Hand surgery is a branch of surgery related to the diseases and treatment of the part of our body that starts from the shoulder to the fingertip and is called the upper extremity. Our hands are of great importance to meet our basic needs and to be able to produce. Many temporary or permanent problems that impair hand functions, especially injuries due to work accidents, significantly affect our daily lives and cause many negativity.
Different structures such as bones, muscles, tendons, vessels, nerves and ligaments in the upper extremities work in harmony in the same environment. Due to various diseases, traumas, congenital problems, this harmony is disturbed and the situations are of interest to manual surgery. Partial or complete ruptures of the hands and fingers are situations where early intervention is of great importance. Traumas caused by situations such as work accidents and traffic accidents in the hands lead to damage to tendons, nerves and vessels. Initiation of treatment as soon as possible for this damage is very important for the health of the organ.
There may be congenital differences due to genetic factors such as excess fingers in the hands, conjoined fingers, differences in the opening of the fingers. Such problems can be eliminated with the help of surgical interventions to obtain a normal hand appearance or a better appearance can be given to the hands by partially treatment. Nerve compression can occur in many parts of the body as well as in the hands, elbows and wrists.
Carpal tunnel syndrome and cubital tunnel syndrome are important diseases due to nerve compression. In individuals with these diseases, mobility in the hands decreases, muscle loss occurs, problems such as loss of sensation and sensation occur.
There may be the formation of benign or malignant tumors on the hands and wrists. Glomus tumors, hand and wrist cysts and ganglion tumors are the most common conditions among them, but they usually cause swelling in the hands and wrists. These masses that appear in the hands and wrists usually tend to grow and therefore usually need to be removed without waiting for them to grow further.
Theosynovitis Stenosing, also known as trigger finger, is a type of disease that is responsible for the snagging and sudden locking of the fingers. In this disease, fingers, which involuntarily contract suddenly and contract for a certain period of time, also cause severe pain. In the treatment of this disease, which makes daily life and especially manual work very difficult, some muscle relaxants and different drug treatments can be tried first. However, if these methods do not work, the disease should be treated by applying surgical operations with microsurgery techniques.
Dupuytren’s contracture, which begins with stiffness in the palms of the hands and causes bending and contractions in the fingers, occurs due to the thickening of the fibrous tissue called palmar appendorosis, which is usually located under the skin of the palms. The disease can progress over time, leading to the difficulty of bending the fingers and even to the loss of the mobility of the fingers. For this reason, it is an important disease that should be treated without losing time from the moment it is diagnosed.
In cases where nodules formed in the palm do not cause movement difficulties, surgical operation is not necessary and preventive treatment can be applied with cortisone injections. However, in more advanced cases, the disease should be treated by removing the contracted tissues with Dupuytren’s contracture surgery, and then physical therapy support should be applied.
