386-788-HAND

(386-788-4263)

Hand

Amputation & Prosthetics

Amputation is the removal of an injured or diseased body part. An amputation may be the result of a traumatic injury, or it may be a planned operation to prevent the spread of the disease in an infected finger or hand. 


Animal Bites

Bites are extremely common and can cause significant pain and may rapidly progress to infection and stiffness in the hand. Early and appropriate treatment is key to minimizing potential problems from a bite.


Arthritis: Base of the Thumb

Patients with advanced disease or who fail non-surgical treatment may be candidates for surgical reconstruction. A variety of surgical techniques are available that can successfully reduce or eliminate pain.


Arthritis: MP Joint

The large joints in the hand at the base of each finger are known as the metacarpophalangeal (MP, or MCP) joints. They act as complex hinge joints and are important for both power grip and pinch activities.


Arthritis: Osteoarthritis

Arthritis literally means “inflamed joint.” Normally a joint consists of two smooth, cartilage-covered bone surfaces that fit together as a matched set and that move smoothly against one other.


Arthritis: Rheumatoid Arthritis

Arthritis means an inflamed joint.  A joint normally consists of two cartilage-covered bone surfaces that glide smoothly against one another.  When joints become inflamed, the joint swells and does not move smoothly.  Over time, the gliding surface wears out.


Brachial Plexus

The brachial plexus is a network of nerves that originate near the neck and shoulder. These nerves begin at the spinal cord in the neck and control the hand, wrist, elbow, and shoulder.


Broken Arm

Most broken arms are caused by trauma to that extremity. This can be a low-energy mechanism like a fall or a high-energy injury like a motor vehicle crash. Sporting injuries are also common causes for a broken arm.


Burns

When the skin comes in contact with something hot, it may be damaged, with death of cells in the skin. The depth of the injury depends on the intensity of the heat and the length of time that it is applied.


Carpal Tunnel Syndrome

Carpal tunnel syndrome (CTS) is a condition brought on by increased pressure on the median nerve at the wrist. In effect, it is a pinched nerve at the wrist. Symptoms may include numbness, tingling, and pain in the arm, hand, and fingers. 


Complex Regional Pain Syndrome (CRPS)

Complex regional pain syndrome (CRPS) is a pain condition that is constant over a long period of time that is believed to be the result of dysfunction in the central or peripheral nervous systems.


Congenital Hand Differences

Babies born with hands that are different than the normal hand have a congenital hand difference.


Cubital Tunnel Syndrome

Cubital tunnel syndrome is a condition brought on by increased pressure on the ulnar nerve at the elbow. There is a bump of bone on the inner portion of the elbow (medial epicondyle) under which the ulnar nerve passes.


Dupuytren’s Disease

Dupuytren’s disease is an abnormal thickening of the tissue just beneath the skin known as fascia. This thickening occurs in the palm and can extend into the fingers (see Figure 1). Firm pits, nodules and cords may develop that can cause the fingers to bend into the palm (see Figure 2), in which case it is described as Dupuytren’s contracture.


Extensor Tendon Injuries

Extensor tendons, located on the back of the hand and fingers, allow you to straighten your fingers and thumb (see Figure 1). These tendons are attached to muscles in the forearm. As the tendons continue into the fingers, they become flat and thin.


Fingertip Injuries

Injured components may include skin, bone, nail, nailbed, tendon, and the pulp, the padded area of the fingertip. The skin on the palm side of our fingertips is specialized in that it has many more nerve endings than most other parts of our body.


Flexor Tendon Injuries

The muscles that bend (flex) the fingers are called flexor muscles. These flexor muscles move the fingers through cord-like extensions called tendons, which connect the muscles to bone. The flexor muscles start at the elbow and forearm regions,


Fractures in Children

Among the most common injuries to the hand and wrist in children are broken bones, also known as fractures. Children are not just small adults. 


Golf injuries to the hand, wrist and elbow

For most golfers, the hand and/or wrist is the third most common body region injured, after the back and elbow. The wrist is injured 3 times more frequently than the hand. In golf, the action of the wrist is important for the “snap” of the shot in long shots, and the precision “feel” in short shots. 


Gout and Pseudogout

Gout and pseudogout—calcium pyrophosphate deposition disease (CPPD)—are two types of crystalline arthropathies which are disease processes that cause sore joints because salt crystals have formed in the joint.


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Orange City Office

2777 Enterprise Road, Suite 1
Orange City, FL 32763
(situated in the Florida Health Care building)
Tel : (386) 218-4920
Friday 8.00am to 3.00pm

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Port Orange Office

3635 S. Clyde Morris Blvd., Ste 900
Port Orange, FL 32129
(situated in the Surgery Center of Volusia Building)
Tel : (386) 788-4263
Fax: (386) 788-0679
Monday to Friday 8.00 am to 5.00 pm
Society Memberships
  • American Society for Surgery of the Hand
  • American Academy of Orthopaedic Surgeons
  • Florida Medical Association

Palm Coast Office

315 Palm Coast Parkway NE, Suite 4,
Palm Coast, FL 32137
(situated in the Florida Health Care Plans building)
Tel : (386) 246-3063

Mondays 8.00 am - 3.15 pm
Society Memberships
  • Florida Orthopaedic Society
  • Volusia County Medical
    Society
  • University of Florida Hand Fellows' Alumni Association

Edgewater Office

239 N. Ridgewood Ave, Suite 1
Edgewater, FL 32132
(situated in the Bert Fish Medical Center - Edgewater building)
Tel : (386) 410-4972

Wednesdays 8.00 am - 3.00 pm
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