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Hand surgery deals with both surgical and non-surgical treatment of conditions and problems that may take place in the hand or upper extremity.


Dupuytren treatment

Dupuytren's disease is a progressive and irreducible bending of the fingers caused by retractile fibrosis in the palm.

Dr. Guertin favours percutaneous injections (Xiaflex treatment) versus surgery. This treatment is done without incisions or scarring, takes a few minutes, and offers fast recovery times for use of the hand.


Carpal tunnel

Carpal tunnel occurs when the median nerve compresses.

  • Medical treatment: Cortisone injections are often effective, but only temporarily. They can be repeated once or twice if properly spaced out over time.
  • Surgical treatment: Surgical treatment involves enlarging the carpal tunnel by cutting the anterior annular ligament of the wrist. This surgical procedure is done under local anaesthesia and usually takes about ten minutes.