Hand Surgery

The field of hand and upper extremity surgery is constantly evolving, and we are committed to using the latest techniques and cutting-edge science for you, our patients.

Putting your life back in your hands.

Restoring Function, Improving Form and Alleviating Pain

Your hands are critical to nearly every activity of daily life, and when injury or disease impairs their function, your independence and overall quality of life is at risk. The highly-trained specialists at the INTEGRIS Hand and Microsurgery Center are dedicated to providing patients with hand, wrist and upper extremity diseases and injuries the best medical and surgical care available. Whether it's the bones, nerves, joints, or muscles of the hands, wrist, forearm, elbow, or shoulder, our INTEGRIS hand surgeons can restore hand function, improve hand appearance and alleviate pain from disease, traumatic injury or birth defects.

Under the direction of program director and hand surgeon, Dr. Ghazi M. Rayan, the INTEGRIS Hand and Microsurgery Center is home to the first and only hand surgery fellowship program in Oklahoma that accepts fellow applicants after completing their orthopedic and plastic surgery training, to engage in a one year fellowship accredited by the ACGME. The field of hand and upper extremity surgery are constantly evolving, and we are committed to the advancement of the field, using the latest techniques and cutting-edge science for you, our patients.

Anatomy of the Hand

The hand is composed of many different bones, muscles, and ligaments that allow for a large amount of movement and dexterity. There are three major types of bones in the hand itself, including the following:

  • Phalanges: The 14 bones that are found in the fingers of each hand and also in the toes of each foot. Each finger has three phalanges (the distal, middle, and proximal); the thumb only has two.
  • Metacarpal Bones: The five bones that compose the middle part of the hand.
  • Carpal Bones: The eight bones that create the wrist. The carpal bones are connected to two bones of the arm—the ulnar bone and the radius bone.

Conditions and Treatments

Patients at the INTEGRIS Hand and Microsurgery Center are provided a full spectrum of state-of-the-art care of hand and upper-extremity surgery for acute injuries, post-traumatic reconstruction and chronic diseases.

  • Acute traumatic injuries include fractures, dislocations, skin defects, ligament injuries, tendon lacerations, peripheral nerve and vessel injuries.
  • Post-traumatic reconstruction for all of the above injuries when chronic, and management of fracture nonunion, ligament instability, neglected tendon and nerve injuries.
  • Chronic non-traumatic conditions include compression neuropathies (carpal tunnel, cubital tunnel and thoracic outlet syndromes) arthritic conditions (osteoarthritis, rheumatoid arthritis), tumors (both bony and soft tissue as well as benign-ganglion cysts and inclusion cysts, and malignant), paralytic hand (cerebral palsy and tetraplegia), congenital hand and upper extremity anomalies, tendinitis (tennis elbow/lateral epicondylitis, De Quervain’s disease, trigger finger) and Dupuytren’s disease.

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