Orthopaedic hand surgeons are trained to diagnose and treat various conditions affecting the hand, wrist, and forearm. These specialists use their understanding of bone, joint, nerve, and tendon health to provide both surgical and non-surgical treatments.
Patients in Singapore turn to orthopaedic hand surgeons for functional impairments, traumatic injuries, and chronic musculoskeletal issues that hinder daily tasks.
Discover the most common conditions addressed by a hand surgeon in Singapore.
1. Carpal Tunnel Syndrome
Carpal tunnel syndrome occurs when the median nerve is compressed at the wrist, leading to numbness, tingling, and weakness in the hand. It’s especially common among office workers and individuals who perform repetitive hand movements. An orthopaedic hand surgeon typically begins with conservative treatments like splinting or corticosteroid injections. A procedure called carpal tunnel release may be required in more severe cases to relieve pressure on the nerve and restore function.
2. Trigger Finger
Trigger finger, or stenosing tenosynovitis, is a condition where a finger gets stuck in a bent position due to inflammation around the tendon sheath. It often affects individuals who perform gripping actions repeatedly, such as manual labourers or hobbyists. Orthopaedic hand surgeons can treat this condition with steroid injections or, if necessary, perform a minor surgical procedure to release the tendon. It may lead to permanent stiffness or reduced mobility if left untreated.
3. Dupuytren’s Contracture
Dupuytren’s contracture is a progressive condition in which the connective tissue under the skin of the palm thickens and tightens, causing fingers to curl inward. Although painless, the condition severely restricts hand function. A hand surgeon may opt for less invasive treatments like collagenase injections in the early stages or perform fasciectomy surgery for more advanced cases. Early intervention is key to preserving grip strength and dexterity.
4. De Quervain’s Tenosynovitis
De Quervain’s tenosynovitis affects the tendons around the base of the thumb and causes pain during wrist and thumb movement. It is common among new mothers, office workers, and athletes who engage in repetitive hand motions. A hand surgeon will typically recommend splinting, anti-inflammatory medications, or physiotherapy. Surgical decompression of the tendon sheath may be advised in cases where conservative treatment fails.
5. Fractures and Dislocations
Traumatic injuries like fractures and dislocations of the hand and wrist are regularly managed by orthopaedic hand surgeons. These injuries may involve the fingers, metacarpals, or carpal bones and often require imaging studies to determine severity. Treatment may involve closed reduction, casting, or surgical fixation using pins, plates, or screws. Restoring alignment and stabilisation is critical to prevent long-term loss of function.
6. Arthritis of the Hand and Wrist
Arthritis, particularly osteoarthritis and rheumatoid arthritis, is another frequent condition treated by hand surgeons. It causes joint pain, swelling, and stiffness that interfere with hand use. Treatment approaches vary depending on the stage of the disease but can include joint injections, splinting, and, ultimately, joint reconstruction or replacement surgeries. An orthopaedic hand surgeon is integral in tailoring interventions to minimise pain while preserving hand mobility.
7. Tendon and Nerve Injuries
Lacerations or crush injuries to the hand may sever tendons and nerves, leading to loss of sensation or movement. Prompt surgical repair is essential to avoid permanent dysfunction. An orthopaedic hand surgeon will assess the extent of injury and perform microsurgical procedures where necessary. Post-operative rehabilitation is equally needed to regain strength and flexibility.
Conclusion
Orthopaedic hand surgeons address a broad spectrum of hand and wrist disorders that compromise quality of life. Patients will surely benefit from prompt consultation with a qualified hand surgeon—whether the condition is caused by repetitive strain, degenerative disease, or acute trauma. Remember, early diagnosis and specialised care are essential for restoring hand function and avoiding chronic complications.
Visit National University Hospital (NUH) and experience recovery and long-term hand function today.
