The Medical Center of Aurora (TMCA) is a leading treatment center in the Denver metro area for bone, joint and muscle injuries and illnesses. Home to a team of leading orthopedic specialists, we treat a wide range of orthopedic hand injuries, illnesses and conditions.
Our physicians focus on a comprehensive treatment program, collaborating with various specialists, nurses, medical staff and rehabilitation professionals to care for each patient from diagnosis through treatment and recovery. We’re proud and honored to serve TMCA patients and work in the collaborative and patient-centered culture we’ve created.
State-of-the-Art Technology and Results
At TMCA, our orthopedic surgeons are some of the leading physicians in the field, working with leading-edge orthopedic surgery technology in newly renovated ORs. We’re #1 in outpatient satisfaction scores among Denver HealthONE hospitals, and dedicated to getting great outcomes for our patients.
We educate each patient on the treatment methods and options for treating their specific hand condition. We offer leading-edge treatment options, both surgical and non-surgical, for treating orthopedic hand conditions and returning our patients to their active lifestyle safely and quickly.
For More Information
To learn more about our leading treatment options for orthopedic hand conditions, or to schedule an appointment, please call 303-873-0630.
Hand Conditions We Treat
- Arthritis of the hand or thumb
- Carpal tunnel syndrome
- Cubital tunnel syndrome
- Dupuytren’s Syndrome
- De Quervain’s Tenosynovitis
- Finger dislocation
- Finger fracture
- Finger sprain
- Flexor tendon injury
- Ganglion cyst of the wrist and hand
- Mallet finger
- Trigger finger
Conditions In Depth
The term arthritis literally means joint inflammation, but it also is used to refer to diseases can cause pain, stiffness, and swelling in joints. Arthritis of the hand and thumb can be debilitating conditions that affect patient’s ability to handle objects, operate machinery and life their day-to-day life.
At TMCA, we treat arthritis of the hand and thumb with a focus on pain relief, maintaining the greatest possible mobility and function, slowing disease progression and maintaining or improving quality of life. When possible, we strive treat arthritis of the hand without surgery through medications, physical therapy and lifestyle changes. Learn more here.
Carpal tunnel syndrome is a nerve disorder of the hand. Symptoms of carpal tunnel syndrome include pain and numbness, especially in your thumb and index or middle fingers, hand stiffness or cramping, weakness or clumsiness of the hand and pain that moves up the arm.
In order to treat carpal tunnel syndrome, the team of orthopedic specialists at TMCA utilizes an approach that combines the benefits of altered use, rest, ice and elevation, physical therapy, wrist stabilizing devices and over-the-counter of prescription medications. Surgery may be needed if symptoms are severe, or continue after trying other treatments. The most common procedure is the carpal tunnel release. Learn more here.
An orthopedic condition of the elbow, cubital tunnel syndrome is a set of symptoms caused by abnormal pressure on the ulnar nerve, an area on the inside of the elbow. Symptoms of cubital tunnel syndrome can include numbness and weakness in the hand, particularly the pinky and ring fingers.
In most cases, cubital tunnel syndrome will go away on its own when excess pressure on the elbow is removed. However, in some cases, long-term untreated cubital tunnel syndrome can lead to permanent muscle damage in the hand.
At TMCA, we treat cubital tunnel syndrome with lifestyle alterations, physical therapy, and over-the-counter medications for pain relief and muscle relaxation.
In severe cases, surgery may be required to relieve compression and restore the nerve function and muscle strength. Surgical options include cubital tunnel release, ulnar nerve anterior transportation and medial epicondylectomy. Learn more here.
Dupuytren’s Syndrome, also called Dupuytren’s contracture, is a hand deformity that usually develops over many years as knots of tissue form under the skin of the fingers, eventually precenting the affected fingers from straightening completely, which can interfere with daily activities.
Doctors don't know what causes Dupuytren's Syndrome. It mainly affects the ring finger and pinky, and occurs most often in older men.
If the disease progresses slowly, causes no pain and has little impact on the ability to use the hands, the team at TMCA may not proceed with treatment. If the condition is affecting daily activities or causing pain, treatment often includes surgery to remove the affected tissue in the hands.
De Quervain's tenosynovitis is an irritation of tendons that run from the wrist to the thumb. These tendons pass through a tunnel-like tissue, called a sheath, at the wrist. The tunnel area can cause additional pressure and irritation on thickened or swollen tendons, making normal movements painful.
At TMCA, the goal of treatment for De Quervain's tenosynovitis is to relieve pain and help you regain function. Supportive care may include restricting activities of the thumb and wrist, ice therapy to help relieve swelling, a thumb splint to support the wrist and medication such as nonsteroidal anti-inflammatory drugs (NSAIDs).
If supportive care is not helpful, then cortisone injections may be advised to reduce swelling. If injections are not helpful, then surgery may be advised to open the tunnel that the tendon is passing through. Learn more here.
A finger dislocation is when a finger bone is out of place. A dislocation also often involves stretching or damage to the ligaments. Dislocation can happen in any of the finger joints.
If you have a dislocated finger, seek medical care right away. The finger bones will be moved back into place. A local anesthetic may be used to help reduce pain. Your finger may then be placed in a splint or taped to the healthy finger. For severe injuries or ones that cannot be moved back into place, a cast or surgery may be needed. Learn more here.
A finger fracture is a break in any of the bones in a finger. Proper treatment can prevent long-term complications or problems with the finger, such as immobility or misalignment.
The TMCA orthopedic team will work to put the bones of the finger back in place, either through surgical or non-surgical means. During the healing process, the finger will be stabilized with tape, a splint or cast. Pain relief medications and physical therapy may also be needed during recovery. Learn more here.
A finger sprain is the stretching or tearing of ligaments that support the small joints of the finger. Symptoms include pain and tenderness in the finger, pain when moving the finger joint and swelling of the finger joint.
A finger sprain can be treated through rest, ice, compression, elevation, splinting and taping, and pain relief and anti-inflammatory medications. In rare cases, surgery may be needed to treat a finger sprain if piece of bone has been broken off by the injury or the ligament is torn completely. Learn more here.
A flexor tendon injury is damage to the tendons that run all the way up to the fingertips or the tendons on the palm side let you curl your fingers. When these tendons are damaged, you can lose your ability to bend your finger(s).
Most patients with this type of injury require surgery. The orthopedic surgeons at TMCA may sew the tendon back together or sew the tendon back to the muscle. A splint may be worn after surgery to protect the hand. A physical therapist can help regain finger strength and range of motion. Learn more here.
A ganglion cyst is a fluid-filled sac. It is usually attached to the membrane that surrounds a tendon or a joint lining. Ganglion cysts usually appear on the back of the wrist. They may also be on the underside of the wrist, hand and fingers.
Some ganglion cysts go away without treatment. For others, treatment to remove the cyst can include putting a needle into the cyst to drain the fluid, injecting a corticosteroid solution into the cyst, or surgically removing the cyst. Learn more here.
A mallet finger happens when the extensor tendon to the distal joint of the finger is stretched or torn. This injury sometimes includes a small fracture of the finger.
Treatment for mallet finger includes ice, pain medication, a splint and finger exercises to strengthen the finger after the splint is removed. In some cases, surgery may be required. This may be the case if there is a total tear of the extensor tendon. It may also be needed if there is a fracture extending into the joint where the tendon has pulled a piece of bone loose. Learn more here.
Trigger finger occurs when the synovial sheath becomes inflamed. The synovial sheath encloses the flexor tendons of the thumb and fingers that pull the fingers into a fist. Symptoms of trigger finger include finger or thumb stiffness, pain, swelling, finger or thumb stuck in bent position or a catching or popping when straightening the finger or thumb.
The team of orthopedic specialists at TMCA treat trigger finger by giving the tendons rest with a brace or splint and applying medications including corticosteroid injections and nonsteroidal anti-inflammatory drugs (NSAIDs). Severe cases of trigger finger may not respond to medications. In this case, surgery may be used to release the tendon from a locked position. Learn more here.