Hands, Wrist, & Elbow
Common Surgical Treatments & Pricing
Hands & Wrist
Carpal Tunnel Release
The anatomy involved with the syndrome is implied by its name. Extending from the palm to the forearm, the median nerve can become compressed at the carpal tunnel, a narrow passageway for bones and ligaments at the base of the hand. Therefore, Carpal Tunnel Syndrome is also known as median nerve compression. During the carpal tunnel release operation, the transverse carpal ligament is cut to relieve pressure off the median nerve. By doing so, the symptoms of the condition are often alleviated. Many patients report tremendous success with the procedure and restored motion and sensation of the affected anatomy. It is important, however, to treat the condition early in order to avoid permanent damage.
De Quervain Release aims to remove tension from the tendon sheath that is involved with the articulation of the thumb and wrist. By releasing this tendon sheath, pressure and friction are relieved, allowing the tendons to glide freely for improved motion of the thumb and wrist.
Excision of Tendon Sheath or Joint Capsule Lesion
- Cyst (Ganglion, Mucous, etc.)
This outpatient procedure removes cysts that have arisen in the tendon sheaths or joint capsules. While there are many types of cysts, they can be generally categorized as fluid-filled sacs. The formation of cysts are typically result from herniation of a joint capsule, ligament, or tendon sheath. Cyst excision or removal helps to improve joint articulation, decrease pain, and reduce swelling.
Trigger Finger Release
Causing the finger to get stuck in a bent position and subsequently snapping straight, trigger finger most commonly affects the ring finger and thumb. The condition can affect other fingers and is also known to cause pain and stiffness. The affected anatomy of the condition includes the flexor tendons, which attach the forearm muscles to the fingers. Each of these tendons pass through the "tendon sheath" where bands of tissues, known as "pulleys" hold the flexor tendons near the bone.
Trigger finger release is a common surgical intervention for the condition and aims to eliminate the tension on the affected pulley. By releasing this pulley, the flexor tendon can restore its movement and glide more easily through the tendon sheath. Therefore, the fingers will no longer "catch" in various positions.
Wrist arthroscopies are typically performed to repair damaged tissues such as cartilage, bone, tendons, and ligaments after all other conservative treatments have failed. The procedure is done to diagnose and/or treat a variety of conditions such as chronic wrist pain and ligament tears.
Bursas are thin, fluid-filled tissue structures that are produced to lubricate an area where the friction occurs. While a bursa is a normal structure, and can be produced in response to friction, there are instances where they become thickened and inflamed, therefore causing pain.
Surgery is indicated for an inflamed bursa on the elbow only after all conservative treatments failed. The objective of the procedure is to remove the thickened tissue (bursa) at the joint. Your surgeon may also remove any bone spurs that could have formed as well.
Cubital Tunnel Release
- Epicondylectomy & Ulnar Nerve Transposition
Cubital tunnel release aims to restore native movement of the elbow by relieving pressure off of the ulnar nerve. There are multiple surgical approaches to treat the condition, such as Medial Epicondylectomy and Ulnar Nerve Transposition. Medial Epicondylectomy involves removing the bony bump, or medial epicondyle, on the inside of the elbow. This approach permits the ulnar nerve to glide smoothly when the elbow is moved. Ulnar Nerve Transposition relocated the ulnar nerve to a surgically created tunnel in front of the medial epicondyle.
Distal Biceps Reattachment
The biceps muscle is attached to the elbow via a single tendon. This tendon is known as the distal biceps tendon. In general, when the tendon tears, surgical intervention is necessary to reattach it. Patients can expect approximately 3 to 4 months for their biceps muscle to fully heal.
- Tennis Elbow
Surgical treatments involving the treatment of tennis elbow typically involves debridement (removal) of damaged tissues. This procedure can be performed through multiple approaches, however arthroscopic is preferred as it involves a smaller incision and less post-operative pain and swelling to open approaches.