Hand problems can be varied. Could be because of injury or because of occupational problems. A few of them are discussed here. CARPAL TUNNEL SYNDROME:
This is a condition seen to be on the rise in our population too. More commonly seen in people working on computers because of "RSI or Repetitive Stress Injury". This presents as tingling sensation in the hand, more so in the index and middle fingers, which may or may not be associated with weakness and hand fatigue.
This is caused by compression of one of the nerves supplying the hand, at the wrist. Commonly seen because of repetitive movements at the wrist, like in people working on computers for a long time.
Treatment involves splinting in the early stages or a surgical decompression at the wrist.
Early treatment prevents any permanent nerve damage. HAND INJURIES
Hand is a very important part of the human body and any injury or disability to this causes a lot of morbidity. Hand injuries are on the rise nowadays and are mainly related to industrial accidents or road traffic accidents. In both cases the injuries are usually complex, requiring multiple procedures to repair the skin, tendons, nerves and bones.
Many a times a small glass cut injury of the hand may have underlying nerve injuries or tendon injuries and if not recognized and treated at the time of injury, may lead to permanent disabilities.
REIMPLANTATION
Sometimes the hand or limb may be totally severed from the body and needs to be reattached. This is known as ‘Reimplantation’ and involves reattaching the bones, nerves, tendons and vessels, usually done under the microscope. If brought within 4 –5 hrs of injury these parts can be replanted back, provided they are not badly crushed or in multiple pieces.
THUMB RECONSTRUCTION
Similarly, sometimes fingers may be crushed or lost. In such cases if not replantable, at least the thumb has to be reconstructed to provide function to the hand.
The thumb is indispensable and needs to be repaired and taken care of properly by a plastic surgeon to provide good adequate function and form to the hand.
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