Hand Surgery & Hand Medicine

Hand Surgery
Is the specialty, that deals with the form and function of the hand and wrist from newborns to old age.
Note: There is no Hand Surgery without Hand Therapy (Rehabilitation)
Hand Therapy
Is the specialty within Physiotherapy, that deals with the form and function of the hand and wrist from newborns to old age.
Hand Medicine
Is a special interdisciplinary and multi-professional form of cooperation of all specialties involved in the treatment of patients with changes at the hand & wrist area.

Family Medicine
Anesthesia/Pain Clinic
Internal Medicine (Endocrinology, Gastroenterology)
Complementary (Alternative) Medicine

Services Offered
  • Hand Surgery in Children & Congenital Hand Deformities
  • Hand Trauma
  • Sport Injuries
  • Brachial Plexus, Peripheral Nerves & Surgery of Palsies
  • Hand Tumors
  • Dupuytren Disease
  • Rheumatoid Hand
  • Hand Surgery of the Elderly & Aging Hand

Hand Surgery in Children & Congenital Hand Deformities

Congenital malformations can be genetic or through external influences (e.g. thalidomide Contergan ).They can range from minimal, barely noticeable changes to the absence of entire limb parts. Inborn hand malformations can lead to physical (impairment of hand function) and psychological impairments. A multidisciplinary approach has proven itself for the diagnosis and treatment of congenital hand malformations. Close cooperation with the children's Hospital is mandatory.

Note: Did you notice that the hand on the right has 6 fingers?

Hand Trauma

The hand is the most commonly injured body region. The fact that so many functionally important structures are in close proximity to one another calls for a detailed knowledge of anatomy and biomechanics. It also explains why small injuries often have a large effect on hand function

Disorders of hand function have great economic importance. They are, for example, one of the most common causes of incapacity to work, alongside the common cold.

Adequate initial treatment is essential. A mistake made at the beginning can no longer be completely corrected. Therefore it is necessary to involve the hand surgeon from the beginning

Sport Injuries

The hand and wrist, with its complex anatomy and multitude of sensitive structures in a very small space, are particularly susceptible to acute and chronic lesions.

Sports in particular, which place extreme demands on precise and safe execution with high speeds and rapid movement sequences, are particularly prone to injury.

In the case of all sports-related injuries, both the quantitative and the qualitative aspects of sports practice must be taken into account. While acute injuries are typical for certain types of sports, the repetitive-chronic strains lead to characteristic complaints in others.

Our hand surgeons have been active in competitive sports themselves and have a great deal of experience in treating top-level athletes

Brachial Plexus, Peripheral Nerves & Surgery of Palsies

Peripheral nerves may have motor, sensory and autonimic functions, which may be impaired to different degrees. Resoration of grip (motor) function and sensibility of the hand is the man task of hand surgery.

Close cooperation with Neurology is mandatory.

Hand Tumors

The term "tumor" comes from Latin and means swelling. In general, the word tumor describes an increase in the volume of a tissue - regardless of how it came about. Tumors can develop in all tissues and all parts of the body. They can be benign (benign) or malignant (malignant). The vast majority of tumors in the hand and wrist area are benign. Malignant tumors in the hand and wrist area are rare.

Both benign and malignant tumors can cause complications at the site of the tumor (local complications). Advanced malignant tumors can also affect the entire body (systemic complications) through settlements (metastases) in lymph nodes and organs.

Tumors of any kind need a full hand work-up. In the rare event of a malignant tumor a multidisciplinary, multiprofessional approach has proven itself for the diagnosis and treatment.

Close cooperation with the Tumor Center is mandatory

Dupuytren Disease

Dupuytren's disease is a pathological change in the connective tissue of the hand (not the tendons) that occurs more frequently from the age of 50. It is also known at the Vikings disease.

This leads to an increased formation of knotty and cord-like connective tissue in your palm and fingers. These knots and strands are palpable under the skin and can continue to thicken and contract. As a result, the affected fingers bend into a bent position towards your palm. You can then no longer move them freely. Problems typically arise when putting on gloves. The hand can no longer be put in the trouser pocket without problems. Dupuytren's disease can progression over months and years, so over time, even simple activities become problematic.

Several treatments are available. Close Cooperation with Internal Medicine and Radiotherapy is mandatory.

Rheumatoid Hand

The popular term rheumatism describes joint pain, regardless of whether it is degenerative, age-related wear and tear or inflammatory diseases of the rheumatic type.

Disturbances in the thumb and / or finger area lead to a reduction in higher and a predominance of simpler grip forms. The swellings and axial deviations also lead to a significant change in the shape of the hand with clear aesthetic restrictions.

Rhumatoid Hand lesions of any kind need a full rheumatological work-up. Close cooperation with Rheumatology is mandatory

Hand Surgery of the Elderly & Aging Hand

Ageing is a natural and inevitable process in human anatomy. A person's age is shown primarily on their face and hand. Age Changes Affect Everyone And All Tissues, therefore  Hand Aging Is a combination of

- Skin Problems
- Vascular Problems
- Nerve Problems ( Carpal Tunnel Syndrome)
- Problems ( Trigger Finger)
- Joint Problems ( Osteoarthritis)
- Bone Problems ( Osteoporosis)

Age Changes in the hand will lead to a combination of aesthetic Impairment, pain and/or functional Impairment. By using this standardized holistic approach, it is possible to achieve a significant improvement in results for our patients.