Hand surgery is concerned with the diagnosis and treatment of acute or chronic damage or injury to the upper extremities (shoulder, upper arm, forearm, hand, fingers, thumb). The field of hand surgery includes the prevention, detection, operative and conservative treatment of diseases, injuries, malformations and tumors of the hand and forearm as well as the reconstruction after illnesses or injuries.
The main specific tasks of hand surgery are the treatment of:
- injuries to the bones of the fingers, tendons, ligaments, wrist (eg bony fractures), forearm bones (eg distal radius fracture), Ellen spinal joint (distal radioulnar joint) and blood vessels and nerves (plexus brachialis) or the arm.
- Burns of the upper limb
- Chronic diseases of the joints (arthrosis, arthritis, rheumatoid arthritis), circulatory disorders of the soft parts and bones (eg, Lunatummalazie), constriction of nerve or tendon sheaths (eg carpal tunnel syndrome, Loge de Guyon syndrome, Syndrome), tendovaginitis stenosans, connective tissue (Dupuytren's contracture)
- Infections of the soft tissue (panaritium, defect septicemia) and the bone (osteitis)
- Tumors (good or malignant growths) and cysts (ganglia) of the hand and arm
- Congenital (childish) malformations (polydactyly, thumb aplasia)
- Complex regional pain syndromes (CRPS)
- Functional limitations / losses of the upper limb as a result of a disease (e.g., spastic paresis, paralysis) or injuries (eg, after nerve injuries) with restoration of the function (motor replacement surgery)
It includes the treatment of children (childhood malformations), rheumatics and chronic pain syndromes (complex regional pain syndrome), the replantation of fingers to entire extremities as well as the care of patients with prostheses as well as the rehabilitation of injured patients who have special requirements for the training of the patients Therapist.
The complex and consistent after-treatment with ergotherapy is of utmost importance for the success of therapy. Physiotherapy and physical therapy are complementary measures.