Hand, Wrist & Elbow

Overview

The upper extremity includes the hand, finger, wrist, elbow, and shoulder. These areas can present with pain, tenderness, swelling, numbness, tingling, decreased flexibility or strength, stiffness, bruising and deformity. Symptoms can occur suddenly due to trauma or can progress gradually, due to repetitive stress, overuse, or disease.  The problem can be constant or intermittent in nature. Regardless of the cause, damage to the ligaments, tendons, soft tissue, muscles, joints and bones of the upper extremity can result in mild to serious disruption of your work, recreational activities, and everyday tasks causing your quality of life to suffer.

Depending on the problem, upper extremity injuries can be treated non-surgically or surgically. Non-surgical options include physical therapy, draining, medical devices, stretching, rest, ice, compression, elevation, medication (anti-inflammatories, pain relievers), injections (corticosteroid, Xiaflex), activity modification, and immobilization (compressive straps, bracing, splinting, casting). Often times these modalities are extremely effective.

Our Personalized and Patient-Centered Approach

At Orthopaedic Associates, we tailor each treatment plan individually based on a comprehensive understanding of your personal goals.  Our team understand that a significant number of upper extremity injuries can recover and heal through non-operative treatments. In the situation of a traumatic injuries or failure of conservative treatment measures, our specialists will engage in a shared decision-making process regarding surgical intervention. Many can be done right in our office operating room, which is substantially more convenient, efficient, and cost effective than an ambulatory or hospital setting.  Regardless of the treatment course, our focus is getting you back pain-free activity so you can continue enjoying life.

Common Conditions

At Orthopaedic Associates, we treat all musculoskeletal and neurologic disorders and injuries involving the upper extremity including but not limited to the following:

Hand

  • Fractures/ Broken Bones (Phalanges, Metacarpals)
  • Carpal Tunnel Syndrome
  • Dupuytren’s Contractures
  • Finger Dislocations
  • Finger Sprains
  • Mallet Finger (Jamming a Finger)
  • Trigger Finger
  • Arthritis of Hand and Wrist (including Rheumatoid and Degenerative arthritis)
  • Cysts of the Hand, Fingers (Ganglion cysts)
  • Nerve Compression (Numbness and Tingling)
  • Infections

Wrist

  • Wrist Sprains
  • Wrist Tendonitis
  • Ganglion Cysts
  • Fractures/ Broken Bones Wrist (distal radius, Scaphoid, Carpal bones)
  • Wrist Arthritis
  • Nerve Compression

Elbow

  • Biceps Tendon Rupture
  • Elbow Bursitis
  • Elbow Arthritis
  • Elbow Dislocation/ Instability
  • Elbow Spurs
  • Golfer’s Elbow- Medial Epicondylitis
  • Tennis Elbow – Lateral Epicondylitis
  • Elbow Fracture (Olecranon, Radial Head)
  • Throwing Injuries
  • Ligament Tears
  • Elbow Sprains and Strains
  • Cubital Tunnel Syndrome and Other Nerve Compression
Surgical Interventions

In the event that surgical intervention is the optimal treatment plan, our skilled and experienced specialists at Orthopaedic Associates perform a complete range of upper extremity surgeries from trauma to elective surgeries including but not limited to the following:

Hand

  • Carpal Tunnel Release
  • Dupuytren’s Release/ Fasciotomy/ Xiaflex injections
  • Ganglion Cyst Excision
  • CMC (Basilar) Joint Arthroplasty
  • Fracture Fixation
  • Nerve Decompression
  • Trigger Finger Release
  • Tendon Transfers
  • Joint Replacements

Wrist

  • Wrist Fusion
  • Fracture Repairs
  • Tendonitis Surgery
  • Ganglion Cyst Excision
  • Wrist Arthroscopy

Elbow

  • Elbow Arthroscopy
  • Elbow Dislocations and Instability
  • Ligament Reconstruction
  • Nerve Decompressions
  • Contracture Releases
  • Fracture Repair for Distal Humerus, Proximal Ulna, Radius, and Olecranon
  • Tennis Elbow and Golfer’s Elbow Release
  • Radial Head Replacement
  • Elbow Arthritis Surgery
  • Biceps/ Triceps Tendon Repair Surgery
  • Ulnar Nerve Release for Cubital Tunnel Syndrome
  • Bursitis/ Impingement surgery
  • Partial and Total Elbow Replacements

 

Specialists
Common Conditions

At Orthopaedic Associates, we treat all musculoskeletal and neurologic disorders and injuries involving the upper extremity including but not limited to the following:

Hand

  • Fractures/ Broken Bones (Phalanges, Metacarpals)
  • Carpal Tunnel Syndrome
  • Dupuytren’s Contractures
  • Finger Dislocations
  • Finger Sprains
  • Mallet Finger (Jamming a Finger)
  • Trigger Finger
  • Arthritis of Hand and Wrist (including Rheumatoid and Degenerative arthritis)
  • Cysts of the Hand, Fingers (Ganglion cysts)
  • Nerve Compression (Numbness and Tingling)
  • Infections

Wrist

  • Wrist Sprains
  • Wrist Tendonitis
  • Ganglion Cysts
  • Fractures/ Broken Bones Wrist (distal radius, Scaphoid, Carpal bones)
  • Wrist Arthritis
  • Nerve Compression

Elbow

  • Biceps Tendon Rupture
  • Elbow Bursitis
  • Elbow Arthritis
  • Elbow Dislocation/ Instability
  • Elbow Spurs
  • Golfer’s Elbow- Medial Epicondylitis
  • Tennis Elbow – Lateral Epicondylitis
  • Elbow Fracture (Olecranon, Radial Head)
  • Throwing Injuries
  • Ligament Tears
  • Elbow Sprains and Strains
  • Cubital Tunnel Syndrome and Other Nerve Compression

Cranston, RI

Cumberland, RI

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