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

RSI (repetitive strain injury) and 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