Procedures performed by Thomas Woloszyn, MD in Brooklyn, NY
Endoscopic Carpal Tunnel Release
Trigger Finger Release
This procedure provides an immediate and permanent relief of painful locking of a finger in a flexed position.
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Microsurgical Nerve Repair
Nerve lacerations can be repaired with reasonably good outcome. Sensory recovery can achieve 80% of normal. The goal is to regain protective sensation i.e., being able to tell hot from cold and sharp from dull.
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deQuervain's Release
Pain on the radial side of the wrist at the base of the thumb frequently seen in new parents, grandparents and individuals involved in child care, from repeatedly lifting up small children causing inflammation of the tendons on the side of the wrist. This can be easily cured with a very minor procedure if injections, splinting and anti-inflammat...
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Tendon Repair
Flexor tendon lacerations and avulsions (Jersey Injury), Extensor Tendon Repair for Boutonniere and Mallet Injuries
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Ganglion Excision
A ganglion or cyst which comes from the joint can cause pain from pressure. It can easily be removed with a very low recurrence rate if removed from where it originates.
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Tumor Excision
Various tumors of soft tissue such as a lipoma, giant cell, nerve tumor can be excised completely while preserving all vital structures.
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Open Reduction Internal Fixation for Fractures
Fractures can be anatomically reduced and rigidly fixated with hardware so that therapy can be initiated earlier and functional recovery speeded up.
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Basal Joint Arthroplasty
When medical treatment for basal joint arthritis of the thumb no longer works and pain begins to affect your ability to perform normal activities of daily living a basal joint arthroplasty can effectively illuminate pain and restore function.
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Metacarpo-phalangeal Joint Arthroplasty
This is commonly performed in rheumatoid arthritis patients when the fingers have been significantly deformed and function has been compromised.
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Arthrodesis (Joint Fusion)
Occasionally arthritic joints can be removed and the joint fused to provide good function particularly when there is a high demand on the hand such as in a manual laborer.
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Finger Tip Repair
Crushing injuries of fingers are a very common problem generally causing nail bed lacerations and fracture of the underlying bone. Surgical repair is frequently recommended to achieve good healing without disability.
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Fasciectomy
Dupuytren's contractures can be released enzymatically but the lowest recurrence rates are seen when the involved palmar and digital fascia is excised.
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Excision Mucous Cyst
A mucous cyst is a ganglion of the distal inter-phalangeal joint frequently seen as a result of arthritis and can cause a nail growth deformity.
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Syndactyly Repair
Syndactyly is a birth defect where two fingers are fused together. Separation of the fingers is generally recommended between 18 and 24 months of age.
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Polydactyly Reconstruction
Neuroplasty Ulnar Nerve at Elbow
Cubital tunnel syndrome or pressure on the ulnar nerve at the elbow resulting in pain at the elbow, forearm and numbness of the ring and little finger should be released prior to developing any permanent nerve damage and muscle weakness.
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Release Radial Nerve
Rarely the radial nerve is compressed in the forearm by the supinator causing pain and weakness. It should be released prior to any permanent damage.
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Pronator Release
The median nerve can be compressed in the forearm by the pronator muscle and cause carpal tunnel like symptoms. If identified properly this condition can be effectively treated.
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Ligament Reconstruction
When a ligament is torn joint instability can result and may lead to early arthritis of the unstable joint. The ligament of the thumb is frequently injured by hyperextension, called a gamekeeper or skier's thumb. It can be repaired or reconstructed in long standing cases, restoring function and reducing the chances of long term complications.
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Wrist Arthroscopy
Arthroscopic Assisted Ligament Repair
Tendon Transfers
When a specific function of the hand is lost secondary to muscle atrophy there are various tendon transfers that can restore the missing function.
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Tendon Reconstruction
Old tendon injuries can be reconstructed in a staged manor in an attempt to restore the missing tendon function.
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