgery performed as well as the type and severity of the condition treated. Initially, patients who undergo hand or wrist surgery can expect a degree of post-surgical pain. This is typically manageable with prescription or over the counter medication. During our consultation for hand or wrist surgery, we provide detailed information regarding the proposed procedure and post-operative expectations.
Hand & Wrist Surgery Risks
Surgical risks include bleeding and blood clots, infection, and poor healing. There is also a risk of sensation or movement loss in the hands or fingers.
Are Results from Hand & Wrist Surgeries Permanent?
The objective of hand and wrist surgery is to improve comfort and mobility. Most patients who undergo a recommended hand or wrist procedure can enjoy an increased scope of activities compared to not having corrective surgery. Overall, the improvements following surgical intervention are typically permanent.
Risks of Avoiding Surgery
Ignoring problems with your hands or wrists could eventually lead to permanent problems. For instance, some common conditions we treat for hand and wrist surgery include:
- Distal radius fractures
- Scaphoid fractures
- Hand and finger fractures
- Wrist and hand arthritis
- Wrist ligament tears
- Carpal tunnel syndrome
- Trigger fingers
- Dupuytren’s contracture
- DRUJ injuries
- Mallet fingers
- Ganglion cysts
- Skin cancer of the hand
Avoiding surgery can lead to even more issues especially if there has been damage done to your triangular fibrocartilage complex (TFCC).
"I came to him from the hospital after an accident with four broken fingers. Not only was I in great pain but he knew right away I needed to be operated on to save my hand that was turning black. He operated on me immediately at the hospital and my hand was saved..." Click here to read more patient testimonials.
At AOHSI, every patient receives an in-depth consultation to devise a treatment plan that is right for their problem. Our specialists prefer non-operative and non-invasive treatments whenever possible, including physical therapy, medications, and/or injections. When Dr. Ghobadi and DeNoble require surgery, they will then use minimally invasive surgical techniques to fix your problem, whether it is fixing a broken bone or repairing a tendon. Our goal is always to get you back to living your life normally as soon as possible.