Dr. João Mamede - Cirurgia da mão - Microcirurgia - Ortopedia - Traumatoloia

“Trust only surgeons who were specifically trained to handle upper limb problems to treat your hands, obtaining then the best results”. About Dr. Joao Mamede.

Pain and numbness in the hands? Trigger-Finger? Cysts or ganglion in your wrist or hand? Tenosynovitis? Click here and know more about the most common conditions treated by the Hand Surgeon

Get to know the Articular Clinic - Multidisciplinary team specialized in Orthopaedic and Traumatology surgeries in the following areas: hand and wrist, hip, knees, shoulder and elbow, spine, pediatric, foot and ankle surgery. Request an appointment

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HAND SURGERY

 

The information you will find here is for educational purposes only and can never replace the doctor-patient relationship. Request an appointment if you have had any signs or symptoms.

HISTORY OF HAND SURGERY

Hand Surgery began as a medical specialty in the period of the Second World War. Complex battlefield injuries involving the skin, muscles, tendons, bones, joints, nerves, and blood vessels of the upper limb were then common. The difficulty of assembling and coordinating different specialists (Orthopedics, Plastic Surgery, Vascular Surgery and Neurosurgery) in the same surgical act was huge.

It was then that Dr. Sterling Bunnell, considered the "father of the specialty", advocated the concept that there should be a "regional surgeon" who would be able to reconstruct all structures in the upper limb: bones, joints, nerves, skin and soft tissue injuries. In 1944, he helped treat the upper limb injuries of many American soldiers, who returned from the fronts in Europe, Africa, and Asia. At the age of 62, Bunnell left his private clinic and began traveling around the country, creating nine hand treatment centers. Many young surgeons were trained there, such as Barski, Littler, Fowler, among others.

After the Second World War, Brazil was visited by renowned experts in hand surgery such as Pulvertaft, Watson Jones, Trueta and Sterling Bunnell. This was the stimulus for creation of the Brazilian Society of Hand Surgery. A few months and courses after that visit, the first major event of the SBCM was the first International Congress of Hand Surgery, held in Rio de Janeiro from July 19 to 21, 1965. From this event, SBCM has been growing every year, conquering space internationally. The SBCM created the Continuing Education Commission (CEC) and the Teaching and Training Commission (CET) to encourage and enhance scientific knowledge among the old and new members.

Currently, the SBCM has over 500 members and has held more than 37 national congresses, 28 national seminars and 54 regional courses, disseminating knowledge related to hand surgery in Brazil.

Find a Hand Surgery Specialist in any city in Brazil: click here

WHICH CONDITIONS ARE TREATED BY THE HAND SURGEON?

The hand surgeon treats most of the traumatic and non-traumatic conditions that affect the upper limb. The diseases most commonly addressed in the office of specialist are those of non-traumatic origin: tenosynovitis, trigger finger, ganglion cysts, carpal tunnel syndrome. These are diseases that affect the individual with or without a determinant factor and that can be associated to the constant use of the hand. The result is the onset of pain, numbness or locking of the fingers and difficulty in performing certain activities of daily living.

The group of traumatic diseases involves surgeries related to fractures or ligament and tendon injuries in the hand, wrist and forearm. We also treat peripheral nerve injuries including brachial plexus surgery. In extreme cases we need to re-implant fully avulsed limbs. These problems are usually acute and caused by different sorts of trauma (for example: accident with sharp material, traffic accident, fall, firearm injuries).

The hand surgeon is responsible for any reconstruction in the hand, wrist and even arm and elbow. He is able to perform coverage of losses of skin and other tissues. When necessary, he uses prostheses to replace joints.

Several pathologies are addressed without surgery (clinical treatment), through the use of medication, splints and injections, and sometimes in association with a multidisciplinary team.

Here is a list of the pathologies most commonly treated by the hand surgeon:

Fractures, dislocations, and ligam...

Fractures, dislocations, and ligamentous lesions of the hand, wrist and elbow

Congenital deformities of the uppe...

Congenital deformities of the upper limb (radial clubhand, syndactyly, polydactyly, congenital trigger finger, thumb hypoplasia, congenital constriction band and thumb duplication;

Nerve compression syndromes of the...

Nerve compression syndromes of the upper limb. Thoracic outlet syndrome, radial tunnel syndrome, ulnar nerve entrapment ath the elbow (cubital tunnel syndrome)

Contractures and Deformities Acqui...

Contractures and Deformities Acquired in the Hand. Dupuytren (thickening of palmar aponeurosis);

Rheumatoid Arthritis and other Inf...

Rheumatoid Arthritis and other Inflammatory Conditions (Gouty arthritis, lupus arthritis, etc.)

Arthroscopy of the wrist

Arthroscopy of the wrist

Sequelae of compartment syndrome (...

Sequelae of compartment syndrome (Volkmann syndrome)

Wounds, Infections, Burns

Wounds, Infections, Burns

Tumors (cysts, ganglions, bone tum...

Tumors (cysts, ganglions, bone tumors or soft tissue tumors)

LER / DORT (Occupational repetitiv...

LER / DORT (Occupational repetitive strain injuries)

Sequelae of compartment syndrome (...

Sequelae of compartment syndrome (Volkmann syndrome)

Treatment of non-unions and mal-un...

Treatment of non-unions and mal-unions of the forearm, wrist and hand;

Work Accidents

Work Accidents

Sequelae of Paralysis in the Upper...

Sequelae of Paralysis in the Upper Limb

Treatment of osteomyelitis of long...

Treatment of osteomyelitis of long bones;

Treatment of osteomyelitis of long...

Treatment of osteomyelitis of long bones;

Microsurgery of the Locomotor syst...

Microsurgery of the Locomotor system