The conditions reported on
Hand to shoulder. Trauma to chronic.
Trauma, repetitive and occupational, chronic and acquired, post-surgical conditions reported on under CPR Part 35 in personal injury, road traffic accidents, workplace accidents, industrial disease and clinical negligence cases.
Trauma.
Upper limb injuries from impact, force or laceration. Reports address mechanism, surgical or non-operative management, expected recovery and the permanent functional consequences.
Fractures
- Distal radius fracture
- Scaphoid fracture
- Other carpal bone fractures
- Metacarpal fracture
- Phalangeal fracture
- Forearm fracture (radius and ulna)
- Elbow fracture (olecranon, radial head, distal humerus)
- Shoulder fracture (proximal humerus, clavicle, scapula)
Tendon injuries
- Flexor tendon injury
- Extensor tendon injury
- Mallet finger
- Boutonnière deformity
- EPL and other late tendon ruptures
Nerve injuries
- Median nerve injury
- Ulnar nerve injury
- Radial nerve injury
- Digital nerve injury
- Brachial plexus injury
Ligament injuries
- Scapholunate ligament injury
- TFCC injury (triangular fibrocartilage complex)
- UCL injury (skier's thumb)
- Collateral ligament injuries of the digits
Dislocations
- Finger dislocations
- Wrist dislocations (perilunate, lunate)
- Elbow dislocation and instability
- Shoulder dislocation and instability
Amputation and replantation
- Digital amputation
- Partial hand amputation
- Upper limb amputation
- Replantation outcomes
Crush and soft tissue
- Crush injury of the hand and upper limb
- Compartment syndrome of the upper limb
- Hand and forearm lacerations
- Burn injuries to the hand
- Degloving injuries
- Scarring and adverse scar outcomes
Repetitive and occupational.
Conditions arising from work patterns or repeated use. Reports address causation in the occupational context, the impact on work capacity and the prognosis for return to occupation.
Nerve compression
- Carpal tunnel syndrome
- Cubital tunnel syndrome
- Radial tunnel syndrome
- Thoracic outlet syndrome
Tendinopathies
- Tennis elbow (lateral epicondylitis)
- Golfer's elbow (medial epicondylitis)
- de Quervain's tenosynovitis
- Trigger finger and trigger thumb
- Intersection syndrome
- Rotator cuff tendinopathy
Vibration and overuse
- Hand-arm vibration syndrome (HAVS)
- Repetitive strain injury (RSI)
- Work-related upper limb disorders (WRULD)
Chronic and acquired.
Long-term conditions of the upper limb. Reports address the natural history of the condition, current functional impact and the prognosis with appropriate treatment.
Arthritis
- Thumb base (CMC) osteoarthritis
- Finger joint osteoarthritis (DIP, PIP)
- Wrist osteoarthritis
- Elbow osteoarthritis
- Shoulder osteoarthritis
- Rheumatoid arthritis
- Psoriatic arthritis
Pain and stiffness syndromes
- Frozen shoulder (adhesive capsulitis)
- Complex regional pain syndrome (CRPS)
- Chronic upper limb pain
- Persistent post-surgical pain
Acquired and progressive
- Dupuytren's contracture
- Ganglion cysts and benign upper limb swellings
- Hypermobility spectrum disorders affecting the upper limb
- Connective tissue conditions affecting the upper limb
Post-surgical.
Outcomes and complications following hand and upper limb surgery. Reports address whether the recovery falls within the expected range, the cause of any adverse outcome and the prognosis with further intervention.
Outcomes and complications
- Outcomes following hand and upper limb surgery
- Contracture, stiffness and loss of motion
- Tendon adhesions and gliding restrictions
- Adverse scar outcomes
- Reconstruction outcomes
- Replantation outcomes
- Implant or prosthesis complications
- Functional recovery after surgical intervention
For solicitors and other legal instructors
Independent expert witness practice. Duty owed solely to the court. Instructions from Claimant and Defendant alike, across the United Kingdom.
Not listed
Enquire about an upper limb case.
This list covers the conditions and injuries the practice routinely reports on. Where an upper limb presentation falls outside it, enquire. The scope of opinion is governed by clinical expertise, not by a closed list.