The Hand Service at UK HealthCare is the only comprehensive hand surgery service in Kentucky. Our fellowship-trained hand surgeons can address any hand condition, traumatic, inflammatory, or congenital, every day of the year, day or night.
Services & conditions
- Carpal tunnel syndrome management: Carpal tunnel syndrome is a common problem. When the median nerve is compressed, it can cause numbness, tingling and weakness of the fingers. Treatment options range from conservative lifestyle changes to surgery. Conservative options include changing activities and using splints. More aggressive nonsurgical options include hand therapy and trials of injections. If symptoms continue, surgery may be an option. Surgery for carpal tunnel syndrome involves making a small incision in the palm to decompress the nerve. This is an outpatient surgery, so the patient can return home the same day after surgery.
- Birth defects (congenital) hand surgery
- Finger contracture management and surgery (Dupuytren contractures): Dupuytren contractures occur when tissue fibers in the palm of the hands grow thicker. This can make it hard to straighten the fingers, leading to problems doing daily activities. These contractures can be treated with both surgical and nonsurgical options.
A nonsurgical treatment includes injecting the cords with collagenase. This allows the cords to break and the finger to straighten.
Surgery for Dupuytren contractures involves making incisions in the fingers or palms to remove the cords. This can be an outpatient surgery, so the patient can return home the same day as surgery.
- Tendon repair
- Foreign body removal
- Nail bed injury repair
- Nerve repair and transfers
- Hand fracture repair and reconstruction
- Hand or finger amputation replantation
- Osteoarthritis and rheumatoid arthritis surgical management: There are many possible causes of hand pain. In certain cases, the joints in the hand can be a source of pain.
After basic imaging and lab tests, a patient may learn they have arthritis due to age and overuse, also known as osteoarthritis.
In other cases, the body’s immune system can attack the tissues in the joint, which is called rheumatoid arthritis. In both cases, these can be managed both medically and surgically. A hand surgeon can prescribe conservative treatments, such as splinting or steroid injections to reduce pain for a time. In more advanced or severe cases, a patient may need artificial joint replacement or even fusion of the joint to relieve the symptoms.
- Tendon transfers
- Wrist surgery