Hand and upper extremities

Hand and upper extremities


Few parts of the human anatomy are as complex as the hand and wrist, which together are made up of 27 bones. The wrist alone has eight, called carpals, which join with the radius and ulna, the two bones in the forearm, to form the wrist joint. The top ends of the wrist bones connect to metacarpal bones in the hand that, in turn, connect to the thumb and each finger.

Unfortunately, the bones in the wrist and hand have little protection, so they are more susceptible to injury than other bones in our bodies. In addition, overuse and repetitive motions can cause several problems, such as tendonitis and carpal tunnel syndrome.

Common hand and wrist problems

  • Carpal tunnel syndrome
  • Sprains/strains
  • Fractures
  • Repetitive stress injuries
  • Ganglion cysts
  • Rheumatoid arthritis
  • Lacerations
  • Tendon/nerve injuries
  • Dupuytren’s contracture
  • Osteoarthritis
  • Wrist pain
  • Post-traumatic arthritis

Why choose CMO for your hand or wrist problem?

It takes a specialist to determine the nature of the problem and the best medical solution. Minor injuries can often be taken care of by applying ice and wrapping the hand or wrist with an elastic bandage. Other nonsurgical treatments include appropriate pain medication, anti-inflammatory medications, cortisone injections, and physical therapy. When conservative measures fail to alleviate pain and restore mobility, surgery may be necessary.

At CMO, Lauren P. Adey, M.D. and  Matthew D. Bush, M.D. are the surgeons that specialize in the hand and wrist. We also have a certified hand therapist, Kathryn Lachance, O.T.R., C.H.T., who has received additional training in the treatment of conditions of the hand, wrist, and elbow. She works in collaboration with our surgeons to provide treatment and rehabilitation.

More information about hand and wrist problems