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  • Western Orthpaedic Clinic

Hand, Wrist and Elbow Conditions

Carpal Tunnel Syndrome

Carpal tunnel syndrome occurs due to compression of a major nerve called the median nerve at the front of the wrist. Symptoms include gradual onset increasing tingling and numbness of the thumb, index and middle fingers. It often causes people to wake at night. Severe cases can cause weakness in the hand. It can sometimes even be a cause of significant arm pain.

CARPAL TUNNEL SYNDROME SURGEONS

Biceps Tendon Tear

Tearing of the biceps tendon at the elbow (distal biceps) usually occurs in men and results from heavy lifting. It causes sudden onset pain, bruising, and a change in the shape of the biceps muscle. The biceps muscle is critical for bending of the elbow and also for rotation of the forearm. The injury causes a significant loss of function and is usually treated with surgical repair.

BICEPS TENDON TEAR SURGEONS

Medial and Lateral Epicondylitis

Lateral epicondylitis affects the outer side of the elbow and is commonly called tennis elbow. Medial epicondylitis is on the inner aspect of the elbow and is commonly referred to as golfer’s elbow. Epicondylitis is a painful inflammation of the tendons as a result of overuse. It can be managed non-operatively with splinting and rest. Newer biologic treatment options include Autologous Tenocyte Implantation and Platelet Rich Plasma. Severe cases can require surgery. It can take up to two years to reach full recovery.

MEDIAL AND LATERAL EPICONDYLITIS SURGEONS

Distal Radius Fracture

The largest bone at the wrist is the radius. Fractures of the radius in a young patient result from high energy injuries. In older patients, the radius can fracture with a relatively minor fall. If the fracture is displaced it will require realignment. This can be done with manipulation under anaesthetic or with surgery. Surgery usually involves fixation of the fracture with a plate and screw or wires.

DISTAL RADIUS FRACTURE SURGEONS

Brachial Plexus and Upper Limb Nerve Injuries

Damage to the brachial plexus can be a devastating injury causing lifelong weakness, loss of sensation and chronic pain. However, these injuries can now be successfully managed through a variety of cutting edge techniques including nerve repair, nerve grafting, or nerve transfer. This is an exciting area of trauma surgery with continuing advances in treatment options and surgical techniques leading to vastly improved outcomes.

BRACHIAL PLEXUS AND UPPER LIMB NERVE SURGEONS