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Hand and Upper Extremity

Wide-Awake Carpal Tunnel Release

Carpal tunnel release performed in the office under local anesthesia only: no sedation, no fasting, no tourniquet, and you drive yourself home.
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Hand and Upper Extremity

Trigger Finger Release

Opening the tight tendon sheath at the base of a finger or thumb so the tendon glides without catching or locking.
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Hand and Upper Extremity

Cubital Tunnel Release

Relieving pressure on the ulnar nerve where it passes behind the elbow, sometimes moving the nerve to the front, to stop numbness in the ring and small fingers.
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Hand and Upper Extremity

Wrist Fracture Repair

Realigning a broken wrist and holding it with a plate and screws so it heals in position and motion can start early.
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Hand and Upper Extremity

Scaphoid Fracture Repair

Fixing a broken scaphoid bone with a compression screw, and reconstructing scaphoid fractures that have failed to heal, including vascularized bone grafting.
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Hand and Upper Extremity

Distal Biceps Tendon Repair

Reattaching a biceps tendon that has torn from the forearm bone at the elbow, to restore the strength to turn and lift.
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Hand and Upper Extremity

Dupuytren Contracture Release

Releasing or removing the thickened cords in the palm that pull fingers into a bent position, by needle release, enzyme injection or open surgery.
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Hand and Upper Extremity

Ganglion Cyst Removal

Removing a fluid-filled cyst from the wrist or hand along with the stalk that connects it to the joint, to relieve pain and lower recurrence.
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Hand and Upper Extremity

Thumb CMC Arthroplasty

Reconstructing the arthritic joint at the base of the thumb by removing the worn bone and stabilizing the thumb with a tendon or implant, to restore pain-free pinch.
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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

Trigger Finger Release

Finger tendons run through a series of pulleys.
When the first pulley thickens and the tendon swells, the tendon catches as it passes, producing a click, a lock, and pain at the base of the finger.Release opens that pulley through a small incision so the tendon glides freely. The other pulleys keep the tendon in place.
Performed by
M. Shane Frazier, DO, Hand and Upper Extremity surgeon at Ridgeline Orthopedic Specialists
Dr. FrazierHand and Upper Extremity
Toby Johnson, MD, Hand and Upper Extremity surgeon at Ridgeline Orthopedic Specialists
Dr. JohnsonHand and Upper Extremity
Travis Peterson, DO, Hand and Upper Extremity surgeon at Ridgeline Orthopedic Specialists
Dr. PetersonHand and Upper Extremity
Trigger Finger Release

Who It Helps

Release fits fingers that still catch or lock after one or two corticosteroid injections, fingers that are locked and cannot straighten, and patients with diabetes, in whom injections are less durable.A first episode is usually treated with an injection, which resolves it in roughly half of patients.
Trigger Finger Release

What to Expect

About ten minutes under local anesthesia, often wide awake in the office, or in the surgery center when combined with other procedures.A soft dressing, and you can move the finger immediately.A ten-minute release, often done wide awake in the office the same week you are seen. Dr. Frazier, Dr. Johnson and Dr. Peterson operate at Utah Valley Hospital and Orem Community Hospital.
Trigger Finger Release

Recovery Timeline

Normal use within days.The incision heals in ten to fourteen days. Residual soreness at the base of the finger fades over four to six weeks.Fingers that were locked for a long time may need therapy to regain full straightening.
Milestones
Day 0Finger moves freely
Days 1 to 3Normal light use
Week 2Incision healed
Week 4 to 6Soreness gone
Trigger Finger Release

Risks and Considerations

Infection, stiffness and tenderness at the scar are uncommon.Injury to the small nerves beside the tendon is rare and is why the procedure is done by a hand surgeon under direct vision.Recurrence after release is unusual.
Trigger Finger Release

Your Surgeons

Dr. Frazier, Dr. Johnson and Dr. Peterson perform this procedure at Utah Valley Hospital, Orem Community Hospital, American Fork Hospital and Mountain View Hospital.
Dr. Frazier, DO
Fellowship trained in hand and upper extremity surgery at the University of Pittsburgh. Seventeen years in practice. Fluent in Spanish.
Dr. Johnson, MD
Weill Cornell graduate, hand fellowship at Allegheny General. Twenty-one years in practice and seventeen as a collegiate team physician.
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