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Upper Limb & Hand Team

Editor in Chief

Mr Dominic Power

I am a Consultant Hand and Peripheral Nerve Surgeon based in Birmingham in the UK. I studied medicine at Emmanuel College, Cambridge University and completed orthopaedic and trauma training at the Royal Orthopaedic Hospital in Birmingham. I undertook advanced...

I am a Consultant Hand and Peripheral Nerve Surgeon based in Birmingham in the UK. I studied medicine at Emmanuel College, Cambridge University and completed orthopaedic and trauma training at the Royal Orthopaedic Hospital in Birmingham. I undertook advanced Fellowship training in hand surgery at the Pulvertaft Hand Centre, Derby and at The Birmingham Hand Centre, UK. Travelling Fellowships in brachial plexus and peripheral nerve surgery included visits to Thailand, Malaysia, Singapore and Taiwan. I was appointed as a consultant at the Birmingham Hand Centre, UHB in 2007. Birmingham is home to the Royal Centre for Defence Medicine and the complex upper limb trauma and peripheral nerve injury cases treated from recent military conflicts necessitated the development of a service for peripheral nerve injury. I was invited to join the War Nerve Injuries Clinic at the Defence Medicine Rehabilitation Centre, Headley Court evaluating outcomes from nerve injury in military personnel treated at the RCDM. I established the West Midlands Brachial Plexus and Peripheral Nerve Injury Service in 2010. I am the lead for peripheral nerve surgery in the West Midlands. I am research lead for the Hand and Peripheral Nerve (HaPPeN) research network, based at the Institution for Translational Medicine at the University Hospitals NHS Foundation Trust, Birmingham, UK.

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Editor

Mr Mark Brewster

I am an Orthopaedic Hand & Wrist Surgeon based in the Queen Elizabeth Hospital and Royal Orthopaedic Hospital in Birmingham.

I qualified from Leicester University in 2001 and trained in Orthopaedics in the West Midlands.
I completed a Training interface Group...

I am an Orthopaedic Hand & Wrist Surgeon based in the Queen Elizabeth Hospital and Royal Orthopaedic Hospital in Birmingham.

I qualified from Leicester University in 2001 and trained in Orthopaedics in the West Midlands.
I completed a Training interface Group fellowship in Hand Surgery in Manchester with Prof. Vivienne Lees, Stuart Watson, Lindsay Muir and Gus McGrouther and during this time completed my British Hand Diploma.

I was appointed as a consultant in 2012 and split my time between Hand trauma in the Queen Elizabeth Hospital and Elective Hand surgery with a specialist interest in wrist surgery in the Royal Orthopaedic Hospital.

I have published on wrist instability and scaphoid surgery and am a keen teacher running my own annual cadaveric courses on hand dissection, wrist arthroscopy and wrist instability.

I have recently been appointed as the director of the British Society for Surgery of the hand Diploma course (2024-27) and continue to publish actively

(The rate of nonunion in the MRI-detected occult scaphoid fracture:
The Bone & Joint Journal
106-B No.4 | Pages 387 - 393, 01 April 2024)

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Editor

Mr Manish Gupta

I am a Consultant Hand Surgeon at the University Hospitals Birmingham and was appointed to the post in 2013.

I graduated from Delhi University in India in 1992 and qualified as an Orthopaedic Surgeon after completing my Masters in T&O in 1998. I did further training...

I am a Consultant Hand Surgeon at the University Hospitals Birmingham and was appointed to the post in 2013.

I graduated from Delhi University in India in 1992 and qualified as an Orthopaedic Surgeon after completing my Masters in T&O in 1998. I did further training in UK, mainly in West Midlands, and have been full time practitioner of Hand Surgery since 2009. I certified for the European Hand Surgery Diploma in 2011 and went on to do my Fellowship in Hand & Reconstructive Microsurgery at the National University Hospital Singapore in 2012.

My special interest is management of traumatic hand injuries with bony and soft tissue reconstruction. My other special interest is education and I am the Clinical Tutor for Junior Doctors at my Trust. In addition, I am a faculty member in numerous courses of Hand Surgery. I am a member of the British and European Hand Societies and present regularly in their annual conferences.

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Editor

Mr Tahseen Chaudhry

I underwent basic surgical training in Shropshire and London and taught anatomy at the University of Cambridge before completing higher specialist training in trauma and orthopaedic surgery on the Birmingham rotation.

I then undertook further training in hand surgery...

I underwent basic surgical training in Shropshire and London and taught anatomy at the University of Cambridge before completing higher specialist training in trauma and orthopaedic surgery on the Birmingham rotation.

I then undertook further training in hand surgery on the ATP interface hand fellowship followed by the Birmingham peripheral nerve surgery fellowship.

I also undertook fellowship training in hand surgery, and peripheral nerve surgery in Taiwan, Thailand, Hong Kong, the US and France.

I currently work at University Hospital Birmingham as a hand and peripheral nerve surgeon.

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Editor

Mr Rajive Jose

Mr Rajive Jose is a Consultant in Hand Surgery at the Queen Elizabeth Hospital, Birmingham Royal Orthopaedic Hospital, Birmingham.
He qualified at Pondicherry University, India in 1994. He gained his specialist training in Plastic Surgery through the West Midlands...

Mr Rajive Jose is a Consultant in Hand Surgery at the Queen Elizabeth Hospital, Birmingham Royal Orthopaedic Hospital, Birmingham.
He qualified at Pondicherry University, India in 1994. He gained his specialist training in Plastic Surgery through the West Midlands rotation. He completed the Advanced Training Post in Hand Surgery in Birmingham and also completed the Pulvertaft Hand Fellowship at Derby. He has also completed the British Hand Diploma organised by BSSH and Manchester University. He is a member of the BSSH Hand Diploma committee and also is tutor for the hand Diploma program. He has authored several scientific papers and book chapters. He has also authored an exam revision book in Plastic Surgery. His other interests include painting and writing. He was the runner up of the BMA News writing competition for doctors in 2012.

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Editor

Mr Ross Fawdington

Mr Ross Fawdington graduated from the University of Manchester in 2005. He completed his specialist orthopaedic training on the Oswestry / Stoke training rotation. He is a dual fellowship trained Consultant Trauma & Orthopaedic surgeon. His fellowships are in...

Mr Ross Fawdington graduated from the University of Manchester in 2005. He completed his specialist orthopaedic training on the Oswestry / Stoke training rotation. He is a dual fellowship trained Consultant Trauma & Orthopaedic surgeon. His fellowships are in ortho-plastic complex trauma and the Training Interface Group – Advanced Training Post in Hand surgery. He has a postgraduate Diploma in Hand Surgery and was the BSSH sponsored BOA Clinical Leaders Programme fellow in 2017. He’s also been awarded the prestigious Stack Travelling Fellowship by the BSSH. He is a member of the Faculty of Surgical Trainers of the Royal College of Surgeons of Edinburgh and has a keen interest in medical education. He is an honorary clinical lecturer at Keele University and has independently organised eight cadaveric surgical simulation and anatomy courses for trainees in the West Midlands.

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contributor

Mr Simon Tan

Simon has been a consultant Hand Surgeon since 2008. He completed his Orthopaedic training in Birmingham and following this undertook fellowship training in his chosen sub-speciality, completing a Hand Surgery fellowship in Nottingham, UK, followed by a fellowship in...

Simon has been a consultant Hand Surgeon since 2008. He completed his Orthopaedic training in Birmingham and following this undertook fellowship training in his chosen sub-speciality, completing a Hand Surgery fellowship in Nottingham, UK, followed by a fellowship in microsurgery and brachial plexus surgery in Kuala Lumpur, Malaysia. Simon has practiced exclusively in Hand Surgery since joining the Birmingham Hand Centre in 2008. The hand centre, based at the Queen Elizabeth and Royal Orthopaedic Hospitals, is one of the largest and busiest in the UK. Simon’s practice cover’s the whole spectrum of Hand Surgery in adults but he also has a major interest in peripheral nerve surgery. Simon was instrumental in establishing the Peripheral Nerve Injury Service which now provides a comprehensive surgical service for all peripheral nerve surgical disorders, including: adult brachial plexus injuries, lower limb nerve injury, thoracic outlet surgery, nerve tumour surgery, tetraplegia and spasticity.
Simon was key in establishing the Birmingham Hand Centre’s fellowship programme and continues as it’s director. The programme has established an excellent reputation for speciality training in Hand Surgery. Consequently, fellowship places continue to be oversubscribed from both national and international applicants.

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The Hand and Upper limb team work closely together as colleagues in the Queen Elizabeth and Royal Orthopaedic Hospitals ,Birmingham ,UK.

Their practices encompass the management of a wide variety of elective and traumatic conditions of the Hand & Upper limb. This includes an extensive tertiary referral service as well as an internationally renowned  peripheral nerve practice.

All the images are of the named authors carrying out their own techniques and the operative descriptions and questions are written by themselves.

Where operative techniques are demonstrated using an implant this reflects the authors own technique as  used in their practice. Their demonstration is not an endorsement of technique or implant by either OrthOracle , the Royal College of Surgeons  or the manufacturer and should not be regarded as such.

Full technical and operative details are available from the manufacturer and should be referred to by those considering the use of any implant.

The detailing of particular products or implants on OrthOracle should not be taken as an indication that these are superior to other similar products ,which may perform to similar standards.

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