Conditions Picture

Below is some summary information on common conditions of the hand and wrist which may be treated by surgery. The British Society for Surgery of the Hand also produces patient information leaflets (linked below).

Many conditions in the hand and wrist are best treated without surgery. Mr Johnston will be able to guide you as to the best options for managing your condition.

Supported by expert Physiotherapists with appropriate experience in hand & wrist therapy including bespoke splintage, Consultant musculoskeletal Radiologists with a particular interest in the upper limb and a fully-equipped plastering service, patients can be assured of optimal, realistic, outcomes following treatment.

Although a long-established precedent in medical ethos (the Hippocratic Oath), all surgeons are now also legally bound to follow a "duty of candour" - honesty in all aspects of care, both before treatment, in terms of likely outcomes, and following treatment when things go according to plan and when things can be improved. Mr Johnston has always prioritised patient safety and honesty as key principles underpinning all advice and treatment.

Dupuytren's Disease

A condition of thickening of the tissue in the palm ("fascia") which can cause contractures. Surgery aims to straighten the affected digit.

Link: Dupuytren's Diesease Leaflet  


Carpal Tunnel Syndrome

A nerve "trapped" at the wrist (compressed under a ligament) causing numbness and pins & needles in the thumb, index and middle finger. Often worse at night.

Link: Carpal Tunnel Syndrome Leaflet  



A harmless swelling often found around the hand and wrist. Contains a clear jelly (can be drawn off with a syringe) but often returns after treatment.

Link: Ganglion Cyst Leaflet 



So many joints in the hand and wrist: all can be affected by arthritis, either because of joint problems or previous fractures. Common treatments include splintage & injections; if simple measures fail, surgery includes removing the affected joint ("excision"), fusing it ("arthrodesis") or replacing it ("arthroplasty"). 

Link: Basal Thumb Arthritis Leaflet  



Fractures in the hand can often be treated non-surgically although sometimes an operation to pin or fix the bone can allow earlier rehabilitation. Common wrist fractures include those of the radius and of the scaphoid. Both sometimes require surgery to optimise outcome.