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What we do

Based at St George’s Hospital, we are a consultant-led unit with a patient-centred and multi-disciplinary approach to helping people manage their hand and wrist problems. The team consists of six plastics hand consultants and two orthopaedic hand consultants. They are supported by a nursing team including an advanced nurse practitioner, two nurse practitioners and three nurse specialists and a therapies team made up of a clinical specialist hand therapist, nine therapists and one therapy technician.

We treat a variety of conditions including:

  • Carpal tunnel syndrome and other nerve compression
  • Dupuytren’s disease
  • Trigger finger
  • Arthritis
  • Ganglion and other cysts
  • Congenital abnormalities
  • Lipoma
  • Wrist instability and pain
  • Skin cancers
  • Traumatic injuries such as tendon, nerve, muscle and ligament injuries and fractures
  • Fingertip injuries such as nailbed injuries, infections and mallet finger
  • Localised burns to the hand
  • Complex wound care

We run a trauma clinic five days per week, led by the advanced nurse practitioners, where patients are assessed and diagnosed. Less complicated problems can be treated in the clinic, however, more complex cases are added to our trauma operating lists. These are mainly performed as day case procedures.

Each of the consultants has a hand clinic one day per week, seeing a mixture of new patients and follow ups. Our dedicated hand therapy team have clinic rooms in the Hand Unit and work alongside the consultant-led clinics.