History: 51 year old female with right thumb pain that had been present for over a year. Although it began after a fall, x-rays showed arthritis at the base of the thumb (CMC joint arthritis). After trying splinting, a steroid injection, and anti-inflammatory medication, she elected for surgery to alleviate her pain. Diagnosis: Right thumb CMC arthritis…
4th/5th MC Dislocation – Franko
History: 20 year-old male punched a wall with his right fist and had immediate pain and swelling over the the dorsal and ulnar aspect of the hand and wrist. X-rays demonstrated a fracture of the hamate bone with the 4th and 5th metacarpal bones dislocated dorsally. Live flouroscopic imaging in the office demonstrated that they…
Scaphoid ORIF – Franko
History: 23 year-old male who came to my office with pain in his wrist about 3 months after a fall. At the time he thought he only sprained his wrist. X-rays in the office showed a scaphoid non-union (not healed) causing his pain. Due to concern about long-term development of arthritis and pain, he elected to…
Scaphoid Non-Displaced – Franko
History: 52 year-old male who fell directly onto his right hand with pain and swelling. An initial X-ray was negative for fracture in the Emergency Department. He was evaluated by Dr. Franko who recognized a subtle scaphoid fracture and recommended either non-operative (cast) or operative (surgery) treatment. Because the patient desired a faster return to…