The endoscope, a small camera attached to a thin tube, is used to allow the surgeon an adequate view of the wrist structures. The transverse carpal ligament is then cut, which releases pressure from the median nerve and alleviates carpal tunnel pain.
Relief from cubital tunnel syndrome, or ulnar nerve compression at the elbow, is done through a day surgery procedure in which the pinched tissues around the ulnar nerve are released. In some cases, Dr. Pardino may relocate this nerve to the opposite side of the elbow to prevent future compression.
Surgery may be recommended for a bent trigger finger to prevent permanent stiffness. A small incision is made in the palm and then the tendon sheath tunnel is cut. When this heals, the tendon has more room to move which relieves triggering.
This type of surgery, also known as arthroscopy, is used by Dr. Pardino to look within a joint. An incision is made and a tiny camera lighting system is passed beneath the skin to highlight the structures below. This procedure allows him to diagnose as well as treat certain injuries and disease.
Surgery is recommended when the pain associated with a rotator cuff tear does not diminish with time. The least invasive method is with an arthroscope which is inserted through a thin incision. Dr. Pardino can then view and remove any bone spurs and also repair the rotator cuff.
Shoulder arthroscopy is the best minimally invasive treatment option for shoulder instability. Portals, or small incisions, are made in the shoulder. This allows Dr. Pardino to insert a small camera to evaluate the shoulder and perform surgery to tighten the joint, repair or to trim a labral tear.
Surgical procedures for tennis elbow will depend on the extent of damage. Outpatient surgery is typically done with an arthroscope or as open surgery to cut the tendon, remove inflamed tissue, or reattach the tendon.
Anterior cruciate ligament (ACL) and/or posterior cruciate ligament (PCL) surgery is done when a tear occurs after the knee is twisted. Surgical treatment involves replacing the torn ligament with a graft.
Surgery to repair the meniscus is based on the specific features of the tear. Arthroscopy or either open surgery will be performed depending on the zone of the tear, and sutures are used to repair the meniscus.
Performed as a same-day procedure, this treatment option is conducted for cartilage tears. A surgical instrument called the arthroscope is inserted through tiny portals in the skin that allow examination of inner structures and treatment for certain cartilage lesions.
An incision is made over the fractured bones. Then, the broken bones are reattached and held together with metal plates and screws.
Surgical treatment is recommended when the elbow fracture is displaced or has cut through the skin. An incision is made over the back of the elbow and then the bones are reset with internal fixation devices such as plates, screws, and pins/wires.
A broken collarbone is repaired through an outpatient surgical treatment when all other non-surgical options have not shown improvement or if there significant fracture displacement. The operation involves repositioning bone fragments and attaching them with screws and plates.