Congenital malformation
Congenital malformations are especially burdensome for children and their whole families. These malformations require planning around the child's age and development in order to attain the best possible results. Please inform us of the specifics of your request at the time of making the appointment, so that we can plan extra time for your consultation.

Arthrosis

Arthrosis of the saddle joint of the thumb
Painful wear and tear of the saddle joint of the thumb, in the palm region, leads to constant pain in the movement in this important joint.

If conservative treatment (drugs, joint injection and others) no longer suffices, operative replacement of the joint may be necessary. Artificial tissue or the patient's own body tissue (e.g. tendons) may be used as a substitute. After a detailed analysis we will discuss the method best suited for your case.

Finger joint arthrosis
If painful deterioration or inflammation make further use of a finger joint impossible, we may help you regain movement with a recently-designed joint prothesis. These artificial joints are not the best solution in every case. Sometimes arthrodesis of a joint or denervation may be the better solution. Because of our wealth of experience in these topics we can advise you and perform the necessary procedure competently.

Dupuytren´s contracture
Scarring of longitudinal structures in the palm leads to contraction of the fingers (mostly ring or pinkie finger). Because of our long experience in replantation surgery we guarantee good knowledge of the corresponding structures of the hand and a solid practice in microsurgery. With the help of magnifying lenses we can perform the necessary excision of the tumorlike growths gently. Postoperative therapy with our trained physical therapist is very important in achieving an excellent result.

Arthroscopy
This fairly new and highly efficient method of hand surgery allows us to examine a joint and perform a minimally invasive operative procedure in one single step. High-resolution cameras allow us an overview of the inside of your joint (mostly the wrist). With specialized endoscopic tools we then cure the underlying problem. Through the minimal incision approach a fast recovery almost a matter of course.
In our clinic we have the most up-to-date equipment available. This and our longstanding experience in this field help us to interpret test results accurately and cure your problem reliably.

Tumor

Ganglia
Ganglion tumors in the hands and fingers require a specialized and advanced preparation technique because of their proximity to the joints. The recurrence of the tumor after the procedure can only be avoided with meticulous technique and knowledge of the respective structures.

Enchondroma (Bone tumor)
Found in the hand enchondromas are benign cancers which spread inside the bones. If they are not treated adequately, bone fracture will result due to the progressive loss of bone stability. The correct assessment the bone's ability to withstand stress and the total removal of the tumor in the first intervention are vital. Pre-operative assessment of the progression of the disease will be reached with the help of a cooperating X-ray department. Where necessary to reach adequate stability after the removal of the tumor, transplantation of the patient's own bone will be performed.

Bones

Bone fracture in fingers
Finger and metacarpal fractures can often be diagnosed and cured without affecting the function of the fingers. If you have experienced a healing problem, we offer the experience and knowledge to reconstruct optimal movement and achieve an aesthetic and functional result.

Wrist fractures
Fresh fractures rarely cause lasting problems when treated by an experienced physician, but problems originating from former accidents represent one of the most demanding fields in hand surgery. Only through active research and continuing education can one keep pace with the rapidly developing techniques in this field. Total arthrodesis (fusion) of the wrist is a rare exception today. Partial arthrodesis or wrist prostheses bring about a range of movement free from pain. A thorough examination without time pressure and a discussion about the needs of the hand lead to the best type of treatment.

Lunate necrosis
Low blood circulation in the hand, caused by unknown factors, results in the progressive dying of the bone. Collapse of the whole wrist with constant pain and blockage of movement may be the end of the wrist joint.(?? Nicht im Deutschen??) An exact diagnosis is crucial in restoring joint function. We will discuss all possibilities in your case to find the most suitable operation.

Nerves

Carpal tunnel syndrome
The main symptoms are paraesthesia (the hand "falling asleep") during the night with numbness in the three radial fingers (thumb to middle finger) with associated pain. We free the nerve via a tiny incision over the carpal tunnel. (Endoscopic approaches result in an only slightly smaller scar, whereas the open procedure is safer and allows a better view of the area.) Additional tissue (Synovia) can be excised during the same step when necessary. Fast recovery after the operation is achieved in almost all cases.

Cubital tunnel syndrome (entrapment of the ulnar nerve at the elbow)
Pressure on the ulnar nerve in the elbow leads to numbness in the ulnar fingers (ring and pinkie finger) and weakness of the hand. Microsurgical preparation techniques (magnifying glasses) allow an exact view of the nerve and a reliable decompression.

Tendons

Trigger finger
Blockage of a flexor tendon of a finger can lead to a painful "jumping" sensation in that finger. Only conscientious and meticulous operating techniques can correct this supposed "minor" problem.

Tendon injury
Tendon injuries are severe problems. Especially on the flexor side (volar aspect of the hand and forearm) exact knowledge of anatomy and function are necessary as well as meticulous preparation and stitching techniques. Even older injuries with resulting decrease in range of motion may profit from thorough examination, operation and the following physiotherapy under the surgeon's close observation. Let's talk about your problem!