Hand and Upper Extremity

University of Maryland Orthopaedics' Hand and Upper Extremity Program provides a comprehensive, multidisciplinary approach to care for the evaluation and treatment of hand and upper extremity disorders. An experienced team of physicians, certified occupational and hand therapists, and support staff helps patients achieve success in resolving a wide range of problems.

Services include the treatment of:

  • Traumatic injuries of the hand and upper extremity

    • Fractures

    • Tendon injuries

    • Nerve and blood vessel lacerations

  • Congenital deformities

  • Workplace and overuse injuries

    • Carpal tunnel syndrome

    • Trigger finger

    • Ganglion cysts

    • DeQuervain's syndrome

  • Rheumatoid arthritis

  • Osteoarthritis

Left untreated, minor hand problems can become major, chronic conditions. No matter what their origin, common hand problems that interfere with daily activities are always a cause for concern. Since no two conditions are exactly alike, we make a careful diagnosis before we begin treatment. Our experience, as well as our expertise in the latest procedures and technology, enables us to provide superior care to patients of all ages.

Communication with Patients and Referring Physicians

We are committed to providing ongoing communication to both patients and referring physicians. Before, during and after treatment, patients and their families can expect concern and compassion, as well as education to prevent injuries from happening again.

Our team is a well-known and respected physician's resource for consultation, second opinion, diagnosis, and ongoing treatment of patients with musculoskeletal problems of the hand and upper extremities. Referring physicians can expect prompt follow-up to patients' tests, and the timely return of patients to their care.

About Our Physicians

Our team of physicians includes board-certified orthopaedic surgeons with fellowship training in hand and microvascular surgery. They are qualified to treat all types of hand and upper extremity injuries requiring arthroscopy, reconstructive and vascular surgery, and microsurgery.

Specialized procedures utilizing their expertise in trauma and microsurgery include:

  • Fracture fixation

  • Carpal tunnel release (open and endoscopic)

  • Trigger finger release

  • Ganglion excision

  • Congenital abnormalities

  • Complex microsurgical repair of nerves and blood vessels

  • Complex arm, hand and finger reconstruction resulting from trauma

  • Upper extremity soft tissue reconstruction

  • Joint replacement and reconstruction (finger, wrist, elbow, shoulder)

  • Wrist, elbow and shoulder arthroscopy

Total Elbow Replacement Surgery

Painful and unstable elbow joints frequently limit or prohibit successful use of a normal hand in activities of daily living. Semi-constrained elbow replacement is an alternative to elbow fusion.

This surgical procedure is suited for active people who agree not to hammer, use pneumatic tools and try to avoid any activity that might cause a fracture in a normal elbow due to a fall, such as unprotected roller blading or skate boarding.

Candidates are people with severe deterioration due to osteoarthritis, rheumatoid arthritis or the metabolic arthritides in one or both elbows, or in the non-dominant elbows of someone who must perform extreme activities in his or her profession. In the case where one of the arthritic elbows has been previously infected and is not a candidate for joint replacement, the uninfected elbow may be replaced while the only option for the infected elbow is fusion.

Total Shoulder Replacement

Total shoulder replacement is an alternative to shoulder fusion for patients who have severe arthritis or have severe shoulder fractures where loss of the humeral head is guaranteed because of avascular necrosis. Shoulder motion will be largely limited to activities below overhead level unless the rotator cuff is unblemished and can remain attached to the humerus. Total shoulder replacement is an option to fusion.

This surgical procedure is suited for active people who agree not to hammer, use pneumatic tools and try to avoid any activity that might cause fracture in a normal shoulder due to a fall, such as unprotected roller blading or skate boarding.

Candidates are people with severe deterioration due to osteoarthritis, rheumatoid arthritis or the metabolic arthritides in one or both shoulders or in the non-dominant shoulder of someone who must perform extreme activities in his or her profession. In the case where one of the arthritic shoulders has been previously infected and is not a candidate for joint replacement, the uninfected shoulder may be replaced while the only option for the infected shoulder is fusion.

For more information about UM Orthopaedics or to make an appointment, call toll-free at 1-877-771-4567 or 410-448-6400, send us an e-mail or complete our secure contact form.

This page was last updated: July 10, 2013

         
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