Common Surgeries

Carpal Tunnel Release

The goal of this procedure is to relieve pressure on the affected nerve. This helps to relieve pain, and to restore normal sensation to the hands and fingers. During the surgery, a small incision is made in the palm of the hand. A guide is inserted to protect the median nerve during the surgery, then the carpal ligament is cut to create more space in the carpal tunnel. The incision is closed with stitches, and the patient will need to wear a splint for several days following the surgery.

Trigger finger release

Trigger finger is common hand condition where a finger (most commonly the ring finger) catches in the flexed position, as if the patient were pulling a trigger. It is caused by bunching of the fibers in the finger pulley, which constricts the movement of the finger. During trigger finger release a small incision is made in the palm and the surgeon opens the affected tendon pulley. It is a minimally invasive, outpatient surgery, requiring only local anesthetic.

Wrist arthroscopy

Wrist arthroscopy is used to treat many different conditions including TFCC tears, contracture, ligament injuries, and more. During arthroscopic surgery two to three small incisions are made at the point of surgery. One incision is for the arthroscope (a small flexible tube that allows the surgeon to see inside the joint), and the other incisions give access for the surgical instruments. Sometimes wrist arthroscopy is needed as a diagnostic tool, in which case only one incision is needed.

Ganglion excision

Ganglion cysts are benign cysts that appear on the wrist and hands, most commonly on the backside of the wrist near the center. These cysts can vary in size, and while the cyst itself is not painful, it can cause pain depending on the location, for example grasping may be painful if the cyst is on the fingers, or a cyst on the palm side of the wrist may press on the radial artery. Excision surgery is an outpatient surgery that requires local anesthetic, and a single incision at the site of the cyst.

Cubital tunnel release

Cubital tunnel houses the ulnar nerve at the elbow. The cubital tunnel can be compressed by pressure on the elbow generally from leaning on or flexing the elbow for an extended period. Repeated irritation of the cubital tunnel  can cause problems down the arm into the fingers including tingling, numbness, and a weak grip.  During cubital tunnel release, the surgeon makes a small incision at the site of the compression and open the tunnel at the site of the compression. In some cases, there are several compressed sites that require treatment, and the physician may even reposition the ulnar never outside of the cubital tunnel. It is a minimally invasive, outpatient surgery, requiring only local anesthetic.