Conditions and treatments
What do we treat?
Hand and fingers
Read the hand and fingers overview
Basal thumb arthritis is a type of osteoarthritis affecting the base of the thumb at the carpometacarpal joint.
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Each finger, except for the thumb, is composed of three bones with ligaments connecting bone to bone and tendons connecting muscle to bone.
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A boxer’s fracture is a fracture of the neck of the metacarpal bone at the end closest to the knuckle.
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A Digital Mucoid Cyst is a subtype of ganglion cyst located specifically on the distal interphalangeal joint of the finger, closest to the fingertip.
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Dupuytren’s contracture is a condition in which the fingers of the hand bend in towards the palm.
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Tendons are thin cords of connective tissue that anchor bone to muscle to produce movement.
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Felon finger is a painful infection that can lead to serious complications if it’s not treated early.
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The interphalangeal joints (IP joints) are like hinges that bend and straighten the fingers when pulled by muscles in the forearm.
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Finger pain can be attributable to a number of different conditions, but there are options to help you minimize unnecessary suffering.
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The Flexor Tendons are located on the palm side of the hand.
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One of the most common thumb injuries is gamekeeper’s thumb.
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A Glomus Tumor is a rare, usually benign, soft tissue neoplasm.
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Hand burns are painful and often debilitating injuries.
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Hand fractures account for about 19% of all breaks.
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Most of the time, a small scrape or cut on the hand is relatively harmless.
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Any abnormal growth or mass on the hand can be considered a Hand Tumor.
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However, joint problems like arthritis, injuries, and degenerative conditions can pose challenges and cause pain, stiffness, and reduced mobility.
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Mallet Finger is a deformity in which the fingertip bends downward at the end joint and can no longer be straightened.
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A metacarpal fracture is a type of hand fracture occurring in the bones which form the palm of the hand.
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Tendons are thick, rope-like structures that connect bone to muscles to allow movement.
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Accidental injuries to the fingertips are quite commonplace due to the basic function and sheer frequency with which we use our hands on a daily basis.
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Nerves are cells of the body that transmit signals to and from the brain, and they enable us to move our muscles and sense the surrounding environment.
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Hand numbness, also known as paresthesia, is a loss of feeling or a tingling sensation in the hands.
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Advanced age is a known risk factor for osteoarthritis of the hand.
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If the skin around a fingernail or toenail is red, swollen, and painful, you may have an infection called paronychia.
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Repair of tendon lacerations such as flexor or extensor tendons are common procedures.
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Rheumatoid Arthritis and Osteoarthritis are the two most common types of arthritis that affect the hand.
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To truly understand what a Sagittal Band Tear is, a basic knowledge of hand anatomy is helpful.
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The hand consists of numerous bones, muscles, and ligaments that allow for the dexterity and movement of our hands.
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It can cause even the simplest tasks, like gripping or typing, to become a challenge.
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This patient sustained a traumatic amputation of his non-dominant left thumb while working on an oil field offshore rig as a roustabout.
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Tendons attach the bones in the hand to muscles in the forearm, allowing motion.
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The catch all term for vascular problems of the hand is “Vascular Insufficiency,” which refers to a lack of adequate blood supply to the hands.
Read about this →Wrist
A carpal boss and ganglion cyst are prime candidates if you’re trying to diagnose a bump on your hand or wrist.
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The presentation of Carpal Tunnel Syndrome’s symptoms varies from person to person, but almost always includes wrist pain.
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The wrist is made up of 8 small bones (carpals) arranged in two rows of four bones each.
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Fortunately, this injury typically improves after just three months, and 85% of Colles fractures have healed to a clinically satisfactory point within 10 years.
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When the tendon occupies the wrong space within the sheath or is moved to an extreme degree within this sheath, it is known as subluxation.
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A ganglion cyst is a soft-to-firm, round growth located on the wrist joint.
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If you’re experiencing persistent pain on the thumb side of your forearm, you may have an overuse condition called intersection syndrome.
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Kienböck’s Disease is a condition in which your lunate bone does not receive adequate blood supply.
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If you’ve ever noticed a firm bump on the back of your hand near the base of your fingers, you may be dealing with a condition known as metacarpal boss.
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Radial tunnel syndrome (RTS) is a condition that causes pain in the forearm and wrist.
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Reconstructive wrist surgery is needed when trauma, a development abnormality or disease has led to pain or limitation of function.
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Scaphoid fractures account for as many as 80% of all carpal bone fractures.
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The ulnar nerve is one of three nerves that provide motor and sensory function to the arm.
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Wrist arthroscopy is a minimally invasive procedure in which a lighted tube less than 2mm in diameter connected to a camera is placed into the wrist joint.
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Wrist fractures, more commonly referred to as broken wrists, are a very common occurrence.
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The wrist is composed of eight floating bones called carpals.
Read about this →Elbow and forearm
Read the elbow and forearm overview
The biceps brachii muscle is located at the front of the upper arm.
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Cubital tunnel syndrome is compression of the ulnar nerve at the elbow.
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Golfer’s Elbow (medial epicondylitis) is a painful form of elbow tendonitis.
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Bursae are fluid filled sacs that reduce friction allowing soft tissues (such as muscles, tendons, or skin) to glide past bony prominences.
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Overuse Injuries of the Elbow encompasses any damage produced when a particular motion is repeated without adequate time for the joint and tissues to rest and heal.
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Pronator syndrome is a constellation of symptoms caused by the entrapment of the median nerve at the elbow.
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Inflammation of the tendons that attach the muscles of the forearm to the outside of the elbow is called Tennis Elbow.
Read about this →General and injuries
Read the general and injuries overview
Any animal that has teeth can bite, whether domesticated or wild.
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Ganglion cysts or synovial cyst is a benign outgrown mass that usually develops on the back of the wrist.
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An arm fracture is a broken or cracked bone in any of the three bones that construct the arm.
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Arthritis is a chronic condition that causes pain, stiffness, and limited mobility in the joints.
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Ganglion cysts are one of the most common types of hand cysts, accounting for 60% to 70% of soft-tissue masses found in the hand and wrist.
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Nerve fibers carry signals from one part of the body to another.
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Complex Regional Pain Syndrome (CRPS) is a constellation of symptoms, the hallmark of which is pain out of proportion to an injury, involving an extremity of the body.
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Overuse syndromes, repetitive strain injuries, regional musculoskeletal disorders, and repetitive trauma disorders are all synonyms for Cumulative Trauma Disorders.
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A forearm fracture is a break involving the bones of the forearm: the radius and the ulna.
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Typically found on the tendons or joints of your hands or wrists, ganglion cysts are fluid-filled noncancerous lumps.
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The upper extremities and especially the hands are the most common site of human bites.
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These tendons are covered by tissue, tenosynovium, that bathes the tendon with a lubricant that facilitates gliding of the tendon through this tight space.
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Replantation is the reattachment of a completely severed body part.
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However, if sports hand surgery is necessary, he will usually perform minimally invasive surgery to minimize scarring which will allow a quicker recovery.
Read about this →Surgical treatments
These are operations rather than conditions, and each one also sits in the tab for the part of the body it treats. Read the surgical treatments overview on when an operation is needed.
Arthritis is a chronic condition that causes pain, stiffness, and limited mobility in the joints.
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Cubital tunnel syndrome is compression of the ulnar nerve at the elbow.
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Felon finger is a painful infection that can lead to serious complications if it’s not treated early.
Read about this treatment →
Finger pain can be attributable to a number of different conditions, but there are options to help you minimize unnecessary suffering.
Read about this treatment →
A ganglion cyst is a soft-to-firm, round growth located on the wrist joint.
Read about this treatment →
However, joint problems like arthritis, injuries, and degenerative conditions can pose challenges and cause pain, stiffness, and reduced mobility.
Read about this treatment →
Repair of tendon lacerations such as flexor or extensor tendons are common procedures.
Read about this treatment →
Reconstructive wrist surgery is needed when trauma, a development abnormality or disease has led to pain or limitation of function.
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Replantation is the reattachment of a completely severed body part.
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This patient sustained a traumatic amputation of his non-dominant left thumb while working on an oil field offshore rig as a roustabout.
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Wrist arthroscopy is a minimally invasive procedure in which a lighted tube less than 2mm in diameter connected to a camera is placed into the wrist joint.
Read about this treatment →At The Hand and Wrist Institute, we’re dedicated to restoring and maintaining full functionality to your upper extremities. Your hands and arms are essential to accomplishing your daily tasks, and we provide expert care backed by over 25 years of experience specializing in this specific part of the body. Contact Dr. Knight to address your hand, wrist, or elbow condition in the Dallas-Fort Worth area.
59 conditions and 11 surgical treatments, each with its own page, written for patients and prepared for Dr. Knight's review. Pick the part of the body that hurts, or open Surgical treatments to see the operations on their own, and read the surgical treatments overview on when an operation is needed. If what you have is not here, call (817) 382-6789 and we will tell you whether it is ours to treat.
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Understanding Common Hand, Wrist, and Elbow Conditions
The hand, wrist, arm, and elbow contain many tendons, ligaments, and bones that facilitate movement and functionality for everything from daily chores to passion projects. These many small joints and bones are prone to injury, even if you don’t participate in high-impact sports or dangerous activities. Prompt treatment is essential to maintain functionality, comfort, and a full range of motion.
Symptoms of hand, wrist, and elbow conditions typically include:
- Pain, persistent or intermittent
- Weakness
- Limited range of motion
- Swelling and redness, particularly around the joints
- Numbness, often in the fingers
- Bumps, unusual angles, or other deformities
You should see a specialized healthcare provider as soon as possible if you suspect a hand, wrist, or elbow injury. Dr. Knight treats hand, wrist and selected elbow conditions. He does not perform elbow fracture or elbow ligament procedures.
Hand Conditions
The human hand is complex, comprising 27 bones, over 30 muscles, and more than 100 ligaments and tendons. If you’re concerned you may need a hand operation, we offer expert care at The Hand and Wrist Institute. We can treat hand fractures, tendon injuries, sprained ligaments, joint injuries, nerve injuries, nail infections, burns, and lacerations. Dr. Knight has also managed treatment for many common hand conditions, including arthritis, vascular disorders, hand tumors, trigger finger, boutonniere finger, and more.
Wrist Conditions
The wrist comprises three joints where the radius and ulna bones of the forearm meet the carpus bones. The wrist is susceptible to conditions such as arthritis, fractures, bone dislocation, carpal tunnel syndrome, tendonitis, sprains, and strains. It’s often subject to overuse due to its essential role in daily activities, such as typing and driving. The wrist can also easily suffer impact injuries if you use your outstretched hands to catch yourself from a fall.
The Hand and Wrist Institute doctors and staff can treat any type of wrist condition, including radial tunnel syndrome, Kienbocks disease, ulnar tunnel syndrome, and cartilage and ligament tears. We’re committed to helping you retain your range of motion and achieve a full recovery.
Elbow Conditions
The elbow is a complex construction; it’s made up of three joints where the humerus, radius, and ulna meet. The elbow contains three main arm nerves, two essential artery branches, four main ligaments, the biceps and triceps tendons, and two bony prominences, the lateral epicondyle and medial epicondyle. They require expert care when injured.
Dr. Knight has expertise working with a broad range of elbow conditions, including tennis elbow, golfer’s elbow, olecranon bursitis, cubital tunnel syndrome, pronator syndrome, and others. Dr. Knight does not perform elbow fracture or elbow ligament procedures.
Common Treatment Options
We first opt for nonsurgical treatments to address hand, wrist, arm, or elbow problems when possible. These may include immobilization, injections for pain and inflammation, and physical therapy. Dr. Knight does not use injections for cubital tunnel syndrome.
We can employ several minimally invasive surgical options if nonsurgical treatments are unsuccessful or the condition is too severe for that approach. These procedures use a tiny camera, small precise tools, and small incisions to perform exacting repairs to the hand or wrist. Minimally invasive surgical techniques are often effective for repairing torn ligaments, stabilizing fractures, and treating arthritis pain. All our in-office treatments are performed outpatient so you can recover comfortably at home.
In some cases, you may need open surgery. Serious fractures, for example, are often secured with plates, screws, or pins. Aligning the bones and installing these devices requires greater access to the injury site. Joint replacements and reconstructive surgeries also require an open approach.
How Can Dr. Knight Help?
Dr. Knight is a board-certified, fellowship-trained orthopedic surgeon. He has over 25 years of experience diagnosing and treating issues related to the upper extremities. Dr. Knight developed a thriving hand practice in L.A. and served Southern California patients for 16 years before relocating to the Dallas-Fort Worth area. Dr. Knight has reestablished his expert service model at The Hand and Wrist Institute, providing superior care to Texas patients.
Dr. Knight’s extensive training and experience have led him to provide treatments for professional sports athletes, musicians, and other celebrities who rely on their hands and wrists. You can benefit from his expertise at our Southlake, Texas, office. If you’re outside the Dallas area, we also offer virtual initial consultations to determine whether you need our surgical services; this saves you the initial trip to the office.
Schedule an Appointment at The Hand and Wrist Institute
If you’re concerned about an issue with your hand, wrist, elbow, or arm, we can help. You can contact The Hand and Wrist Institute to learn more about our services or schedule an appointment online. We look forward to providing comprehensive solutions and expert care to retain and restore comfort, functionality, and health.
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