Head & Neck
This minimally-invasive surgery is used to relieve pain and loss of shoulder stability for patients with loose shoulder. A radiofrequency (RF) probe is inserted into the shoulder to stimulate the tissue capsule that surrounds the shoulder joint. This causes the tissue to contract, tightening the shoulder joint.
This minimally-invasive surgery is used to help relieve pain and loss of mobility in the shoulder from adhesive capsulitis (frozen shoulder). A radiofrequency (RF) probe is inserted into the shoulder. The probe uses RF waves to cut the tissue capsule that surrounds the shoulder joint, allowing the shoulder to move more freely.
Tendons are strong bands of tissue that connect muscle to bone. With this injury, one of the tendons anchoring your biceps muscle is torn. It may be torn partially or completely. Because the biceps is attached with two separate tendons, you may find that you can still use your biceps muscle even if one tendon is completely torn.
This is a swelling of a fluid-filled sac called the "subacromial bursa." It's in the shoulder, between a bony protrusion called the "acromion" and the rotator cuff. You have similar sacs near other large joints throughout your body. They act as cushions between your bones and your soft tissue. Normally they have a small amount of fluid inside them. But sometimes they can swell. We call that "bursitis."
During this minimally-invasive procedure, the surgeon removes the end of the clavicle at the acromioclavicular joint in the shoulder. Removing this portion of bone will decompress the joint. It will help relieve the pain and loss of motion caused by arthritis or impingement. This procedure is performed with a small camera, called an arthroscope, and miniature instruments.
This procedure uses a small, metal, cap-like implant to cover damaged or missing articular cartilage in the shoulder joint. Articular cartilage covers the joint surfaces of bones, allowing them to glide smoothly against each other. In the shoulder, arthritis or an injury may result in loss or damage of the cartilage on the round humeral head, causing pain and limited motion. Resurfacing this damaged area can help relieve pain and improve motion.
During this procedure, a mixture of anesthesia and anti-inflammatory medication is injected into the space between the head of the humerus and the glenoid. This injection can be used to treat a variety of painful conditions, including osteoarthritis, rheumatoid arthritis and adhesive capsulitis. The physician may choose an injection site on the front, side or rear of the shoulder.
Some of the muscles in your shoulder have opposing roles. When you move your arm, certain muscles contract while their opposing muscles relax. But when a muscle becomes much stronger than its opposing muscle, your shoulder can become unstable. You may have trouble moving it normally. We call this a "muscle imbalance."
This condition, also called "ulnar nerve entrapment," happens to the ulnar nerve in your elbow. This nerve travels along the inner side of your elbow and down to your hand. It's the nerve that makes the jolt you feel when you bump your "funny bone." With this condition, your ulnar nerve is compressed, stretched or irritated.
This is a swelling of a fluid-filled sac in the back of your elbow. This sac is called the "olecranon bursa." You have similar sacs near other large joints throughout your body. They act as cushions between your bones and your soft tissues. Normally they have a small amount of fluid inside them. But sometimes they can swell. That is called "bursitis."
If you are an athlete, or if you work with your arms and hands, your elbows may be at risk for an overuse injury. This is an injury caused by repetitive motions. This type of injury can be a problem for people who play sports such as tennis or baseball. Children also have a higher risk, because their bones are still growing.
Like other joints, the elbow is held together by strong bands of tissue called "ligaments." On the elbow's inner side is the ulnar collateral ligament complex. We call it the "UCL." It's made of three bands that connect the humerus (the upper arm bone) to the lower arm's ulna. The UCL is the elbow ligament most often injured by baseball pitchers and by other athletes who play throwing sports.
This condition is a break of the radius bone at the wrist. The radius is the larger of the two bones that connect the wrist to the elbow. The other bone is called the ulna. The radius supports the majority of forces at the wrist joint with its large joint surface. A fracture of the distal end of the radius - the end nearest the wrist -is one of the most common types of fractures. It may be part of a complex injury that involves other tissues, nerves and bones of the wrist.
This procedure is performed to relieve pressure on the median nerve, alleviating the pain of carpal tunnel syndrome and restoring normal sensation to the hand and fingers. The endoscopic technique, performed on an outpatient basis, creates less pain and scarring than traditional open surgery and allows for a quicker recovery.
This surgery is performed to relieve pressure on the median nerve, alleviating numbness and tingling in the fingers. The endoscopic carpal tunnel technique is performed on an outpatient basis. The endoscopic approach creates less pain and scarring than traditional open surgery, allowing for a quicker recovery.
A ganglion cyst is a fluid-filled sac that forms as a herniation from a joint capsule or tendon sheath. The sac is attached to the joint or tendon sheath by a "stalk" that allows fluid to move into the pouch from the joint or sheath. The stalk functions as a valve and often limits fluid drainage out of the cyst, allowing the cyst to increase - but not decrease - in size. In some cases the stalk functions as a two-way valve, allowing fluid to travel in both directions. This can enable the cyst to increase and decrease in size based on activities.
Your hand is a complex and unique part of your body, composed of delicate tissues and an intricate network of bones, muscles, vessels, and nerves. The ability to generate great force for activities like rock climbing while also providing the fine dexterity to play a musical instrument make the hand an amazing balance of power and finesse. Hand problems can affect anyone young or old, and can significantly impact a patient's function and quality of life. Hand surgeons are physicians who specialize in the treatment of these problems.
This procedure, performed under regional or local anesthesia, replaces a diseased or damaged finger joint with an implant made of silicone rubber or hard metal, ceramic or pyrocarbon. This technique can be used to replace the middle joint of the finger (called the PIP joint) or the joint at the base of the finger (called the MCP joint).
A mucous cyst is a small, fluid-filled sac that forms on the back of the finger near the base of the fingernail. It is a form of ganglion cyst that erupts from the capsule of the joint at the end of the finger, called the DIP joint. The cyst is attached to the joint capsule by a "stalk" that allows fluid to move into the cyst from the joint. Mucous cysts most commonly affect the index finger of the dominant hand.
This condition is a thickening of the fascia on the palm of the hand. The fascia is a connective tissue located just beneath the skin of the palm and fingers. This thickened fascia can form lumps or nodules under the skin, or long thick cords of tissue that extend from the palm to the fingers. Often, this thickened tissue contracts. This causes one or more fingers to curl toward the palm. This is called a flexion contracture.
Our fingers are often in harm's way, and our fingertips are prone to injury. A fingertip injury can involve skin, soft tissue, nerves and bone. It can involve the nail and the nailbed. These injuries can be serious, painful, and slow to heal. If you've injured your fingertip, you can take a few simple steps to minimize problems.
The flexor tendons of the hand are responsible for flexion of the fingers and thumb toward the palm. These long structures are connected to the flexor muscles in the forearm. An injury to one of these tendons can cause pain and inability to flex the finger or thumb and grasp with the hand. Common flexor tendon injuries include lacerations, ruptures and inflammation.
This condition is a fracture, or break, of one or more of the metacarpal bones of the hand. The fracture may be nondisplaced, in which the bones remain aligned, or displaced, in which the fractured ends shift out of alignment. Without proper treatment, the bones may not heal correctly. This can result in improper alignment of the fingers, leading to poor hand function.
This surgical procedure is performed to treat fingers that have become flexed because of Dupuytren's contracture. In this procedure, the thickened and contracted part of the fascia - the layer of tissue just beneath the skin - is removed. There are many variations of this surgery based on the severity of the condition.
This condition, also called skier's thumb, is an acute sprain or tear of the ulnar collateral ligament (UCL) on the ulnar side of the metacarpal-phalangeal (MCP) joint of the thumb. A related condition, called gamekeeper's thumb, is a chronic injury that develops over time from repeated stretching of the UCL.
This condition is a result of tendon imbalance in the finger or thumb. In the finger, it causes a characteristic deformity in which the middle finger joint (called the PIP joint) hyperextends, and the fingertip joint (called the DIP joint) bends downward. When viewed from the side, the finger looks like the outstretched neck of a swan.
This condition is a degenerative or traumatic tear of one or more parts of the triangular fibrocartilage complex (TFCC), which stabilizes the ulna. The TFCC is composed of a group of ligaments that form connections between the radius, ulna and the carpal bones of the hand. At the center of these ligaments lies the most commonly injured structure, the triangular fibrocartilage disc, which is connected between the radius and the base of the ulnar styloid.
This common condition, also known as stenosing tenosynovitis, is a narrowing of a portion of the tendon sheath in the finger or thumb that interferes with normal finger movement. This condition most commonly affects the ring finger, but can affect any digit. It is more common in middle-aged women, but anyone can be affected, even newborns.
This condition is a stretching or tearing of the volar plate, which can allow the finger to hyperextend and can interfere with normal hand function. The volar plate is a strong ligamentous structure on the underside of the finger at the point where the proximal and middle phalanx bones meet, called the proximal interphalangeal joint (or PIP joint). The volar plate keeps the finger from bending backwards at the PIP joint, and, together with the collateral ligaments, stabilizes the PIP joint from displacement.