expertise

Hand & Upper Extremity

Hands, wrists, shoulders, arms and elbows are all parts of your "upper extremity," and they are composed of an incredible number of intricate bones, joints, muscles, tissue and nerves.

In theory, more moving parts and high frequency of use, lead to premature wear and breakage. The hand and its numerous bones fit this description. In fact, many of the orthopaedic conditions we treat are related to the hand. Bone & Joint physicians are extremely skilled in treating disorders of the hand, from simple carpal tunnel release to complex reconstruction surgery.

Our physicians use advanced diagnostic equipment and surgical techniques to correct deterioration of bones and joints in the hand. They work closely with the region's most respected hand therapists to develop effective treatment programs, minimizing recovery time and getting you back to enjoying routine activities.

Injury or degenerative diseases, such as arthritis, in any part of the upper extremity can make everyday tasks and the activities you enjoy a painful challenge. According to the American Academy of Orthopaedic Surgeons, some common upper extremity conditions include:

• Carpal Tunnel Syndrome: The median nerve travels from the forearm to the hand through the carpal tunnel in the wrist. The syndrome occurs when the median nerve is "squeezed" at the wrist, resulting in numbness and tingling in the hand.
• Trigger Finger: (There really is such a thing!) This condition affects the tendons and pulleys in the hand that make it possible for the finger to bend. Tendons connect the forearm muscles with the bones of the fingers and thumb. The tendons are covered by a slick lining allowing those tendons to easily glide back and forth, guided by the pulley. If the tendon lining becomes irritated or inflamed, a knot may develop, preventing the tendons from gliding easily and causing the finger to become locked in a "trigger" or bent position. Although the cause is unknown, people over 40 with diabetes or rheumatoid arthritis seem to be at a greater risk for developing trigger finger.
• Tennis Elbow: A degenerative condition of the tendon fibers attached to the bony "outer" portion of the elbow. The affected tendons fasten to the muscles that allow you to extend or lift the wrist and hand. Repetitive and rigorous use of the forearm muscles, such as playing tennis, may result in deterioration of the involved tendons. The result is often a severe, burning pain in the outside part of the elbow.
• Biceps Tendinitis: The biceps muscle in the front upper arm stabilizes the upper arm bone in the shoulder socket. Tendons connect the biceps muscle to the shoulder as well as to the bone in the lower arm. This muscle controls arm movements over your head, such as swinging a tennis racket or throwing a ball. Tendinitis occurs when tendons become irritated or inflamed. Injury to the biceps tendons are typically caused by repetitive motion. The result is often pain when the arm is over the head or bent, or a snapping sound in the shoulder area.
• Rotator Cuff Tears: Muscles and tendons surrounding the top part of the upper arm bone make up the rotator cuff. These muscles and tendons hold the rotator cuff in the shoulder joint. Repetitive motion or injury may cause a painful tear of the rotator cuff. Symptoms include consistent pain, especially when the arm is over the head, cracking sounds when the arm is moved, and limited motion.
• Arthritis: This disease affects the joints in the body including those in the hands, elbow, arm and shoulder. Osteoarthritis is the most common degenerative joint disease, caused when the cartilage between joints wears out and bone rubs against bone. Rheumatoid arthritis is the most common inflammatory arthritis typically affecting the joints in the fingers, wrists, arms and legs.

Because of how intricate the muscles, bones, tissues and joints in the upper extremity are, you want to be treated by a physician or surgeon who has years of experience with successful outcomes. Bone & Joint is where you will find the best of them.