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Hand and Upper Extremity Surgery

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call us. 305-243-7500

The hand is a delicate area of the human body that is made up of bone, joints, ligaments (connective tissue), tendons (connects muscle to bone), muscles, nerves (send electrical impulses to the brain and spinal cord), skin, and blood vessels. These elements must all be in good working order for your hand to function properly. The relationship between all these structures is delicate and precise. An injury or disease can affect any or all of these structures and impair the use of your hand.

Our team has developed expert knowledge in pediatric and adult upper extremity (arm) and hand surgery. Our fellowship-trained and certified hand and plastic surgeons can provide comprehensive care for surgery due to trauma (injury), congenital (present from birth), and elective (cosmetic) reasons. When needed, we can coordinate your care with experts in other specialties, including orthopaedics and sports medicine.

Why Choose UHealth?

Highly-trained specialists to perform your surgery. Offering the latest in leading-edge research and technology, our plastic surgeons treat many patients who have been referred by doctors from across the country and around the globe. Members of our plastic and reconstructive team are experts in a variety of complex procedures and represent a wide range of medical skills and training.

Greater access to UHealth specialists. With more than 30 clinical sites across South Florida, UHealth patients are able to receive the excellence of academic health care without leaving the area.

 

 

Questions? We're here to help.

Our appointment specialists are ready to help you find what you need. Contact us today.

Who is a Candidate?


Patients with the following conditions and injuries:

  • Amputation and prosthetics: removal of limbs and replacing with artificial limbs
  • Arthritis in the base of the thumb
  • Arthritis in the MP (metacarpophalangeal) joint: large knuckle where the fingers and thumb meet the hand
  • Osteoarthritis: degenerative “wear and tear” of the joint
  • Broken arm
  • Burns
  • Carpal tunnel syndrome: pressure on a nerve on your wrist that causes numbness, weakness, and tingling
  • Congenital (present at birth) hand differences
  • Cubital tunnel syndrome: pressure or stretching of the ulnar nerve (the “funny bone” nerve that causes numbness or tingling)
  • De Quervain’s tendonitis: tendons around the base of the thumb become swollen and painful)
  • Dupuytren’s disease: hand deformity in which the fingers cannot be completely straightened
  • Extensor tendon injuries: damage to the tendons that lie next to the bone on the back of the hands and fingers and enable you to straighten your wrist, fingers, and thumb
  • Fingertip injuries
  • Flexor tendon injuries: damage to the tissues that control movement in your hand
  • Ganglion cysts: non-cancerous lumps that usually develop along the tendons or joints of the wrists or hands
  • Golf injuries to the hand, wrist, or elbow: includes sprains or ligament injuries
  • Gout: type of arthritis that causes severe pain, redness, and tenderness in the joints
  • Pseudogout: similar to gout, but caused by calcium pyrophosphate dehydrate crystals within the affected joint
  • Hand and wrist tumors
  • Hand fractures
  • Hand infections
  • Joint replacement surgery
  • Mallet finger, or baseball finger: when the tip of the finger bends downwards while the rest of the fingers stays straight
  • Nail bed injuries
  • Nerve injuries
  • Numbness
  • Olecranon bursitis: inflammation of the fluid-filled sac of the elbow joint
  • Psoriatic arthritis: chronic inflammatory disorder that affects the skin and joints
  • Replantation: surgical reattachment of a hand or finger that has been disconnected from the body, as in an accident
  • Rheumatoid arthritis: painful, chronic inflammatory condition
  • Scaphoid (wrist) fractures
  • Scaphoid non-union: wrist fracture that fails to heal
  • Skin cancer of the hand and upper extremity
  • Steroid injections
  • Stiffness in the hand
  • Tendon transfer surgery
  • Tennis elbow, or lateral epicondylitis: irritation of the tissue that connects the forearm muscle to the elbow
  • Thumb sprains
  • Trigger finger: condition in which one finger gets stuck in a bent position
  • Vascular (vein) disorders
  • Wrist arthroscopy: surgery that uses a tiny camera and surgical tools to examine or repair the tissues of the wrist

What to Expect


Most of these procedures are performed on an outpatient basis, meaning that you’ll likely return home the same day of surgery. Depending on the specific procedure, you may be under general anesthesia (completely asleep) or local anesthesia (numbing of the surgical area). 

 

After surgery, you will have a bulky dressing at the site of the procedure to control fluid and bleeding. A splint or cast is also needed after having surgery. You will come to our office two to three weeks after your procedure to have the sutures (stitches) removed. In some cases, you may need to undergo occupational and/or physical therapy to regain normal function of the affected area.

Your recovery period will depend on the exact surgery you undergo. If your procedure is relatively simple, you may be able to return to work within a couple of weeks – especially if you work at a desk job. If your job requires physical work, you can expect to take off several weeks or even months from work.

Accepted Insurances

Note: Health plans that are currently contracted with UHealth are listed below. However, please check with your insurance provider to verify that UHealth is part of your provider network.

  • Aetna WC
  • Aetna Affiliates/Signature Adm (ASA)
  • Aetna Behavioral Health
  • Aetna Elect Choice (EPO)
  • Aetna Florida Healthy Kids
  • Aetna HMO
  • Aetna Medicaid HMO
  • Aetna Medicare HMO
  • Aetna Medicare PPO
  • Aetna POS
  • Aetna PPO
  • Aetna UM Employee HMO 1
  • Aetna UM Employee HMO 2
  • Aetna UM Employee POS HRA
  • Aetna/Coventry Institutes of Excellence (IOE)
  • Amerigroup Florida Healthy Kids
  • Amerigroup Medicaid HMO
  • Argus Vision
  • AvMed Choice
  • AvMed HMO/POS
  • AvMed MDC and JHS Groups
  • AvMed Medicare HMO
  • AXIS
  • BCBS Blue Options Network Blue PPO
  • BCBS BlueCare HealthOptions HMO
  • BCBS BlueChoice PPC/PPO
  • BCBS Miami Dade Blue PPO Limited Benefits Plan
  • BCBS of Florida (All products except "SELECT" Plans)
  • BCBS of Florida (Commercial plans exclude HIX Select)
  • BCBS Traditional PHS/PPO
  • Beacon Health (ValueOption)
  • Beech Street PPO
  • Broward Health Medical Center
  • CarePlus Medicare HMO
  • Catholic Hospice
  • CCP/CMS Title XIX (Medicaid Enrolled in South Florida)
  • CCP/CMS Title XXI (Non Medicaid Enrolled in South Florida)
  • CCP/MMA (Broward County residents)
  • Charlotte County Sheriffs Office PPO
  • Cigna Affiliates
  • Cigna Behavioral Health
  • Cigna Dental HMO/PPO
  • Cigna EPO
  • Cigna HMO
  • Cigna Life Source (Intracorp is part of Cigna Lifesource)
  • Cigna MDCPS Jackson Sr. High
  • Cigna POS
  • Cigna PPO
  • Cigna Shared Administration
  • Clear Health Alliance SNP Medicaid HMO
  • CompCare (Comprehensive Behavioral Care)
  • Concordia Behavioral Health
  • CorVel WC
  • Coventry First Health WC
  • Coventry Health Care of Florida (HIP) HMO/POS
  • Coventry Health Care of Florida (HIP) PPO
  • Coventry Health Plan of Florida (Foundation) HMO
  • Coventry Health Plan of Florida (Foundation) POS
  • Coventry National PPO
  • Coventry Summit Medicare HMO
  • Coventry Vista Medicare HMO
  • Coventry Vista Medicare HMO
  • Delta Dental PPO
  • DentaQuest (ADI)
  • DIKLA
  • Dimension WC
  • Dimension Plus PPO
  • EHN PPO
  • EQUIAN (Health Systems International)
  • Europe Assistance/Global Corporate Solutions (Care Management Network)
  • eyeQuest
  • FCCI WC
  • Florida Healthcare Plan (Affiliate of BCBSFL)
  • Florida PACE (FPC)
  • Freedom Health Medicaid HMO
  • Freedom Health Medicare HMO
  • Gallagher Bassett WC (MDCPS & FCSRMC)
  • Global Excel Mgt PPO
  • Global Health Claims Services
  • Great West (Cigna) HMO/POS
  • Guardian Life PPO
  • HAA Preferred Partners
  • Health First Health HMO/POS
  • Health First Health Medicare HMO
  • Health First Health PPO
  • Health Net Veterans Choice HMO
  • Heritage Summit Healthcare WC
  • Humana Behavioral Health (LifeSynch)
  • Humana Dental/CompBenefits/OHS
  • Humana EPO
  • Humana HMO
  • Humana HUMx
  • Humana Medicaid HMO
  • Humana Medicare HMO
  • Humana National Transplant
  • Humana PPO
  • Humana Premier
  • iCare Health Solutions
  • Interlink Health Services
  • International Kids Fund (IKF)
  • League Medical Concepts Federal Inmates
  • Life Trac
  • Magellan Behavioral Health
  • Magellan Complete Care SNP Medicaid HMO
  • MDAbroad
  • Medica Medicare HMO
  • Medical Development In't (MDI)-Federal Inmates
  • Medicus
  • Metlife Dental PPO
  • MHNet Behavioral Network (MHNet)
  • Molina
  • Molina Market Place
  • Molina Medicaid HMO
  • Molina Medicare HMO
  • Morgan White International
  • MultiPlan PPO
  • Naphcare (Federal Prisoners)
  • National Healthcare Solutions Inc.
  • Neighborhood HealthPlan HMO/POS
  • Neighborhood HealthPlan PPO
  • North Broward Hospital District PPO
  • Olympus Managed Healthcare
  • Optum
  • Positive Healthcare SNP Medicaid HMO
  • Positive Healthcare SNP Medicare HMO
  • Prestige Health Choice Medicaid HMO
  • Prime Health Services WC
  • Quality Health Management
  • Religious Order of Jehovah's Witnesses PPO
  • Rockport Healthcare Group WC
  • Royal Caribbean Cruises PPO
  • Sanus Health Corporation
  • Simply Healthcare Medicaid HMO
  • Solstice Dental HMO/PPO
  • Start Healthcare Network
  • Sunshine
  • Sunshine AMBETTER
  • Sunshine Healthy Kids HMO
  • Sunshine Medicaid HMO
  • Sunshine Medicare HMO
  • Tricare South Prime HMO
  • Tricare South Standard PPO
  • United Behavioral Health (UBH)
  • UnitedHealthcare Affiliates
  • UnitedHealthcare Healthy Kids HMO
  • UnitedHealthcare HMO/POS
  • UnitedHealthcare Medicaid HMO
  • UnitedHealthcare Medicare Nursing Home Plan
  • UnitedHealthcare PPO
  • University of Miami Athletic Dept PPO
  • VUMI
  • Wellcare/Staywell Healthy Kids HMO
  • Wellcare/Staywell Medicaid HMO
  • Wexford Health State Inmates
  • Worldwide Managed Care