The Mount Sinai Division of Plastic and Reconstructive Surgery combines expertise in all areas of hand surgery, including:
- Carpal Tunnel Release: Carpal tunnel syndrome results in numbness and tingling in the fingers of the hand. Patients complain of their hands falling asleep while driving or holding a telephone. Many wake up at night with severe pain and numbness. In advanced cases, patients experience weakness and muscle atrophy. Our approach to carpal tunnel syndrome begins with conservative management. Physical therapy, supportive splints, oral medications, and injectable steroids are the first line of treatment. We resort to surgery only after trying non-surgical treatments. Carpal tunnel release can be done under local anesthesia on an outpatient basis and leaves a small scar in the palm.
- Fracture Repair: A bone fracture can occur anywhere on the body as a result of weak bones or trauma to a specific area. Depending on the severity of the fracture and its location, it can be treated through surgery or in many cases; the bone can be set and splinted or casted to hold it in place to heal.
- Trigger Finger Release: This common condition results in pain, stiffness, and "triggering," or locking, of the digits. Many patients will respond favorably to a single steroid injection. In patients for whom conservative management has failed, a simple outpatient procedure under local anesthesia can permanently correct the locking.
- Congenital Deformity Repair (fused fingers, absent fingers, extra fingers): These procedures correct conditions in children such as webbed fingers (syndactyly) and extra digits (polydactyly). In treating polydactyly, the surgeon often needs to balance the tendons and stabilize the remaining joints to achieve normal hand function. The surgeon can also rebuild missing digits, including the thumb, sometimes borrowing toes from the foot to remake a finger, the so-called toe-to-thumb transfer.
- Ganglion and Tumor Removal: Ganglions are benign, fluid-filled tumors of the wrist. This very common condition causes pain, stiffness, and cosmetic deformity. Ganglions can be removed using minimally invasive techniques, such as wrist arthroscopy, or removed using small open incisions. Other common tumors occurring in the hand include lipomas, enchondromas, giant cell tumor of tendon sheath, and neurolemmomas.
- Joint Replacement (arthoplasty): During this procedure, the surgeon replaces a damaged or diseased joint with an artificial joint. The new joint may be made of either man-made material or from the patient's own tissue. This is usually done in patients with advanced rheumatoid arthritis or with traumatic arthritis.
- Nerve Repair: This procedure corrects nerve damage caused by injury. If the nerve is severed or cut completely, the surgeon may reattach the nerve directly to the other end. He or she may also use a nerve graft, taking nerves from other parts of the body, to repair the damaged area.
- Tendon Repair: This procedure repairs the damaged/cut tendons that attach muscle to bone. Delayed repairs may include tendon grafts, which replace the damaged tendon with fibers from other parts of the body, or other complex procedures. Our patients begin early motion after tendon repair under the strict supervision of a hand therapist.
- Replantation: The surgeon replaces fingers or hands that have accidentally been severed. This complex procedure uses microsurgery to repair blood vessels and nerves.
Our multidisciplinary approach effectively treats both chronic conditions, like carpal tunnel syndrome, and acute hand injuries, such as bagel-cutting accidents and finger amputations. Our physical therapists are key team members and start working with patients early to achieve the best results.