100 Pioneers Medical Center Dr, Meeker, Colorado 81641, USA
Hand, Wrist & Elbow Surgery
Orthopedic Hand and Upper Extremity Procedures
Hand conditions we treat include:
- Hand Nerve Entrapment
- Carpal Tunnel Syndrome—is caused by a pinched median nerve, may have numbness, tingling in thumb and fingers. Pain may travel up your arm and possibly cause weakness.
- Cubital Tunnel Syndrome—refers to a compressed ulnar nerve. It causes a “pins and needles” feeling in your ring and little finger, especially when you bend your elbow. You may experience a weakened grip or loss of finger coordination.
- Radial Tunnel Syndrome—is caused by a compressed radial nerve. Pain associated with this includes 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)—is caused by fractured bones of the upper extremity.
- Hand Cysts and Tumors
- “Tumor” and “Cyst” are oftentimes used interchangeably. Both refer to an abnormal lump that grows on your wrist, hand or fingers. The lumps may be solid, or filled with fluid.
- Ganglion cysts are most common, as they 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.
- Giant cell tumors are the next most common and they are solid, slow growing masses that are often painless.
- Epidermal inclusion cysts form right underneath the skin, often near the site of an old wound. These are filled with keratin, a type of protein found in skin cells.
- CMC Arthroplasties (Carpometacarpal Joint Replacement) in the base of the thumb, finger fusions, fracture management in the Operating Room.
Arthritis, including joint pain, stiffness and swelling, refers to a group of more than 100 related disorders that cause joint inflammation. Most share similar symptoms. The two most common types of arthritis are:
- Osteoarthritis (OA) is also called degenerative joint disease. It occurs when cartilage (a protective tissue on the ends of our bones) breaks down and wears away. When bone rubs against bone, it causes pain, swelling and other symptoms. OA can get worse with age. It often affects weight-bearing joints such as the hips and knees but can affect any joint such as the fingers and spine.
- Rheumatoid arthritis (RA) occurs when your body’s immune system begins to attack itself. Besides causing joint inflammation, RA can spread beyond the joints. For example, it can cause a skin condition called psoriasis and harm your heart, kidneys and eyes.
- Thumb Arthritis occurs when cartilage in the carpometacarpal (CMC) joint wears away. This is a common ailment and typically comes with age, occurring when cartilage wears away from the ends of the bones that from the joint at the base of the thumb.
- Fractures and Dislocations 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) is a disorder that causes lasting pain, usually in the arm or leg and typically presents itself after an injury, stroke, or even heart attack.
- Tendon Conditions or tendinopathies, are medical conditions that result in the tendons not functioning normally. Tendinitis is the term used to describe an inflammation or irritation of a tendon.
- Ulnar Nerve Compression can cause pain, numbness and tingling in the forearm and 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.
Open Carpal Tunnel Surgery— An incision is made at the base of the palm of the hand. This allows the doctor 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–Overview During open carpal tunnel release surgery, the transverse carpal ligament is cut, which releases pressure on the median nerve and relieves the symptoms of carpal tunnel syndrome. An incision is made at the base of the palm of the hand. … After the ligament is cut, the skin is closed with stitches.
Cubital Tunnel Surgery— In this procedure your surgeon will 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–Repairs tennis elbow is often an outpatient surgery. The surgeon makes 1 or 2 small cuts, and inserts the scope. The scope is attached to a video monitor. This helps your surgeon see inside the elbow area. The surgeon scrapes away the unhealthy part of the tendon.
Trigger Finger Surgery of Fingers Hand Tendon Incision–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.