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Hand, Wrist & Elbow Anatomy

Hand, Wrist & Elbow Anatomy

In this overview, Dr. Bryan Loeffler, MD, of OrthoCarolina Hand Center touches on what to do when you have hand, wrist, or elbow pain and what your next steps might be moving forward when consulting an orthopedic surgeon.

Carpal Tunnel & Trigger Finger Surgery - Case Study

Carpal Tunnel & Trigger Finger Surgery - Case Study

In this surgery demonstration, Dr. Daniel Lewis, MD, of OrthoCarolina Hand Center shows us what to expect during a Carpal Tunnel Release & Trigger Finger surgery and what happens in the operating room.

Hand, Wrist & Elbow: Orthopedic Anatomy Series: Exploring Your Body From the Inside Out

Hand, Wrist & Elbow: Orthopedic Anatomy Series: Exploring Your Body From the Inside Out

 In this edition of our Orthopedic Anatomy Series: Exploring Your Body from the Inside Out, we look at the causes and treatments of common hand, wrist and elbow ailments that can cause this discomfort.

Our panel of five OrthoCarolina hand, wrist, & elbow specialists partnered with the education experts at Experience Anatomy to explore the ins and outs of hand/wrist/elbow pain, from when to consult an orthopedic specialist to pain injections to surgery recovery. 

Revolutionary Treatment for an Active-duty Army Private

Revolutionary Treatment for an Active-duty Army Private

Physicians from OrthoCarolina Reconstructive Center for Lost Limbs (part of the OrthoCarolina Hand Center, Charlotte, NC) partnered with the team at the US Army's Regional Health Command - Atlantic to treat this amazing active-duty soldier.

Revolutionary Treatment for an Active-duty Army Private

Revolutionary Treatment for an Active-duty Army Private

Physicians from OrthoCarolina Reconstructive Center for Lost Limbs (part of the OrthoCarolina Hand Center, Charlotte, NC) partnered with the team at the US Army's Regional Health Command - Atlantic to treat this amazing active-duty soldier.

Online Scheduling FAQs | OrthoCarolina Scheduling Online Appointments

Scheduling Your Appointment Online with OrthoCarolina

Save time and book your care, your way. With online scheduling, your personalized orthopedic care is only a few clicks away.

Telemedicine Appointments | Virtual Doctor's Appointments on Your Phone

Telemedicine Video Visits Now Available

Have a video visit with your doctor today!

Hand Surgery Research Video

Hand Surgery Research

Dr. Gart, Dr. Gaston, and Dr. Loeffler talking about the breakthrough research in hand prosthetics.

OrthoCarolina Physicians Win 2019 Top Doctor Honors

OrthoCarolina Physicians Win 2019 Top Doctor Honors

OrthoCarolina physicians were honored for their premier patient care receiving Charlotte magazine Top Doctor awards.

OrthoCarolina Hand Surgeons Discover Children, Adults Born without Hand  Have Brain Functionality to Control Advanced Prosthetics

OrthoCarolina Hand Surgeons Discover Children, Adults Born without Hand Have Brain Functionality to Control Advanced Prosthetics

Three Charlotte hand surgeons have discovered that people of any age born without a hand already have the functionality needed to control a prosthetic device using only their mind.

OrthoCarolina Hand Surgeons Discover Children, Adults Born without Hand  Have Brain Functionality to Control Advanced Prosthetics

OrthoCarolina Hand Surgeons Discover Children, Adults Born without Hand Have Brain Functionality to Control Advanced Prosthetics

Three Charlotte hand surgeons have discovered that people of any age born without a hand already have the functionality needed to control a prosthetic device using only their mind.

Study Reveals Children, Adults Born without Hand Have Brain Functionality to Control Advanced Prosthetics

Study Reveals Children, Adults Born without Hand Have Brain Functionality to Control Advanced Prosthetics

Three Charlotte hand surgeons have discovered that people of any age born without a hand already have the functionality needed to control a prosthetic device using only their mind.

Upper Extremity Injuries in Soccer Are More Common Than You Think

Upper Extremity Injuries in Soccer Are More Common Than You Think

Upper extremity injuries like wrist and finger fractures are common in soccer players and can be missed on the field.

Upper Extremity Injuries in Soccer Are More Common Than You Think

Upper Extremity Injuries in Soccer Are More Common Than You Think

Upper extremity injuries like wrist and finger fractures are common in soccer players and can be missed on the field.

Targeted Muscle Reinnervation: The Starfish Procedure

Targeted Muscle Reinnervation: The Starfish Procedure

Upper Extremity Surgical Amputation Procedure.

Presented by Dr. Bryan Loeffler and Dr. Glenn Gaston of the OrthoCarolina Reconstructive Center for Lost Limbs

Targeted Muscle Reinnervation: The Starfish Procedure

Targeted Muscle Reinnervation: The Starfish Procedure

Upper Extremity Surgical Amputation Procedure.

Presented by Dr. Bryan Loeffler and Dr. Glenn Gaston of the OrthoCarolina Reconstructive Center for Lost Limbs

Live Surgery

Yes You Could Watch Your Own Surgery + Other Questions from Our Trigger Finger & Carpal Tunnel Live Surgery Answered

When we live streamed from the operating room, our viewers had lots of questions about the surgeries being performed. Our orthopedists have responded with all the answers.

Live Surgery

Yes You Could Watch Your Own Surgery + Other Questions from Our Trigger Finger & Carpal Tunnel Live Surgery Answered

When we live streamed from the operating room, our viewers had lots of questions about the surgeries being performed. Our orthopedists have responded with all the answers.

operating room orthocarolina

Inside the Operating Room: Trigger Finger and Carpal Tunnel Surgery

OrthoCarolina stepped inside the operating room to live stream a trigger finger and carpal tunnel surgery. 

operating room orthocarolina

Inside the Operating Room: Trigger Finger and Carpal Tunnel Surgery

OrthoCarolina stepped inside the operating room to live stream a trigger finger and carpal tunnel surgery. 

Step inside the Operating Room: OrthoCarolina to Live Stream Hand Surgeries on Facebook

Step inside the Operating Room: OrthoCarolina to Live Stream Hand Surgeries on Facebook

An OrthoCarolina hand surgeon will perform a trigger finger release surgery and a carpal tunnel release on OrthoCarolina’s Facebook page during a live broadcast this Wednesday from Mallard Creek Surgery Center.

Hand-Care Recommendations - From an Orthopedist

3 Hand-Care Recommendations From an Orthopedist

We think about stretching our backs, massaging our necks and taking care of the part of our bodies that work that hardest, but hands can be overlooked. A specialist offers three ways to give your hardworking hands a little TLC.

Five Symptoms That Point to Trigger Finger

Five Symptoms That Point to Trigger Finger

The result of overuse, trigger finger is a common but extremely painful condition that can cause the catching, locking and popping of the painful finger.

Five Symptoms That Point to Trigger Finger

Five Symptoms That Point to Trigger Finger

The result of overuse, trigger finger is a common but extremely painful condition that can cause the catching, locking and popping of the painful finger.

Jason Nydick Florida Orthopaedic Institute & Kunj Desai Hand Center of San Antonio

RCLL Visiting Professor Program

The OrthoCarolina RCLL Visiting Professor Program is designed to allow surgeons an unprecedented opportunity to advance their learning and understanding of advancements in the care of upper extremity amputees.

Upper Extremity Surgical Amputation Procedures: Targeted Muscle Reinervation and Starfish

Upper Extremity Surgical Amputation Procedures: Targeted Muscle Reinervation and Starfish

Please note, this video includes some graphic scenes associated with the teaching process of orthopedic surgery. Thank you.

Upper Extremity Surgical Amputation Procedures: Targeted Muscle Reinervation and Starfish

Upper Extremity Surgical Amputation Procedures: Targeted Muscle Reinervation and Starfish

Please note, this video includes some graphic scenes associated with the teaching process of orthopedic surgery. Thank you.

OrthoCarolina

10 New Physicians Join OrthoCarolina

OrthoCarolina has hired 10 new physicians to support the increasing needs of its patients and communities

Dr. Michael Gart and Family

OC Family Welcome: Meet Dr. Michael Gart

Joining our Hand Center, Dr. Michael Gart specializes in plastic and reconstructive surgery of the hand.

Medical Breakthroughs at OrthoCarolina

Medical Breakthroughs at OrthoCarolina

Explore pioneering medical breakthroughs changing our lives and meet the doctors behind them. On the front lines of your health are tales of desperation, determination and human triumph-from a safer way to manage pain after surgery to groundbreaking techniques that make surgery unnecessary.

Journal of Hand Surgery

Current Concepts in Upper-Extremity Amputation

Targeted muscle reinnervation is an evolving technique that improves control of myoelectric prostheses and can prevent or treat symptomatic neuromas.

Journal of Hand Surgery

Current Concepts in Upper-Extremity Amputation

Targeted muscle reinnervation is an evolving technique that improves control of myoelectric prostheses and can prevent or treat symptomatic neuromas.

Charlotte Top Doctors

17 OrthoCarolina Physicians Named Charlotte magazine Top Doctor

Each year, Charlotte magazine releases a list of Top Doctors in Charlotte and we're proud to have 17 OrthoCarolina providers represented as the best in the city.

Jenn Andrews of Charlotte

Losing a Foot to Save a Life

In 2013, Jenn Andrews’ focus was on her first pregnancy and a little self-care, when a pedicure technician felt a small bump on Jenn’s foot. What seemed so trivial that day would become so important later. That bump was a tumor – myxoid sarcoma, a rare and potentially life-threatening form of cancer. Despite an initial attempt at removing the tumor, it eventually came back, and now Jenn faced a daunting choice five years later: She could cure the cancer only by losing her foot.

Jenn Andrews of Charlotte

Losing a Foot to Save a Life

In 2013, Jenn Andrews’ focus was on her first pregnancy and a little self-care, when a pedicure technician felt a small bump on Jenn’s foot. What seemed so trivial that day would become so important later. That bump was a tumor – myxoid sarcoma, a rare and potentially life-threatening form of cancer. Despite an initial attempt at removing the tumor, it eventually came back, and now Jenn faced a daunting choice five years later: She could cure the cancer only by losing her foot.

A Breakthrough in Medical Care: The Starfish Procedure

A Breakthrough in Medical Care: The Starfish Procedure

What is possible if two dedicated doctors come together with an idea to help people who have lost fingers use “their fingers” again? For Eddie Chapman, it means he can tie his shoes. See the full story from WTVI/PBS. Physicians from the Reconstructive Center for Lost Limbs, OrthoCarolina

A Breakthrough in Medical Care: The Starfish Procedure

A Breakthrough in Medical Care: The Starfish Procedure

What is possible if two dedicated doctors come together with an idea to help people who have lost fingers use “their fingers” again? For Eddie Chapman, it means he can tie his shoes. See the full story from WTVI/PBS. Physicians from the Reconstructive Center for Lost Limbs, OrthoCarolina

Loeffler OrthoCarolina

This woman survived a shark attack: ‘He had my whole arm in his mouth’

Just 10 months ago, Tiffany Johnson and her husband were snorkeling in the Bahamas when a shark attack changed her life forever: “He had my whole arm in his mouth.” NBC’s Kerry Sanders joins Megyn Kelly TODAY to tell her tale of survival. Featuring the Physicians from the Reconstructive Center for Lost Limbs, OrthoCarolina

Loeffler OrthoCarolina

This woman survived a shark attack: ‘He had my whole arm in his mouth’

Just 10 months ago, Tiffany Johnson and her husband were snorkeling in the Bahamas when a shark attack changed her life forever: “He had my whole arm in his mouth.” NBC’s Kerry Sanders joins Megyn Kelly TODAY to tell her tale of survival. Featuring the Physicians from the Reconstructive Center for Lost Limbs, OrthoCarolina

Starfish Procedure Gaston Loeffler

Introducing the Starfish Procedure

Novel muscle transfer technique enables patients to have improved control of a myoelectric prosthesis

Starfish Procedure Gaston Loeffler

Introducing the Starfish Procedure

Novel muscle transfer technique enables patients to have improved control of a myoelectric prosthesis

Vital Signs with Dr. Sanjay  Gupta

Mind-controlled prosthetics: the next wave of 'smart arms'

A bionic limb is giving hope, and control, back to shark attack victim Tiffany Johnson. OrthoCarolina Hand Center: Reconstructive Center for Lost Limbs feature on CNN International.

Game Changers

Game Changers

Allow us to introduce you to some of the most clever visionaries around town.

Artificial hand Video

‘First in the world’ artificial hand allows individual fingers to move

A North Carolina man who lost three fingers in an industrial accident more than a year ago can now move individual fingers on his prosthetic hand thanks to an innovative surgery by two OrthoCarolina hand surgeons.

Artificial hand Video

‘First in the world’ artificial hand allows individual fingers to move

A North Carolina man who lost three fingers in an industrial accident more than a year ago can now move individual fingers on his prosthetic hand thanks to an innovative surgery by two OrthoCarolina hand surgeons.

New Amputee Surgical Technique

OrthoCarolina Doctors Pioneer New Amputee Surgical Technique

OrthoCarolina hand surgeons Glenn Gaston, M.D., and Bryan Loeffler, M.D., pioneer a targeted muscle reinnervation surgical procedure to help amputee patients like shark attack victim Tiffany Johnson.

New Amputee Surgical Technique

OrthoCarolina Doctors Pioneer New Amputee Surgical Technique

OrthoCarolina hand surgeons Glenn Gaston, M.D., and Bryan Loeffler, M.D., pioneer a targeted muscle reinnervation surgical procedure to help amputee patients like shark attack victim Tiffany Johnson.

Video: Shark Attack Victim Gets New Arm

Doctors Miraculously Give A Shark Attack Victim A New Arm

In this web extra, meet the doctors who are giving her a prosthetic arm so she can return to life and her routines.

Video: Shark Attack Victim Gets New Arm

Doctors Miraculously Give A Shark Attack Victim A New Arm

In this web extra, meet the doctors who are giving her a prosthetic arm so she can return to life and her routines.

Dr. Glenn Gaston and Dr. Bryan Loeffler

Gaston and Loeffler honored by the American Academy of Orthopedic Surgeons (AAOS) for their research

Dr. Glenn Gaston and Dr. Bryan Loeffler were recently honored by the American Academy of Orthopedic Surgeons (AAOS) for their research on advancements in upper extremity amputee care at the 2017 AAOS Meeting in San Diego, CA.

Dr. Glenn Gaston and Dr. Bryan Loeffler

Gaston and Loeffler honored by the American Academy of Orthopedic Surgeons (AAOS) for their research

Dr. Glenn Gaston and Dr. Bryan Loeffler were recently honored by the American Academy of Orthopedic Surgeons (AAOS) for their research on advancements in upper extremity amputee care at the 2017 AAOS Meeting in San Diego, CA.

Dr. Gaston and Dr. Loeffler talk about saving the life of a local shark bite victim.

Doctors Save Shark Bite Victim

Good Day Charlotte's Jason Harper and Page Fehling talk with Dr. Gaston and Dr. Loeffler about saving the life of a local shark bite victim.

Tiffany Johnson

North Carolina Mom of 3 Who Fought Off Shark While on Vacation Speaks Out: ‘I Remember Pulling My Arm Out of His Mouth’

Tiffany Johnson remembers every second of the shark attack that took most of her right arm.

Tiffany Johnson

North Carolina Mom of 3 Who Fought Off Shark While on Vacation Speaks Out: ‘I Remember Pulling My Arm Out of His Mouth’

Tiffany Johnson remembers every second of the shark attack that took most of her right arm.

Targeted Muscle Reinnervation Patient

Targeted Muscle Reinnervation Patient

Targeted muscle re-innervation (TMR) is a surgical procedure which involves transferring amputated nerves to activate the remaining muscles in the limb. This has been shown to be an effective way to cure or prevent neuroma pain (sometimes called "phantom" pain). The surgery also allows enhanced control of myoelectric (sometimes called "bionic") prostheses to perform new functions since there are more muscle signals available in the residual limb. For upper extremity amputees, this can mean far greater control of the elbow, wrist, and hand when using a myoelectric prosthesis.

Targeted Muscle Reinnervation Patient

Targeted Muscle Reinnervation Patient

Targeted muscle re-innervation (TMR) is a surgical procedure which involves transferring amputated nerves to activate the remaining muscles in the limb. This has been shown to be an effective way to cure or prevent neuroma pain (sometimes called "phantom" pain). The surgery also allows enhanced control of myoelectric (sometimes called "bionic") prostheses to perform new functions since there are more muscle signals available in the residual limb. For upper extremity amputees, this can mean far greater control of the elbow, wrist, and hand when using a myoelectric prosthesis.

Targeted Muscle Reinnervation Patient (Video 2)

Targeted Muscle Reinnervation Patient (Video 2)

Targeted muscle re-innervation (TMR) is a surgical procedure which involves transferring amputated nerves to activate the remaining muscles in the limb.

Targeted Muscle Reinnervation Patient (Video 2)

Targeted Muscle Reinnervation Patient (Video 2)

Targeted muscle re-innervation (TMR) is a surgical procedure which involves transferring amputated nerves to activate the remaining muscles in the limb.

Video about Shark Attack Victim and how OrthoCarolina helps her

Adjusting To Life After Shark Attack

Friday will mark three weeks since Tiffany Johnson lost her arm in a terrifying shark attack in the Bahamas.

Video about Shark Attack Victim and how OrthoCarolina helps her

Adjusting To Life After Shark Attack

Friday will mark three weeks since Tiffany Johnson lost her arm in a terrifying shark attack in the Bahamas.

Tiffany Johnson, Dr. Bryan Loeffler and WBT 1110am discussing her positive future

Tiffany Johnson, Dr. Bryan Loeffler and WBT 1110am discussing her positive future

Dr. Bryan Loeffler from OrthoCarolina discussing the revolutionary outcome and amazing future for Tiffany Johnson via her targeted muscle reinnervation surgery.

Tiffany Johnson, Dr. Bryan Loeffler and WBT 1110am discussing her positive future

Tiffany Johnson, Dr. Bryan Loeffler and WBT 1110am discussing her positive future

Dr. Bryan Loeffler from OrthoCarolina discussing the revolutionary outcome and amazing future for Tiffany Johnson via her targeted muscle reinnervation surgery.

Gaston and Loeffler

Research and Presentations

Ongoing research for Targeted Muscle Reinnervation and Muscle Transfer for Independent Digit Control

Gaston and Loeffler

Research and Presentations

Ongoing research for Targeted Muscle Reinnervation and Muscle Transfer for Independent Digit Control

Hand Center

Hand Center

The physicians of the OrthoCarolina Hand Center are orthopedic surgeons who have pursued additional hand and wrist surgery training at the fellowship level in order to provide you with the most up-to-date and comprehensive treatment. In combination with our trained hand therapist and medical staff, they are ready to provide the very best in both surgical and non-surgical evaluation and treatment and have become a center of excellence for the Charlotte area in the treatment of hand problems.

NASCAR

NASCAR: Spike in Hip, Wrist Injuries

Femoral acetabular impingement and hook of hamate injuries are on the rise in NASCAR pit crews according to new research presented at the 2017 NASCAR Summit in Concord, North Carolina, on January 10, 2017.

NASCAR

NASCAR: Spike in Hip, Wrist Injuries

Femoral acetabular impingement and hook of hamate injuries are on the rise in NASCAR pit crews according to new research presented at the 2017 NASCAR Summit in Concord, North Carolina, on January 10, 2017.

Fracture of the hook of hamate

Hook of hamate injuries becoming more prevalent among NASCAR pit crews

An epidemiological study of 118 upper extremity injuries in NASCAR pit crews tracked over a 10 year period shows a surge in hook of hamate (a bone in the palm on the small finger side of the wrist) hand injuries in particular among changers and carriers.

Femoral acetabular impingement, hook of hamate injuries on rise in NASCAR pit crews

Femoral acetabular impingement, hook of hamate injuries on rise in NASCAR pit crews

Research study findings presented by Drs. Glenn Gaston, Walter Beaver at NASCAR Summit

Femoral acetabular impingement, hook of hamate injuries on rise in NASCAR pit crews

Femoral acetabular impingement, hook of hamate injuries on rise in NASCAR pit crews

Research study findings presented by Drs. Glenn Gaston, Walter Beaver at NASCAR Summit

NASCAR Pitcrew

Femoral Acetabular Impingement in Rear Changers

Femoral acetabular impingement injuries have increased among rear tire changers, according to research done by OrthoCarolina Hip and Knee surgeon Dr. Walter Beaver, who also serves as head team physician for Hendrick Motorsports, and Bill Heisel, director of the OrthoCarolina Motorsports program.

Brachial Plexus Clinic

Brachial Plexus Clinic Description and Educational

The OrthoCarolina Brachial Plexus team recognizes the importance of treating the entire patient and not just the affected limb.

SURGEONS COMPLETE FIRST PROSTHETIC HAND WITH INDIVIDUAL FINGER CONTROL

SURGEONS COMPLETE FIRST PROSTHETIC HAND WITH INDIVIDUAL FINGER CONTROL

Surgeons Glenn Gaston, Bryan Loeffler successfully complete cutting-edge procedure on partial hand amputee

Injury trends in nascar | orthocarolina

Epidemiological Study Tracks Upper Extremity Injury Trends in NASCAR Drivers and Pit Crew

Any sport will cause wear and tear on the bodies of athletes over time, but for a NASCAR pit crew, roles on the team can play a big role in the type of injuries they face.

Injury trends in nascar | orthocarolina

Epidemiological Study Tracks Upper Extremity Injury Trends in NASCAR Drivers and Pit Crew

Any sport will cause wear and tear on the bodies of athletes over time, but for a NASCAR pit crew, roles on the team can play a big role in the type of injuries they face.

D1 - Training Facility

Football player beats the odds to get back to his team

Multiple injuries, including ligament tears and foot drop, leave Alec Parsons on the sidelines

Glenn Gaston, M.D.

Top Achievements in Charlotte Medicine 2015 - Glenn Gaston

In an effort to improve the quality of care available in their community, these doctors are making Charlotte a leader in medical research, training, and education

Glenn Gaston, M.D.

Top Achievements in Charlotte Medicine 2015 - Glenn Gaston

In an effort to improve the quality of care available in their community, these doctors are making Charlotte a leader in medical research, training, and education

Treating Position-Specific Injuries

Treating Position-Specific Injuries in NASCAR: Upper Extremities

Fast fact: As of 2013 there were 3,000 published injury studies on football, 1,000 each on baseball and basketball, 140 on bowling, 43 on arm-wrestling and 7 on tug-of-war. NASCAR injury studies? There were 3.

Treating Position-Specific Injuries

Treating Position-Specific Injuries in NASCAR: Upper Extremities

Fast fact: As of 2013 there were 3,000 published injury studies on football, 1,000 each on baseball and basketball, 140 on bowling, 43 on arm-wrestling and 7 on tug-of-war. NASCAR injury studies? There were 3.

High Five: OrthoCarolina and the Mint Museum Open My Hand Can Exhibit

High Five: OrthoCarolina and the Mint Museum Open My Hand Can Exhibit

Special art show displays works by Hand Center patients

Running Shoes

When Should I Change My Running Shoes?

We know, we know, running shoes aren’t cheap. But, as you use your shoes, mile after mile they eventually begin to lose their cushioning, stability, and shock absorption.

Dr. Glenn Gaston of OrthoCarolina Hand Center

Research Update: Mastectomy and Upper Body Extremities

Mastectomy is a common treatment for women with breast cancer. Some patients that need a mastectomy also have to have other lymph node tissue removed from the axillary (armpit) region on the same side that the breast tissue was removed from.

See Kristan Run

See Kristan Run

Kristan Seaford miraculously survived severe complications from the flu, but the loss of blood flow during treatment resulted in the amputation of both hands, her left lower leg and a portion of her right foot...

Dupuytren's contracture OrthoCarolina

New treatments for Dupuytren's contracture

One in ten Americans will have Dupuytren's contracture, so many of us will have a friend or family member affected by it.

Dupuytren's contracture OrthoCarolina

New treatments for Dupuytren's contracture

One in ten Americans will have Dupuytren's contracture, so many of us will have a friend or family member affected by it.

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