Orthopaedic Care for Hand & Wrist Injuries

The hand and wrist are comprised of a network of bones, tendons, ligaments and cartilage that are central to our daily activities. They provide a wide range of mobility that can be vulnerable to pain or injury, whether from repetitive movement, sports or degenerative disease. When treating hand & wrist injuries or disorders, making the correct diagnosis is key to establishing the best course of treatment.

Cary Orthopaedics got its start back in the 1980s as an orthopaedic hand specialist, and we offer this expertise today. Our physician will conduct a thorough physical examination and may be able to immediately identify your diagnosis; on occasion, some additional tests may be required to confirm the diagnosis.

  • Wrist Boxers Fracture
  • Wrist Colles Fracture
  • Wrist Fractures
  • Wrist–Finger Joint Injuries
  • Goalkeeper’s Thumb
  • Wrist Boutonniere Deformity
  • Carpal Tunnel (CTS) Syndrome
  • Wrist (CRPS) Complex Regional Pain Syndrome (RSD)
  • DeQuervains Syndrome
  • Wrist and Hand–Flexor Tendon Injuries
  • Wrist Ganglion Cyst
  • Wrist–Thumb Arthritis
  • Wrist-Trigger Finger
  • Clinical Diagnosis

Some wrist and hand conditions can be addressed with rest, ice, light compression and elevation. For fractures, the ultimate goal is to stabilize the fracture site in a good position so that appropriate healing may take place. Casting is normally the treatment of choice and may take 6 weeks to be fully healed.

In the event that the fracture is displaced, then our orthopaedist will most likely need to re-set the bones, which is usually done under local anesthesia. At times, the fractured hand is unstable, meaning that it will not maintain good position with reset and casting. In this case, a surgical procedure will be required.

When treating deformities such as a finger that is fixed in a bent or flexed position, a common technique is to apply custom splinting and prolonged stretching to regain the range of motion and function. On occasion, surgery may be required to physically correct the deformity, especially in chronic situations.

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Hand & Wrist Surgeons at Cary Orthopaedics

Jeremy J Miles, M.D.

Jeremy J. Miles, M.D.

Brian T. Szura, M.D.

Brian T. Szura, M.D.