Treatments by Mr Maxim Horwitz

In Children:

  • Common paediatric hand and wrist trauma
  • Trigger thumb or finger release
  • Congenital hand surgery
  • Treatments of hands in people with cerebral palsy, brain and spinal cord injury

In Adults:

  • Hand and upper limb trauma including fractures and tendon injury
  • Arthritis of the hand and wrist including ganglion management
  • Sports injuries
  • Tendon injury and dysfunction
  • Nerve surgery
  • Dupuytren’s surgery and injection

Treatments by Mr Dan Shaerf

  • Hand and wrist trauma including fractures, tendon and ligament injuries
  • Nerve surgery
  • Tendon injury and dysfunction
  • Arthritis of the fingers, hand and wrist
  • Ganglia and management of other lumps and bumps
  • Joint replacement surgery
  • Dupuytren’s disease
  • Sports injuries

Treatments by Mr Tomas Tickunas

Hand Surgery:

  • Complex paediatric hand trauma including soft tissue reconstruction
  • Trigger thumb or finger release
  • Congenital hand surgery
  • Hand trauma including fractures
  • Nerve and tendon injury
  • Arthritis of the hand
  • Joint replacement surgery
  • Excision of soft tissue lesions of the hand
  • Nerve surgery
  • Dupuytren’s contracture surgery including revision surgery
  • Management of scar contractures

Paediatric Plastic Surgery:

  • Assessment and management of skin lesions
  • Excision of pre-auricular skin tags (accessory auricles)

Adult Plastic Surgery:

  • Assessment and management of skin lesions

Assessment and management of post-traumatic deformity


General information on Hand and Wrist Conditions

There is a large amount of information on the internet which is of variable quality. You should feel free to ask questions during your appointment but you may want to read about your condition or treatment. This page draws together some reliable sources of information available on the internet: surgical guidelines, information from specialist societies and patient resources provided by specialist surgeons and centres.

A useful information sheet with QR code links to many conditions

Hand & Wrist Information

Support Groups – Paediatric & Congenital differences

Information about several hand conditions


Pain in the gym

Tendon disorders

Tendon disorders are medical conditions that result in the tendons not functioning normally.

Trigger finger/thumb
De Quervain’s syndrome


Swellings in the wrist and hand are very common. The vast majority are likely to be a ganglion which is a fluid filled cyst and utterly benign. Again a vast majority of ganglia will disappear spontaneously and do not require surgery. More firm lumps may require surgery as they are unlikely to resolve.
Ganglion cyst


The term arthritis is used to describe an inflamed joint but does not indicate the cause. There are many different types of ‘arthritis’ including osteoarthritis, rheumatoid arthritis and gout which can affect the hand. The commonest by far is osteoarthritis which may be familial or post-traumatic. In the hand the joints most affected are the base of the thumb and the terminal joint of the finger.

Terminal finger joint arthritis
Basal thumb arthritis

Dupuytren’s disease

Dupuytren’s disease affects the hands and can produce contractures of the fingers which interfere with function. It is a benign disease which has no cure as yet. It can affect the hands in many different ways. More information…

Tendon injuries

Tendon injuries are the second most common injury seen in the hand. They are usually caused by a penetrating injury and if not repaired can result in severe functional loss. The tendons on the back of the hand are know as the extensors and those that bend the fingers are called the flexor tendons.

Flexor Tendon Injury
Extensor Tendon Injury
Mallet Finger Injury
Boutonniere Injury
Thumb extensor tendon (EPL) rupture

Hand fractures

Hand fractures are a common injury. The treatment is generally non-operative but there are certain types of fracture pattern that can only be managed by surgery. More information…

Hand joint injuries

Dislocations and sprains of finger or thumb joints can occur after a fall or whilst playing sport. Acute dislocations need to be reduced as soon as reasonably possible. Both injuries often result in stiffness which can take a long time to resolve.

Skiers thumb

Finger sprains

What is a finger sprain ? A sprain refers to an injury to the tissues surrounding and supporting a joint. This includes the ligaments and joint capsule. More information…

Finger dislocations

What is a dislocation ? Dislocation of a joint means that the two surfaces are no longer in contact with each other. This can happen at any joint in the finger or thumb. More information….

Nerve injuries

Nerve injuries in the hand or wrist can result in loss of function and take a long time to recover. Early repair gives the best chance of recovery but depends upon the site of injury and its nature. More information….

Congenital Hand Conditions

More information about congenital hand conditions….

What is Hand Therapy

More information about hand therapy….