Common hand conditions requiring surgical treatment include Dupuytren’s disease, trigger finger, De Quervain’s tenosynovitis and carpal tunnel syndrome.
Trigger finger and De Quervain’s tenosynovitis are similar conditions resulting in stenosis or tightening of the tendon sheath. This causes pain and loss of function related to the tendons travelling through the sheath. Sometimes symptoms can be controlled with conservative measures such as splintage and cortisone injections. In cases where such treatment fails or symptoms are too severe, surgical release of the tendon sheath will usually resolve the problem.
Carpal tunnel syndrome is a common condition that results in pain and pins and needles in the hand, most frequently at night. Endoscopic carpal tunnel release is often used to relieve the pressure on the median nerve and resolve the symptoms.