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Complete Care for Hands, Wrists, and Elbows
For hand, wrist, and elbow problems, Orthopedic Associates of Dutchess County’s expertise is unmatched. Our hand center manages all traumatic and non-traumatic conditions of the hand, wrist, and elbow using the latest and most advanced techniques. We lead the way in treating conditions such as carpal tunnel, tendonitis, sprains, and fractures.
Our hand and upper extremity surgeons offer nonsurgical and surgical care for athletes and people of all ages with hand and upper extremity injuries. Hand and arm pain can make daily activity, including working, nearly impossible. We’ll create a treatment plan that helps you get back to your life, your sport, or your job.
Why Choose Orthopedic Associates of Dutchess County for Hand and Upper Extremity Injuries?
We’re the premier practice in area for injuries that affect hands and arms. We always start with most conservative treatment and then tailor options to your goals. We offer:
- Fellowship-trained surgeons: Our hand and upper extremity surgeons have the highest level of training in both surgical and nonsurgical treatment. Though many people who seek care won’t need surgery, they still benefit from our surgical expertise.
- Latest advancements in treatment: We offer cutting-edge therapies and newer, less invasive surgical techniques that help you heal faster. This includes wide-awake hand surgery and arthroscopic surgery, both of which lead to better outcomes.
- Convenience every step of the way: We do everything we can to help you navigate the treatment and recovery process.
Hand and Upper Extremity Conditions We Treat
Many conditions can affect hands, wrists, and arms. Our hand and upper extremity surgeons most commonly treat:
- Arthritis in hands and thumbs.
- Boutonnière deformity
- Carpal tunnel syndrome
- Compartment Syndrome
- Congenital hand disorders
- Cubital tunnel syndrome in elbows.
- De Quervain tendonitis
- Dupuytren contracture in hands.
- Fractures and sprains in fingers, hands, wrists, and elbows.
- Ganglion cysts in hands and wrists.
- Golfer’s elbow
- Inflammatory conditions of the hands, wrists, and elbows (Ex: Rheumatoid arthritis).
- Kienböck’s disease
- Olecranon bursitis in elbows.
- Tennis elbow
- Trigger finger and mallet finger.
- Ulnar collateral ligament (UCL) injuries.
- Ulnar tunnel syndrome
Treatments for Hand, Wrist, and Upper Extremity Injuries
When we can, we start with conservative treatments, such as:
- Medication to reduce pain, inflammation, or swelling.
- Injections that relieve pain, such as steroid injections., We also use an injectable prescription medication (collagenase, or Xiaflex) to treat adults with Dupuytren contracture.
- Platelet-rich Plasma Therapy (PRP). PRP is an injectable, nonsurgical procedure and regenerative therapy that promotes faster healing of hand and wrist injuries and reduces symptoms.
Hand and Upper Extremity Surgeries We Perform
Some injuries and conditions need more intervention, including surgery. Common procedures include:
- Arthroscopy: Doctors make tiny incisions and use a camera to diagnose problems with hands, wrists, and elbows. Surgeons can also use arthroscopy to repair fractures, remove ganglion cysts, or treat other conditions.
- Carpal or cubital tunnel release: Carpal tunnel surgery helps release the pressure on the median nerve (the wrist). Cubital tunnel surgery helps release the pressure on the ulnar nerve (the elbow).
- Ligament surgery: Doctors make a tiny incision to either repair or replace the damaged ligament.
- Microvascular (microsurgery): Microsurgery is an advanced procedure that uses tiny, precise instruments and high-powered magnification to repair the nerves and arteries in hands and wrists.
- Shoulder replacement: We specialize in shoulder arthroplasty. Learn more here.
- Tendon surgery: We can repair tendons in fingers, wrists, and elbows. This includes surgeries for trigger finger, tennis elbow, and rotator cuff.
- Wide-awake hand and wrist surgery: Wide-awake surgery uses a local anesthesia, mixed with epinephrine. You can communicate with the surgeon and complete range of motion tests, which leads to better outcomes.
- Wrist and hand fracture care: Surgical treatments for more severe wrist and hand fractures usually consist of setting the bone and bone fragments in place with plates, screws, or pins.
Many conditions can affect hands, wrists, and arms. Our hand and upper extremity surgeons most commonly treat:
- Arthritis in hands and thumbs.
- Boutonnière deformity
- Carpal tunnel syndrome
- Compartment Syndrome
- Congenital hand disorders
- Cubital tunnel syndrome in elbows.
- De Quervain tendonitis
- Dupuytren contracture in hands.
- Fractures and sprains in fingers, hands, wrists, and elbows.
- Ganglion cysts in hands and wrists.
- Golfer’s elbow
- Inflammatory conditions of the hands, wrists, and elbows (Ex: Rheumatoid arthritis).
- Kienböck’s disease
- Olecranon bursitis in elbows.
- Tennis elbow
- Trigger finger and mallet finger.
- Ulnar collateral ligament (UCL) injuries.
- Ulnar tunnel syndrome
When we can, we start with conservative treatments, such as:
- Medication to reduce pain, inflammation, or swelling.
- Injections that relieve pain, such as steroid injections., We also use an injectable prescription medication (collagenase, or Xiaflex) to treat adults with Dupuytren contracture.
- Platelet-rich Plasma Therapy (PRP). PRP is an injectable, nonsurgical procedure and regenerative therapy that promotes faster healing of hand and wrist injuries and reduces symptoms.
Some injuries and conditions need more intervention, including surgery. Common procedures include:
- Arthroscopy: Doctors make tiny incisions and use a camera to diagnose problems with hands, wrists, and elbows. Surgeons can also use arthroscopy to repair fractures, remove ganglion cysts, or treat other conditions.
- Carpal or cubital tunnel release: Carpal tunnel surgery helps release the pressure on the median nerve (the wrist). Cubital tunnel surgery helps release the pressure on the ulnar nerve (the elbow).
- Ligament surgery: Doctors make a tiny incision to either repair or replace the damaged ligament.
- Microvascular (microsurgery): Microsurgery is an advanced procedure that uses tiny, precise instruments and high-powered magnification to repair the nerves and arteries in hands and wrists.
- Shoulder replacement: We specialize in shoulder arthroplasty. Learn more here.
- Tendon surgery: We can repair tendons in fingers, wrists, and elbows. This includes surgeries for trigger finger, tennis elbow, and rotator cuff.
- Wide-awake hand and wrist surgery: Wide-awake surgery uses a local anesthesia, mixed with epinephrine. You can communicate with the surgeon and complete range of motion tests, which leads to better outcomes.
- Wrist and hand fracture care: Surgical treatments for more severe wrist and hand fractures usually consist of setting the bone and bone fragments in place with plates, screws, or pins.
Physicians
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Michelle Moyer, MD
Sasha Ristic, MD
