Your hands play an important role in the way you care for yourself, help others, and participate in activities. To do these things, your hands depend on a complex system of tendons, muscles, skin, nerves, joints, and ligaments (see hand anatomy). An orthopedist with a specialty in Hand Surgery is trained specifically to care for problems that occur with these structures in both adults and children.

To become a hand specialist, an orthopedic surgeon must undergo special training known as a hand fellowship. This fellowship occurs after medical school and after a multi-year residency in orthopedic surgery. Upon completion of this extensive examination of the field of hand surgery, the orthopedist is awarded "The Certificate of Added Qualification in Surgery of the Hand".

Modern techniques of arthroscopy, microsurgery, and endoscopy are becoming increasingly important to the hand surgeon. Arthroscopic, surgical techniques are applicable not only to the wrist, elbow, and shoulder, but also to the small joints of the hands. Dr. Pruzansky is one of the few in the country to have board certifications in both hand surgery and orthopedic sports medicine. In addition, a hand specialist relies on occupational therapy and pays close attention to ergonomic stresses a patient may experience at home or work that might contribute to problems with structures in the hand.


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PHASTI is a registered trademark of Mark E. Pruzansky, MD
These pages and their contents copyright ©2008 Pruzansky Hand Athletic and Sports Trauma Institute.
975 Park Ave., New York, NY, (212) 249-8700

Dr. Pruzansky is an orthopaedic surgeon in New York City, specializing in surgeries of the hand and upper extremities, including sports medicine, with expertise in throwing, serving, and lifting injuries to the upper extremity.  Dr. Pruzansky also performs endoscopic carpal tunnel release, tennis elbow and pitcher’s elbow surgery, and repair of the joints, tendons, ligaments, and nerves of the upper extremity, in addition to gamekeeper’s thumb, skier’s thumb, trigger finger, de Quervain’s tendinitis, wrist disorders, wrist sprains, pediatric orthopaedics, congenital malformations, hand surgery, carpal tunnel release, medial and lateral epicondylitis, arthritis of the hand, osteoarthritis, rheumatoid arthritis, compression neuropathies, tendon transfers, ganglion cysts, tumors of the hand, wrist, and forearm, and cubital tunnel syndrome. 

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