For Patients : Hand

Hand & Upper Extremity Injuries

The Hand Surgery Service performs microsurgical procedures of the upper extremity, free tissue transfers for lower-extremity trauma, nerve repairs, grafts for lower extremity neural injuries and replantation. The service also specializes in repetitive motion injuries and athletic-type injuries of the hand and wrist. A new, 20-bed in-patient facility for hand patients has been established on the fourth floor of the Ryder Trauma Center. Private patients are seen at the Orthopaedic Center located at Bascom Palmer Eye Institute. Physicians, hand therapists, and nurses work together to provide the best rehabilitative care for these patients. CME-accredited training in microsurgical procedures is offered for physicians by the service.

Carpal Tunnel Syndrome

A condition that causes pain and numbness in the palm of the hand and fingers, usually at night, due to entrapment of the major sensory nerve to the hand at the wrist. It can be corrected by arthroscopic, minimally invasive surgery.

Dupuytren’s Contracture

A thickening of deep tissue (fascia) which causes the fingers to pull into the palm. This progressive condition is treated by removing the abnormal fascia and relaxing the overlaying skin.


Acute elbow injuries are caused by trauma, while chronic elbow injuries typically stem from overuse. A detailed history and physical exam are essential in order to pinpoint the source of pain and make a specific diagnosis.


Hand injuries can cause swelling, pain, stiffness and limited movement. The most common injuries are tears (ruptures) of ligaments or fractures of the bone. Our doctors provide comprehensive care for all types of hand problems.

Trigger Finger

This common condition results in the finger bending as if to pull a trigger. People over 40 years of age with a history of diabetes or rheumatoid arthritis are especially at risk. If the finger cannot be actively straightened as a result of the triggering, then surgery is required.