Patients › Hand
Hand
Hand and finger problems grouped by theme — tendons, nerves, arthritis, lumps and cysts, infections and injuries — with each condition beside the operation that treats it.

Understanding your hand¶
Tendon problems¶
Dedo em gatilho
Trigger finger causes painful catching or locking of a finger, often treated with splinting or steroid injection. Open
Liberação de dedo em gatilho
Trigger finger release — understanding the condition, conservative treatments, and surgical options for a stuck or clicking finger. Open
Dedo em martelo
Mallet finger causes fingertip drooping after extensor tendon injury; splinting is key, surgery occasionally needed. Open
Dedo de Jersey (avulsão do tendão flexor)
The deep flexor tendon avulses off the fingertip — why it is time-critical, and the surgery to reattach it. Open
Ruptura da banda sagital (dedo de pugilista)
A knuckle injury where the tendon slips off the top of the joint — the "boxer's knuckle" — and how early splinting or surgery treats it. Open
Deformidade em botoeira
Extensor central-slip injury at the middle finger joint; early splinting prevents the zigzag deformity, established cases need surgery. Open
Deformidade em formato de pescoço de cisne do dedo
A finger that hyperextends at the middle joint and bends at the tip — why it happens and how splints or surgery can correct it. Open
Reparo do tendão extensor
Open
Reparo do tendão flexor
Open
Nerve problems & repairs¶
Síndrome do túnel do carpo
Carpal tunnel syndrome causes hand numbness, tingling, and weakness—diagnosis and treatment options explained. Open
Liberação do túnel carpal
Carpal tunnel release surgery relieves median nerve compression—when it’s needed and what to expect. Open
Neuropatias por compressão
Hand numbness, tingling, or weakness – understanding carpal tunnel, cubital tunnel, and other compression neuropathies. Open
Lesões dos tendões e nervos da mão
Hand tendon and nerve injuries – understanding symptoms, diagnosis, and treatment options. Open
Envoltório de nervo Remplir
Open
Arthritis & joint replacement¶
Trapeziectomia
Open
Artroplastia com interposição de pirocarbono
Open
Artrite da articulação interfalângica distal
Open
Fusão da articulação interfalângica distal
DIP joint fusion stabilizes and reduces pain in the fingertip joint, often for arthritis or mallet finger. Open
Artrite da articulação PIP
Osteoarthritis and inflammatory arthritis of the PIP joint — non-operative and surgical options. Open
Artrodese da articulação PIP
PIP joint fusion stabilizes a severely damaged middle finger joint, relieving pain when other treatments fail. Open
Substituição da Articulação PIP
PIP joint replacement addresses painful arthritis in the middle finger joint when non-surgical options fail. Open
Artroplastia da Articulação Metacarpofalangeana (MCPJ)
Open
Lumps, cysts & Dupuytren's¶
Doença de Dupuytren
Dupuytren’s disease causes palm thickening and finger contracture—options range from observation to needle aponeurotomy or surgical excision. Open
Fasciectomia de Dupuytren
Dupuytren’s fasciectomy — correcting hand contractures to improve function and daily activities. Open
Cisto mucoso
Mucous cysts – common bumps near finger joints, often linked to arthritis, and treatment options. Open
Excisão de cisto mucoso (com retalho local)
Open
Gânglio na bainha do tendão flexor
A benign, fluid-filled cyst arising from the flexor tendon sheath – often painless, but can cause clicking or limited finger movement. Open
Excisão de gânglio da bainha do tendão flexor
Excision of a flexor tendon sheath ganglion — when surgery is considered for painful or limiting cysts. Open
Tumor de células gigantes da bainha do tendão (nódulo no dedo ou no polegar)
A giant cell tumour of tendon sheath is a common, benign (non-cancerous) lump on a finger or thumb. What causes it, how it is diagnosed and removed, and how often it comes back. Open
Excisão do tumor de células gigantes da bainha do tendão
Open
Infections¶
Infecções da Mão
Paronychia, deep-space and flexor sheath infections — recognition, antibiotics, drainage. Open
Felon (infecção da polpa da ponta do dedo)
Open
Drenagem de felon
Open
Paroníquia (infecção ao lado da unha)
Open
Drenagem de uma paroníquia aguda
Open
Marsupialização da epóniquia para paroníquia crônica
Open
Bainha do flexor infectada (Tenossinovite flexora piogênica)
Open
Drenagem de bainha flexora infectada
Open
Fractures & ligament injuries¶
Fraturas de dedos
Phalangeal and metacarpal fractures of the hand — non-operative care and indications for fixation. Open
Fixação de fratura da falange
Open
Fratura-luxação da articulação PIP
Open
Fraturas dos metacarpos (incluindo a fratura do boxeador)
A broken hand bone in the palm — including the common boxer's fracture — how it is treated, the rotation check that matters most, and recovery. Open
Fixação de fratura do metacarpo
Open
Fraturas do hamato e fraturas-luxações CMC do dedo anelar e do dedo mínimo
Open
Fixação de fratura-luxação do hamato e das articulações CMC
Open
Lesões na ponta dos dedos
Crush, laceration, nail-bed and amputation injuries of the fingertip and their management. Open
Reparo e reconstrução da ponta do dedo
Open
Hand health & medical conditions¶
Condições médicas que afetam a mão
How whole-body conditions — diabetes, thyroid, inflammatory arthritis, kidney disease and more — show up in the hand. Open
Gravidez e afecções da mão
Carpal tunnel in pregnancy and de Quervains "mummy thumb" — why they happen, what is safe, and when they settle. Open
Fenômeno de Raynaud
Fingers that go white, blue then red in the cold — primary vs secondary Raynaud's, keeping warm, and when it needs assessment. Open
Recovery and rehabilitation¶
A vida cotidiana após a cirurgia no ombro
Washing, dressing, sleeping and managing day-to-day with the operated arm in a sling after shoulder surgery. Open
A vida cotidiana após cirurgia na mão, no punho ou no cotovelo
Keeping a hand or wrist dressing dry, elevation to control swelling, and one-handed living after hand, wrist or elbow surgery. Open
Alimentação adequada para a recuperação
Everyday food to support recovery after surgery — protein, energy, healing vitamins, and preventing constipation. Open
Anticoagulantes no período cirúrgico
How anticoagulants and antiplatelets work, and why the timing of stopping each before surgery differs — platelet turnover, half-lives and clot risk. Open
Calor vs. Gelo
When ice helps, when heat helps, and how to use either safely on the upper limb. Open
Constipação e cuidados intestinais após a cirurgia
Why constipation is common after surgery (especially with strong painkillers) and how to prevent and manage it. Open
Controle da dor após a cirurgia
What pain to expect, how to use pain relief well, and when to call. Open
Cuidados com a sua cicatriz
Massage, silicone, sun protection and the 12-month timeline for surgical scars to soften and fade. Open
Cuidados com a sua ferida
Dressings, showering, and signs of infection after upper-limb surgery. Open
Cuidados com gesso e tala em casa
Looking after a plaster or splint at home — keeping it dry, elevation, keeping joints moving, and the urgent signs of a too-tight cast. Open
Dirigir após cirurgia no ombro e no braço: quando é seguro e legal?
After most shoulder surgery, including rotator cuff repair, you usually cannot drive for about six weeks, and not while your arm is in a sling. When it is safe and legal to get back to the wheel after hand, wrist, elbow or shoulder surgery. Open
Inchaço e elevação após a cirurgia
Why a hand or arm swells after surgery, how elevation and gentle movement control it, and when swelling is a warning sign. Open
Jejum antes da cirurgia: o que se pode comer e beber, e por quê
Why you must stop eating before an anaesthetic, when you can still sip water, and what can happen if you do not fast. The clear fasting rules that keep your stomach empty and your lungs safe during surgery. Open
Melatonina após cirurgia no ombro
Why we prescribe melatonin after shoulder surgery, what the trial evidence shows, the dose we use, and what to expect from it. Open
Mente, estresse e recuperação
How stress, low mood, anxiety and worry about pain affect recovery and surgical outcomes — and what helps. Open
Minha ferida está infectada?
How to tell normal healing from a wound infection after surgery — the warning signs and when to seek help. Open
Noções básicas sobre terapia da mão
What to expect from hand therapy, how often you'll go, and what good rehab looks like. Open
O dia da sua cirurgia
What to expect on the day of day-case upper-limb surgery, from arrival and meeting the team to waking up and going home. Open
O seu bloqueio nervoso do ombro
The nerve block we use for shoulder surgery — how it numbs your arm, why it controls pain so well, and what to expect as it wears off. Open
Preparação para a cirurgia
General checklist for the days before upper-limb surgery — fasting, what to bring, medications. Open
Prevenção de coágulos sanguíneos em casa
Reducing the risk of deep vein thrombosis after upper-limb surgery — mobilisation, hydration, medication. Open
Retorno ao trabalho
When you can return to desk, light, and heavy work after upper-limb surgery. Open
Retorno às atividades esportivas
Phased return to sport after upper-limb surgery, and when contact sport is safe again. Open
Sono, dor e recuperação
How sleep and pain affect each other, why surgery and shoulder problems disturb sleep, and what helps you rest and recover. Open
Uso e dormir com uma tipóia para o braço
How to sleep in an arm sling, get the sling position right, and look after it after shoulder, elbow or wrist surgery, including whether to keep the sling on overnight. Open
Verificação da ferida e remoção dos pontos
What happens at the post-op wound check, dissolvable vs removable stitches, what removal feels like, and when to seek help sooner. Open
Voos e viagens após a cirurgia
Clot risk, cast tightness at altitude, fitness to fly and the practicalities of travelling after upper-limb surgery. Open
