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Dramatic advances have been made in
recent years in treating patients with hand injuries, degenerative disorders,
and birth defects of the hand. At the forefront of these advances have been
plastic surgeons-specialists whose major interest is improving both function and
appearance.
If you are considering hand surgery, a
consultation with a plastic surgeon is a good place to start. The surgeon will
examine you, discuss the possible methods of treatment for your problem, and let
you know if surgery is warranted.
Hand Injuries
The most common procedures in hand
surgery are those done to repair injured hands, including injuries to the
tendons, nerves, blood vessels, and joints; fractured bones; and burns, cuts,
and other injuries to the skin. Modern techniques have greatly improved the
surgeon’s ability to restore function and appearance, even in severe injuries.
Carpal Tunnel Syndrome
The carpal tunnel is a passageway
through the wrist carrying tendons and one of the hand’s major nerves.
Pressure may build up within the tunnel because of disease (such as rheumatoid
arthritis), injury, fluid retention during pregnancy, overuse, or repetitive
motions. The resulting pressure on the nerve within the tunnel causes a tingling
sensation in the hand, often accompanied by numbness, aching, and impaired hand
function. This is known as carpal tunnel syndrome.
Rheumatoid Arthritis
Rheumatoid arthritis, an inflammation
of the joints, is a disabling disease that can affect the appearance and the
function of the hands and other parts of the body. It often deforms finger
joints and forces the fingers into a bent position that hampers movement.
Since the hand is a very sensitive part
of the body, you may have mild to severe pain following surgery. How long your
hand must remain immobilized and how quickly you resume your normal activities
depends on the type and extent of surgery and on how fast you heal.
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