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This is a term used by doctors to describe inflammation within a joint. Osteoarthritis is the most common form of joint disease. The surfaces within your joints become damaged so the joint doesn’t move as smoothly as it should. It causes joint pain and stiffness. Treatment ranges from conservative means, injections, fusion, excision or replacement. During hip or knee replacement surgery, the surgeon replaces the damaged joint surfaces with artificial parts. It can reduce pain and improve your mobility.
CTS is caused by the compression of the median nerve at the wrist in the carpal tunnel, resulting in pain and numbness in the fingers. It can be treated with steroids, splinting and physiotherapy, and, in severe cases, surgery.
Cubital tunnel syndrome
This occurs due to compression of the ulnar nerve at the elbow which causes changes in feeling of the little and ulnar half of the ring finger with weakness of small muscles of the hand but not the thumb. For treatment In this operation, the ligament “roof” of the cubital tunnel is cut and divided. This increases the size of the tunnel and decreases pressure on the nerve. More severe cases require an ulnar nerve anterior transposition. In many cases, the nerve is moved from its place behind the medial epicondyle to a new place in front of it. Moving the nerve to the front of the medial epicondyle prevents it from getting caught on the bony ridge and stretching when you bend your elbow.
Dupuytren’s contracture occurs in the hand where the fingers bend towards the palm and cannot be fully straightened. Treatment includes surgery (fasciectomy) to remove the tissue causing the fingers to bend, or an injection to break down this tissue.
A ganglion cyst is a fluid-filled swelling that develops near a joint or tendon, usually on the wrist, hand or fingers. The fluid is either drained out of the cyst using a syringe, or the cyst is removed during surgery.
Minor lumps and bumps
Minor lumps and bumps on the hands and wrists, such as cysts, moles and lipomas (benign tumours) are easy to treat via minor surgery on a day patient basis.
Debridement is the removal during surgery of damaged or infected tissue – skin or muscle – to help healthy tissue to heal.
Treatment of tennis/golfers elbow
A condition that causes pain around the outside of the elbow, usually caused by overuse of the muscles attached to your elbow and used to straighten your wrist. The treatment is to lengthen, release or repair the origin of the muscle of the hand where it attaches to the bone.
Trigger finger is where the finger or thumb gets locked into place when bent towards the palm. Surgery, either keyhole or open surgery, involves dividing a ligament to release the tendon.
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