Hand Surgery And Dermatology

HAND SURGERY SERVICES

 Carpal Tunnel Syndrome- a condition caused by pressure to the median nerve within the wrist, or carpal tunnel. You might feel pain, a tingling sensation, numbness of the fingers, weakness or aching. Carpal tunnel syndrome is associated with multiple conditions including: repetitive motion or overuse, fluid retention during pregnancy, injury to the nerve in the carpal tunnel or rheumatoid arthritis.

Dupytren's Contracture-a disabling hand disorder in which thick, scar-like tissue bands form within the palm and may extend into the fingers. It can cause restricted movement, bending the fingers into an abnormal position.

Trigger Finger- Trigger finger is a painful condition that causes the fingers or thumb to catch or lock when bent. In the thumb its called trigger thumb. Trigger finger happens when tendons in the finger or thumb become inflamed.

Completion Amputations- Sometimes an injection (digital block anesthesia) is given to stop pain in the affected finger. The wound is washed out (irrigated) with a saline solution. The doctor will assess the wound, looking for exposed bone, missing tissue, and injury to the nail. The wound will be cleaned (debrided), removing dead (devitalized) tissue and contaminants. This will reduce the chances of infection.

X-rays may be needed if broken (fractured) bones are suspected. If blood has built up under the nail (subungual hematoma), the doctor may pierce the fingernail to relieve the pressure. An antibiotic may be given to prevent infection.

A doctor will decide on a plan for treatment after the injury is completely assessed. The goal of treatment is to have a pain-free fingertip that is covered by healthy skin. The hand should be able to feel, pinch, and grip and it should be able to perform its normal functions. If possible, attempts will be made to preserve the length and appearance of the finger


Dislocated Fingers- Finger dislocation is a common injury. It occurs when the bones of the finger are moved (dislocated) from their normal position. A dislocated finger can occur in any of the joints of any finger, but it occurs most often in the middle knuckle of the little, ring, middle, or index finger.

Acute Hand Injuries- The repair of bone, tendon, nerve, and skin injuries to the hands and fingers.

Hand and finger fractures- The setting and fixating of acute fractures and repairing non-unions.

Crush Injuries- The realignment and fixation of broken bones, release of compartments, and repair of damage to arteries and veins.

Infection/I&D-The treatment of cellulitis, drainage of absesses,, treatment of infections around the nail and the pads around the fingers. Also, surgical drainage of infections in the tendon sheath.

Burns- The treatment of acute burns and burn wound contractures. Excision of cysts and tumors. Cancerous bone or soft tissue tumors (osteosarcoma, chondrosarcoma, fibrosarcoma, epitheilioid sarcoma, Ewing's sarcoma, synovial sarcoma, sacrcoccygeal teratoma, liposarcoma)

Melanoma- The biopsy, excision and reconstruction of melanoma of the extremity. Nerve and tendon repair. The repair of nerves and tendons injured by laceration or crush injury.

Dermatologic services

Excision of Cysts -The removal of skin cysts, or joint cysts.

Excision of skin cancers - Skin cancer is a disease in which malignant (cancer) cells form in the tissues of the skin. Most of these cancers are surgically removed.

MOHS Closures - Using locally available skin and subcutaneous tissue to fill the defect left by the MOHS excision.

Skin Cancer Screenings -The examination of all skin surfaces for the development of cancerous and precancerous lesion.

Excision of lipomas and soft tissue sarcomas - The removal of fatty tumors under the skin and potentially cancerous tumors of the subcutaneous tissues.


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contact

605 United Street,

Unit B,

Key West, FL 33040

Phone. (305) 509-7535

5701 Overseas Highway,

Unit 4,

Marathon, FL 33050

Phone. (305) 453-6807