From everyday overuse injuries to rare microsurgical emergencies, Dr. Sunil Kumar Yadav offers expert diagnosis and tailored treatment across the full breadth of hand and upper limb conditions.
The hand is the most complex and frequently used part of the human body. Conditions affecting the hand, wrist, forearm, or elbow can profoundly impact your ability to work, care for yourself, and enjoy life. Dr. Yadav's subspeciality training in hand surgery and microsurgery means that whatever brings you to the clinic — a fresh injury, a chronic ache, or a long-standing deformity — you receive the most current, evidence-based care available in India.
Injuries sustained through accidents, falls, machinery, or sports requiring urgent and specialist surgical management.
Hand Fractures & Dislocations
Fractures of the metacarpals, phalanges, carpal bones, and joints of the hand are among the most common injuries seen in the clinic. Accurate reduction and stable fixation — using plates, screws, K-wires, or external fixators — is essential to restore alignment, prevent stiffness, and return the hand to full function.
Crush Injuries
Crush injuries cause simultaneous damage to bone, tendon, nerve, and blood vessels and require a coordinated, staged surgical approach. Debridement, skeletal stabilisation, vascular repair, and soft-tissue coverage are prioritised in sequence to salvage the limb and maximise recovery.
Tendon Lacerations
Cuts to the flexor or extensor tendons prevent the finger from bending or straightening and must be repaired promptly for the best outcome. Dr. Yadav uses strong, multi-strand core suture techniques combined with an epitendinous repair to allow early active mobilisation.
Nerve Lacerations
Severed digital or major peripheral nerves cause immediate loss of sensation and, when motor nerves are involved, weakness or paralysis of the hand. Microsurgical primary nerve repair, performed under magnification within hours of injury, provides the best chance of sensory and motor recovery.
Fingertip & Nail Bed Injuries
The fingertip is densely packed with sensory nerve endings and requires meticulous reconstruction to preserve grip, pinch, and tactile sensation. Treatment ranges from conservative dressing for small injuries to nail-bed repair, local flap coverage, or microsurgical replantation for amputations.
Amputations & Replantation
Traumatic amputation of a finger, thumb, or hand can be reversed in many cases through microsurgical replantation — reattaching severed parts by joining arteries, veins, tendons, nerves, and bone under the operative microscope. Results depend on the level of injury, ischaemia time, and patient health; thumb and multi-finger replantations are especially worth attempting.
Disorders of the peripheral nerves and blood vessels of the upper limb, producing pain, numbness, weakness, or circulatory compromise.
Carpal Tunnel Syndrome
Compression of the median nerve at the wrist produces tingling, numbness, and pain in the thumb, index, middle, and ring fingers, often worst at night. Mild cases respond to splinting and steroid injections; persistent or severe cases require carpal tunnel decompression — a brief, effective procedure with rapid recovery.
Cubital Tunnel Syndrome
Entrapment of the ulnar nerve at the elbow causes numbness and tingling in the little and ring fingers, hand weakness, and difficulty with fine tasks. Surgical decompression or anterior transposition of the nerve relieves pressure and halts progression of weakness.
Brachial Plexus Injuries
Damage to the brachial plexus — the network of nerves controlling the entire arm — can result from birth trauma, high-speed road accidents, or stretch injuries during sport. Reconstruction using nerve transfers, nerve grafting, and muscle transfers requires specialist expertise and meticulous planning to restore meaningful function.
Chronic conditions arising from wear, inflammation, or metabolic change that cause progressive pain and impaired hand function.
Trigger Finger
Stenosing tenosynovitis causes a finger to catch, click, or lock when bending, due to thickening of the tendon sheath at the base of the finger. Treatment progresses from steroid injection to surgical release of the A1 pulley, which is performed as a day-case procedure under local anaesthesia.
Ganglion Cysts
Ganglion cysts are fluid-filled swellings arising from joint capsules or tendon sheaths around the wrist and hand. Many resolve without treatment; symptomatic or persistently enlarging cysts are treated by aspiration or surgical excision, with arthroscopic removal offering lower recurrence rates for dorsal wrist ganglia.
De Quervain's Tenosynovitis
Inflammation of the tendons at the thumb side of the wrist produces pain and swelling aggravated by pinching or gripping — a common condition in new mothers and those with repetitive wrist movements. First-line management includes splinting and corticosteroid injection; surgical release of the first dorsal compartment offers a definitive cure.
Hand & Wrist Arthritis
Osteoarthritis and inflammatory arthritis (including rheumatoid arthritis) can cause debilitating pain, swelling, deformity, and stiffness in the small joints of the hand, thumb base (CMC joint), and wrist. Management ranges from splinting, injections, and activity modification to joint reconstruction, fusion (arthrodesis), or arthroplasty for advanced disease.
Dupuytren's Contracture
Progressive thickening of the palmar fascia pulls the fingers — most often the ring and little fingers — into a fixed flexion deformity, preventing the hand from lying flat. Treatment options include collagenase injection (Xiaflex) and surgical fasciectomy, with the choice guided by the degree of contracture and patient preference.
Tennis Elbow (Lateral Epicondylitis)
Degeneration of the extensor tendon origin at the lateral epicondyle of the elbow causes pain and weakness with gripping, lifting, and forearm rotation. Most cases resolve with physiotherapy, bracing, and PRP or steroid injections; refractory cases benefit from surgical debridement and repair of the extensor carpi radialis brevis tendon.
Birth differences and neurological injuries requiring specialised reconstructive planning and long-term multidisciplinary care.
Congenital Hand Anomalies
Conditions such as syndactyly (fused fingers), polydactyly (extra digits), hypoplastic thumb, radial club hand, and constriction band syndrome affect a child's hand development and function from birth. Careful surgical correction — timed appropriately to the child's growth — maximises functional and aesthetic outcomes and supports normal developmental milestones.
Spinal Cord Injury — Tetraplegic Hand
Cervical spinal cord injury leaves the hands profoundly impaired, yet tendon and nerve transfer surgery can restore key-pinch, grasp, and elbow extension — dramatically increasing independence. This highly specialised service is available through Dr. Yadav, one of very few surgeons in India offering tetraplegic upper limb reconstruction as part of a dedicated rehabilitation pathway.
Complex wounds, scars, tumours, and post-traumatic sequelae requiring reconstructive surgical expertise for optimal functional and cosmetic outcomes.
Burns & Contracture Release
Burns to the hand can result in severe contractures that prevent finger extension, impair grip, and cause significant cosmetic disfigurement. Contracture release combined with skin grafting, local flaps, or free flaps restores range of motion and skin cover; splinting and hand therapy are essential companions to surgery.
Tumours & Swellings
Benign and malignant tumours of the hand — including giant cell tumours of tendon sheath, lipomas, epidermal inclusion cysts, and bone tumours — require accurate diagnosis and appropriate surgical excision. Reconstruction after tumour removal may involve bone grafting, flap cover, or, for malignant lesions, oncological resection followed by immediate reconstruction.
Post-Traumatic Stiffness & Non-Union
Stiffness following fractures, infections, or prolonged immobilisation, and non-union (failure of a fracture to heal) are challenging late sequelae of hand and wrist injuries. Treatment involves surgical joint release (capsulotomy), tenolysis, bone grafting, or internal fixation revision, combined with an intensive hand therapy programme to restore motion and strength.