Carpal tunnel syndrome
Fingers that go numb at night because the median nerve is compressed.
Learn moreHand Surgery in Vienna
The hand and wrist are a complex interplay of small joints, muscles, tendons and nerves. An injury or overload quickly leads to marked restrictions in daily life and in sport. Here too, I specialise in arthroscopic and minimally invasive surgery.
Common complaints
Conditions and injuries of the hand
I treat these conditions regularly:
- Carpal tunnel syndrome — compression of the median nerve, treatable minimally invasively and as a day case
- Rhizarthrosis — osteoarthritis of the thumb saddle joint, with a prosthesis or an implant-free suspension arthroplasty
- Trigger finger and tenosynovitis — a small day-case procedure
- Scaphoid fracture — percutaneous screw fixation without a cast
- Tear of the collateral ligament of the thumb (skier's thumb)
- Ligament injuries of the wrist (TFCC, SL ligament)
- Distal radius fracture and fractures of the metacarpal and finger bones
- Ganglion — a fluid-filled cyst at the wrist
- Dupuytren’s disease (Dupuytren’s contracture) — thickening of the connective tissue in the palm
Treatment options
Minimally invasive, often as a day case
In the hand, timing often decides. I therefore treat unstable ligament injuries, severed tendons and unstable fractures surgically at an early stage. For irritation and wear, such as trigger finger or rhizarthrosis, I usually begin conservatively. When I operate, I keep the procedure as small as possible.
Conservative treatment
- Ultrasound-guided injection
- Shockwave therapy
- PRP therapy
- Splinting
- Physiotherapy and exercise therapy
- Magnetic field therapy
Arthroscopic and minimally invasive
- Arthroscopy of the wrist
- Release of the median nerve in carpal tunnel syndrome
- Percutaneous screw fixation of the scaphoid
- Division of the pulley in trigger finger
- Treatment of TFCC injuries
Open reconstruction
- Replacement and suspension arthroplasty of the thumb saddle joint
- Reconstruction of tendons and ligaments
- Treatment of finger and metacarpal fractures
- Stabilisation of a distal radius fracture
- Treatment of a ganglion
- Removal of the altered connective tissue in Dupuytren’s disease (fasciectomy)
Frequently asked
Questions about the hand
Typical signs are pain and fingers that go numb, often at night. The cause is a compression of the median nerve at the wrist. The procedure lends itself well to a minimally invasive approach and can be carried out as a day case.
Osteoarthritis of the thumb saddle joint noticeably restricts you when gripping. Alongside conservative treatment, two surgical routes are available: a joint replacement (prosthesis) or an implant-free suspension arthroplasty.
Not necessarily. A scaphoid fracture is a common fracture in sports accidents, and in many cases it can be treated with percutaneous screw fixation, without a cast.
Diagnoses
Hand complaints in detail
From a hand that goes numb to a fracture: each condition has its own page on how it develops, how it is examined and how it is treated.
Thumb base osteoarthritis
Osteoarthritis of the thumb saddle joint: pain when gripping and screwing things shut.
Learn moreTrigger finger
A snapping finger, tenosynovitis and a ganglion at the wrist.
Learn moreScaphoid fracture
The often overlooked fracture after a fall on the hand — screw fixation without a cast.
Learn moreDistal radius fracture
A break of the radius near the wrist: cast or locking plate, with early movement.
Learn moreWrist ligament injury
TFCC tear, SL ligament rupture and skier's thumb at the base of the thumb — treated arthroscopically or open, depending on the findings.
Learn moreFinger & metacarpal fracture
Fractures of the finger and metacarpal bones, and tendon injuries.
Learn moreWrist osteoarthritis
Wear of the wrist and the finger joints, often the result of old injuries.
Learn moreHand pain
Not sure where the pain comes from? Here the complaints are sorted by region and trigger.
Learn moreFurther specialties
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Dr. med. Martin Eigenschink
Specialist in Orthopaedics and Traumatology · Specialist in elbow, shoulder and hand surgery
Surgical and conservative treatment of the elbow, shoulder and hand, preferably minimally invasive. Practice at the Orthozentrum Döbling, 1190 Vienna. More about my background
Medical notice: The contents of this page serve as general information. They do not replace a medical examination, diagnosis or individual advice. Medicine is a constantly evolving field — despite careful research, no guarantee can be given that the content is fully up to date.