We use our hands and wrists to perform everyday tasks. Any damage to the ligaments or tendons in these areas can cause these tasks to become chores for many. The hand and wrist are complex structures, and they need the care of a specialist.
Our orthopedic surgeons are specially trained in the field of hand and wrist surgery and treat all conditions, from very straightforward to the most complex. Furthermore, we believe that even the simplest problems of the hand and wrist deserve evaluation from a hand specialist who understands the intricate anatomy of the hand.
April Shenkle: I was actually in the car accident back in 2014. The day of my accident, I was actually on my way to work. I was headed down a side street, a woman had ran through a stop sign and pretty much T-boned me. My car was completely totaled, the airbags had deployed. I was unconscious for a little while. That day was rough. I remember getting out of the car after the accident and almost crouching down in pain, holding my wrist. The pain was terrible. I remember going to the hospital and they did X-rays. They came back and said, yes, it is fractured. I was like, “This is unbelievable.”
I had gone through months and months of physical therapy, and after physical therapy was over, I was still having chronic pain in my wrist. I’ve seen many, many doctors regarding it, nobody could pinpoint what was going on. One doctor was telling me one thing, another doctor was telling me another thing, so I really didn’t know who to trust and who to go to. I was told that I wasn’t a candidate for surgery, and it was something that I was going to have to live with for the rest of my life. Some doctors said that it would gradually get better over time, some doctors told me that it is what it is and that’s the way that it healed, so I was hopeless at the time.
It was so relieving when I found Dr. DeNoble. He was like a godsend. The consultation was very, very smooth. I went over all of the issues I was having with my wrist, telling him I was having chronic pain, it wasn’t going away. He pinpointed exactly what was going on and he told me that, yes, I was indeed a candidate for surgery on my wrist. I almost cried. I was so overwhelmed, I was so happy. I was like, “I can finally be free of this chronic pain.”
Dr. Peter DeNob…: I’m Dr. Peter DeNoble. I’m an orthopedic surgeon at Advanced Orthopedics and Hand Surgery Institute here in Wayne, New Jersey. I’m a hand to shoulder specialist.
When I saw her, I examined her and felt that there was something we could fix and something that we could do to make her better and get her back to living a normal life. In her case, an MRI report basically said that there was no tear and there was nothing wrong, but I knew that based on the exam and some of her findings where the wrist was slightly unstable, there was something going on there. Not only did she have the TFCC tear, she also had a small cyst in the wrist. Those are also oftentimes overlooked on MRI because so often we all have these little cysts that don’t really cause any problems, but when they do correlate with pain or tenderness, when you remove them, they do great.
When you come back in three, four weeks, you’re motion is going to be better, not perfect, just getting better.
April Shenkle: Right, okay.
I started feeling much better. I had more movement in my wrist and it was a feeling of just happiness. It was like a weight had been lifted off my shoulders, because for the first time I was having relief in my wrist. Like I said, I had chronic pain for months, even years, really, so this was the first time where I actually felt improvement. It was an amazing feeling.
I would recommend Dr. DeNoble to everyone, even if you don’t have a wrist problem. I would recommend Dr. DeNoble to everyone. His bedside manner is amazing. He’s a people person, he relates with you. He would get me right into the office right away to be checked. Just a phenomenal doctor and human being.
My name is April Shenkle and Dr. DeNoble fixed my wrist.
This surgical video shows the repair of a small finger collateral ligament using a suture anchor.
David Ratliff, …: Hey guys, it’s Dr. Ratliff. This video will show the repair of a small finger MCP collateral ligament. This patient was injured in a car accident and had persistent pain at that ligament.
We approach this through the dorsal aspect of the metacarpophalangeal joint. The extensor tendon is split, which will later be repaired. Capsule is isolated from the tendon and the joint is opened, which will allow us to see the collateral ligament peeled off from the base of the proximal failings. Ligament in its insertion site at the palmar side of the bone are debraided. I place the suture anchor and confirmed that it is secure. Sutures from that anchor are passed through the ligament and tied to secure and compress the ligament back to its insertion site.
Testing after ligament repair shows that it is secure. Capsule and tendon are subsequently repaired. Solid repair allows for early motion after surgery to prevent stiffness.
As our patient, you will have an in-depth consultation with one of our doctors. We will create an individualized treatment plan together, tailored to your problem and lifestyle. Our doctors prefer non-invasive treatments whenever possible, including physical therapy and/or injections. If your problem ultimately does require surgery, our doctors prefer the least invasive surgical techniques possible. Our goals are the same as yours: to get you back to living your best life, pain free.