Cubital Tunnel Release
Cubital tunnel syndrome (CuTS) is the second most common nerve entrapment syndrome (second to carpal tunnel syndrome). This compression neuropathy involves the ulnar nerve as it courses through the cubital tunnel on the inside of the elbow. The cubital tunnel is formed by a groove between the medial epicondyle and olecranon of the elbow which […]
Carpal Tunnel Release
Carpal Tunnel Syndrome Carpal tunnel syndrome is the most common compressive neuropathy and accounts for roughly 90% of all compressive neuropathies. This condition is often associated with medical and mechanical risk factors. Risk factors include but are not limited to genetic predisposition, obesity, some endocrine and autoimmune disorders, pregnancy or repetitive motions. In the case […]
Trigger Finger
Principles The flexor tendons of the hand course through fibrous sheaths called pulleys that are located on the palmar surface of the fingers. These pulleys serve to maintain the flexor tendons appropriately against the fingers to prevent bowstringing during flexion. A trigger finger occurs when the flexor tendon is inhibited from gliding smoothly through the […]
Basilar Thumb Arthritis (CMC arthritis)
Background Basilar thumb arthritis, also known as CMC joint arthritis, is a common form of osteoarthritis in the thumb occuring in roughly 25% of men and 40% of women over the age of 75 years old. The CMC joint tends to see high stress loads across the joint during use. Over time, the surrounding ligaments […]
Ganglion Cyst
Background A ganglion cyst is a fluid filled mass or lump that tends to grow out of the joints, tendon sheaths, or joint linings. It is the most common hand mass accounting for 60-70% of all masses of the hand. The most common place to find a ganglion cyst is on the back of your […]
Dupuytren's Contracture
Background A dupuytren's contracture is a benign proliferative disorder, with a genetic component affecting the connective tissue in the palm of the hand called the palmar fascia. This extra contractile tissue develops over time and causes a deforming contracture in the palm and fingers. Dupuytren's is most common in males and usually occurs during the […]