Upper Extremity

Your upper extremities include everything from the shoulder to the hand. Due to heavy use of these extremities, injuries to the bones, ligaments, joints, nerves, tendons, and other soft tissues are very common. In many instances, they can be quite painful, impacting your ability to perform routine daily activities.

Dr. Joseph Khouri has the extensive training necessary to treat upper extremity injuries associated with the shoulder, elbow, hand and wrist. He uses the latest and most advanced surgical techniques to ensure the highest levels of safety and the best possible outcome for your procedure. Upper extremity surgery can help alleviate the chronic pain you experience and restore normal function to the injured area.

You can receive individualized treatment recommendations by speaking with Dr. Khouri in person. Please call 440-446-8600 today to schedule a consultation. We serve patients in the Cleveland, Ohio area.

Common Reasons for Upper Extremity Reconstruction

Upper extremity reconstruction is commonly performed to correct the improper function of the hand, wrist, elbow or shoulder. Common causes of this surgery include:

  • Trauma
  • Injury
  • Infection
  • Degenerative disease
  • Autoimmune disorders
  • Congenital deformities

Overuse injuries are some of the most common reasons for upper extremity reconstruction. These include painful conditions such as:

  • Torn rotator cuff
  • Tendonitis
  • Carpal tunnel syndrome

Reconstructive surgery is performed to restore both the function and appearance of the injured region. For many individuals, upper extremity reconstruction can deliver life-changing benefits, allowing them to perform routine activities in a pain-free manner.

Hand and Wrist Procedures

Dr. Khouri can treat just about any hand or wrist injury you have. Some of the most common issues we address include:

Elbow Procedures

Arthroscopic elbow repair is performed to restore proper function to an injured elbow. The arthroscopic surgery technique provides Dr. Khouri with a direct view of the elbow joint in order to more effectively diagnose and repair the injury.

Dr. Khouri can address a wide range of issues, including:

  • Repair a damaged elbow surface
  • Remove scar tissue
  • Repair fractures and torn ligaments
  • Repair tendonitis (tennis elbow)
  • Remove bone spurs
  • Correct severe arthritis

Your arthroscopic elbow repair procedure will be performed under general anesthesia. Dr. Khouri will make a small incision in the elbow in order to insert a fiberoptic camera. This camera will allow Dr. Khouri to view a magnified image of the tiny structures in the elbow on a TV screen, facilitating proper treatment of the issue.

Dr. Khouri will use small surgical instruments to repair the injury. Once the repair is complete, incisions will be closed with stitches and an absorbent dressing is applied. Depending on the specific injury being repaired, Dr. Khouri may apply an additional soft dressing that lets you move the elbow or a plaster splint which restricts movement and provides maximum protection.

Recovery after arthroscopic elbow surgery generally takes several weeks. You may experience some discomfort for the first two weeks of recovery, which can be managed by pain medication. You should ice your elbow and keep it elevated for the first two days of recovery. This will help minimize swelling and post-operative pain.

Depending on the nature of your injury, you may need to begin physical therapy right away. If physical therapy isn’t necessary, Dr. Khouri will provide you with exercises to perform at home in order to restore elbow strength, motion and function.

Shoulder Procedures

Common shoulder procedures performed by Dr. Khouri include:

  • Arthroscopic rotator cuff repair
  • Arthroscopic labrum repair
  • Upper extremity fracture repair

Arthroscopic Rotator Cuff Repair

The rotator cuff is a group of tendons that form a “cuff” over the head of the upper arm bone. When these tendons become torn, surgery is often required to repair the injury. Arthroscopic surgery is performed on an outpatient basis and is the most minimally invasive surgical solution to repair a torn rotator cuff.

Dr. Khouri will make one or two small incisions in order to insert an arthroscope (fiberoptic camera) that will magnify the damaged region on a TV monitor, allowing him to determine the best approach to repair the condition. Small surgical instruments will remove any torn and degenerative tissue, as well as any bone spurs that may be impacting the shoulder tendons. The torn rotator cuff tendon is reattached to the bone and held in place with suture anchors.

Arthroscopic Labrum Repair

The labrum is the cartilage surrounding the shoulder socket. When it is torn, arthroscopic surgery is typically the most effective way to repair the damage. An arthroscope (fiberoptic camera) is inserted into a small incision, allowing Dr. Khouri to view a magnified image of the damaged labrum on a TV screen. Small surgical instruments are used to remove any scar tissue and bone impacting the injury. The torn labrum is then reattached to the bone using suture anchors.

Upper Extremity Fracture Repair

This procedure can be performed to repair a broken collarbone (the bone connecting your shoulder to your breastbone) or a fractured shoulder blade (scapula).

Surgery to repair a broken collarbone involves realigning the fractured ends of the bone and keeping them stabilized while they heal. Either pins or plates and screws are used to hold the collarbone in its proper position throughout the healing process.

When a fractured shoulder blade results in serious bone displacement, surgery is often required to repair the condition. During the procedure, the bones are realigned in order to restore proper function and range of motion to the shoulder joint.

Contact our Cleveland Reconstructive Surgeon

Please contact Dr. Joseph Khouri using the form on this page or call 440-446-8600 today to schedule a consultation. We serve patients in the Cleveland, Ohio area.


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