Procedures
Conditions and procedures
Conditions are grouped by age, because a child’s hand and an adult’s hand raise different questions. Each page sets out the condition, its symptoms, non-operative and then surgical treatment, and the recovery to expect.

Areas of focus
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Hand and wrist
Arthritis, Dupuytren’s, tendon and ligament conditions.
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Elbow and nerve
Carpal and cubital tunnel, compressive neuropathies.
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Paediatric upper limb
Congenital differences and upper limb spasticity.
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Trauma and microsurgery
Fractures, reconstruction and replantation.
Paediatric
7 conditionsCongenital differences of the hand and upper limb, and upper limb spasticity following cerebral palsy or a brain injury. The approach is family-centred and staged around the child’s growth.
- Madelung deformity Wrist · growth Learn more →
- Arthrogryposis Upper limb · congenital stiffness Learn more →
- Syndactyly Fingers · separation Learn more →
- Polydactyly Extra digit Learn more →
- Hypoplastic thumb Thumb · reconstruction Learn more →
- Hypoplastic limb Upper limb · development Learn more →
- Upper limb spasticity Tone · function and care Learn more →
Adult
8 conditionsDegenerative, compressive, traumatic and post-traumatic conditions of the hand, wrist and elbow, including reconstructive microsurgery and replantation.
- Arthritis Hand, wrist and elbow Learn more →
- Carpal tunnel syndrome Median nerve · wrist Learn more →
- Cubital tunnel syndrome Ulnar nerve · elbow Learn more →
- Dupuytren’s contracture Palm · contracture Learn more →
- Fractures and dislocations Hand, wrist and forearm Learn more →
- Ligament sprains and strains Fingers and wrist · stability Learn more →
- Tendinitis Tendons · gliding Learn more →
- Traumatic injuries, microsurgery and replantation Reconstruction under the microscope Learn more →
These pages give general information for patients and referring physicians. They do not replace an individual assessment: the treatment plan is decided in consultation, based on your examination and your goals.
Ready to be seen?
Patients and referring physicians are welcome to write at any time. A one-line message is enough to start.