Hand and Wrist Surgery

Experts at MUSC Health successfully treat some of the most complex problems affecting your hands, wrists and fingers. Our hand surgeons deliver the highest level of care for issues including arthritis, tendonitis, fractures, nerve compressions and injury, sports injuries and other traumas.

We use the most advanced surgical techniques to reduce pain and make it more comfortable to use your hands. You can count on our experienced team for care that meets your needs.

Hand Surgery at MUSC Health: Why Choose Us?

At MUSC Health, you benefit from the combined expertise of different board-certified hand surgeons. We work together to deliver expert care that gives you the best chances for exceptional results. And we’re in constant communication so that you can focus on feeling better. After recovery, our patients consistently experience less pain and more natural hand and wrist movements.

Highlights of our program include:

  • Experienced hand surgeons: All of our surgeons completed specialized fellowship training in hand and upper extremity surgery. Because we work as a team, we can review complex cases and coordinate care for our patients in the best ways possible.
  • Broad range of treatments: We offer the latest hand surgery techniques. As an academic medical center, we are at the forefront of surgical technology and development. From the smallest procedure to the most complex reconstructions, you receive the best available care.
  • Hand therapy: We have several certified hand therapists (CHTs) who have training and certification in hand rehabilitation. These therapists practice side by side with MUSC Health hand surgeons to help you achieve the best possible results.
  • Coordination: We partner with other MUSC Health specialists whenever necessary, so you get the most out of your care. We coordinate with experts in rheumatology, family medicine and infectious disease whenever necessary.
  • Hand surgery for children: Our hand surgeons are among the few in South Carolina with skill and training in performing hand surgery on children. We can repair problems that may be present at birth, such as missing or fused fingers. Read more about MUSC Children’s Health.

Second Opinions From Trusted Hand Surgeons

Doctors and patients look to our team for second opinions about hand surgery. We make a detailed evaluation to confirm the diagnosis and offer personalized recommendations. Our team takes time to answer your questions so you can feel confident about the next steps in your care.

Specialized Care for Complex Hand and Upper Extremity Problems

MUSC Health hand surgeons perform procedures that are not widely available in South Carolina, including:

  • Endoscopic carpal tunnel release: This minimally invasive procedure relieves hand pain using a small incision at the wrist, rather than in the palm. The smaller incisions mean a quicker recovery and return to daily life.
  • Brachial plexus injuries and brachial plexus birth palsy: The brachial plexus is a network of nerves that controls your arm and hand. Injuries may occur if your arm is pulled with force, nerves get pinched or cut. Treatments we offer include nerve, muscle or tendon transfers, direct nerve repair, or fusion followed by hand therapy. 
  • Hand contracture release: Dupuytren’s disease, stroke and cerebral palsy can cause hand contracture, a permanent inward bend of the fingers or wrist. Contracture makes it painful and difficult to use your hands. Our hand surgeons release tight tissue, decreasing contracture and allowing more natural hand movements.
  • Targeted muscle reinnervation (TMR): We perform nerve transfers after amputation of your hand, arm or lower extremity. TMR may decrease post-amputation pain and lessen the amount of medications you need. In arms and hands, doctors use TMR to generate electrical signals (myosites) that help you control a myoelectric prosthetic device. Doctors also use TMR in the legs and feet to decrease phantom limb pain and phantom limb sensation. It reduces the risk of developing a painful neuroma (pinched nerve or nerve tumor) and enables improved prosthetic use.
  • Revision surgery: If a previous hand surgery did not produce the results you were hoping for, our experts give you more chances for healing. We treat ongoing wrist pain after carpal tunnel surgery. Our surgeons also treat broken bones that haven’t healed correctly.

Other Hand Injuries and Conditions We Treat

We deliver exceptional care for:

  • Amputation, when limbs become detached from the body
  • Arthritis
  • Broken bones in your hand and wrist
  • Deep cuts (lacerations)
  • Nerve compression (pinched nerve)
  • Scleroderma, which can restrict blood flow to the hands
  • Sports injuries, including sprains and strains
  • Tendonitis, swelling in the tissue (tendons) that connect muscles to bones
  • Trigger finger, a locking sensation in one of your fingers