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Hand Wrist Elbow & Shoulder Surgery

Your hands, wrists, elbows and shoulders are essential tools that allow you to work, play and perform everyday activities. In fact, how well the hands, wrists, arms and shoulders interact depends upon the integrity and function of the related ligaments, tendons, muscles, joints and bones. Problems in any of these can affect upper extremity function - from the fingertips to the shoulder blades - causing major disruptions at home and at work and negatively impacting quality of life.

If you are among the millions of Americans experiencing hand and upper extremity problems each year, finding expert care is all-important. Whether your condition is due to arthritis, carpal tunnel syndrome, a sports injury, an accident, a work-related injury or a congenital disorder, you can feel confident choosing the Cleveland Clinic Upper Extremity Center for your care. The Center provides care to Cleveland’s professional athletes and musicians, and many of its surgeons have been recognized by their peers as the best in the nation.

Appointments

To schedule an appointment with a physician who specializes in fingers, hands, wrists, elbows, and shoulders, please call toll-free 866.275.7496.

With how much we rely on our hands, there’s no wonder hand and wrist pain can be so disabling and frustrating. When this pain interferes with typing on your computer, spending time on your hobbies or even getting yourself ready in the morning, it’s time to seek medical advice.

Your hand is made up of 27 bones, in­cluding eight in the wrist (called carpals), five in the palm (called metacarpals) and 14 (called phalanges) that make up your fingers and thumb. The bones are held together by ligaments and two main sets of muscles and tendons: flexors (used to bend the thumb and fingers) that connect to the underside of the forearm, and ex­tensors (used to straighten them out) and connect to the top of the forearm.

Elbow pain is extremely common – whether due to aging, overuse, trauma or a sports injury. When elbow pain inter­feres with carrying the groceries, participating in your favorite activities or getting a good night’s sleep, it’s time to seek medical advice.

Your elbow is a hinge joint between the radius and ulna of the forearm, and the humerus of the upper arm. The bones are held together by ligaments. The primary ligaments of the elbow are the medial col­lateral ligament (MCL) on the inside of the elbow and the lateral collateral ligament (LCL) on the outside. Several muscles surrounding the joint are responsible for movement. The tendons attach the muscle to the bone, the cartilage covers and protects the ends of the bones, and bursa sacs provide lubrication and protec­tion around the joint.

The "exercise revolution" has resulted in higher levels of activity in people of all ages. As a result, shoulder pain and shoulder problems have become more and more common.

Currently, injuries and concerns related to the shoulder account for nearly 20% of the visits to the doctor’s office. Rotator cuff tears, arthritis, fractures, bursitis, and shoulder instability, including acute dislocations, are among the most common conditions that bring patients to us for help.

Cleveland Clinic's Upper Extremity Center includes a group of fellowship-trained physicians who diagnose and treat the full spectrum of shoulder-related problems. Most shoulder problems do not require surgery, and are best treated with a directed exercise program, often with the help of anti-inflammatory medications.

However, when necessary, our specialists are highly skilled in the latest techniques of arthroscopic surgery, laser surgery, and total shoulder joint replacement. Because we have long served as a referral center for complex shoulder problems, our surgeons treat more total shoulder joint replacements than nearly any other medical institution in the country.

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Peter Evans, MD, PhD
 

Peter Evans, MD, PhD

Evans, Peter, MD, PhD
216.444.6260

Location(s): Cleveland Clinic Main Campus, Independence Family Health Center

Department: Orthopaedic Surgery

Specialties: Arthritis, Broken Bones, Hand and Wrist Arthritis, Hand Problems, Hand Related Sports Injuries, Nerve Compression of the Hand, Nerve Injuries more

Treats: Both Adults and Children & Adolescents

Surgeon: Yes

Education: University of Calgary

 
Avrum Froimson, MD
 

Avrum Froimson, MD

Froimson, Avrum, MD
216.839.3700

Location(s): Beachwood Family Health Center

Department: Orthopaedic Surgery

Specialties: Arthritis, Broken Bones, Hand and Wrist Arthritis, Hand Problems, Hand Related Sports Injuries, Wrist Diseases, Dupuytren's Disease more

Treats: Adults Only

Surgeon: No

Education: Tulane University School of Medicine

 
Thomas Graham, MD
 

Thomas Graham, MD

Graham, Thomas, MD
216.444.6260

Location(s): Cleveland Clinic Main Campus

Department: Cleveland Clinic Innovations

Specialties: Hand Related Sports Injuries, Hand and Wrist Injuries, Hand Reconstruction, Hand Surgery, Wrist Reconstruction, Wrist Surgery

Treats: Adults Only

Surgeon: Yes

Education: University of Cincinnati College of Medicine

 
Mark Hendrickson, MD
 

Mark Hendrickson, MD

Hendrickson, Mark, MD
216.444.6260

Location(s): Cleveland Clinic Main Campus, Solon Family Health Center

Department: Plastic Surgery

Specialties: Aging or Painful Skin, Arthritis, Atherosclerosis (vascular), Benign Bone Tumors, Birth Defects, Birthmark, Blisters more

Treats: Both Adults and Children & Adolescents

Surgeon: Yes

Education: Georgetown University School of Medicine

 
Joseph P. Iannotti, MD, PhD
 

Joseph P. Iannotti, MD, PhD

Iannotti, Joseph P., MD, PhD
216.444.2606

Location(s): Cleveland Clinic Main Campus

Department: Orthopaedic and Rheumatologic Institute

Specialties: Broken Bones, Disorders of the Shoulder, Labrum Tears, Nerve Injuries Of The Shoulder, Rheumatoid Arthritis: How to Treat, Shoulder Arthritis, Shoulder Dislocation more

Treats: Adults Only

Surgeon: Yes

Education: Northwestern University Feinberg School of Medicine

 
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