Hand Reconstruction
Ganglion Cysts
Ganglions can occur anywhere in the body where synovial fluid is found. Synovial fluid usually lubricates joints and tendons and looks very similar to KY Jelly. The synovial fluid is incredibly slippery, smooth and crystal clear. It would appear that some sort of irritation in either the joint or tendon sheath, which normally contains the [...]
The Wrist
The wrist remains a very difficult area of the body to treat as it is intricate, contains very small joints and numerous ligaments. To complicate the issue, much literature exists which is either contradictory, confusing or highly detailed, and may render the reader baffled at first sitting. The following treatise is an attempt to simplify [...]
Dupuytren’s Contracture
Dupuytren’s disease was a condition that was first recognized in the early 1800s. Paradoxically, it was an English surgeon, Dr. Astlee Cooper who first described the condition and started to treat it. However, Baron von Dupuytren in Paris was much more active in both treating and describing the condition, and as such, had his name [...]
Carpal Tunnel Syndrome
Carpal tunnel syndrome was first appreciated in the 1950s and is a condition where by the median nerve is compressed as it passes out of the forearm, under a thick band of tissue called the flexor retinaculum, and into the hand. It is now endemic in the Western world. It is important to understand the [...]
Hand Reconstruction
Hand surgery is a delicate art form. The complex interactions between bones, ligaments, tendons, nerves and soft tissue, mean that any surgery undertaken requires the utmost precision and function and form are inseparably intertwined. While clinicians of diverse backgrounds practice exclusively in the area of hand (and upper limb) conditions, it is widely accepted that [...]