Arthroscopy is a minimally invasive surgical approach for treating problems of joints. A fiberoptic camera is introduced into a joint through a small puncture, "portal". Through a second working "portal," the surgeon can use instruments to clean (debride) damaged tissue, as well as more advanced techniques for tissue and bone repair. Dr. Steinberg has vast experience with arthroscopy having performed over 1,500 advanced shoulder arthroscopic procedures.
Carpal tunnel syndrome is the most common source of numbness and tingling of the hand. Increased pressure on the median nerve within the narrow carpal tunnel at the wrist causes the symptoms of carpal tunnel syndrome. While the mainstay of treatment is non-operative (i.e. rest, splinting, injection), surgery is an option when these remedies fail. Dr. Steinberg has vast experience in this area having performed over 3,000 carpal tunnel procedures. Single incision endoscopic carpal tunnel surgery allows for a minimally invasive, safe procedure without creating an incision on the sensitive palmar skin. Patients who have undergone bilateral carpal tunnel operations have routinely preferred endoscopic carpal tunnel release over the conventional open release, with most patients returning to work and activities sooner.
Medical doctors refer to broken bones as fractures. Fractures where the bones are still aligned (nondisplaced) can be treated without surgical intervention. When fractures are displaced and require surgery, advanced techniques have been developed using titanium implants that maintain the alignment of the fracture while it is healing. These implants speed up recovery, healing, and ultimate function. Dr. Steinberg has treated thousands of upper extremity fractures.
Joint replacement surgery is a procedure in which part or all of an arthritic joint surface is removed and replaced with an implant. Many techniques and technologies have been developed to help improve the longevity and function of these implants. One of the most commons areas of joint replacement surgery is performed at the base of the thumb, the first carpometacarpal (CMC) joint. In this case, the arthritic joint is removed and a living tendon is used to create a sling and a cushion that allows for pain relief and function for a lifetime. (To learn more about Thumb Arthritis). Dr. Steinberg has vast experience with this procedure having performed over 400 of them. Other areas of joint replacement surgery advancement include the shoulder. A new prosthesis has been developed that works without the need of the all important rotator cuff muscle tendon unit. In addition, in the elbow, there are new resurfacing procedures that use tissue membrane as opposed to metal and plastic joint replacements.
When injury or disease involves nerves, vessels, tendons and the skin, a microvascular surgeon is trained in using the microscope to either repair or reconstruct these structures. Many times, sutures that are difficult to see with the naked eye are used under the high powered microscope to repair lacerations of vessels and nerves. Some disorders such as Dupuytren's disease form contractures with disease tissue surrounding nerves and vessels that require surgical excision with the utmost of precision using a high powered operating microscope. As a trained microvascular surgeon, Dr. Steinberg has treated many patients in this sub-specialty.
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