Hand surgeryDr méd. Glauser Thierry

spéc. chirurgie générale FMH & chirurgie de la main FMH Hirslanden Clinique La Colline
Avenue de la Roseraie 76a, 1205 Genève

Contacts

Address
Avenue de la Roseraie 76a
1205 Genève
Phone
Fax
022 702 24 03
Website
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Overview

Languages
Languages
English, French, German, Italian, Spanish
Location
Location
Close to museum, Close to public transport, Close to sports facilities, In city center, Parking site, Wheelchair-accessible, With view
From
To

Hand and Wrist Surgery Center

The Hill Surgery Center of the Hand and Wrist is established on the heights of the district of Champel and directly next to the Cantonal Hospital. It offers a unique framework of treatment both by its infrastructure and by the network of the best specialists it offers you.

The Center guarantees you a complete management of the affections of the hand, the wrist and globally of the upper limb.

Integrated within Hirslanden Clinic La Colline, the Center has, in the same infrastructure, to:

    An emergency center open 7 days a week to take care of any accidental illness without delay, regardless of the type of insurance you receive.
    Several of the most modern operating rooms in Europe for both stationary and ambulatory surgery.
    A radiology center equipped with the best diagnostic tools (MRI, scanner, ultrasound, conventional radiology).
    A physiotherapy and erotherapy center allowing the realization of an outpatient or hospitalized rehabilitation, in room or in swimming pool, as well as the realization of made-to-measure splints.

    Consultant Physician and former Associate Physician, Department of Orthopedic Surgery and Traumatology of the Motor Apparatus, Hand Surgery Unit, University Hospitals of Geneva.
    President Clinical Medical Committee La Colline, Geneva 01.2011-03.2014
    President of the Group of Hand Surgeons of the Canton of Geneva: 2008 to 2014
    Commissioner of the Department of Health (DARES), Health Professions and Patients Rights Supervisory Commission
    Director Hintsa Human High Performance Program
    Hand Surgeon Consultant for the FIA

CLINICAL RESEARCH ACTIVITIES

    Interest of arthroscopy in the early treatment of ligamentous lesions of the wrist.
    New technique of arthroscopic treatment of wrist cysts.
    Benefit of palmar plate treatment of complex fractures of the wrist.
    Treatment of chronic wrist pain by microsurgical denervation.

POLES OF INTERESTS

    Wrist arthroscopy and bone and ligament reconstruction.
    Compression syndromes and peripheral nerve lesions.
    Tendon transfers and functional resuscitation after paralysis.
    Prosthetic surgery of the wrist, thumb and fingers.

Surgeons and therapists in connection with the Center provide diagnosis, treatment and rehabilitation of most disorders and trauma of the upper limb, wrist, peripheral nerves in adults and children.

Unique healthcare services in geneva

Thus, they put at your disposal their skills and their advanced experiences in the following fields:

    Ligament repair and arthroscopy of the wrist.
    Osteoarthritis of the thumb as well as long fingers and prosthetic joint replacements.
    Microsurgery and replanting surgery of the extremities.
    Illness and trauma in elite athletes in collaboration with the FIA.
    Degenerative or post-traumatic osteoarthritis and solution for the wrist-hand elbow.
    Specific lesions of the musicians.
    Rehabilitation, coaching and physical training for the upper limb.

Carpal tunnel syndrome


Carpal tunnel syndrome (or carpal tunnel) is a compression of the median nerve under the palmar annular ligament of the carpus.


The carpal tunnel syndrome is manifested by tingling or morning numbness of the first 3 fingers (thumb, index and middle finger). If the phenomenon gets worse, it can wake you up at night, but disappear the day.


In the most advanced cases, there is a decrease and even a disappearance of sensitivity, accompanied by blunders. In addition, some thumb muscles atrophy, resulting in a weak hand.


The diagnosis can be confirmed by a complementary examination (Electromyogram) to specify the level and importance of compression.

The compression syndrome of the ulnar nerve at the elbow


The cubital canal syndrome refers to a compression of the ulnar nerve (or ulnar nerve) at the elbow. More rarely, the compression of this nerve can take place on the wrist (Guyon's canal). The ulnar nerve passes to the posterior aspect of the elbow. It is therefore subject to compression in case of shock, prolonged support or repeated bending of the elbow.


At first, the patient notes the appearance of tingling in the little finger. Late, there is a decrease in the sensitivity of this finger.

There is also a loss of strength of the hand associated with a melting of the musculature giving the hand an atrophic aspect (thin).

Paresthesia (tingling) in the 5th and 4th fingers.

A complementary examination (Electromyogram) makes it possible to specify the place and the importance of compression.

FINGER ROTATED


The finger jump or spring finger is manifested by a sometimes painful attachment to the mobilization in flexion (closure) or extension (opening) of the finger.
It is due to the presence of a nodule on the tendon, nodule that hangs when it engages under the pulleys.

This attachment irritates the nodule and makes it grow; he blocks even more; it's a self-sustained phenomenon.


The reasons for the appearance of this nodule are multiple: poor hydration, significant efforts, efforts
repeated. Sometimes the appearance is totally spontaneous.

Rhizarthrosis: osteoarthritis of the base of the thumb


Rhizarthrosis is a degenerative joint disease of the base of the thumb.


It touches the joint between the trapezius bone and the first metacarpal, more rarely the one between the scaphoid and the trapezium.


Osteoarthritis is a wear of the joint due to aging and destruction of articular cartilage. This degeneration can also be the consequence of an old joint fracture.


At first, it is the cause of pain and loss of strength when using the hand. With time, the evolution is towards the deformation and the stiffness of the thumb.


Contrary to certain prejudices, rhizarthrosis is treated by medical treatments, occupational therapy and today thanks to new surgical techniques curative treatments are available even in the forties.


The disease described by Dupuytren is due to a change in the fibrous layer of the palm and fingers.


It is observed in people suffering from diseases that can promote its onset (diabetes, lung diseases). There are also families in which the disease is inherited.


Dupuytren's disease is manifested by the formation of nodules and flanges in and on the palmar surface of the fingers. In some cases, the disease remains stable for years without retraction. Most often, however, the retractile properties of the disease result in progressive flexion of the fingers.


This evolution can be done in a few months or take years. All the fingers can be affected but it is the ring finger and the little finger that are most frequently affected.

    Algodystrophy - CRPS - Südeck's disease - RSD

http://www.gem-sfcm.org/file/medtool/webmedtool/sfcmtool01/botm0069/pdf00001.pdf

  

    Affections of the Upper Member among Musicians

http://www.swisshandsurgery.ch


More information and medical references

Indications for Occupational Therapy


Biologically the hand is composed of multiple vessels, nerves and cartilages, 29 bones, 40 muscles and very many joints. It is at the same time one of the most complex and one of the most indispensable organs of the human body. The two main functions of the hand are grasping and touching. These characteristics make it a privileged instrument, it is in fact the best tool of the man!


The hand is constantly solicited and therefore exposed to many dangers. Sometimes, for various reasons, the hand is injured, making everyday life difficult.


The primary goal of occupational therapists specialized in hand therapy is to maximize the return of the hand function to allow the person to resume their daily activities, work and leisure while considering the complexity of the biomechanics of this hand. organ.


Issues addressed:

    Amputation

    Arthritis

    osteoarthritis

    Ligamentary damage

    Damage to a pulley

    Burn

    Scar

    contracture

    Crushing

    epicondylitis

    epitrochleitis

    Fracture

    Infection

    Cyst, tumor in the hand

    Laceration or involvement of a peripheral nerve

    Laceration or tendinous involvement

    Dupuytren's disease

    Carpal tunnel

    tendonitis

    relocation

    Complex regional pain syndrome

    Sensitivity Rehabilitation

    tenosynovitis

Insurance and support


Regardless of your private insurance or not the consultations, ambulatory care and outpatient operations can be performed at the Hill - Center of Surgery of the Hand and Wrist.

These services are billed at the Tarmed tariff in the same way as at the University Hospitals of Geneva (HUG).

This rate is available to everyone under Tarmed.ch and includes all services billable by the doctor in the following cases:

    Sickness (LaMal Health Insurance Act)
    Accident (accident insurance law) LAA contracted by the employer for employees
    Congenital disability where acquired after a long-term illness (disability insurance AI)

Source: Swisscom Directories AG