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Специалист устраняет дефекты в области кисти и предплечья, соединяет фрагменты костей, сшивает сухожилия и нервы, восстанавливает чувствительность пальцев, работоспособность и мелкую моторику кисти [1](https://www.zdorovo365.ru/hirurgiya-kisti-ekaterinburg.html).\n\n\n\n## Заболевания\nНекоторые патологии, которые лечит кистевой хирург: \n* **Туннельные невропатии** — сдавление нерва в карпальном или кубитальном канале, канале Гийона, приводящее к боли, онемению и слабости в кисти [1](https://www.zdorovo365.ru/hirurgiya-kisti-ekaterinburg.html). \n* **Контрактура Дюпюитрена** — уплотнение сухожилий на ладони, приводящее к сгибанию пальцев и невозможности их распрямить [3](https://mc-liberty.ru/doctor-appointment/kistevoy-hirurg/)[5](https://stk-clinic.ru/services/hirurgiya-kisti/). \n* **Артрит и артроз** — поражают суставы кисти, вызывая боль, отёк, скованность движений и деформацию [5](https://stk-clinic.ru/services/hirurgiya-kisti/). \n* **Ганглии и гигромы** — доброкачественные образования на кисти или запястье, заполненные жидкостью, которые ограничивают движения [5](https://stk-clinic.ru/services/hirurgiya-kisti/). \n* **Врождённые аномалии** — например, полидактилия, брахидактилия, синдактилия, требуют реконструктивного оперативного вмешательства [1](https://www.zdorovo365.ru/hirurgiya-kisti-ekaterinburg.html).\n\n## Травмы\nКонсультация кистевого хирурга необходима при различных травмах кисти, например: \n* переломы костей [5](https://stk-clinic.ru/services/hirurgiya-kisti/); \n* вывихи суставов [5](https://stk-clinic.ru/services/hirurgiya-kisti/); \n* растяжения и разрывы сухожилий [5](https://stk-clinic.ru/services/hirurgiya-kisti/); \n* повреждения нервов и сосудов [5](https://stk-clinic.ru/services/hirurgiya-kisti/). \n\nБез лечения травмы могут привести к неправильному сращению костей, контрактурам или хронической боли [5](https://stk-clinic.ru/services/hirurgiya-kisti/).\n\n## Диагностика\nКистевой хирург проводит **физикальное обследование** кисти, проверяет подвижность пальцев, чувствительность и наличие отёков или деформаций [1](https://www.zdorovo365.ru/hirurgiya-kisti-ekaterinburg.html)[5](https://stk-clinic.ru/services/hirurgiya-kisti/). При необходимости назначает дополнительные исследования: рентгенографию для оценки состояния костей, УЗИ мягких тканей или МРТ для детального изучения сухожилий, суставов и связок [5](https://stk-clinic.ru/services/hirurgiya-kisti/). В некоторых случаях требуется электромиография для проверки проводимости нервов [5](https://stk-clinic.ru/services/hirurgiya-kisti/).\n\n## Лечение\nЛечение зависит от диагноза [16](https://www.kb85.ru/services/nejrohirurgiya/hirurgiya-kistej-ruk/). Оно может быть **консервативным** — без хирургического вмешательства, или **хирургическим** — при тяжёлых травмах, хронических заболеваниях и деформациях кисти [1](https://www.zdorovo365.ru/hirurgiya-kisti-ekaterinburg.html)[16](https://www.kb85.ru/services/nejrohirurgiya/hirurgiya-kistej-ruk/). \n\n**Консервативные методы** включают медикаментозную терапию, физиотерапию, ортопедическое лечение (иммобилизацию с помощью гипсовых повязок, лонгет или ортезов) [16](https://www.kb85.ru/services/nejrohirurgiya/hirurgiya-kistej-ruk/). \n\n**Хирургические методы** применяются, когда консервативные методы не дают результата или заболевание приводит к значительным функциональным нарушениям кисти [16](https://www.kb85.ru/services/nejrohirurgiya/hirurgiya-kistej-ruk/). 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