Adult & Pediatric - Orthopaedic Specialists
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Our Treatment

Upper Extremity

Hand & Wrist :: Elbow :: Shoulder

Hand & Wrist

Normal Hand Anatomy :: Trigger Finger :: Dupuytren's Contracture
De Quervain's Tenosynovitis :: Carpal Tunnel Syndrome :: Arthroscopic Wrist Surgery

Normal Hand Anatomy

The human hand is an intricate instrument that is both tough and delicate. Its functions of sensations and motion allow us to experience and control the world around us.

For more information about Hand Anatomy click on below tab.

Normal Hand Anatomy    

Trigger Finger

The tendons of the thumb and each of the fingers pass through a sheath on the palm side of the hand. Certain diseases and overuse activities can cause a thickening of this sheath. As the tendon passes through a thickened sheath, the tendon eventually becomes irritated and swells. Pain, catching and eventually locking of the finger will occur. Early treatment consists of anti-inflammatory medication or Cortisone injection. If these fail to provide relief, the sheath is opened surgically through a small incision at the base of the finger.

Trigger Finger    

Dupuytren's Contracture

This disorder is a thickening of a ligament in the palm, resulting in nodules on the ligament which, if severe enough, can cause an inability to fully straighten the fingers. The ring and small fingers are the fingers most commonly involved.

The cause of this disorder is unknown. It is seen more commonly in men and is usually found in individuals of northern European extraction.

If deformity is mild and there is no functional loss, no surgery is needed. If, however, there is significant contracture that interferes with full use of the hand, surgical removal of a portion of the ligament is the treatment of choice to improve function and to prevent further deformity.

Dupuytren's Contracture    

De Quervain's Tenosynovitis

Tendonitis on the thumb side of the wrist can be a very painful and disabling condition. Simple pinching and twisting activities can be almost impossible. The tendons to the thumb become inflamed as they pass under a ligament and the slightest motion of the wrist can cause pain.

Treatment consists of rest, medication and occasionally the use of a steroid injection. If these treatments do not provide relief over time, the tendons can be surgically released.

De Quervain's Tenosynovitis    

Carpal Tunnel Syndrome

Carpal tunnel syndrome is a common hand problem resulting from pressure on the median nerve at the wrist. Symptoms, which are often worse at night, consist of numbness and/or pain in the wrist and fingers. Eventually there is loss of strength, fine motor control and sensation.

Early treatment consists of splinting and anti-inflammatory medication. If symptoms do not improve, an outpatient surgical procedure to relieve the pressure on the nerve is suggested.

For more information about Carpal Tunnel Syndrome click on below tabs.

Carpal Tunnel Syndrome Carpal Tunnel Syndrome  

Arthroscopic Wrist Surgery

Wrist is also called as carpus, a complex joint comprised of bones and joints, ligaments and tendons, nerves, blood vessels, and muscles that hold the bones together.

For more information about Arthroscopic Wrist Surgery click on below tabs.

Arthroscopic Wrist Surgery    

Click on the topics below to find out more from the Orthopaedic connection website of Academy of Orthopaedic Surgeons.

 

Elbow

The elbow is a hinge type joint consisting of three bones - the humerus, the ulna, and the radius. The humerus (arm bone) forms the hinge along with the ulna of the forearm. This joint allows for the flexion and extension of the elbow joint. This joint is very stable and a large amount of force is required to dislocate it. The radius also articulates with the humerus - this joint allows for the rotation of your hand - supination (palm up), pronation (palm down). Many muscle groups attach about the elbow. Injuries to these muscle groups can lead to lateral epicondylitis (tennis elbow) and medial epicondylitis (golfer's elbow).

Normal Anatomy :: Elbow Arthroscopy :: Lateral Epicondylitis
Biceps Tendon Repair :: Cubital Tunnel Syndrome :: Tennis Elbow

Normal Anatomy of the Elbow

How does the Elbow joint work?
Find out more in this web based movie

Hip Anatomy

Elbow Arthroscopy

The elbow is the joint that connects the upper arm bone and the forearm bones. Elbow joint helps in movement of the arms forward, backward, as well as to twist the arms inside and outside.

For more information about Elbow Arthroscopy click on below tabs.

 Elbow Arthroscopy Elbow Arthroscopy  

Lateral Epicondylitis

Lateral epicondylitis, commonly referred to as tennis elbow, is an overuse injury that causes inflammation of the tendons that attach to the bony prominence on the outside of the elbow.

For more information about Lateral Epicondylitis click on below tabs.

Lateral Epicondylitis Lateral Epicondylitis  

Cubital Tunnel Syndrome

Cubital tunnel release surgery is the surgery to correct the cubital tunnel syndrome. Cubital tunnel syndrome, also called ulnar nerve entrapment is a condition caused by compression of the ulnar nerve in an area of the elbow called the cubital tunnel. The ulnar nerve travels down the back of the elbow behind the bony bump called the medial epicondyle and through a passageway called the cubital tunnel.

Carpal Tunnel Syndrome Fracture Treatment, Hand Injuries Cubital Tunnel Syndrome

Biceps Tendon Repair

The biceps muscle, located in the front of the upper arm allows you to bend the elbow and rotate the arm. Biceps tendons attach the biceps muscle to the bones in the shoulder and in the elbow.

Biceps tear can be complete or partial. Partial biceps tendon tears will not completely break the tendon. Complete tendon tears will break the tendon into two parts.

Find out more about Bicep Ruptures from the following links.

 Biceps Tendon Repair Biceps Tendon Repair  

Tennis Elbow

Tennis elbow is the common name for the elbow condition lateral epicondylitis. It is an overuse injury that causes inflammation of the tendons that attach to the bony prominence on the outside of the elbow. It is a painful condition occurring from repeated muscle contractions in the forearm that leads to inflammation and microtears in the tendons that attach to the lateral epicondyle. The lateral epicondyle is the bony prominence that is felt on the outside of the elbow and the condition is more common in sports individuals playing tennis.

 Tennis Elbow Tennis Elbow  

Interactive web based movies (click on the desired topic to find out more)

Elbow Fracture Elbow Fracture Golfer's Elbow Golfer's Elbow
Elbow Sprain Elbow Sprain    

Click on the topics below to find out more from the Orthopaedic connection website of American Academy of Orthopaedic Surgeons.

 

Shoulder

Shoulder Anatomy :: Rotator Cuff Tear :: Shoulder Impingement
Shoulder Arthroscopy :: Frozen Shoulder :: Shoulder Joint Replacement :: Shoulder Instability

Normal Anatomy of the Shoulder Joint

How does the Shoulder joint work?
Find out more in this web based movie.

Normal Anatomy of the Shoulder Joint Arthroscopy of the Knee Joint  

Rotator Cuff Tear

Rotator cuff is the group of tendons in the shoulder joint providing support and enabling wider range of motion. Major injury to these tendons may result in tear of these tendons and the condition is called as rotator cuff tear.

For more information about Rotator Cuff Tear click on below tabs.

Rotator Cuff Tear Rotator Cuff Tear Rotator Cuff Tear

Shoulder Impingement

Shoulder impingement is also called as swimmer's shoulder, tennis shoulder, or rotator cuff tendinitis. It is the condition of inflammation of the tendons of the shoulder joint caused by motor vehicle accidents, trauma, and while playing sports such as tennis, baseball, swimming and weight lifting.

For more information about Shoulder Impingement click on below tabs.

Shoulder Impingement Shoulder Impingement Shoulder Impingement

Shoulder Arthroscopy

Shoulder arthroscopy is a surgical procedure in which an arthroscope is inserted into the shoulder joint. The benefits of arthroscopy are smaller incisions, faster healing, a more rapid recovery, and less scarring. Arthroscopic surgical procedures are often performed on an outpatient basis and the patient is able to return home on the same day.

For more information about Shoulder Arthroscopy click on below tabs.

Shoulder Arthroscopy Shoulder Arthroscopy Shoulder Arthroscopy

Frozen Shoulder

Frozen shoulder is the condition of painful shoulder limiting the movements because of pain and inflammation. It is also called as adhesive capsulitis and may progress to the state where an individual may feel very hard to move the shoulder.

For more information about Frozen Shoulder click on below tabs.

Frozen Shoulder Frozen Shoulder Frozen Shoulder

Shoulder Joint Replacement

Shoulder joint replacements are usually done to relieve pain and when all non-operative treatment to relieve pain have failed.

For more information about Shoulder Joint Replacement click on below tabs.

Shoulder Joint Replacement Shoulder Joint Replacement Shoulder Joint Replacement

Shoulder Instability

Shoulder instability is a chronic condition that causes frequent dislocations of the shoulder joint. A dislocation occurs when the end of the humerus (the ball portion) partially or completely dislocates from the glenoid (the socket portion) of the shoulder. A partial dislocation is referred to as a subluxation whereas a complete separation is referred to as a dislocation.

For more information about Shoulder Instability click on below tabs.

Shoulder Instability Shoulder Instability Shoulder Instability

Click on the topics below to find out more from the Orthopaedic connection website of American Academy of Orthopaedic Surgeons.

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