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Carpal Tunnel

Hand Syndromes and Surgical Treatments

Wrist tunnel (carpal tunnel) and elbow tunnel (cubital tunnel) syndromes that occur when the nerves going to the hand are under pressure and cause pain and numbness, de Quervain syndrome that causes pain in the wrist, cysts called ganglion in the hand and wrist, locking fingers (trigger finger), Dupuytren contractures that cause thick bands on the hands and fingers, congenital finger structure disorders, traumatic and burns-related defects, soft tissue injuries such as tendon-nerve-muscle, fractures and dislocations, full cuts of the fingers (amputations), bone and soft tissue tumors etc. Diseases such as are included in the treatment field of plastic and reconstructive surgery.

Carpal Tunnel Syndrome

Causes pain and numbness in the hands and fingers. Complaints are usually more pronounced during sleep. This condition, which occurs as a result of the median nerve going to the hand under pressure while passing through the wrist, is first treated with non-surgical methods such as the use of a wrist splint. In cases that do not respond to this treatment, the pressure on the nerve can be removed with a small incision on the wrist.

Cubital Tunnel Syndrome

Is caused by problems such as pain, swelling, numbness and loss of strength as a result of the compression of the ulnar nerve, one of the three main nerves of the hand, by compression or pressure. The nerve passes between the two bony protrusions in our elbow and sails between the two starting points of the muscle that flexes our wrist (flexor carpi ulnaris). Since the nerve is very superficial in this region, it is open to compression and trauma.

De Quervain’s Syndrome

Occurs when tendons going to the thumb remain under pressure at the wrist level. This condition, which causes increased pain with the thumb movements on the outside of the wrist, is first treated with splint use and steroid injections. In cases that do not respond to this treatment, the pressure on the tendons is removed with a small incision on the outer surface of the wrist.

Trigger Finger 

Is a discomfort of the tendon that bends the fingers in the hand and trigger bridges under which they pass under certain points, also known as stenosis tenosynovitis in the medical language.

Technically, hand surgery operations are procedures that usually take 1-2 hours. They are performed under the action of general anesthesia or intravenous sedative medication. It is not necessary to stay in the hospital. It may be necessary to use a dressing, semi-plaster or cast for 1-4 weeks after the operation.

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