Rupert Wharton is a Consultant Trauma and Orthopaedic surgeon with an NHS base at Kingston Hospital. He has an interest in injuries and degenerative conditions of the hand and wrist, and works closely with hand therapy colleagues to ensure all non operative solutions have been tried before considering surgery. His practice interests include arthroscopy (keyhole surgery) for the wrist, treatment of base of thumb arthritis including joint replacement and fusion, hand and wrist fracture management, Dupuytren’s disease, and treatment of nerve compression syndromes including carpal tunnel syndrome (pressure on the median nerve in the hand) and cubital tunnel syndrome (pressure on the ulnar nerve in the elbow)