Our highly skilled team of specialists have spent years training in international centres of excellence in order to treat your problem in the most effective and up to date manner possible. Our doctors are committed to the continued development of their skills and we are proud to be able to offer state of the art treatments for a wide variety of orthopaedic conditions.
Mr. Jonathan Jones
B Sc. MB ChB MRCGP FRCS Ed (Tr. & Orth.)
Hand & Wrist Surgeon
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Mr. Andrew Mckee
BSc. MBBS, MRCS (Eng), FRCS (Tr and Orth)
Hand & Wrist Surgeon
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Hand surgery is the specialist area within medicine that deals with problems that affect the hand, wrist, and forearm. Hand surgeons provide care for these conditions. The treatment provided can be in the form of injection, splinting, physical therapy or surgery. Hand Surgeons are specially trained to operate when necessary. Many Hand surgeons are also expert in diagnosing and caring for shoulder and elbow problems.
Disability of the hand results from absence or loss of parts of the hand, stiffness, weakness, numbness or painful areas to touch. Lack of function can arise from birth defects, injury and infection, arthritis and the degenerative effects caused by use and age.
What is a hand Surgeon?
A hand surgeon is an orthopaedic or Plastic Surgeon who has undergone at least a year of additional training (Fellowship) in the surgery of the hand. These Fellowship provide recognised training in Orthopaedic, Plastics, Reconstructive and Microsurgery techniques.
Some hand surgeons treat only adults, some treat only children, but the majority treat both because of the significant overlap in conditions. However children with complex congenital conditions should be seen in recognised specialist centres.
Why do you need treatment by a hand surgeon?
If a person develops a problem with the hand, either by injury or some disease process, care must be given to all the different types of tissues that make function of the hand possible. As Hand surgeons devote considerable amount of their time to examining, diagnosing, treating and studying the hand, they are specialists in hand care.
The scope of hand surgery is broad and requires a wide range of diverse operative skills. The hand surgeon must be equally good at suturing together a tiny vessel measuring 1mm in diameter, shaping a piece of bone graft to fit a gap or fixing a plate to a bone. There well over a hundred different types of surgical procedure within the field of hand surgery.
Hand surgeons often recommend non-surgical treatment options in the first instance to help you. Sometimes, they may refer you to a hand therapist for more treatment.
Hand surgeons are specialists in hand care.
If you have pain in your fingers, hand, wrist or arm, or have other upper-extremity related concerns, you may wish to consult a hand surgeon. They usually work as part of a multidisciplinary team which will include a Hand therapist, a nurse specialist and a radiologist.
What Conditions are treated by a hand surgeon?
The breadth and diversity of Hand conditions is significant(e.g. above - Ganglion, Gout, Mucoid cyst, dupuytrens contracture).They include degenerative joint disease (osteoarthritis), rheumatoid arthritis, dupuytrens disease, carpal tunnel syndrome and injuries to the hand (Hand trauma).These are some of the common conditions that hand surgeons treat:
Carpal Tunnel Syndrome
Carpal Tunnel Syndrome is caused by compression of the median nerve in the wrist. The median nerve controls some of the muscles in your hand, as well as relaying sensation from the skin.
Find out more about Carpal Tunnel Syndrome with the following links.
Trigger finger or thumb is a condition that affects the tendons in your fingers or thumb. The condition can affect a number of digits at the same time.
It is often associated with pain and some functional loss. The finger here is stuck in the bent or flexed position and the patient is temporarily unable to straighten it.
Find out more about Trigger Finger with the following links.
Arthritis of the Wrist
Arthritis in the weight bearing joints such as the hip and knee is very common, however it always surprises people that the most common joint affected is in the wrist and hand, at the base of the thumb. For many, this is just a minor inconvenience, however it may be a source of serious pain and disability.
Find out more about Arthritis of the Wrist with the following links.
Ulnar Nerve Entrapment
The ulna nerve is one of three main nerves that supply the hand. It runs down the inside of the arm, and can be easily felt on the inner part of the elbow. This is where the term funny bone comes from, as it is prone to being knocked here. It lies in a tract called the Cubital tunnel, and it can become compressed, leading to symptoms. The nerve then travels under the muscles in the forearm, until it enters the hand in line with the little finger. It lies in a second tunnel called Guyon's canal, and can be compressed here too. It supplies the feeling to the little finger, and half the ring finger. It also controls many of the small muscles of the hand.
Find out more about Ulnar Nerve Entrapment with the following links.
- De Quervain's syndrome
- Arthritis of the Hand
- Dupuytrens Contracture
- Reflex Sympathetic Dystrophy /Complex Regional Pain Syndrome
- Scaphoid Fracture
- Wrist (Carpal) Instability
- Hand Fractures
- Tendon Injury
- Injury to Digital Nerve or Artery
Click on the topics below to find out more from the Orthopaedic connection website of Academy of Orthopaedic Surgeons.