GR

Hand Injuries

Specialized diagnosis & microsurgical repair

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🇬🇧 International-level specialization

Mr. Tzanetos has been trained in upper limb microsurgery at KAT, Athens Medical Center and as a Clinical & Research Fellow at Mount Vernon Hospital in London. This experience includes nerve reconstruction, tendon repair and vascular surgery.

Conditions We Treat

Finger & metacarpal fractures
Tendon ruptures (flexors/extensors)
Peripheral nerve injuries
Carpal tunnel syndrome
Nerve trapping syndromes
Wounds from tools
Wrist ligament injuries
Partial/full finger amputation
Lumps of the wrist and fingers (e.g. ganglia)

Diagnostic Approach

Accurate diagnosis is the cornerstone of any treatment. For hand injuries we use a combination of clinical examination and specialized tests:

Electroneurography (EMG/NCS)

Essential for nerve damage — measures conduction speed and identifies the level of compression or incision. Key to carpal tunnel syndrome and nerve injuries.

Wrist / Hand MRI

It detects tendon tears, ligament damage (TFCC), cysts and inflammation that are not visible on x-rays. Ideal for chronic wrist pain.

X-ray

First line for fractures of fingers, metacarpals and wrists. Taken in 3 views for full capture.

Soft tissue ultrasound

Dynamic examination for tendons — identifies partial tears, tendosylytritis, and effusions. Advantage: real-time on-the-go examination.

Clinical Trials

Tinel, Phalen, Allen test — specialized clinical tests that direct the diagnosis before paraclinical examinations.

Finger Inertia Test

Clinical assessment of the integrity of each tendon individually — necessary after trauma to rule out a hidden rupture.

Therapeutic Approach

Treatment is individualized based on the type of injury, age, and requirements of the patient. Options range from conservative treatment with a splint to microsurgery for nerve and tendon reconstruction. The goal is always the complete functional restoration of the hand.

Injury to the hand or fingers?

Don't procrastinate — early assessment determines the outcome.

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Frequently Asked Questions

What is carpal tunnel syndrome? +

Compression of the median nerve in the wrist. It is manifested by numbness in the first 3 fingers, pain at night, and inability to grip. It is diagnosed by electroneurrography and treated with a splint, injections, or minor surgical decompression.

When is microsurgery needed? +

When there is damage to a nerve or vessel, tendon rupture, or partial amputation of a finger. Microsurgery with a microscope allows for precise stitching or grafting of nerves less than a millimeter in diameter.

How quickly should a bleeding hand wound be treated? +

Wounds with active bleeding, visible bone, or loss of sensation need to be evaluated within hours. For finger amputation, the severed part must be stored in clean gauze in a bag of ice and the patient must immediately go to a specialized center.