At Cleveland Clinic, the Department of Plastic Surgery has a team of plastic surgeons specializing in hand problems including hand injuries, occupation-related hand problems, hand tumors and birth problems. Less common problems include birth injuries and malignant tumors of the hand.
Within Cleveland Clinic's Hand and Upper Extremity Center, a multidisciplinary team of specialists helps manage and rehabilitate patients with hand problems. The plastic surgeon is supported by orthopaedic surgeons and hand therapists including occupational therapists and physical therapists. The goal of reconstructive surgery of the hand and upper extremity is to restore as much normal function as possible.
Other conditions treated include those with:
- Hand and joint abnormalities secondary to arthritis
- Replantation and revascularization after traumatic injuries
- Toe-to-thumb transfers
- Peripheral nerve repair and reconstruction
Congenital problems treated at the hand center include syndactyly (webbed fingers) and polydactyly (extra fingers). Missing digits also can be reconstructed by the surgeons within the hand center.
Carpal Tunnel Syndrome
Carpal tunnel syndrome is caused by nerve compression. Nerves that run between muscles, ligaments, bones and tendons through narrow channels, such as the wrist, are more likely to become constricted or compressed. When compressed over a period of time, the nerve sustains permanent damage
In early stages of carpal tunnel syndrome, conservative treatment can be applied, such as the use of a wrist brace and anti-inflammatory medications. In advanced stages, however, surgery to release the compression of the nerves is usually required. By releasing the pressure, blood flow to the nerve is improved and further damage prevented.
