The unique pattern of movement of the thumb carpometacarpal joint (basal joint) is the basis of its gross and fine motor activities, which make the human hand so special. But these movements also subject the thumb basal joint to incessant multiplanar forces, which can lead to premature thumb arthritis in one of three women and […]
Carpal Tunnel Syndrome
Carpal tunnel syndrome is undoubtedly the most frequent form of peripheral nerve entrapment/compression not only in our Caribbean hand surgery clinic at Trinidad Institute of Plastic Surgery. The cause of carpal tunnel syndrome is compression of the median nerve at the wrist, where it runs through the carpal canal (carpal tunnel) with nine tendons […]
Scaphoid Fracture, Scaphoid Fracture Treatment
The scaphoid fracture was described by the American hand surgeon Barton as a fracture of an “awkward but important little bone”. Despite all the progress in hand surgery in the past few decades, little has changed: the scaphoid fracture remains the fracture of an “awkward but important little bone”, in our Caribbean hand surgery clinic […]
Tendon Injuries in Hand and Fingers
The successful reconstruction of tendon injuries, especially on the flexor side of the fingers and hand mirrors the history of hand surgery. Until the middle of the last century, the primary tendon suture for tendon injuries of the hand and fingers was not necessarily the method of choice. This was particularly true for certain regions […]
Rare Hand Injuries – Civilian Gunshot Injuries
Hand injuries by civilian firearms treated by board certified plastic surgeon and fellowship trained hand surgeon.
Hand Fractures
Finger fractures and hand fractures are the most common fractures of the upper extremity globally as well as in our Caribbean hand surgery clinic at Trinidad Institute of Plastic Surgery. In a series of 11,000 fractures 10% involved the fingers and metacarpal bones. About 70% of all hand fractures ( finger fractures and fractures of […]
Tendon Problems in the Fingers and Hand – Trigger Finger, Trigger Thumb and de Quervain’s Disease
The most common variations of tenovaginitis (tendon sheath inflammation) in our Caribbean hand surgery clinic at Trinidad Institute of Plastic Surgery are trigger finger and de Quervain’s disease. They share the feature of compression of the affected tendon in a rigid tunnel. In the case of trigger finger or trigger thumb compression occurs at the […]