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Trigger Finger
Trigger finger is a problem that can develop over time. There is usually no one specific cause of this disorder; however, it does occur more frequently in diabetics. This pathology may cause a bothersome clicking or locking of your finger that can be painful at times, and patients may not be able to straighten the finger without using assistance from the other hand. You may even feel a small painful nodule at the base of your finger. The snapping or clicking that’s felt is a result of inflammation surrounding the flexor tendon in your finger, whereas a normal tendon glides smoothly through several pulleys. When inflammation develops, the tendon may get stuck on the wrong side of the pulley and prevent you from straightening the finger.
Treatment for this condition usually begins with a corticosteroid injection. This injection has anti-inflammatory properties which should allow the inflammation surrounding the tendon to subside. If a corticosteroid is not successful after two attempts and the issue is persisting, then you may be a candidate for surgery.
Trigger Finger Release
If a corticosteroid injection does not successfully treat your trigger finger after two attempts, then you may be a candidate for either percutaneous trigger finger release or open trigger finger release.
Percutaneous trigger finger releases can be done in the office. The finger of interest must be reproducibly triggering so that we are able to determine whether or not the pulley is successfully released. Local anesthesia is given, and a small poke hole is made in the skin. A needle is used to cut and release the pulley that the tendon is getting caught on. The finger is then tested to ensure that it is no longer getting caught. A compressive dressing is placed for the patient to wear over the next few hours. The area may be sore for a few weeks while everything heals. Hand and finger range of motion is encouraged immediately after the procedure. This is only an option for certain patients depending on the finger involved and the severity of the triggering.
The open trigger finger release may also be done under straight local anesthesia, but this procedure is done at a hospital or ambulatory surgery center. It involves making a small incision at the base of your finger over the involved pulley. The pulley is cut so that your tendon will glide smoothly without getting caught. A soft dressing is placed after surgery that may be removed after two to three days. Stitches will be removed in the office two weeks after surgery. Hand and finger range of motion is encouraged immediately after surgery, and full recovery usually takes a few weeks.
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We received full construction permits for our Paramus building today!! 🙌🎉 Wheels-up on full-on construction starting next week!
We can’t wait to introduce the finished product! We have an amazing design/architecture/build team that is about to deliver a first-class home for the new orthopedic hub of Bergen County!! 💪🦴😎
Stay tuned here for progress updates!!
@wellsarchitecture @mitradesignsstudio
@vda_designs
Visbeen Construction
#orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease #totaljointreplacement #totalkneereplacement #totalhipreplacement
#shoulderreplacement
Introducing your ortho team…THE TEAM to trust! We are so grateful to have such a dedicated and hard-working staff. Get to know us…stay tuned for our NEW staff profiles coming soon!
Congratulations to @choiseppi and Matt Kraeutler for graduating from @st.joesortho orthopedic surgery residency program tonight! From all of us at @modernorthonj , it was a pleasure participating in your surgical education over the years. Best of luck as you embark on your sports fellowships and on what we know will be great careers!!
#teaching #orthoresidency
#orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease
Cast Removal - 5 Fun Facts!
1. The cast saw blade doesn’t spin, it vibrates.👍
2. The saw blade is generally safe, and there is a layer of cotton underneath the fiberglass, but the blade can still cut skin if the operator is not skilled! 😳
3. The blade will generate heat - just like when rubbing 2 sticks together, the friction can heat things up quickly! 🔥
4. My heat management technique keeps things cool. 😎 **as you can see in video, I create a superficial cutting line first. Then I move the saw blade along the cutting line in several passes, using an up and down technique and being careful not to keep the vibrating blade in one spot too long.**
5. I always give my patients the option to keep their cast… but very few choose to keep it!!
@peterdenoblemd
#cast #castremoval #fracture #orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease
What’s in your water??
I want to make sure our amazing Paramus flagship location will deliver both cutting edge orthopaedic care AND a safe occupational environment for our patients and all-star staff!! This includes ensuring we have the purest possible water coming from all of its faucets! 💦
Today we tested for a variety of contaminants in our water including Arsenic, PFAS, chlorine, chlorine byproducts, and Uranium. 🫙
Big thx to @jennifer.vanbeekum for helping with our testing today, and to @healthyhomeexpert for her guidance over the years on how to create these safe occupational environments!!
#orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease
@peterdenoblemd and @jennifer.vanbeekum watching backhoes dig dirt - it never gets old!
Currently establishing all of our drainage reservoirs. #Paramus #progress
@modernorthointheor
#orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease
@peterdenoblemd & @davidratliffmd
We met 17 years ago, at the beginning of our orthopedic surgery training as co-residents at @montefioreorthoresidency in the Bronx.
Those were some amazing years, jam-packed with…
🥱5 years of daily 6AM rounds at Moses, Weiler, and Jacobi Hospitals
🦴Thousands of orthopedic surgeries
🦴 Hundreds of ER casts placed
🥷🏼Amazing mentors and co-residents who were instrumental in molding our foundational ortho knowledge and skills sets
🥪Late night tuna melts at NCB Hospital
👖 Oh, and apparently all during a time when parachute suit-pants were in vogue!! 🤣
Our paths diverged for a time during our specialty hand-to-shoulder fellowships at St-Luke’s-Roosevelt and University of Pittsburgh respectively and during the early years of our practices.
Now, fast-forward to today, and we are so proud to be practicing together and bringing our combined 35 years of ortho shoulder-to-hand expertise to Modern Orthopaedics of New Jersey! 🔥🔥
💪🖐We treat the most complex conditions of the hand, wrist, shoulder, and elbow, and have locations in Morris County, Passaic County, and (soon to be) Bergen County New Jersey.
Also, please follow us in the OR at @modernorthointheor
#orthopedics #shouldersurgery #shoulderscope #shoulderarthroscopy #handsurgeon #handsurgery #upperextremity #arthroscopy #orthopedicsurgeon #handtherapy #occupationaltherapy #physicianassistant #athletictrainer
Modern Ortho is a part of the NJAJ Boardwalk Seminar 2022!… and we are finally back in person! 🙌
Check us out at Booth #910 in the @harrahsresort exhibit hall. 😊
Also see what we do in the OR- follow us at: @modernorthointheor
@newjerseyjustice
#orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease #personalinjury #personalinjurylawyer
Only fitting that our new Paramus building has some great bones 🙂
@peterdenoblemd @davidratliffmd @wellsarchitecture @vda_designs
#orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease
Thank you @bmartinsports and all the therapists at @ivyrehab who came out for talks by our docs @peterdenoblemd and @davidratliffmd yesterday on athletic injuries in the shoulder wrist and hand. It’s always fun sharing our experiences over the years in getting kids back to sport! 💪🏀⚾️🤸
Much thanks also to Timothy Roy, PT, Adam Freitag, OTR/L , and Nina Nunez, OTR/L who gave great talks on the rehab of injuries from the shoulder to the hand.
Oh, and we ALWAYS appreciate support from our man @ohgi_bigfish !!
#orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #physicaltherapy