Your hands, wrists and elbows are highly complex structures. With dozens of small bones, vast networks of tendons and ligaments, intricate webs of nerve endings, and numerous muscles, these structures are responsible for performing a wide range of routine daily activities. They are also very delicate, which makes them more susceptible to injury.
Diagnose and Treat
Hand, wrist and elbow injuries can be very painful, resulting in reduced function and loss of sensation. In addition, wear and tear on the joints in these structures can result in arthritis as you get older.
At Colorado Advanced Orthopedics, our surgeons have the specialized training necessary to diagnose and treat a wide range of hand, wrist and elbow injuries. We offer comprehensive treatment solutions, including minimally invasive therapies and surgical procedures, in order to alleviate pain and restore normal function.
Why Are Hand, Wrist and Elbow Procedures Performed?
Hand, wrist and elbow procedures are performed for a variety of reasons, including:
Correct physical problems with these structures
Relieve chronic pain
Restore proper function and movement after an injury
Restore sensation after nerve damage
Common hand, wrist and elbow conditions which may require surgery include:
Ligament or tendon tears
Nerve issues, such as carpal tunnel syndrome or cubital tunnel syndrome
Overuse injuries, such as tendonitis, caused by repetitive motions which place stress on these structures
Orthopedic Hand, Wrist and Elbow Conditions We Treat
The board-certified orthopedic surgeons at Colorado Advanced Orthopedics can address just about any hand, wrist or elbow condition you may have.
We treat the following hand conditions:
Hand nerve entrapment – A condition occurring when a nerve in the hand is stretched or compressed by a bone or muscle, resulting in sharp, aching or burning pain. Muscle weakness or sensations of “pins and needles” are often common as well.
Carpal tunnel syndrome – A condition caused by a pinched median nerve, resulting in numbness or tingling in the thumb and fingers. Pain may travel up your arm and possibly cause weakness.
Cubital tunnel syndrome – This condition is caused by a compressed ulnar nerve. It results in a “pins and needles” sensation in your ring and pinky fingers, especially when you bend your elbow. You may experience a weakened grip or loss of finger coordination.
Radial tunnel syndrome – This condition is caused by a compressed radial nerve. It results in aching pain along the top of your forearm, especially when you straighten your wrist or fingers. You may also experience arm and wrist weakness.
Open reduction and internal fixation (ORIF) – A condition caused by fractured bones of the upper extremity.
We also treat a variety of tumors and cysts in the hands, wrists and fingers. These terms are often used interchangeably, and refer to an abnormal lump that grows on one of these structures. The lumps may be solid or filled with fluid. We treat the following hand cysts and tumors:
Ganglion cysts – These are fluid-filled and typically grow on the back of the wrist. They may also form at the base or top of a finger joint. These are the most common type of upper extremity cyst.
Giant cell tumors – These solid, slow-growing masses are often painless. They are the next most common type of upper extremity cyst or tumor.
Epidermal inclusion cysts – These cysts form right underneath the skin, often near the site of an old wound. They are filled with keratin, a type of protein found in skin cells.
Arthritis commonly develops in the hands, wrists and fingers. This condition refers to a group of more than 100 related disorders that cause joint inflammation, pain, stiffness and swelling. The most common types of arthritis we treat are:
Osteoarthritis – This degenerative joint disease occurs when cartilage breaks down and wears away, causing bone to rub against bone. Osteoarthritis often gets worse with age can result in pain, swelling and other symptoms. While it most commonly occurs in weight-bearing joints such as the hips and knees, it can also affect smaller joints in the fingers.
Rheumatoid arthritis – This condition occurs when your body’s immune system begins to attack itself. It often results in joint inflammation.
Thumb arthritis – This condition occurs when cartilage in the carpometacarpal (CMC) joint wears away. This is a common ailment and typically comes with age, developing when cartilage wears away from the ends of the bones that form the joint at the base of the thumb.
Other hand, wrist and elbow conditions we treat include:
Fractures and dislocations – These are two of the most common bone and joint injuries. A dislocation occurs when two bones slip out of place at the joint that connects them.
Reflex sympathetic dystrophy (RSD) – This disorder causes lasting pain, usually in the arm or leg, and typically presents itself after an injury, stroke or even a heart attack.
Tendon conditions – These medical conditions prevent your tendons from functioning normally. Tendinitis, the most common tendon issue, occurs when a tendon becomes inflamed or irritated. Elbow tendonitis often develops from repetitive motion activities which cause overuse of this joint.
Ulnar nerve compression – This condition can cause pain, numbness and tingling in the forearm, as well as the fourth and fifth fingers. In severe cases, ulnar nerve entrapment can cause weakness in the hand and loss of muscle mass. The condition occurs when the ulnar nerve becomes compressed as it passes through the wrist or elbow.
Our board-certified orthopedic surgeons offer a wide range of treatments to relieve pain and restore proper function after a hand, wrist or elbow issue.
Open Carpal Tunnel Surgery
An incision is made at the base of the palm of the hand. This allows our surgeons to see the transverse carpal ligament. After the ligament is cut, the skin is closed with stitches. The gap where the ligament was cut is left alone and eventually fills up with scar tissue.
If you have open carpal tunnel release surgery, you typically do not need to stay in the hospital. It is usually done under local anesthetic, and you can go home on the same day.
Endoscopic Carpal Tunnel Release Surgery
This is a minimally invasive alternative to open carpal tunnel surgery. A flexible, narrow tube with a lighted camera attached provides our surgeons greater visibility of the surgical site. This allows for a smaller incision, less scarring and faster recovery times.
Cubital Tunnel Surgery
In this procedure, our surgeons make an incision over the medial epicondyle, the bony bump on the inside of the elbow. The cubital tunnel is cut open through the soft tissue roof exposing the ulnar nerve. The forearm muscles or flexor muscles are cut and detached from the epicondyle.
Lateral Epicondylitis (Tennis Elbow) Surgery
This surgical procedure to repair tennis elbow is often performed on an outpatient basis. Our surgeons make one or two small cuts and insert a scope attached to a video monitor. This helps our surgeons see the inside elbow area more clearly, making it easier to scrape away the unhealthy part of the tendon.
Trigger Finger Surgery
The surgical procedure for trigger finger is called “tenolysis” or “trigger finger release.” Surgery is performed through either a small open incision in the palm or with the tip of a needle. The A1 pulley is divided (released) so that the flexor tendon can glide freely.
We serve patients in Meeker and throughout the White River Valley.
Raising the Bar for Medical Care on the Western Slope
At Colorado Advanced Orthopedics, we’re driven by our purpose to make people feel cared for. We strive to deliver an amazing experience from your initial consultation throughout your follow-up care. We do this by:
Providing prompt communication
Offering flexible hours that meet your schedule
Having shorter wait times in both our waiting and exam rooms
Maintaining a clean, comfortable environment
Providing assistance with insurance
In addition, our board-certified orthopedic surgeons have the extensive training and background necessary to deliver the exceptional outcome you deserve. Our team includes doctors who specialize in hand surgery, wrist surgery and elbow surgery, giving you peace of mind that you’ll receive the best care available. Our team is raising the bar for medical care on the Western Slope, ensuring you receive the latest and most advanced treatments that will alleviate your pain and restore proper function.
We serve patients in Meeker and throughout the White River Valley.