Orthopedic Disorders of the Hand, Wrist, Elbow, and Shoulder
Orthopedic disorders of the finger, hand, wrist, forearm, elbow and shoulder could be genetic, acquired through many years of strain on certain areas of the joints or possibly brought about by an occurrence through daily life. Below is a brief list of the many orthopedic disorders the specialists at Hand to Shoulder Center of Wisconsin treat.

Bursitis/Olecranon Bursa
Olecranon bursitis is the result of extra fluid inside the bursa sac. There are many different causes of this extra fluid collection and various treatment options as well. 

Carpal Tunnel Syndrome
This orthopedic condition is brought on by increased pressure on the median nerve at the wrist. In effect, it is a pinched nerve at the wrist. Symptoms of carpal tunnel syndrome may include numbness, tingling, and pain in the arm, hand, and fingers.

Pediatric Congenital Orthopedic Conditions of the finger, hand, wrist, forearm, elbow and shoulder
Babies born with hands that are different than the normal hand have a pediatric congenital orthopedic conditions. One in twenty children is born with some difference from normal, either major or minor.  Specific pediatric congenital orthopedic  conditions  treated at Hand to Shoulder Center of Wisconsin include:

Cold Hand/Raynaud Syndrome
Have you noticed that you have cold hands even in mild weather when others around you do not? You might have a cold hand disease, such as Raynaud Syndrome, that can be treated. 

Complex Regional Pain Syndrome
Complex Regional Pain Syndrome (CRPS) is a chronic pain condition that is believed to be the result of dysfunction in the central or peripheral nervous systems.

Cubital Tunnel Syndrome/Ulnar Nerve Entrapment
Cubital Tunnel Syndrome is an orthopedic condition brought on by increased pressure on the ulnar nerve at the elbow. When the pressure on the ulnar nerve becomes great enough to disturb the way the nerve works, then numbness, tingling, and pain may be felt in the elbow, forearm, hand, and/or fingers.

Connective Tissue Diseases
Local pressure on a nerve, compression neuropathy, causes numbness in distinct patterns that follow the area supplied by that nerve. The pattern and distribution of numbness, tingling, burning, dullness, and muscle changes help to determine if the source is pressure on a nerve at a particular level (e.g. neck, wrist, elbow), disease, medication, nutritional, or other conditions.

deQuervains Tenosynovitis
First dorsal compartment tendonitis, more commonly known as deQuervain’s tenosynovitis  or tendonitis ,  is an orthopedic condition brought on by irritation or inflammation of the wrist tendons at the base of the thumb.

Dupuytren's Contracture
Dupuytren’s Contracture is an orthopedic disease from an abnormal thickening of the tissue just beneath the skin known as fascia. This thickening occurs in the palm and can extend into the fingers.

Frost Bite
When tissues in the finger, hand, wrist, forearm, elbow and shoulder are exposed to temperatures below the freezing point of skin, frostbite can occur. When frostbite occurs, one can experience burning, numbness, tingling, itching or loss of feeling.

Frozen Shoulder (Adhesive Capsulitis)
The ligaments of the shoulder joint hold the shoulder bones together. When the shoulder joint capsule becomes inflamed, the shoulder bones range of motion becomes restricted and is known as Frozen Shoulder or Adhesive Capsulitis.

Ganglion Cysts
Ganglion cysts are very common lumps within the hand and wrist that occur adjacent to joints or tendons.  The most common locations are the top of the wrist, the base of the finger on the palm side, and the top of the end joint of the finger. 

Pediatric Cell Tumors
Giant cell tumors of tendon sheath are rare in children.  The most common site is the hand and the second frequent site is the ankle-foot complex.  

Golfer’s Elbow (Tennis Elbow)
For most golfers, the hand and/or wrist is the third most common body region injured, after the back and elbow. The wrist is injured 3 times more frequently than the hand. 

Hand and Wrist Tumors
Wrist and hand tumors are considered any abnormal lump or bump, or mass. The term tumor does not necessarily mean it is malignant or that it is a cancer. The vast majority of wrist and hand tumors are non-cancerous. Any lump or bump in your hand or wrist is considered a tumor.

Infections/Inflammation of the Finger, Hand, Wrist, Forearm, Elbow and Shoulder (Felons, Paranychias, Tendon Sheath Infections)
Infections in the finger, hand, wrist, forearm, elbow and shoulder can cause severe problems that persist even after the infection has resolved, such as stiffness, loss of strength, and even loss of tissues.

Malignant Tumors and Skin Cancer of the Hand and Upper Extremity
Skin cancer is a change in some of the cells of your skin such that they grow abnormally to form a malignant tumor. The skin is the most common part of the body in which cancer develops.

Mucous Cyst
The cause of mucous cysts is unknown although they may form in the presence of joint or tendon irritation or mechanical changes. A mucous cyst can occur in patients of all ages.

Numbness and Tingling
Numbness, tingling, and pain in the finger, hand, wrist, forearm, elbow and shoulder is often caused by Carpal Tunnel Syndrome, but that’s not always the case.  The pattern and distribution of numbness, tingling, burning, dullness, and muscle changes help to determine if the source is pressure on a nerve, disease, medication, nutritional, or other conditions. 

Osteoarthritis of the Finger, Hand, Wrist, Forearm, Elbow and Shoulder 
Osteoarthritis is a degenerative joint disease in which the cushioning cartilage that covers the bone surfaces at the joints begins to wear out.  It may be causedsimple wear and tear on joints, or it may develop after an injury.  

Rheumatoid Arthritis of the Finger, Hand, Wrist, Forearm, Elbow and Shoulder 
Arthritis means an inflamed joint.  A joint normally consists of two cartilage-covered bone surfaces that glide smoothly against one another.  When joints become inflamed, the joint swells and does not move smoothly.

Shoulder Impingement
Thickening of the rotator cuff and its bursa can lead to a Shoulder Impingement Syndrome where these tissues impinge against the bones around the shoulder. This can cause pain and damage to the rotator cuff.

Shoulder Pain and Instabilities
Shoulder pain can be caused by a variety of conditions and injuries, including but not limited to:
Steroid injections
Steroid injections typically contain a mixture of synthetic cortisone and a local anesthetic such as lidocaine or bupivacaine. Steroid injections are commonly used to treat a variety of inflammatory conditions of the upper extremity.

Stiffness in the Hand
The hand and fingers seem to work effortlessly when healthy. A variety of problems can cause stiffness in the hand, limiting the use and function that we often take for granted. 

Tendonitis of the Finger, Hand, Wrist, Forearm, Elbow and Shoulder
Tendonitis is caused by irritation or inflammation of tendons. The inflammation causes the compartment (a tunnel or a sheath) around the tendon to swell and enlarge, making movement painful. 

Thoracic Outlet Syndrome
Thoracic Outlet Syndrome (TOS) is a syndrome involving compression at the superior thoracic outlet.  The thoracic outlet is the space between your collarbone (clavicle) and your first rib. If the shoulder muscles in your chest are not strong enough to hold the collarbone in place, it can slip down and forward, putting pressure on the nerves and blood vessels that lie under it. This causes a variety of symptoms which together are known as thoracic outlet syndrome.

Trigger finger (Tenosynovitis)
Stenosing tenosynovitis, commonly known as trigger finger or trigger thumb, involves the pulleys and tendons in the hand that bend the fingers. The goal of treatment in trigger finger/thumb is to eliminate the catching or locking and allow full movement of the finger or thumb without discomfort. 

Xiaflex injection for Dupuytren’s Contracture
XIAFLEX® (collagenase clostridium histolyticum) is a prescription medicine used to treat adults with Dupuytren’s contracture.

**INFORMATION PROVIDED BY THE AMERICAN SOCIETY FOR SURGERY OF THE HAND AND AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
Hand to Shoulder Center of Wisconsin has partnered with the American Society for Surgery of the Hand (ASSH) and American Academy of Orthopaedic Surgeons (AAOS) to provide expert knowledge to our patients with defined explanations of common disorders and injuries of the finger, hand, wrist, elbow, and shoulder.


Treating Orthopedic Disorders of the Finger, Hand, Wrist, Forearm, Elbow and Shoulder at  Hand to Shoulder Center of Wisconsin

When an orthopedic disorder of the finger, hand, wrist, forearm, elbow or shoulder occurs, the Hand to Shoulder Center of Wisconsin specialists can help. Our specialized orthopedic clinic is home to some of the Midwest’s most highly trained and experienced surgeons, nurses, occupational and physical therapists.

Whether you are suffering from Carpal Tunnel Syndrome, numbness and tingling, Cubital Tunnel Syndrome, tendonitis or any of the orthopedic disorders described above, the specialists at Hand to Shoulder Center of Wisconsin are here to help.  From our Appleton facility, we can  provide clinical, surgical, and rehabilitation therapy. We also have a satellite office for doctor/patient consultations located in Green Bay, Wisconsin.


  
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