Hand and Wrist

Hand and wrist pain or dysfunction will affect most people at some point in their life. The etiology of pain or dysfunction can vary widely from tendonitis, arthritis, over-use, nerve compression, broken bones, torn ligaments, ruptured tendons, cut nerves, or infections. Many of these issues can be treated without surgery; however, some of these problems are recalcitrant to non-operative treatments and require surgery. 

Hand and wrist injuries are very common in many sporting activities. At TMI Sports Medicine & Orthopedic Surgery we take care of all types of hand and wrist conditions whether they are from sports, work-related injuries, accidents, trauma, or degenerative disorders. We coordinate care in a comprehensive approach including imaging, bracing/casting, injections, hand therapy, or surgical intervention if required by a hand and wrist specialist. We treat everyone from adults to children to professional athletes to weekend warriors with the same care and compassion.


James Paul Hovis, MD

TMI Comprehensive Hand and Wrist Services:

  • Imaging
  • Splinting/casting
  • Bracing
  • Injections
  • Hand Therapy
  • Surgery

Conditions Treated (ADULTS and CHILDREN):

  • Hand fractures or dislocations
  • Wrist fractures or dislocations
  • Ligament injuries of the thumb, fingers, or wrist
  • Tendon injuries of the thumb, fingers, or wrist
  • Nerve injuries of the UPPER and LOWER extremity
  • Brachial plexus injuries
  • Nailbed injuries and fingertip amputations
  • Animal bites
  • Trigger finger or trigger thumb
  • Carpal tunnel syndrome
  • Cubital tunnel syndrome
  • Tendonitis
  • Arthritis of thumb, fingers, or wrist
  • Ganglions, cysts, and tumors
  • Infections
  • Dupuytren’s contracture
  • Connective tissue disorders (such as rheumatoid arthritis and Raynaud’s syndrome)
  • TFCC injuries
  • Congenital hand differences
  • Traumatic injuries of the hand or wrist

Procedures Performed:

  • Fracture repair of the hand and wrist
  • Tendon repair of the hand and wrist
  • Ligament repair of the hand and wrist
  • Trigger finger or trigger thumb release
  • Nerve decompression (carpal tunnel release, cubital tunnel release)
  • Joint replacement and arthritis surgery for the hand and wrist
  • Dupuytren’s contracture release (open, percutaneous, or enzymatic)
  • Wrist arthroscopy
  • Microsurgery (nerve or vascular repair)
  • Ganglion, mass, or tumor excision
  • Nerve transfers
  • Tendon transfers
  • Replantation
  • Reconstructive surgery for the hand and wrist