An adult's hands helping a child pull out a plant.

Hand and Wrist Surgery

Why Choose MUSC Health?

Our multi-disciplinary team is comprised of board-certified orthopedic and plastic hand and upper extremity surgeons, physical therapists, occupational hand therapists, as well as non-operative sports medicine physicians and rheumatologists. This team works together to deliver expert care specific to your needs to ensure the best possible treatment results.

Our goals are to obtain an accurate diagnosis and formulate a patient-specific treatment plan aimed to improve your symptoms and improve your hand and upper extremity function.

Schedule an Appointment

Schedule an appointment today to learn how MUSC Health can help you.

Common Conditions We Treat

Our surgeons are highly trained national and international leaders in the field, who possess the subspecialty certification in upper extremity surgery which allows them to uniquely deliver the highest level of care for issues including arthritis, tendonitis, fractures, nerve compressions and injury, brachial plexus injuries, amputations, sports injuries and all other conditions of the hand and upper extremity. We use the most advanced surgical techniques to reduce pain, improve function, speed recovery, and make it more comfortable to use your hands.

Common conditions that we treat include:

  • Carpal Tunnel Syndrome
  • Arthritis
  • Broken bones
  • Deep cuts
  • Pinched nerve
  • Scleroderma
  • Sports injuries
  • Tendonitis
  • Trigger finger
  • Tendon injuries
  • Trigger finger
  • Tendon injuries
  • Cubital Tunnel Syndrome
  • Nerve injuries
  • Dupuytren’s disease
  • Cerebral Palsy upper extremity contractures
  • Tennis Elbow
  • Rotator cuff tear
  • Shoulder impingement
  • Biceps tendon injuries

Highlights of our program

  • Experienced surgeons trained and certified in in hand and upper extremity surgery, who are involved in national and international surgeon education and commonly consult on complex procedures throughout the Southeast
  • Broad range of treatments available at an academic medical center at the forefront of surgical technology and development
  • Specialized therapists that work closely with our hand surgeons to deliver you the best possible results
  • Multidisciplinary coordination throughout the academic medical center with experts in rheumatology, neurology, physical medicine and rehabilitation, and infectious disease, if needed
  • Skill and expertise to perform hand surgery on children

Virtual Appointments

Virtual, or telehealth, appointments are also available. Call to schedule your appointment today.

Other Complex Procedures We Perform 

This complex procedure utilizes microsurgical techniques to transfer a nerve from a functional nerve to a nerve which has been injured. After axonal regeneration, this procedure can enable restoration of muscle function and/or sensation with little to no deficit from the donor nerve.

The brachial plexus is a complex network of nerves that controls your arm and hand. Injuries may occur if your arm is pulled with force, nerves get stretched or cut as with motor vehicle accidents, motorcycle accidents, and/or other trauma. Treatments include: brachial plexus repair or reconstruction, nerve transfer surgery, tendon transfers, and/or fusion surgery. We collaborate closely with occupational hand therapists and mental health professionals throughout the healing process.

A Nonunion is when a fractured bone fails to heal correctly leading to ongoing pain and potential deformity. There are many bones of the hand and wrist that are at risk for developing a nonunion. This can occur both after surgery or with fractures that are treated without surgery. The team at MUSC Health has innovative techniques for allowing these bones, such as the clavicle, humerus, radius, or scaphoid to heal using innovative bone grafting techniques including the addition of vascularized bone graft which allows for the bone graft to bring its own blood supply, increasing its healing potential.

Dupuytren's disease, stroke, cerebral palsy, surgery, or injuries can cause hand contracture or permanent stiffness 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.

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 the upper extremity, our orthopedic hand surgeons use TMR to generate electrical signals (myosites) that can provide for more intuitive control of a myoelectric prosthetic. TMR is also used in the lower extremities to remove painful neuromas and secondarily to decrease phantom limb pain and phantom limb sensation. The goals of TMR are to decrease stump pain, lessen pain medication use, and to better enable prosthetic wear.

If a previous hand surgery did not produce the results you were hoping for, our experts can evaluate and treat (surgically or non-surgically) with the goal of improving symptoms.

There are multiple causes and locations of avascular necrosis but all have the end result of bone collapse, pain, and arthritis. MUSC Health offers innovative techniques to combat this rare, debilitating disease including vascularized osteochondral grafting, arthroscopic techniques, joint leveling procedures, as well as salvage procedures based on stage of disease and patient functional needs.

Patient Referrals

Patients from across the southeast look to our team for second opinions regarding upper extremity surgery. We perform a thorough 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.