MaineHealth Orthopedics and Sports Medicine - South Portland specializes in hand, upper extremity and microvascular surgery. Our highly-skilled surgeons treat all problems affecting the upper extremity, from the elbow to the fingertips, including but not limited to:
- Arthritis of the elbow, wrist, thumb and other joints of the hand
- Arthroscopy of the elbow and wrist
- Compressive neuropathy (carpal tunnel syndrome, cubital tunnel syndrome, etc.)
- Custom splint fabrication
- Distal bicep tendon repairs
- Distal radius fractures
- Dupuytren’s disease/contracture (percutaneous needle fasciotomy, collagenase (Xiaflex), open surgery)
- Elbow, forearm wrist and hand fractures
- Flexor and extensor tendon repairs
- Ligament injuries and fractures of the elbow, wrist and hand (e.g. skier’s thumb, scapholunate ligament injuries)
- Microvascular surgery (nerve and vascular repair, vascularized bone grafts, etc.)
- Pediatric and congenital hand surgery
- Post-traumatic reconstruction of the upper extremity
- Tendon and nerve transfers of the upper extremity
- Tendonitis
- Trigger finger and DeQuervain’s disease
- Upper extremity tumors
You don't need to check into a hospital to get pain relief
We regularly perform hand and arm outpatient surgeries in our safe, sterile, orthopedic treatment rooms. Some studies suggest that an outpatient setting may even be safer than a hospital operating room for these types of procedures.1 Hand surgery under local anesthesia only is becoming an increasingly popular choice. Having your procedure while wide awake in one of our practice treatment rooms rather than checking in to a hospital can also save you a lot of money.2 Costs associated with open carpal tunnel release under sedation and wide awake in a hospital operating room is 11 times and 6 times as expensive, respectively, as performing the procedure wide awake in a treatment room.3
Hand Pain and Injuries
Elbow Pain
1 LeBlanc, M et al. “Is main operating room sterility really necessary in carpal tunnel surgery? A multicenter prospective study of minor procedure room field sterility”. Hand, November 2010.
2 Todd, A et al. “A Cost Analysis of Carpal Tunnel Release Surgery Performed Wide Awake versus Under Sedation”. Plastic and Reconstructive Surgery, December 2018.
3 Kazmers, N et al. “Cost Implications of Varying the Surgical Technique, Surgical Setting and Anesthesia Type for Carpal Tunnel Release Surgery”. Journal of Hand Surgery, May 2018.
