Mr Ian McNab is a specialist in the treatment of a full range of hand conditions, including: carpal tunnel syndrome, tendon problems, hand and wrist injuries. His super-specialist interest is in the treatment of complex wrist problems including scaphoid fractures, fracture non-unions, and wrist arthroscopy.
Mr McNab trained at the London Hospital Medical College, University of London as an undergraduate and subsequently in orthopaedic surgery at St Bartholomew's Hospital. He completed his rotation in: Stanmore, Essex, Norwich, Great Ormond Street, and at the Royal London Hospital, obtaining the certificate of completion of specialist training in trauma and orthopaedic surgery in 1999. His specialist fellowship training was undertaken in hand and upper limb surgery in Oxford and then during a year spent in Melbourne, Australia.
Mr McNab was appointed as a specialist Consultant Hand Surgeon at the
Nuffield Orthopaedic Centre and
John Radcliffe Hospital in 2000. Emergency and trauma hand surgery is undertaken at the John Radcliffe Hospital, planned and reconstructive hand surgery is undertaken at the Nuffield Orthopaedic Centre and at the
Oxford Clinic for Specialist Surgery.
Teaching and academic appointments are: Honorary Senior Clinical Lecturer in the
Nuffield Department of Orthopaedic Surgery, and as an honorary lecturer in clinical medicine at Wadham College,
University of Oxford.
Clinical interests
- Arthritis of the hand and wrist (inc. small joint replacements in the hand)
- Hand and wrist injuries (including late reconstruction)
- The treatment of complex wrist problems including:
- Scaphoid fractures
- Scaphoid fracture non-unions
- Vascularised bone grafting techniques
- Fractures of the wrist and distal radius that have healed with deformity / wrist fracture mal-unions
- Distal radio-ulnar joint (DRUJ) problems including instability and arthritis
- Triangular fibrocartilage complex (TFC) problems, tears, injuries etc
- Wrist ligament injuries and wrist Instability, scapholunate ligament injury etc.
- Wrist arthroscopy
- Kienbock’s disease
Research interests
- Treatment of scaphoid fractures and scaphoid fracture non-unions
- Advanced vascularised bone grafting techniques
Key publications
McCombe D, Ireland D, McNab I. Distal Scaphoid Excision after Radio-Scaphoid Arthrodesis J Hand Surg 2001;26A:877-882 (Sept 2001)
McNab I S H, Collier A M. Hand Injuries.
SURGERY 2001; 19:7: 160-166 (July 2001)
McNab I S H. Common Hand Infections.
SURGERY 2001; 19:7: 167-172 (July 2001)
McNab I S H, Carr A J. Adult Orthopaedics: Bursitis at the Elbow
Book Chapter in: The Oxford Textbook of Orthopaedics (2001)
Leonard L, Little C, Owers K, Burge P, McNab I. Vascularised Bone Grafts for Scaphoid Non-Union (31 Cases) -Cirugia de la Mano – Suplemento especial April 2005, Vol 33, No 66: 31 - (FESSH)
Gidwani S, Leonard L, Little C, Owers K, Burge P, McNab I. Vascularised Bone Grafts for Scaphoid Non-Union -Pan Pacific Hand & Upper Limb Trauma Symposium 2007
Treatments offered
Mr McNab treats the full range of hand and wrist problems including:
- hand injuries and fractures (metacarpal bones, phalanges, thumb, tendons, nerves, bloodv essesls, skin, fingertip and nails etc)
- Wrist injuries and fractures (wrist, distal radius and ulnar, scaphoid, carpal bones, perilunate fractures and dislocations, wrist ligament injuries, wrist instability, midcarpal instability)
- Hand pain and swelling: gangloin, mucous cyst / mucoid cyst, carpal boss, giant cell tumor etc.
- Peripheral nerve injury and entrapment and compression
- Carpal Tunnel Syndrome
- Entrapment of the Ulnar Nereve at the Elbow (Cubital Tunnel Syndrome) or Wrist
- Tendon injuries and problems: trigger finger, tendonitis, tenosynovitis, tendon rupture, De Quervain’s syndrome, flexor tendon injuries, extensor tendon injuries
- Dupuytren’s Contracture: including open and percutanious surgery when indicated
- Arthritis of the hand: metacarpophalangeal (MCP) joints, proximal interphalangeal joints, distal interphalangeal joints
- Arthritis of the thumb (carpometacarpal (CMC) / trapeziometacarpal (TMC) joint, metacarpophalangeal joint, interphalangeal joint)
- Arthritis of the wrist: radioscaphoid joint, radiocarpal joint, midcarpal joint, scapho-trapezio-trapzoid joint, distal radio-ulnar joint
- Hand infections
He has expertise in all aspects of surgical management of hand and wrist problems including:
- Open reduction and internal fixation (ORIF) of hand and wrist fractures
- Flexor and extensor tendon repair, tendon transfer, tendon grafting and reconstruction
- Trigger finger release, trigger finger injection, tendon release, De Quervains release, tenosynovectomy, tenolysis
- Carpal tunnel release, carpal tunnel injection, re-do/revision carpal tunnel release
- Cubital tunnel release/ulnar nerve decompression and transposition
- Nerve release, repair and grafting, microsurgical repair of nerves and vessels
- Aspiration of excision/removal/biopsy of hand swellings, ganglion, mucous cyst/mucoid cyst, giant cell tumor etc.
- Dupuytren’s contracture: fasciotomy
- Wrist ligament repair and reconstruction: scapholunate ligament, lunotriquetral ligament etc.
- Scaphoid fracture fixation, fracture non-union reconstruction, and fixation
- Bone grafting
- Corrective osteotomy and bone grafting with fixation for mal-union of fractures of the hand and distal radius etc.
- Scapho-trapezio-trapzoid joint (STT) arthrodesis or excision arthroplasty
- Proximal row carpectomy
- Total wrist fusion/arthrodesis
- Wrist and thumb arthroscopy
- Joint replacement of fusion
- Thumb carpometacarpal (CMC) joint: trapezectomy, excision of trapezium, arthroplasty, arthrodesis etc.
- Thumb metacarpophalangeal (MCP) joint ligament repair, reconstruction, fusion/arthrodesis etc
Appointments, consultation and private treatment
All appointments should be made via Mr McNab’s Practice Manager, Ms Marie Noall, whose contact details can be found below. Mr McNab is available for private patient appointments according to patients’ needs as he aims to provide a high quality service. Mr McNab’s private consultation and treatment is carried out at the Oxford Clinic for Specialist Surgery. You can visit the Oxford Clinic’s website for more information about their facilities and services.
Contact information
Practice Manager
Oxford Clinic for Specialist Surgery
Windmill Road
Headington
Oxford OX3 7HE
Tel: 08703 831 075
Fax: 07092 160 829
Email: mnoall@oxfordclinic.org.uk
Web: Oxford Clinic for Specialist Surgery
