Hand Surgery

Carpal Tunnel

Carpal tunnel syndrome is a condition that causes numbness, tingling and other symptoms in the hand and arm. Carpal tunnel syndrome is caused by a compressed nerve in the carpal tunnel, a narrow passageway on the palm side of your wrist. The carpal tunnel has a fixed volume, and normally the structures within it fit snugly. Any increase in size of the contents, or reduction in size of the tunnel, leads to a rise in pressure, and the nerve is the structure most sensitive to this change. 

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The anatomy of your wrist, health problems, and possibly repetitive hand motions can contribute to carpal tunnel syndrome. More severe compression, especially when there is permanently loss of feeling or wasting and weakness of muscles, should be treated by an operation to decompress the nerve. Proper treatment usually relieves the tingling and numbness and restores wrist and hand function.

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Dupuytren’s Surgery

Dupuytren’s contracture is a hand deformity disease that usually develops over years. The condition affects the layer of fascia tissue that lies under the skin of your palm. Fascia is made of collagen fibres and forms bands of connective tissue that run underneath the skin of your palm and fingers. This connective tissue binds the skin of your palm and fingers to underlying structures, such as tendons and bones, and makes your grip strong. 

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If you have Dupuytren’s disease (DD) this fascial layer becomes thickened and forms nodules under the skin. Over time the nodules can extend to form a cord.

The cords prevent your fingers from being able to straighten completely. Over time, the contractures of the fingers can become quite severe and the finger can become fixed in a bent position. Sometimes the nodules can be painful. Terry has extensive experience in surgical and non-operative management of Dupytrens disease.

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Trigger finger

Trigger finger is a painful condition in which the affected finger is unable to properly bend and extend. The affected finger or thumb gets stuck in a bent position and then straightens with a snap. If severe, the finger may become permanently bent and/or unable to straighten. This condition can be caused by inflammation of the tendon or surrounding structures in the finger.

There are several treatment options available for a trigger finger, of which Terry can advise the best course of action.

Ganglion cyst

Ganglion cysts are benign masses that can develop along tendons or joints in your hands or wrists. In most cases, they are harmless, but they may cause discomfort if they are interfering with a nerve pathway. These fluid-filled cysts can vary in size, but are usually round. A ganglion cyst can arise quickly, change in size, and even disappear on their own.

If you have a ganglion cyst that interferes with function, range of motion, causes pain or disfigurement, Terry can surgically remove it to improve your function and comfort.

Tendon and Nerve Reconstruction and Traumatic Hand Surgery

The structures of our hands – the bones, joints, ligaments, tendons and other tissues – are highly susceptible to damage caused by trauma from accidents and injuries.

The hands are a particularly common site for traumatic injury because they are so often in use. For that same reason, it is essential to treat any injury to the hands promptly and completely to ensure that maximum mobility and functionality are restored. Treatment for accidents or injuries can vary depending on the type and severity of the trauma to the hand. 

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Many injuries require a surgical procedure to ensure that complete healing can occur. This may involve reconstruction of the soft tissue, bones or joints. In cases of soft tissue injury, surgical reconstruction will focus on repair of the damaged area of the body. A complex reconstructive procedure may be performed. Severe trauma may require flap surgery in which blood vessels, muscle, fat and skin tissue are taken from a healthy area of the body and transferred to damaged areas to enable reconstruction.

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Tendon injuries are common when the hand is injured by a sharp object. Though the external injury may seem innocuous, the damage caused can be severe. These injuries need careful surgery, which Terry can provide.

Whenever there is a loss of tendon or a long delay in treating a tendon injury, a tendon graft is necessary. It involves replacing the tendon gap by surgery and a prolonged use of a splint and physiotherapy treatments.


Surgery to investigate a damaged nerve that is not complicated by other injuries is usually performed soon after the injury occurs in order to increase the likelihood of a full recovery. Nerve repairs that are associated with other more complicated injuries may occur weeks after the trauma. If severed, Terry may repair the nerve by reattaching it directly to the other end of the nerve, or by using a nerve graft (inserting nerves from other areas of the body in place of the damaged nerve) to repair the damaged section.

Thumb Arthritis

Thumb arthritis occurs when the cartilage at the base of your thumb between two bones wears away. With no padding between the two bones, this results in bone on bone contact and subsequent pain. This is a very common condition affecting one in three women, and one in ten men.

All techniques of thumb arthritis surgery involve removing one of the diseased bones of the thumb joint called the trapezium. Once this is removed there are a variety of techniques utilised to reconstruct the joint.