Hand Conditions and Injuries

Hands play a critical role in everyday life, enabling us to work, create, and connect with the world. When injury or pain interferes with hand function, it can profoundly impact both personal and professional life, especially for those who rely on their hands at work.

Dr. David M. Brown, top hand surgeon in St. Louis and consultant for the St. Louis Cardinals, combines years of expertise with advanced surgical techniques to provide effective, individualized treatments for various hand conditions and injuries. His goal is to restore hand function and improve the quality of life for patients from all walks of life, such as skilled laborers, office workers, and sports professionals.

Common Hand Injuries and Conditions

With certification in both plastic and orthopedic surgery, Dr. Brown is skilled in treating many injuries affecting the hand, including these common hand conditions:

  • Amputation and Prosthetics: Hand amputations, oftendue to severe injury, may require advanced prosthetics to restore basic function. Dr. Brown works closely with prosthetic specialists to provide patients with the best options for rehabilitation and adaptation.

  • Animal Bites: Hand amputations, often due to severe injury, may require advanced prosthetics to restore basic function. Dr. Brown works closely with prosthetic specialists to provide patients with the best options for rehabilitation and adaptation.

  • Arthritis of the Base of the Thumb: A common form of arthritis that affects the joint at the thumb's base, causing pain and restricting grip strength. Treatment options include splints, injections, and, in severe cases, surgery.

  • Arthritis of the Hand (Osteoarthritis): This degenerative joint disease leads to pain, stiffness, and limited motion, particularly affecting those who perform repetitive tasks. Dr. Brown offers a range of therapies to manage symptoms.

  • Carpal Tunnel Syndrome: Caused by pressure on the median nerve, this condition results in pain, numbness, and tingling in the hand. Treatments include bracing, therapy, and, if necessary, surgery.

  • Dupuytren's Disease: A condition where the tissue under the skin of the palm thickens, causing fingers to curl inward. It's progressive, and options like enzyme injections or surgery can release the contracture.

  • Extensor Tendon Injuries: Injuries to the extensor tendons, which help straighten fingers, can result from trauma or cuts. These injuries require prompt treatment, often with splinting or surgery, to restore function.

  • Fingertip Injuries: Fingertip injuries, including fractures and nail bed damage, are often the result of crush injuries. They require specialized care to heal properly and restore sensation and function.

  • Flexor Tendon Injuries: Damage to the flexor tendons, which help bend fingers, typically results from cuts or trauma. Surgery is often required for proper healing and function restoration.

  • Ganglion Cysts: These fluid-filled lumps often form on the wrist or hand and may cause pain or limit motion. Ganglion cysts can be treated through aspiration or, if persistent, surgical removal.

  • Hand Fractures: Broken bones in the hand may occur from falls, impacts, or workplace accidents. Treatment options include casting, splinting, or surgery for severe fractures.

  • Hand Tumors: Tumors in the hand, though rare, can be benign or malignant. Dr. Brown provides diagnosis and treatment options, which may include biopsy and surgical removal.

  • Nail Bed Injuries: These injuries, often resulting from crush injuries, can damage the nail and surrounding tissue. Repair is crucial to prevent deformity and restore function.

  • Power Saw Injuries: Power saws cause severe injuries, often requiring complex surgical repair and rehabilitation to regain function. Immediate, specialized care is essential for the best outcomes.

  • Rheumatoid Disease: An autoimmune condition that causes inflammation and deformity in the joints of the hand, rheumatoid disease can be managed with medication, therapy, and surgery in advanced cases.

  • Trigger Finger (Stenosing Tenosynovitis): A condition in which a finger gets stuck in the bent position due to inflammation in the tendon. Treatment options range from injections to surgical release.

The American Society for Surgery of the Hand has compiled helpful detailed information on these and many other common conditions of the hand, wrist, forearm and elbow. PDFs of this information are provided here for informational purposes only and should not be used during a medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment.

Frequently Asked Questions About Hand Injuries and Conditions

Below, we've addressed a few common questions about hand conditions and injuries. Please contact us for more information.

What is the most common reason for hand injuries in the workplace?

Hand injuries at work are often caused by repetitive motions, such as using tools, typing, or operating machinery. Over time, these repetitive tasks can lead to injuries like carpal tunnel syndrome, tendonitis, or even fractures due to cumulative strain.

How do I know if I need surgery for a hand condition?

Dr. Brown recommends surgical intervention only when other treatments have proven ineffective. An evaluation will determine if surgery is the best option based on the severity of the condition and the patient's goals.

What are the treatment options for arthritis in the hands?

Treatment for arthritis ranges from medications and physical therapy to surgical interventions in advanced cases. Dr. Brown will develop a personalized plan based on your specific symptoms and lifestyle.

How long is recovery after hand surgery?

Recovery time may vary depending on the procedure, but Dr. Brown provides guidance to help each patient regain full function as quickly as possible.