Manipulation of a hand with Dupuytren's contracture after the injection of collagenase (Xiapex). A demonstration of effective local anaesthesia and a safe technique for manipulation that minimises the risk of skin tearing.
Flexor compartment synovectomy in a patient with rheumatoid arthritis presenting with loss of finger movement and local pain due to synovitis. Performed at the Queen Victoria Hospital, East Grinstead.
Ulnar head excision in a patient with rheumatoid arthritis who presented with painful and limited forearm rotation. Performed at the Queen Victoria Hospital, East Grinstead.
Simple trapeziectomy performed through the anterior approach for osteoarthritis of the thumb-base (trapezio-metacarpal joint). Performed at the Queen Victoria Hospital, East Grinstead.