Innovative Care

Many upper limb problems can be treated without surgery, and this is always the preferred pathway. If surgery is required Mr Savaridas uses minimally invasive techniques as much as possible; minimally invasive surgery is linked to less pain, a shorter hospital stay and fewer complications.

Mr Savaridas is also able to perform a number of surgical procedures under local anaesthetic, without the need for a general anaesthetic. This allows him to be able to treat higher risk patients with other medical problems, who might otherwise not be able to have surgery.

Getting a correct diagnosis is vital. When you see Mr Savaridas in clinic he will initially take a full history of your problem and symptoms and carry out a thorough physical examination of the upper limb. If images such as X-ray, MRI, CT or Ultrasound scans are required, this will be arranged for you.

Shoulders

The shoulder, or glenohumeral joint, is the most mobile joint in the body, allowing a wide range of movement in multiple directions. It comprises of the humerus (upper arm bone), scapula (shoulder blade), and clavicle (collar bone), and is stabilised by muscles, tendons, and ligaments, particularly the rotator cuff. While its extensive mobility is advantageous for versatility and movement, its relative instability makes it prone to injuries.

Repetitive overhead activities, heavy lifting, and sudden trauma can lead to developing a number of conditions.

Shoulder conditions

Rotator cuff syndrome
Shoulder Impingement
Shoulder Instability
Frozen shoulder
AC-J pain/ dislocation
Long head biceps tendinopathy/tears
Shoulder arthritis
Shoulder and upper arm fractures

Shoulder treatments

Arthroscopic subacromial decompression
Arthroscopic rotator cuff repair
Arthroscopic stabilisation
Total shoulder replacement

Elbows

The elbow joint is a complex hinge joint that allows the forearm to bend and straighten, as well as rotate. It is made up of three bones; the humerus, radius, and ulna, and is supported by various ligaments, tendons, and muscles.

Due to its constant use in everyday activities and sports, the elbow is particularly prone to both acute and chronic injuries.

Elbow conditions

Tennis elbow
Golfer’s Elbow
Radial tunnel syndrome
Elbow instability
Elbow impingement
Triceps Tendinopathy
Distal Biceps tear
Cubital Tunnel Syndrome
Elbow fractures

Elbow treatments

Distal biceps repair
Tennis elbow release
Cubittal tunnel release
Forearm fracture stabilisation

Wrist and hands

The wrist and hand are highly intricate structures, made up of numerous small bones, joints, ligaments, tendons, and muscles. This complexity allows for intricate, precise movements and dexterity. However, their high degree of mobility and the crucial role they play in daily activities and functions—such as gripping, lifting, and fine motor tasks—make them particularly vulnerable to injury.

Wrist and hand conditions

Thumb base arthritis
Carpal tunnel syndrome
Wrist Joint arthritis
Wrist fractures
Wrist Tendinopathies
TFCC tears and instability
Trigger finger and thumb
Dupuytren’s
Ganglions
Finger joint arthritis
Tendon injuries and ruptures
Finger and hand fractures

Wrist and hand treatments

Trapeziectomy and tendon interposition
Carpal tunnel release – WALANT
Motion Sparing wrist fusion
Dupuytren’s release – needle fasciotomy (clinic based)
PIP-J replacement – WALANT
DIP-J fusion – WALANT
WALANT Wide-Awake Local Anaesthesia No Tourniquet

Committed to your care

Experience the difference at Central Scotland Orthopaedics - where personalised, evidence-based care meets compassionate, patient-focused treatment. Mr Savaridas and his team are here to support your journey to recovery.
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