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Hand Surgery

Hand surgery deals with both surgical and non-surgical treatment of conditions and problems that may take place in the hand or upper extremity, including injury and infection.

Overview

Hand surgeons perform a wide variety of operations such as fracture repairs, releases, transfer and repairs of tendons and reconstruction of injuries, rheumatoid deformities and congenital defects.

They also perform microsurgical reattachment of amputated digits and limbs, microsurgical reconstruction of soft tissues and bone, nerve reconstruction, and surgery to improve function in paralysed upper limbs. 

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A Hand Surgeon’s Guide To Carpal Tunnel Syndrome Treatment in Singapore (2020)

A Hand Surgeon’s Guide To Carpal Tunnel Syndrome Treatment in Singapore (2020)

I am Dr Jonathan Lee, the surgeon at Dr Jonathan Lee Hand, Wrist and Upper Limb Surgery Clinic.

Carpal tunnel syndrome (CTS) is one of the most common conditions I see in my practice as a hand surgeon – it is estimated that 5% of Singaporeans will experience CTS at some point in their lives. But what is CTS exactly? How do you know if you have a suspected case of CTS?

I have decided to put together this guide to help you find out if CTS may be the cause of your wrist issues and what you can do about it.

(Make sure you are maintaining a good hand posture while reading this article. I don't want to be the cause of your CTS woes.)

39 views 27 Jan 2020
Dr Aaron Gan
"Offering a finer touch in hand and reconstructive microsurgery"
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The crooked fingers seen in the picture are very likely because of osteoarthritis of the joints. Due to severe cartilage wear and destruction, the joints become progressively deformed and bent. Unfortunately, this is an irreversible process. If there is a lot of pain in the j...
16 Jan 2020
Dr Aaron Gan
"Offering a finer touch in hand and reconstructive microsurgery"
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Endoscopic carpal tunnel release is a minimally invasive method of performing carpal tunnel release surgery. Through a small incision made over the base of the palm, a device which carries a small camera and a retractable blade is inserted under the transverse carpal ligament. The...
9 Jan 2020
Dr Aaron Gan
"Offering a finer touch in hand and reconstructive microsurgery"
Whatsapp
Due to the hormonal differences between a male and female, with an increased likelihood of fluid retention occurring in a female , the chances of a female developing carpal tunnel syndrome is consequently and statistically higher. It is precisely the same reason why carpal tunne...
9 Jan 2020
Dr Aaron Gan
"Offering a finer touch in hand and reconstructive microsurgery"
Whatsapp
There are 3 ways to treat trigger fingers: Splinting, hand occupational therapy and non-steroidal anti-inflammatory medications . These aim to relieve the inflammation around the involved tendon, mobilise and prevent adhesions from forming between the tendons. Corticoster...
9 Jan 2020
Dr Aaron Gan
"Offering a finer touch in hand and reconstructive microsurgery"
Whatsapp
Madelung deformity is a congenital deformity affecting the forearm bone and this results in a bowed appearance of the upper extremity. The only treatment available is surgery to correct the deformity. This usually involves cutting the deformed bone and re-shaping it to correct th...
9 Jan 2020
Dr Aaron Gan
"Offering a finer touch in hand and reconstructive microsurgery"
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Main types of arthritis in the hand Arthritis in the hand can be categorised into 2 main types: Degenerative or osteoarthritis inflammatory arthritis such as psoriatic arthritis, rheumatoid arthritis, septic arthritis and gouty arthritis Of the two, degener...
31 Dec 2019
Dr Aaron Gan
"Offering a finer touch in hand and reconstructive microsurgery"
Whatsapp
I assume that you are referring specifically to the replacement of the 1st carpometacarpal joint. After such a replacement is done, you can expect a better quality of life. Pain should be eliminated almost immediately, and joint motion will improve with the presence of the new jo...
27 Dec 2019
Dr Aaron Gan
"Offering a finer touch in hand and reconstructive microsurgery"
Whatsapp
Technically, all sports which involve the use of the hand and wrist can worsen a pre-existing carpal tunnel syndrome. In fact, any form of repetitive movement done from the wrist over an extended period can make carpal tunnel syndrome worse. These movements lead to swelling and c...
27 Dec 2019
Dr Aaron Gan
"Offering a finer touch in hand and reconstructive microsurgery"
Whatsapp
De Quervain's tenosynovitis or tendovaginitis is treated in 3 ways: 1. Oral non-steroidal anti-inflammatory drugs (NSAIDs) and splinting 2. Corticosteroid injections 3. Surgery Most patients will follow a step-wise approach, going on to the next option once the previous one has fa...
29 Nov 2019
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Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

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