Hand

Best Hand Surgeon in Jaipur for Hand Conditions & Injuries

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Fractures in Hand

As a leading hand specialist doctor and the best hand surgeon in Jaipur, Dr. Girish Gupta at Bones&Nerves specializes in treating hand fractures. With extensive experience as an orthopedic hand specialist, Dr. Gupta provides expert care and innovative treatments for various hand injuries.
Fractures in the hand can occur in various bones, including the metacarpal bones (the long bones in the palm) and the phalanges (the bones of the fingers). These fractures can result from traumatic injuries, falls, sports accidents, or other forms of trauma. The specific type and location of the fracture will determine the treatment and potential complications. Here are some common types of hand fractures:

Metacarpal Fractures

Metacarpal fractures involve a break in one or more of the metacarpal bones, which make up the palm of the hand. These fractures can vary in severity and may be classified as simple or comminuted (fragmented). Treatment depends on the type and location of the fracture and may involve casting, splinting, or surgery.

Phalangeal Fractures

Phalangeal fractures refer to fractures of the finger bones (phalanges). These fractures can occur in the proximal, middle, or distal phalanges. Treatment may involve immobilization with a splint, casting, or surgery, depending on the location and severity of the fracture.

Boxer's Fracture

A boxer’s fracture is a specific type of metacarpal fracture that typically involves the fifth metacarpal bone. It often occurs when someone punches a hard object with a closed fist. Treatment may include casting, splinting, or surgery.

Bennett's
Fracture

Bennett’s fracture is a type of fracture that affects the base of the thumb’s first metacarpal bone. It can result in instability and requires surgical intervention to restore proper alignment and function.

Rolando
Fracture

Rolando fracture is a more complex and comminuted fracture of the thumb’s first metacarpal bone. It typically requires surgical intervention for proper fixation and alignment.

Phalangeal Shaft Fractures

Fractures in the shaft of the finger bones can occur due to direct trauma or crushing injuries. Treatment may involve immobilization with a splint or casting, or, in some cases, surgery.

Dislocations

While not technically fractures, dislocations of finger joints can lead to joint instability and require prompt medical attention. Treatment may involve manipulation to reduce the dislocation, splinting, and physical therapy.

Base of the Thumb Fractures

Fractures involving the base of the thumb (carpometacarpal joint) may require surgical intervention to ensure proper alignment and stability.
Treatment for hand fractures depends on the specific type, location, and severity of the fracture. It’s important to seek prompt medical evaluation and diagnosis if you suspect a hand fracture, as proper management is crucial for healing and functional recovery. Treatment options may include immobilization, casting, splinting, and, in some cases, surgical intervention. Hand therapy or rehabilitation exercises may be necessary to regain strength and function after the injury heals.

Ailments in Hands

A wide range of ailments and medical conditions can affect the hand, leading to pain, discomfort, and impaired hand function. These conditions can result from injuries, overuse, underlying medical conditions, or natural wear and tear. Here are some common hand ailments and conditions:

Trigger Finger (Stenosing Tenosynovitis)

Trigger finger occurs when one of the tendons in the finger becomes inflamed, causing the finger to snap or "trigger" when bent.

Dupuytren's Contracture

Dupuytren's contracture is a condition that causes the fingers, including the hand, to bend towards the palm. It can lead to impaired hand function.

Ganglion Cyst

A ganglion cyst is a noncancerous lump filled with fluid that can develop on the hand, wrist, or fingers, causing discomfort or pain.

Arthritis

Arthritis can affect the hand joints, leading to pain, stiffness, and reduced range of motion. Osteoarthritis and rheumatoid arthritis are common types of hand arthritis.

Tendonitis

Tendonitis in the hand can affect various tendons and can result from overuse or repetitive motions, causing pain and discomfort.

Bursitis

Bursitis is inflammation of the bursa sacs that cushion and protect the hand joints. It can cause pain and limited hand mobility.

Mallet Finger

Mallet finger occurs when the tendon that straightens the finger is damaged, causing the fingertip to droop.

Boxer's Knuckle

Boxer's knuckle is a condition that affects the knuckles, typically due to repeated trauma or improper punching techniques. It can lead to pain and deformity.

Hand Fractures

Fractures in the hand, such as metacarpal or phalangeal fractures, can occur due to traumatic injuries, resulting in pain, swelling, and impaired hand function.

Raynaud's Disease

Raynaud's disease is a condition that causes blood vessels in the fingers and toes to constrict in response to cold or stress, leading to decreased blood flow and color changes in the fingers.

Hand Tumors and Masses

Tumors or masses in the hand, such as ganglion cysts or lipomas, can cause discomfort and may require imaging studies, biopsies, and surgical removal.

Nerve Compression or Entrapment

Nerve compression or entrapment syndromes can affect the hand, such as cubital tunnel syndrome or radial tunnel syndrome, leading to symptoms like numbness and weakness.

Treatment for hand ailments and conditions depends on the specific diagnosis and its severity. It’s crucial to seek evaluation & opinion from Hand Surgeon and diagnosis if you experience persistent hand pain or discomfort. Proper diagnosis is essential to determine the appropriate treatment plan, which may include conservative measures, medication, physical therapy, or in some cases, surgical intervention. Early intervention can often lead to better outcomes and improved hand function.

Finger trip crushing/amputation

Allen’s classification is commonly used to describe fingertip amputations and guide treatment decisions. It categorizes fingertip amputations into three types:

Allen Type I

This type involves only a small portion of the fingertip, typically less than 1/3 of the total length. The amputation is distal to the nail bed and often involves only the soft tissues. Treatment for Allen Type I fingertip amputations may involve simple wound care, cleaning, and suturing the wound to promote proper healing.

Allen Type II

This type involves more than 1/3 of the fingertip and typically extends through the nail bed. In Allen Type II fingertip amputations, the nail matrix (the tissue responsible for nail growth) is often damaged. Treatment options may include nail bed repair, skin grafting, or other techniques to reconstruct the fingertip and nail bed. In some cases, the amputated part may not be replanted.

Allen Type III

This is the most severe type of fingertip amputation, involving the entire fingertip, including the nail bed. Replantation of the amputated part is usually not possible. Treatment typically focuses on wound closure and reconstruction to maximize fingertip function and appearance.

The choice of treatment depends on various factors, including the type of amputation, the extent of tissue damage, the patient’s overall health, and their preferences. In some cases, a specialist hand surgeon may be involved in the treatment decision and surgical procedures. It’s important to seek prompt medical attention for any fingertip amputation, as the sooner treatment is initiated, the better the chances of preserving function and appearance. The specific treatment plan will be determined by a healthcare professional based on a careful assessment of the injury.