Mr Gunaratnam Shyamalan: Trauma & orthopaedic surgery

Mr Gunaratnam Shyamalan

Midland Hand Clinic

Trauma & orthopaedic surgery


  • Fee assured

Specialises in

  • Elbow
  • Hand
  • Wrist

About me

Mr Shyamalan (Shyam) is a dedicated Hand Surgeon at The Heart of England NHS Foundation Trust. He is director of the The Midland Hand Clinic which covers hand surgery to Birmingham Central, Solihull, Sutton, Worcester & Warwick.

While playing rugby at school he broke his scaphoid bone and subsequently required surgery. This started his love of surgery! He focused on Orthopaedics and plastics hand surgery for the greater part of his training.

His Hand & Plastics fellowship training was undertaken at three world class units:

Ganga Hospital India, with Raja Sabapathy, Royal North Shore Hospital, Sydney, with Professor Tonkin and The Chelsea & Westminster Hospital.

During this time he developed expertise in minimally invasive wrist and hand surgery, including key hole surgery, arthritis and Dupuytren's disease. He also sees complex nerve problems, children’s hand problems, soft tissue hand trauma, including tendon, nerve and arterial repair, and arthritis work, including joint replacement.

Mr Shyamalan's aim is to offer an individualised, expert hand service in the management of pathological hand and wrist conditions, with a multi disciplinary team approach and consideration given to both surgical and non-surgical options.

Areas of interest

Hand surgery both open and endoscopic for carpal tunnel syndrome;

Cubital tunnel syndrome;

Minimally invasive wrist surgery such as key hole surgery (wrist arthroscopy);

Minimally invasive Dupuytren's contracture hand surgery such as needle fasciotomy and Xiapex (collagenase). Open and skin graft hand surgery;

Clicking or locking fingers and hand and thumb such as Trigger finger and trigger thumb;

Hand and wrist tendonitis - injections and therapy or hand and wrist surgery.

Thumb, hand and wrist arthritis with small joint replacement of hand joints and key hole wrist surgery.

Traumatic conditions of the hand including sporting injuries, tendon and nerve injuries. Expert in key hole fixation of the scaphoid and wrist ligaments;

Lumps and bumps surgery including soft tissue coverage in the finger and hand (keyhole hand surgery for wrist ganglions);

Disorder of the thumb including arthroscopy (key hole surgery);

Tennis/Golfers elbow and elbow arthritis

Medical secretaries

Anaesthetists worked with (Bupa members, please ask your consultant whether your anaesthetist is fee-assured)

About me
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Information for healthcare professionals

Information for healthcare professionals (Bupa patients only, last 12 months)

Procedures completed

  • W9040

    Injection(s) +/- aspiration, into joint, cyst, bursa - (5-50)

    (5-50) (5-50)

  • W8602

    Therapeutic arthroscopy of wrist joint (as sole procedure) - (5-50)


  • A6510

    Carpal tunnel release (open) - (5-50)

    (1-5) (1-5)

  • T7440

    Injection into cord for Dupuytren's Contracture (including post injection finger extension) - (5-50)


  • 22022

    Recording and reporting on electromyography and nerve conduction studies (EMG); CTS (Bilateral upper limb only) or peripheral neuropathy - (1-5)

    (1-5) (1-5)

  • T7481

    Autologous blood injection for tendinopathy with/without dry needling and ultrasound guidance - (1-5)


  • T5222

    Dupuytren's dermofasciectomy and graft, or for recurrent disease - single digit - (1-5)


  • W3202

    Open reduction and internal fixation wedge reconstruction bone graft scaphoid non-union - (1-5)


  • W0284

    Total excision of trapezium and ligament reconstruction - (1-5)

  • T6800

    Delayed or secondary repair of tendon (including graft, transfer and/or prosthesis) (not otherwise specified) - (1-5)

  • X4810

    Change of cast without general anaesthetic - (1-5)


  • T5900

    Excision of ganglion - (1-5)

  • W1940

    Primary open reduction of short bone with fixation (including intra-articular) - (1-5)


  • T6910

    Tenolysis, of extensor (not otherwise specified) - (1-5)

  • Show All (24)...
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