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Hand and Wrist · Hand and Upper Extremity

Hand and Wrist Ligament Sprains

Stretched or torn ligaments in the wrist, thumb and fingers, including skier thumb and jammed fingers. Most heal with splinting; complete tears may need repair.
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Hand and Wrist · Hand and Upper Extremity

Nerve Injuries of the Hand and Arm

Cuts, crush injuries and stretch injuries to the nerves of the hand and arm, causing numbness and weakness. Timing matters because nerves recover slowly and only when repaired early.
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Hand and Wrist · Hand and Upper Extremity

Finger and Thumb Dislocations

A finger or thumb joint knocked out of place, usually by a ball or a fall. Reduced promptly, then protected so the ligaments heal and the joint stays stable.
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Hand and Wrist · Hand and Upper Extremity

TFCC Tear

A tear of the cartilage and ligament complex on the small-finger side of the wrist, causing pain with twisting and weight bearing. From a fall or from years of load.
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Hand and Wrist · Hand and Upper Extremity

Congenital Hand Conditions

Hand differences present from birth, from trigger thumb and extra or joined fingers to underdeveloped thumbs. Evaluated early, treated when it improves function.
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Elbow · Hand and Upper Extremity

Complex Upper Extremity Trauma

Severe injuries of the hand, wrist, forearm and elbow: open fractures, crush and saw injuries, combined bone, tendon and nerve damage, and injuries that need reconstruction.
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ContactTalk toa real person.
Two clinics, one number to call or text. Same-day appointments for acute injuries whenever we can. The front desk will match you with the right surgeon.
Provo1055 N 300 W, Ste 104
Orem700 W 800 N, Ste 330
What it is

Nerve Injuries of the Hand and Arm

Three main nerves and dozens of branches supply the hand.
A cut can divide one, a fracture can bruise or stretch one, and pressure can crush one. A divided nerve must be repaired for feeling and strength to return.Nerves regrow about an inch a month, so early repair shortens the wait.
Treated by
Toby Johnson, MD, Hand and Upper Extremity surgeon at Ridgeline Orthopedic Specialists
Dr. JohnsonHand and Upper Extremity
M. Shane Frazier, DO, Hand and Upper Extremity surgeon at Ridgeline Orthopedic Specialists
Dr. FrazierHand and Upper Extremity
Travis Peterson, DO, Hand and Upper Extremity surgeon at Ridgeline Orthopedic Specialists
Dr. PetersonHand and Upper Extremity
Nerve Injuries of the Hand and Arm

Symptoms

Numbness or tingling in part of the hand after a cut or injury.Weakness or a claw or drop position of the fingers or wrist. Burning pain. A cut that bled briskly on the palm side of a finger.
Numbness after a laceration means the nerve may be cut.
Common signs
Numbness after a cut
Weak or clawed fingers
Burning pain
Cut that bled briskly
See us sooner if
Numbness after any laceration
Wrist or finger drop
Nerve Injuries of the Hand and Arm

Causes

Lacerations from glass and knives, fractures and dislocations, crush injuries, prolonged pressure such as sleeping on an arm, and surgical or injection injuries.Stretch injuries from a fall on the shoulder can affect the whole arm.
Nerve Injuries of the Hand and Arm

How We Diagnose It

The exam maps the numb area and tests each muscle.Nerve conduction studies and EMG grade the injury and track recovery. Ultrasound can show a divided nerve.Dr. Johnson treats complex upper extremity trauma and reconstruction.Nerve studies and ultrasound are done locally; Dr. Johnson treats complex nerve injuries and reconstruction. Dr. Johnson, Dr. Frazier and Dr. Peterson operate at Utah Valley Hospital and Orem Community Hospital.
Nerve Injuries of the Hand and Arm

Treatment Options

Bruised and stretched nerves usually recover with time, splinting and therapy to keep the joints supple.
Divided nerves are repaired under magnification, with a graft when there is a gap.Nerve transfers can restore function when a repair is not possible.
Your options
Non-surgical
Splinting
Therapy
Time
Surgical
Nerve repair
Nerve graft
Nerve transfer
Related
Nerve Injuries of the Hand and Arm

Procedures That Address It

Nerve Injuries of the Hand and Arm

Surgeons Who Treat It

Dr. Johnson, MD
Weill Cornell graduate, hand fellowship at Allegheny General. Twenty-one years in practice and seventeen as a collegiate team physician.
Dr. Frazier, DO
Fellowship trained in hand and upper extremity surgery at the University of Pittsburgh. Seventeen years in practice. Fluent in Spanish.
Dr. Peterson, DO
Hand surgery fellowship at UMass Chan. Office-based, wide-awake carpal tunnel release. Fifteen years in practice. Speaks German.
ContactTalk toa real person.
Two clinics, one number to call or text. Same-day appointments for acute injuries whenever we can. The front desk will match you with the right surgeon.
Provo1055 N 300 W, Ste 104
Orem700 W 800 N, Ste 330