Hand & Wrist


Make an appointment to see how our board certified and fellowship trained Hand and Wrist expert can help you.

A. Ylenia Giuffrida, MD
Hand, Wrist & Elbow

Carissa Meyer, MD
Hand, Wrist & Elbow

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Click below to See Our Collection of Patient Education Videos:video of orthopedic procedures


A. Ylenia Giuffrida, MD, and Carissa Meyer, MD are thoroughly experienced in all manner of hand injuries and ailments, an expertise that goes way beyond general orthopedics.

The hand and wrist specialists at Active Orthopedics and Sports Medicine use the latest treatments to relieve pain, restore function and improve the quality of your life. If you suffer pain in your fingers, thumb, hand, forearm or wrist due to a sports or work injury, or even just from simple overuse, there is no need to live with the pain any longer. We treat maladies such as strains and fractures, carpal tunnel syndrome, ligament/TFCC tears and Ganglion cysts. We utilize the very latest medical innovations and cutting-edge technologies, along with breakthroughs in pharmacological and physical therapy treatments to effectively restore pain free hand and wrist function.

We believe that patient education is an important part of providing exceptional care. Below are some of the hand and wrist procedures we specialize in, so that our patients can learn about some common causes, symptoms and treatment options:

Carpal Tunnel Syndrome
Trigger Finger
Total Wrist Replacement


Carpal Tunnel Syndrome

How does Carpal Tunnel Syndrome occur?

Carpal tunnel syndrome is caused by pressure on the median nerve in your wrist. People who use their hands and wrists repeatedly in the same way (for example, illustrators, carpenters, and assembly-line workers) tend to develop carpal tunnel syndrome.

Pressure on the nerve may also be caused by a fracture or other injury, which may cause inflammation and swelling. In addition, pressure may be caused by inflammation and swelling associated with arthritis, diabetes, and hypothyroidism. Carpal tunnel syndrome can also occur during pregnancy.

The symptoms of Carpal Tunnel Syndrome include:

• pain, numbness, or tingling in your hand and wrist, especially in the thumb and index and middle fingers, and occasionally in the upper arm
• increased pain with increased use of your hand
• increased pain at night
• weak grip and tendency to drop objects held in the hand
• sensitivity to cold
• muscle deterioration especially in the thumb (in later stages)

For additional information visit: AAOS Online Service Fact Sheet – Carpal Tunnel Syndrome


Trigger Finger

What is trigger finger?

Trigger finger is a common disorder of the hand which causes a painful snapping or locking of the fingers or thumb. The medical name for this condition is stenosing tenosynovitis. Stenosing refers to the narrowing of an opening or passageway in the body. Tenosynovitis refers to inflammation of the outer covering of the tendons that bend and extend the fingers and thumb. The tendons are tough, fibrous cords that connect the muscles of the forearm to the bones of the fingers and thumb. This muscle and tendon system enables one to bend the fingers inward when making a fist, and extend them out straight.

What are the causes of Trigger Finger?

The exact cause of trigger finger or thumb is not always readily apparent. In many cases, however, this condition may be the result of repeated strain of this area due to work or hobby activities. Tasks that require repetitive grasping or the prolonged use of tools (scissors, screwdrivers, etc.) which press firmly on the tendon sheath at the base of the finger or thumb may irritate the tendons and result in thickening of the tendons themselves or the tendon sheath. Symptoms of trigger finger may also be associated with conditions such as rheumatoid arthritis, gout, or metabolic disorders such as diabetes that produce changes in connective tissues and synovium.

For additional information visit: AAOS Online Service Fact Sheet – Trigger Finger



Total Wrist Replacement

Total wrist replacement surgery is less common than knee or hip replacement, but can be an option if you have painful arthritis that does not respond to other treatments. In total wrist replacement surgery, the damaged parts of the wrist bones are removed and replaced with artificial components, called a prosthesis.


Wrist joint replacement can be done as an outpatient procedure, unlike a hip or knee replacement. Wrist replacement surgery is often combined with other procedures to correct deformities or disorders in the tendons, nerves, and small joints of the fingers, and thumb.

An incision is made on the back of the wrist. The damaged ends of the lower arm bones are removed and the first row of carpal bones may also be removed. The radial component of the prosthesis is inserted into the center of the radius bone on the outside of the lower arm. It is held in place with bone cement.

Depending on the component design, the carpal component is then inserted into the center hand bone (third metacarpal) or screwed into the remaining row of carpal bones. Bone cement may be used to hold the component in place. The carpal bones may be linked or fused together to better secure this component.

An appropriately sized spacer is used between the metal components.