Less invasive procedures for wrist, hand and elbow - South Florida Hand and Orthopaedic Center

Orthopaedic Conditions & Procedures

Not all conditions warrant surgical intervention. If less invasive techniques and procedures can accomplish the goal of restoring function and quality of life, with over 25 years of experience Dr. Garrod can be counted on to make the appropriate recommendations.

Carpal Tunnel

Dr. Garrod routinely performs endoscopic carpal tunnel surgery. This procedure helps restore comfort and function to patients experiencing weakness, numbness and tingling of the hand and fingers from carpal tunnel syndrome. The less invasive technique can be performed with minimal pain with a relatively easy return to normal hand use.

Tennis/Golf Elbow

Tennis and Golfer's elbow are painful conditions that occur when the tendons in your elbow are overworked and damaged, usually by repetitive motion of the arm and wrist. These conditions usually respond to nonoperative treatment. Newer less invasive techniques such as injection of Platelet Rich Plasma or minimal incision radiofrequency tendon debridement are now available if symptoms become disabling.

Dupuytren’s Contracture

Dupuytren's contracture results from a change in the connective tissue below your skin in the palm and fingers. It results in a slowly progressive finger deformity as it pulls the fingers down into a bent position. Until recently, only surgical excision of the disease was available for treatment. Now less invasive techniques performed in the office are available such as needle aponeurotomy (NA) and injection of an enzyme (Xiaflex) to release the contractures with excellent results. Dr. Garrod has had a large experience with both techniques and certified in their use.

Trigger Finger Release

This common condition caused by a narrowing of the sheath surrounding the flexor tendons results in a catching of the finger or thumb in a bent position. If severe the finger may actually lock in a bent position. Treatment usually consists of a cortisone injection or a minor outpatient procedure to release the tight sheath under local anesthesia.

 

Wrist Arthroscopy

Dr. Garrod employs state-of-the-art techniques for less invasive treatment of such common conditions as carpal tunnel syndrome, ulnar nerve compression at the elbow (cubital tunnel syndrome), ganglion cysts, wrist instability and ligament damage. Arthroscopy often yields shorter recovery times than more invasive open procedures.

Joint Replacement

If nonsurgical treatments are not successful in easing pain from finger arthritis, joint replacement surgery may be recommended. Dr. Garrod has a large experience in treating patients with rheumatoid arthritis and was chosen to be one of four clinical investigators for Avanta Orthopedics evaluating surface replacement arthroplasty in the fingers.

Elbow/Wrist/Hand Fracture Care

Most fractures of the upper extremity can be managed nonoperatively. Some fractures require surgery to stabilize and align the broken bone. Dr. Garrod utilizes cutting edge technology to achieve anatomic fracture healing and restore function. When possible less invasive techniques such as percutaneous stabilization without making a skin incision are employed.