The field of hand surgery deals with both surgical and non-surgical treatment of conditions and problems that may take place in the hand. Hand surgery may be practices by graduates of general surgery, orthopaedic surgery, and plastic surgery programs. Plastic surgeons and orthopedic surgeons receive significant training in hand surgery during their residency training, with some graduates continuing on to do an additional one year hand fellowship. Plastic surgeons are particularly well suited to handle traumatic hand and digit amputations that require a “replant” operation. Plastic surgeons are trained to reconstruct all aspects to salvage the appendage: blood vessels, nerves, tendons, muscle and bone. Orthopedic surgeons are particularly well suited to handle complex fractures of the hand and injuries to the carpal bones that alter the mechanics of the wrist. Hand surgeons perform a wide variety of operations such as fracture repairs, nerve decompressions, release, transfer and repairs of tendons and reconstruction of injuries, rheumatoid deformities and congenital defects.
Indications
The following conditions can be indications for hand surgery:
- Hand injuries
- Carpal tunnel syndrome
- Carpometacarpal Bossing
- Rheumatoid arthritis
- Dupuytren’s contracture
- Congenital defects