The hand is a complex instrument. Hand injury may affect many components: bones, nerves, blood vessels, tendons, skin, and/or ligaments. Diagnosis of your hand injury requires thorough examination and specialized testing. Your treatment may involve non-surgical and/or surgical repair to restore motion, function, strength, and sensation to your hands.
Nerve & tendon repairs
When hand nerves are injured, it can impair or destroy hand motion or nerve sensation. While some nerve injuries recover on their own, others require surgical repair. Your surgeon can evaluate whether surgical treatment is needed.
Our surgeons repair nerves and tendons through sutures and/or grafts, depending on the type and extent of the injury. If the ends of a severed nerve can be held together without tension, sutures can be used to reconnect them. In other cases, the surgeon may place a tube between the ends of the nerves to guide the nerve fibers as they reconnect.
Occasionally, a nerve graft is required for more extensive nerve injuries. A section of nerve can be taken from another area of the body, such as the lower back of the leg, and grafted into the injured area to restore nerve function. Nerve conduits or cadaver nerves are a growing alternative to nerve grafting.
Recovery for nerve repairs is often long because nerves are slow to regrow. The speed and extent of nerve function recovery depends on many factors, including the patient's age, the type of injury, and the injury's severity. Generally, the longer the distance the nerve must re-grow, the slower and less complete the recovery will be.
Hand trauma is common, and phalynx and metacarpal fractures are generally caused by sports injuries, car accidents, or work-related injuries. Most fractures of the metacarpals and phalanges can actually be corrected without surgery. Your surgeon can evaluate whether surgical treatment is needed.