Mr Lorenzo Garagnani

• Specialty: consultant orthopaedic surgeon with particular expertise in hand and wrist surgery, including congenital anomalies of the hand and wrist in children and adults

• Conditions seen: carpal tunnel syndrome, cubital tunnel syndrome, Dupuytren contracture, De Quervain's tenosynovitis, trigger finger, arthritis of the hand and wrist (including finger joint arthritis, thumb base arthritis and osteoarthritis), hand and wrist fractures, scaphoid non-union, congenital hand and wrist differences, post-traumatic hand and wrist deformities and disorders, hand tendon injuries, Kienböck's disease, mallet finger, hand and wrist pain

• Tests, treatments and procedures: arthroscopy, thumb base joint replacement, ultrasound-guided injections

• Often consulted by patients with: hand or wrist pain, arthritis of the hand, thumb or fingers, a hand or wrist fracture including a scaphoid that has not healed, a congenital hand or wrist difference, deformity following an earlier hand or wrist injury, or a nerve compression condition such as carpal tunnel syndrome

• Patient ages seen: 4+

• Also: honorary reader at the Faculty of Life Sciences & Medicine, King's College London; director of the Guy's and St Thomas' London Training Centre & Upper Limb Fellowship of IBRA; president of the Italian Medical Society of Great Britain and the Hand Aesthetics International Society; examiner and examination committee member of the European Board of Hand Surgery; awarded the Knighthood of the Order of the Star of Italy in 2022.

• Language: English

Mr Lorenzo Garagnani is a consultant orthopaedic surgeon at Welbeck's Orthopaedics centre in London, specialising in the hand and wrist, with particular expertise in wrist surgery and congenital hand and wrist differences in children and adults. He assesses and treats nerve compression conditions such as carpal tunnel syndrome and cubital tunnel syndrome, along with Dupuytren's contracture, trigger finger, De Quervain's tenosynovitis, mallet finger and hand tendon injuries. His practice also covers arthritis of the hand and wrist, including thumb base and finger joint arthritis, as well as hand and wrist fractures, scaphoid non-union (a fracture of the scaphoid bone in the wrist that has failed to heal properly), Kienböck's disease, and deformities and disorders that develop following an earlier hand or wrist injury.

Mr Garagnani's surgical approach is shaped by his work on minimally invasive techniques, which aim to achieve the goals of surgery through smaller incisions and reduce the impact of surgery on the patient. Procedures available through Mr Garagnani's practice include arthroscopy, a keyhole technique that uses a small camera to diagnose and treat joint problems, ultrasound-guided injections, in which ultrasound imaging helps to guide delivery of treatments to reduce pain and improve mobility in the joints, and thumb base joint replacement.

Alongside his private practice, Mr Garagnani is a consultant orthopaedic hand and wrist surgeon at Guy's and St Thomas' NHS Foundation Trust, where he was a founder and the first joint lead of the OrthoPlastic Hand Unit. His training combined orthopaedics with plastic and reconstructive surgery and microsurgery, disciplines that together cover bone, tendon, nerve and soft tissue in the hand. Before joining Guy's and St Thomas' in 2015, he was a consultant hand and wrist surgeon in the Department of Hand Surgery and Microsurgery at the University Hospital Policlinico di Modena, where he jointly led the Paediatric Hand Surgery and Congenital Upper Limb and Hand Anomalies Service.

Teaching and professional leadership form a significant part of Mr Garagnani's work. He is an honorary reader at the Faculty of Life Sciences & Medicine, King's College London, and directs the Guy's and St Thomas' London Training Centre and Upper Limb Fellowship for the International Bone Research Association (IBRA). He is also an examiner and member of the examination committee for the European Board of Hand Surgery.

Mr Garagnani is president of the Italian Medical Society of Great Britain and the Hand Aesthetics International Society, and a past president of the Paediatric Hand International Society of Surgeons. In 2022, he was awarded the Knighthood of the Order of the Star of Italy by the President of Italy, in recognition of his international surgical career and his volunteer work coordinating a task force of doctors during the COVID-19 pandemic.