In the times of our ancestors, the hand was the artist’s “brush”. Thanks to vegetable dyes and clay, as well as with the help of a hollow bone, paintings on the walls of the caves and part of human history were created. They usually presented scenes featuring a hunter and animals. Handprints are also one of the most common motifs in cave art.

The complicated structure of the hand (it consists of as many as 27 bones) means that even the slightest trauma can lead to serious dysfunctions. Read below about the most common conditions and how they are treated

Hand diagnostics

  • X-ray (XR)– always recommended in the case of hand pain or after an injury. Its purpose is to assess bone structures in terms of fractures, dislocations and the stage of possible degenerative changes.
  • Computed tomography (CT) – assesses the bones in detail in case of doubts after the X-ray examination or as an extension of the diagnosis of complicated fractures. It is often performed before surgery.
  • Ultrasonography (USG) – visualizes soft tissues just under the skin. The main advantage of ultrasound is the fact that it is a dynamic test that allows for the assessment of tissues during movement.
  • Magnetic resonance imaging (MRI) – a thorough examination used to image all soft tissues, including deep tissues that are beyond the reach of ultrasound.

Hand treatment methods

The methods of treating hand ailments depend on the type of disease, the severity of the changes and the patient’s expectations.

In the event of a bruise or overstrain of the hand, it is recommended to rest, cool the painful area and take painkillers and anti-inflammatory drugs available in pharmacies without a prescription.

Serious injuries and chronic pain limiting the functioning of the hand require consultation with an orthopedist who, based on an interview with the patient and a clinical examination, will propose appropriate diagnostic tests and treatment.

Treatment methods are divided into two groups – conservative (non-invasive) and surgical treatment.

If conservative treatment is recommended to a patient, pharmacological agents with anti-inflammatory and analgesic effects are often used. They come in the form of tablets, injections or ointments. To support the treatment process and in the case of degenerative changes in the hands, regenerative therapies are also used, which can accelerate the reconstruction of damaged tissues. They include growth factors, hyaluronic acid and stem cells. Their purpose is to slow down the degeneration of articular cartilage and reduce pain.

In some cases, it may be necessary to immobilize the wrist, hand or fingers. Then it is possible to use:

  • orthoses (stabilizers) – they have a relieving and supportive effect, helping to reduce pain (e.g., wrist and/or thumb orthosis, stabilizers, finger splints);
  • thermoplastic dressings – made of a special material adjusted individually to the patient;
  • plaster cast – in our clinic we offer patients HMCAST plaster – it is light and waterproof.

Hand rehabilitation depends on the type of injury or disease. Each condition has a different root cause. Identifying it gives the best treatment results. Physiotherapists from the Carolina Medical Center, specializing in hand rehabilitation, use a variety of techniques, including manual therapy. It restores the muscular balance and thus the motor functions of the hand.

If necessary, the patient is referred for surgery. At the Carolina Medical Center, we use innovative medical techniques and procedures. Whenever possible, we use minimally invasive methods of treatment, e.g., arthroscopy, which allows the reconstruction of damaged tissues without the need to open the joint.

We also carry out surgeries under local anesthesia using the WALANT method, which enables the maximum reduction of convalescence and hospitalization time.

lek. Karolina Stępień

Specjalista ortopedii i traumatologii narządu ruchu

Zajmuję się głównie urazami w obrębie kończyny górnej, a także kolana i stawu skokowego. Mam duże doświadczenie w leczeniu kontuzji związanych z uprawianiem sportu. Dużą częścią mojej praktyki jest chirurgia ręki. Wykonuje zabiegi klasycznymi metodami, ale również artroskopowo. Dodatkowo zajmuję się zakażeniami w ortopedii. Moja strona internetowa: karolinastepien.pl

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Hand treatment methods

  1. Arthrodesis / stiffness in the interphalangeal joints
  2. Wrist arthroscopy
  3. Arthroscopic suture – damage to the scapholunate ligaments
  4. Partial wrist support
  5. Reconstruction of a fresh injury using a mini-anchor (skier’s thumb)
  6. Correction of deformities of the thumb and fingers
  7. Trigger finger correction – open method
  8. Microsurgical nerve transplant in the hand injury (e.g., calf nerve)
  9. Tendon decompression / reconstructive surgery in de Quervaine’s disease
  10. Decompression of the ulnar nerve in Guyon’s canal syndrome
  11. Median nerve decompression in carpal tunnel syndrome – open method
  12. Wrist denervation
  13. Denervation of the joints of the fingers
  14. Corrective osteotomy of the metacarpals and fingers
  15. Corrective osteotomy of the radius (external articular)
  16. Shortening osteotomy of the ulna
  17. Reconstruction of tendons (flexors/extensors) by direct transplant
  18. Reconstruction of the pseudo-joint of the scaphoid in the waist area
  19. Reconstruction of the forearm pseudo-joint with a hip bone graft
  20. Reconstruction of fresh/old hand tendon injuries
  21. Resection of the distal pole of the scaphoid bone in STT lesions
  22. Wrist synovectomy
  23. Endoscopic / open method of ganglion removal
  24. Removal of a benign tumor of the small nerve (schwannoma)
  25. Removal of the proximal row of wrist bones (PRC – proximal row carpectomy)
  26. Removal of bone cartilage with sponge graft from the hip
  27. Deep radial nerve release (supinator syndrome)
  28. Releasing Dupuytren’s 1st-2nd degree contracture, open method
  29. Releasing Dupuytren’s 3rd-4th degree contracture, open method
  30. Epineural stitching of the median nerve after injury
  31. Stitching of the finger nerve
  32. Fixing a fracture within the metacarpal bone using the intramedullary method
  33. Fixing a fracture within the forearm using the intramedullary method
  34. Fixing a fracture within the arm and forearm – simple fracture (two-segmental, extra-articular or with “K” wires) / complex fracture (multi-segmental, trans-articular)
  35. Fixing a fracture within the arm and forearm under arthroscopic supervision

Injuries and ailments: Hand

  • Carpal tunnel syndrome
  • Dupuytren’s contracture
  • De Quervain’s syndrome
  • Trigger finger
  • Skier’s thumb
  • Colles fracture
  • Fractured thumb
  • Fracture of the scaphoid
  • Fracture of the metacarpal bones and fingers
  • Pseudo-joint of the bone
  • Degenerative diseases of the joints of the hands