Dr. Jeffrey Budoff - One of the Best Orthopaedic Surgeon In Texas

Graduated Cum Laude from Harvard University and honors from Cornell Medical School, Dr. Jeffrey Budoff has done his specialisation in open and arthroscopic surgery of hand, wrist, elbow and shoulder. He has done his residency in orthopaedic surgery and has scored tests scores that were among the highest in the nation. His mainly focus on restoring function and eradicating pain with the least insidious method possible. He has a record of treating people successfully without surgery. In case, surgery is required he use the newest, least invasive surgical procedures minimizing pain and time of healing.

Many orthopedic surgeons today are specialized in treatment of the musculoskeletal system. Orthopedic surgeons are required to have a particular set of traits that places them apart from other surgeons. They should have knowledge of every single aspect of the musculoskeletal system and must be ready to perform surgeries to repair any injuries or damages as well as improve any functions. Dr. Budoff is one of the most reputed Orthopedic Surgeon in Texas with good physical strength, mental strength and flexibility. He is known for both surgical and non-surgical treatments to treat musculoskeletal trauma, sports injuries, infections etc.

Orthopaedic science is the cure to all orthopaedic needs including fractures, bone implantation, etc. Orthopedic surgery is surgical correction, done to treat any bone defect. Today, many orthopaedic instruments known as orthopaedic implants are used in a surgery. These are external instruments, which are inserted into the body during a surgical process, and this is done with an aim to set the damaged bone right. Surgeons use these implants to correct the damaged bone and to bring it back into shape and functionality. If you are looking for an orthopaedic surgeon in Taxes then Dr. Budoff is one of the best doctors available. He is equipped with all the updated means and methods of treatment.

Distal Radius Fractures If Not Treated Well May Cause Severe Pain

Fracture is the medical term used for broken bones and most of the fractures of the forearm usually occur near the wrist (at the distal bone end), in the middle of the bone or near the elbow ie, at the proximal bone end. Radius and ulna are two of our forearm bones and they are at risk for growth plate fractures because they are made of cartilage. Majority of the forearm fractures involve wrist-end bone and thus are termed as the Distal Radius Fractures. One may fracture his forearm from a fall onto an outstretched arm, fall from a bike or an accident etc.    

One naturally place their hand on the ground when falls off or is thrown from a bike in order to control themselves and thus it is the most common mechanism of injury. Falling on a stretched out hand can cause numerous types of injury leading to broken bones or fractures. One of the most common fractures suffered by many is known as distal radius fracture. Distal radius is the large bone of the forearm that articulates with the smaller carpal bones in the wrist. The fracture will cause pain in the forearm slightly away from the wrist. If you have a severe break in your bones and if the bones are displaced then you will require immediate medical help to avoid further problems.     

A broken wrist causes pain and swelling and if not treated well may lead to wrist arthritis. It also causes a deformity, causing the wrist look bent due to pain and swelling. This will further restrict you to carry out your day-to-day work. Thus, it is important to see a doctor for a diagnosis. The first thing doctor will do is take an X-ray of your forearm to identify the severity of the fracture in order to recommend the correct treatment.

Subscapularis Tears Deters Easy Movement of the Hand

Shoulder is an important part of our body that connects the head to the rest of the body and thus it is the most overworked part of all the body parts. The popular saying, “The weight of the world is on our shoulder”, signifies the heavy weights that we carry on our shoulders. We carry school bag, laptop bag or sports bag over the shoulder and this is possibly the starting point of various pain and muscles tears. Subscapularis is one of the four muscles that make up the rotator cuff and is located in the front of the shoulder.

It is the most powerful muscles of all the rotator cuff muscles and it helps the shoulder joint to move and create powerful motions including internal rotation. Subscapularis Tears are generally rare. Most of the injuries of the shoulder include either supraspinatus tendon located at top of the shoulder or the infraspinatus tendon in the back. Traumatic events like a sudden fall are one of the main causes of Subscapularis tendon injuries. Surgery of the shoulder for its total replacement may sometimes leave the subscapularis with tear and wear.

The rotator cuff includes four muscles and is located at the upper end of the human arm. Its main function is to help the arm for lifting and rotating. Inflammation and pain of these muscles causes the Rotator Cuff Tear and injury. Some of the most common conditions that cause trouble to the shoulder joint include Rotator cuff tendonitis, tear and rotator cuff impingement syndrome. Treatments for this shoulder condition are available depending on the severity of the pain. Treatments for Rotator cuff tear involve rest, anti-inflammatories, painkillers, physiotherapy, steroid injections and surgery.

Initially doctors recommend rest and medicines to the patients with rotator cuff injuries. But in case of severe pains, surgery is suggested by the doctors.

SLAP Lesions Cause Pain and Soreness in The Shoulder

Superior Labrum from Anterior to Posterior is commonly known as SLAP. The rim of cartilage found in the shoulder socket is called the labrum. An injury or tear to this part of our body is termed as SLAP lesions. This injury typically results from excessive use, trauma and accidents like falling onto your stretched out hand. A person can experience more pain if already suffering from this injury with activities like throwing or even reaching overhead. He may also feel pain and soreness in the shoulder while bending the elbow or turning the wrist.

The shoulder of an individual with SLAP Lesions, may also click or snap with hand movement or may feel like being dislocated. One can diagnosis the injury through a physical examination of the shoulder and a contrast MRI scan. Most of the people with SLAP injuries respond well to -invasive or non-surgical treatment. Hence, it is the first option recommended by the doctors for any patient. Once you injure your shoulder, doctors initially recommend to rest I order to help ease symptoms. Your doctor to alleviate inflammation and pain may also prescribe you some medication.

One of the most common causes of shoulder pain is rotator cuff injury. This injury involves the tear of one or more tendons of the four rotator cuff muscles of the shoulder. The cuff is responsible for alleviating the glenohumeral joint and rotating the humerus outward. When our shoulder is injured these functions can be compromises and thus we may be deterred from doing many activities. Tear to the tendons may occur suddenly due to fall and cause intense pain giving immediate weakness to the upper arm. If you have a rotator cuff injury, it is advisable to visit a doctor as it can cause further damage and can get larger over time if you keep it using despite of increasing pain.

Dequervain’s Tendinitis- A Painful Condition Experienced in Hand

Hand is a major part of our body that has many functions like holding things, writing, eating and many other things. A small injury to our hand might lead to difficulty to do the mentioned functions. Every one of us has had minor problems with a finger, hand or wrist. We may not have any problem with our body movements but everyday wear and tear or overuse, we may develop certain symptoms or pain. We may also experience finger, hand or wrist problems due to injuries or aging. One of the sharp pains of the wrist is DeQuervain’s Tendinitis. It is caused when the tendons situated near the thumb are swollen and irritated. 

You may suffer hand problems due to various causes including injury and diseases. However, most of these causes can be treated and relieved. DeQuervain’s is a common condition that causes hand pain. In this condition, the pain may develop gradually or sometimes it may be sudden. If you have DeQuervain’s Tendinitis, then movements like making a fist, holding things, or turning the wrist may be painful. 

Another condition that may cause hand pain is Carpal Tunnel Syndrome. It is one of the most common nerve disorder causing pain in palm and some fingers of the hand, wrist or forearm. Patients with this condition feel the pain more at night than during the daytime. It may also cause weakness, tingling, and numbness in the hand. One may particularly feel the pain in the thumb, index finger, and the middle finger. This condition makes holding things difficult. 

Today, in the medical field a number of treatments are available for these hand problems and painful conditions. Some of the most common treatments include resting the hand and wrist, using anti-inflammatory or analgesic painkillers, injections, physical therapy etc. However, doctors recommend surgery if the symptoms exist for six months or more.

Trigger Finger Tends To Be A Part Of Ulnar Tunnel Syndrome

Ulnar nerve is a major peripheral nerve of the upper limb that gives us feeling in our little finger and half of the ring finger. This nerve basically controls the muscles of the hand that facilitates you to pick things up and do various other movements. It also controls other bigger muscles of the forearm that allow us to hold or grip things. Using our hands or wrist repetitively may cause swelling or thickening of the tissues situated closer to the ulnar nerve. It can further affect the ulnar nerve making us suffer from Ulnar Tunnel Syndrome.

This Syndrome is mainly caused when the ulnar nerve at the wrist is compressed. Activities like bicycle ride may develop this syndrome because of the holding on to the handlebars. Increased pressure on this nerve may lead to numbness, tingling, pain and weakness of the affected arm and hand. The pain in hand may further lead to trigger finger. It is a medical condition in which you suffer from reduced mobility in the fingers. It often results in the stiffness, locking and chronic pain in our fingers.

Pain in your thumb or any other finger may be a part of Ulnar Tunnel Syndrome; however, it can also be the result because of the trigger points in your muscles. The trigger points in our muscles are hyper-irritable sending pain to other parts of our body. If you experience chronic pain in your thumb then it might result in trigger thumb. In this situation, the trigger point that causes the pain is in the lower arm.

You may treat mild pains just by resting and anti-inflammatory medication. There are injections called hydrocortisone and lignocaine, that are recommended to treat trigger fingers when the condition is chronic. However, these injections are tend to be not so useful for the patients who have other medical conditions such as diabetes etc.

Finger Fractures Lead to Loss of Gripping Strength

Fingers are very important parts of our body. We use them to do a lot many things like eating, writing, holding etc. Injury to the fingers will make it difficult for us to move them easily and will make us unable to do our daily work smoothly. As fingers are the most used part of body, they are tending to get injuries easily. There are finger injuries, which do not require immediate medical aid, but there are some serious injuries like finger fractures and dislocation which need to be taken proper care of. If you suffer from a fracture in your finger then you should immediately seek medical aid in order to avoid pain and worse condition.

Finger fracture is one of the most common finger injuries and it has different severity levels. Mild fracture can be treated without a surgical treatment while for serious cases, surgery becomes important. If you injure your finger, you should immediately identify and diagnose your injury to avail proper treatment and prevent situation from becoming more serious and complicate. Injuries to the thumb is also very common than the injuries to the other fingers. Injury to the thumb is generally known as Skier’s thumb.

Falling on an outstretched thumb, you may injure it and if you are holding something with your thumb during the fall then there is a possibility of getting serious thumb injuries. One of the most common causes of this injury is falling when skiing holding a ski pole. Skier’s thumb is an injury in which the ulnar collateral ligament of the metacarpo-phalangeal joint is torn. Chronic stretching of the ligament can also be the cause of its injury. Once injured, the thumb will be swollen and bruised is also very painful. People with this problem often complain that they find it difficult to pinch or hold something with their thumb.

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Metacarpal Fractures

Metacarpal Fractures

The metacarpals are the bones that make up the hand itself. Most metacarpal fractures can be treated without surgery. The most common metacarpal fracture is the ‘Boxer’s Fracture’, which is a fracture of the 5th (small finger) metacarpal close to the knuckle,

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Humerus Fractures

The humerus is the arm bone between the shoulder and the elbow. Humeral fractures are very painful. While some humeral fractures can be treated non-operatively, many humerus fractures require surgery in order for them to heal in an appropriate position with good function.

Fractures of the

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Triceps Tendon Tear

The Triceps Tendon extends the elbow. While Triceps Tendon Tears are less common than Biceps Tendon Tears, they do happen. They most commonly occur when the arm is extended against a resistance, such as when catching oneself during a fall.

If the Triceps Tendon is torn, it should be

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Olecranon Bursitis

Olecranon bursitis is a common problem where a sac of fluid appears on the back of the elbow. It usually occurs after the elbow is hit against a hard object, but may occasionally occur for no reason at all. The olecranon bursa becomes inflamed and swells with fluid, like a blister beneath the

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Subscapularis Tears

Torn Subscapularis Tendon
(Note: Loss of Tension)
Repaired Subscapularis Tendon
(Note: Normal Tension in Tendon)
The Subscapularis is the largest of the rotator cuff muscles. It has a tendon attachment that is separate from the rest of the rotator cuff. Subscapularis tendon tears can lead

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Extensor Carpi Ulnaris (ECU) Tendon

The ECU tendon is on the back of the wrist on the small finger side. The ECU tendon is a common source of wrist pain, as there are many problems that can affect it.

The ECU tendon can get pinched in its tunnel or sheath. This is similar to DeQuervain's tendinitis, or trigger finger. ECU

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Carpal Tunnel Syndrome Houston

Carpal tunnel syndrome leads to tingling and numbness of the fingers of the hand. The most common fingers involved are the middle and ring fingers, but all fingers may be involved. The numbness of carpal tunnel syndrome is often worse at night, when it often wakes people up, and in the morning

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Do You Have Trigger Finger?

What are the symptoms of Trigger Finger?

Trigger Finger is a painful condition that causes the finger or thumb to catch or lock in a bent position.
It causes soreness at the base of the finger.
The most common symptom is a painful clicking or snapping when trying to straighten the

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Radial Tunnel Syndrome

Radial Tunnel Syndrome is entrapment of the Posterior Interosseous Nerve (PIN), the major branch of the Radial Nerve, near the outside of the elbow. Radial Tunnel Syndrome leads to pain on the outside of the elbow, and its symptoms are often confused with the much more common Tennis Elbow. While

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SLAP Lesions

SLAP (Superior Labral Anterior-Posterior) Lesions refer to tears of the labrum (the "meniscus of the shoulder") near the top of the glenoid socket. SLAP lesions detach the base of the Long Biceps Tendon, as the Long Biceps Tendon essentially originates from the top of the labrum. SLAP lesions

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Elbow Stiffness

Elbow Joint (Articular) Capsule and Ligaments - Here the MCL is called the "Ulnar Collateral Ligament" and the LCL is called the "Radial Collateral Ligament".
HO is present following a radial head replacement.
An arthroscopic biter is used to remove the elbow's joint capsule.
Part of the

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Shoulder & Arm Pain

Shoulder and arm pain can be caused by many disorders: Rotator Cuff Tendinosis, Rotator Cuff Tears, Biceps Tendon Disorders, Shoulder Instability, SLAP Lesions, AC Joint Instability, AC Joint Arthritis, Suprascapular Nerve Compression, Clavicle Fractures, Frozen Shoulder, Avascular Necrosis

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Frozen Shoulder

Capsular Release - The capsule around the shoulder is cut.
Capsular Release - The capsule is cut with a biting instrument.
Capsular Release - Note the separation between the cut edges of the joint capsule.
Completed Capsular Release - Note the separation between the cut edges of the

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Clavicle (Collarbone) Fractures

Clavicle (collarbone) Fractures are very common injuries. If a Clavicle Fracture is not significantly displaced (moved) or angled (bent), then it can be treated in a sling for 6 weeks. For people who do a lot of deskwork, a "figure-8" brace that leaves the arms free may be preferred.

If a

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Suprascapular Nerve Compression

Arthroscopic view of the needle about to cut the transverse scapular ligament. The transverse scapular ligament is the off-white horizontal structure that looks like a fence immediately behind the needle (the vertical long metal object in the center of the photograph).
The transverse scapular

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Acromioclavicular (AC) Joint Arthritis

AC Joint Arthritis leads to pain at the top of the shoulder. Painful AC Joint Arthritis occurs more frequently in laborers and weight-lifters, but is very common in the general population as well. It is important to understand that AC Joint Arthritis is extremely common on X-rays and MRIs. In

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Acromioclavicular (AC) Joint Instability, Subluxation & Dislocation

The Acromioclavicular (AC) Joint is the small joint on top of the shoulder where the clavicle inserts. If the AC joint is hit head-on, such as when falling off a bike or tackling somebody without shoulder pads, the clavicle can dislocate from the AC joint, spring upwards and become prominent /

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Biceps Tendon Disorders at the Shoulder

The Biceps Tendon has two "heads", or origins, that contribute to it: the Long Head and the Short Head. The Long Head goes through the shoulder, where it frequently degenerates from overuse and becomes painful. Depending on the severity of its degeneration, the Long Head of the Biceps can be

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Wrist Pain

Wrist pain can be caused by many disorders: tendon entrapment, tendon degeneration, occult ganglion cysts (that are too small to be seen, but still press on nerves or other sensitive structures), fractures, ligament injuries, Triangular Fibrocartilage injuries, Kienbock's Disease and arthritis.

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Kienbock's Disease

MRI of Kienbock's Disease - Note the lack of blood flow in the lunate (dark).
Kienbock's Disease without Collapse - Note the increased density of the lunate (arrow).
Kienbock's Disease with Lunate Collapse
Healed Total Wrist Fusion


The lunate is the key central load-bearing bone in the

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Luno-Triquetral (LT) Ligament Injuries

Now that Kobe Bryant suffered a Luno-Triquetral Ligament injury in his wrist, many people are interested in this problem. The Luno-Triquetral Ligament keeps two of the wrist's bones, the lunate and the triquetrum, aligned and connected to each other so that they move together in a normal,

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Scapho-Lunate (SL) Ligament Injuries

SL Ligament Injury - Note the gap between the two bones.
Scapho-Lunate (SL) Ligament injuries are serious injuries to the wrist. The Scapho-Lunate Ligament connects two of the most important bones of the wrist together: the scaphoid and the lunate. The Scapho-Lunate Ligament keeps those small

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Forearm Fractures

Plated Radius Forearm Fracture
The forearm consists of two bones, the radius and the ulna. Forearm fractures are usually significant injuries that lead to pain, stiffness and deformity. In adults and teenagers, forearm fractures usually require surgical fixation. The best way to fix forearm

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Hook of Hamate (Hamulus) Fractures

CT of Hook of Hamate Fracture - The arrow points to the fracture.
Fractures of the Hook of the Hamate (also called the "Hamulus") occur mainly in people who play racket or batting sports, such as tennis, golf or baseball. Hamate hook fractures lead to pain in the base of the palm on the small

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Distal Radius Malunions

Many Distal Radius Fractures heal in "suboptimal" position, either because they were not surgically fixed or because the surgical fixation did not turn out well. When a Distal Radius Fracture heals in poor position it is called a "malunion". Distal Radius Malunions can lead to deformity, pain,

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Flexor Carpi Ulnaris (FCU) Tendinosis

The Flexor Carpi Ulnaris (FCU) tendon is on the palmar side of the wrist, on the small finger side. The FCU is one of the major tendons that flex the wrist. Occasionally, overuse can cause damage to the FCU tendon. As opposed to the Flexor Carpi Radialis (FCR) tendon, which runs in a sheath and

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Flexor Carpi Radialis (FCR) Tendinitis

The Flexor Carpi Radialis (FCR) is one of the tendons that helps flex the wrist. It is located on the palmar surface of the wrist, near the base of the thumb muscles. Overuse, usually from repetitive lifting with the palm up, may lead to FCR Tendinitis. Computer use may also cause FCR Tendinitis

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Intersection Syndrome

Intersection Syndrome leads to pain, swelling and occasionally "squeaking" on the back of the wrist. The pain of Intersection Syndrome is usually worse with gripping or lifting, especially with the "palm down". Intersection syndrome is usually due to overuse from activities that require

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Swan-Neck Deformity of the Thumb

Swan-Neck deformity of the thumb occurs when the thumb's metacarpophalangeal (MP) joint, the joint where the thumb attaches to the hand, hyperextends too much. The ligament that usually prevents this is called the "volar plate". Some people are born with loose joints, also known as being

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Basilar Thumb Pain in Young Individuals

Arthritis commonly affects the base of the thumb. Older patients, or those with more advanced arthritis, are well-treated by the LRTI procedure, which is well-covered in the Basilar Thumb Arthritis section of this website. While the LRTI is extremely effective, it may be more surgery than a

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Finger Nail Injuries

The Nail
Injuries to the finger nail are fairly common. While these often lead to some degree of nail deformity or change in the nail's appearance, good treatment can often minimize the degree of damage.

If the finger nail gets crushed, bleeding may occur underneath it. If this bleeding

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The Stiff Finger

Contracted PIP Joint
The Digit Widget
Straightened PIP Joint
PIP Joint Flexion remains intact


There are many causes of finger stiffness. Usually finger stiffness is due to an injury to the hand or wrist, especially a previous fracture, ligament injury or surgery. Finger stiffness can

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PIP Joint Injuries

PIP Joint Dislocation
PIP Joint Fracture-Subluxation
PIP Joint Fracture-Subluxation

The proximal interphalangeal (PIP) joint is the middle joint of the finger. It is an unforgiving joint when injured, and often becomes extremely stiff. What most people don't realize is that the bones of

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Finger Fractures

The Bones of the Hand and Wrist
Distal Phalangeal Fracture
Proximal Phalangeal Fractures
Plated Proximal Phalangeal Fracture
Plated Proximal Phalangeal Fracture - The DIP Joint had an old, untreated fracture and has early arthritis.
Proximal Phalangeal Fracture fixed with three

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MP Joint & PIP Joint Arthroscopy

Infolded Partial Ligament Tear being removed from MP Joint
Cleaned Out MP Joint
The metacarpophalangeal (MP) joint is the large joint where the finger connects to the hand. The proximal interphalangeal (PIP) joint is the middle joint of the finger. If pain occurs at these joints, initial

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Skier's Thumb

Joint Ligament Box (V.P. = Volar Plate Ligament)
Joint Ligaments
Skier's Thumb -The UCL has torn off and flipped away from its attachment (arrow).
(A.k.a., Gamekeeper's Thumb)
Skier's thumb used to be called "gamekeeper's thumb". However, the #1 cause of this injury is currently skiing,

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Extensor Tendon Subluxation

Extensor Tendon Subluxation / Boxer's Knuckle
Subluxation or snapping of an extensor tendon on the back of the hand can occur for different reasons. It's often due to a trauma, such as punching a hard object. That's why some refer to this injury as "Boxer's Knuckle". It can also happen when a

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EPL Tendon Rupture

The EPL (extensor pollicis longus) tendon is the structure that extends the thumb and keeps it from falling into the palm. Following a wrist fracture, or sometimes due to arthritis and bone spur formation, the EPL tendon can rupture. In cases of arthritis, the EPL tendon can rub across a bone

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Mallet Finger

Mallet Finger refers to an injury that causes the tip of the finger to droop, or "lag". Mallet Finger is a very common injury that occurs when the extensor tendon on the back of the finger tears off the small distal interphalangeal (DIP) joint near the finger tip. Mallet Fingers can occur with

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Extensor Tendon Injuries

The Extensor Tendons
The extensor tendons are the structures on the back of your hand that extend the fingers. The tendons are like ropes that connect the muscles to the finger bones. The extensor tendons are often cut when the back of the hand or the back of the finger is lacerated. The

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Mucous Cysts

Mucous Cyst
Mucous Cysts are a very common cause of finger masses over the small finger joint closest to the tip. Mucous cysts are a type of ganglion cyst that usually arises because of an underlying arthritis of that joint. Initial treatment is by aspirating the cyst. Please don't try this

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Retinacular Cysts

Tender masses that appear in the palm by the base of a finger are usually retinacular cysts. Retinacular cysts are simply ganglion cysts that come from the flexor tendon sheath of the finger. Retinacular cysts often lead to pain when gripping objects. Fortunately, they are benign and easily

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Ulnar Tunnel Syndrome

The Transverse Carpal Ligament (transverse white structure) is the roof of the carpal tunnel and the floor of the ulnar tunnel (arrow).
The Ulnar Nerve in the Ulnar Tunnel

Ulnar Nerve Entrapment at the Wrist
Ulnar tunnel syndrome occurs when the ulnar nerve gets compressed at the wrist.

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Hand Pain

Hand Pain is very common. There are many things that can cause hand pain. By far, the person most qualified to diagnose and treat the source of hand pain is a Hand Surgeon. Hand surgeons have specialized training in the diagnosis and treatment of common and uncommon hand conditions. Hand

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Elbow Pain

Triceps Tendinosis Excision: Skin Incision
Triceps Tendinosis Excision: Incision Into Triceps Tendon
Triceps Tendinosis Excision: Scratch Test
Triceps Tendinosis Excision: Triceps Tendon Repair
Bone spurs in the front of the elbow and in the back of the elbow. The bone spurs in the back of

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Pronator Syndrome

Pronator syndrome is compression of the median nerve about the elbow and/or upper forearm. Pronator syndrome leads to symptoms similar to those of carpal tunnel syndrome, as the same nerve is involved, but is much less common. The two syndromes are therefore often confused. In addition, the

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Osteochondritis Dissecans (OCD)

OCD lesion in back of capitellum nearly broken off and loose
Curette inserted into OCD's crater to stimulate healing
Stabilizing wire inserted (left). Drill for bioabsorbable screw (right).
Bioabsorbable screw being inserted
The bioabsorbable screw is buried in the OCD lesion. The tail of

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Snapping Elbow (Plica)

The Plica and inflammation (which looks like reddish seaweed) at the front of the elbow. This inflamed tissue became entrapped between the bones of the elbow joint with motion, leading to painful snapping.
A motorized shaver removing the Plica and its associated inflammation.
Shows the front

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About Dr. Budoff

Dr. Budoff is a board certified Orthopaedic Hand & Upper extremity surgeon involved in cutting-edge research involving the treatment of upper extremity disorders. Dr. Budoff has written and published over 40 articles in leading medical journals and has authored over 20 textbook chapters.

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National Committees Served On

Evidence-Based Medicine Committee, The American Society for Surgery of the Hand, 2009 to 2012
Annual Meetings Committee, The American Society for Surgery of the Hand, 2009 to 2012
Research Committee, Arthroscopy Association of North America, 2008-2009
Chairman, Scientific Display Committee,

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Get Directions

Directions to the Medical Center office:
From the North:
Take I-45 or Highway 59 South through downtown.
Take 288 South near downtown.
Exit N. MacGregor.
Follow N. MacGregor, keep right at Herman golf course.
Cross Fannin and turn left on Main.
Turn left on University.
Scurlock Tower is

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Subjects Lectured On

Dr. Budoff has lectured on the following topics:
Hand

Carpal Tunnel Syndrome
Cubital Tunnel Syndrome
Median Nerve Disorders
Anatomy and Physical Examination of the Hand
Surgical Exposures of the Hand & Wrist
Physical Examination of the Hand & Wrist
Rheumatoid Arthritis

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Thank You

Thank you for your interest our services. We will contact you soon!


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Swan-Neck Deformity of the Thumb

Swan-Neck deformity of the thumb occurs when the thumb's metacarpophalangeal (MP) joint (the joint where the thumb attaches to the hand) hyperextends too much. The ligament that usually prevents this is called the 'volar plate'. Some people are born with loose ('double') joints; these joints are

Read more...

Luno-Triquetral Ligament Injuries

Now that Kobe Bryant suffered a luno-triquetral ligament injury in his wrist, many people are interested in this problem. The luno-triquetral ligament keeps two of the wrist's small bones, the lunate and the triquetrum, aligned and connected to each other so that they move together in a normal,

Read more...

Retinacular Cysts

Tender masses that appear in the base of a finger near the palm are usually retinacular cysts. Retinacular cysts are simply ganglion cysts that come from the flexor tendon sheath of the finger. Retinacular cysts may appear rather quickly and can lead to pain when gripping objects. Fortunately,

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Snapping Elbow (Plica)

One of the most common causes of a snapping elbow is a plica. A plica is an inflamed part of the joint lining that catches in between the bones of the elbow with motion. A plica can be caused by anything that inflames the elbow, typically either an injury or overuse.

Although symptoms may

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Flexor Carpi Ulnaris (FCU) Tendinosis

The flexor carpi ulnaris (FCU) tendon is on the palmar side of your wrist, above the small finger. It is one of the major tendons that flexes your wrist. Occasionally, overuse can cause damage to the FCU tendon. As opposed to the flexor carpi radialis (FCR) tendon, which runs in a sheath and can

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Metacarpophlangeal (MP) Joint Replacement

The metacarpophalangeal (MP) joint is the large joint where the finger attaches to the hand. Arthritis of the MP joint can lead to pain, swelling and stiffness. Nonoperative management includes a steroid injection or two, activity limitation and buddy taping the finger to its neighbor. In

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Scapho-Lunate Ligament Injuries

Scapho-lunate (SL) ligament injuries are serious injuries to the wrist. The scapho-lunate ligament connects two of the most important bones of the wrist together: the scaphoid and the lunate. The scapho-lunate ligament keeps those small bones of the wrist moving together in a normal, synchronous

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Finger Nail Injuries

Injuries to the finger nail are fairly common. While these often lead to some degree of nail deformity or change in the nail's appearance, good treatment can often minimize the degree of damage.

If the finger nail gets crushed, bleeding may occur underneath it. If this bleeding doesn't hurt,

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Acromioclavicular (AC) Joint Injuries Subluxation Dislocation Instability

The Acromioclavicular (AC) Joint is the small joint on top of the shoulder where the clavicle attaches. If the AC joint is hit head-on, such as when falling off a bike or tackling somebody without shoulder pads, the clavicle may detach, raise up and become noticeably 'out of joint'. A

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Extensor Tendon Subluxation / Boxer's Knuckle

Subluxation or snapping of the tendons on the back of the hand can occur for different reasons. It's often due to a trauma, such as punching a hard object. That's why some refer to this injury as 'Boxer's Knuckle'. It can also happen when a ball or other object strikes the finger, or from a

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Forearm Fractures

The forearm consists of two bones, the radius and the ulna. Forearm fractures are usually signicant injuries that lead to pain, stiffness and deformity. If the forearm bones are broken in an adult, surgical fixation is usually required. The best way to fix forearm fractures in an adult is with

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Clavicle (Collarbone) Fractures

Clavicle (collarbone) fractures are very common injuries. If the clavicle fracture is not significantly displaced (translated) or angulated (bent), then it can be treated in a sling for 6 weeks. For people who do a lot of deskwork, a 'figure-8' brace that leaves the arms free is also fine, and

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Arthroscopic Rotator Cuff Repair

The rotator cuff is made up of the muscles and tendons that help you elevate your shoulder (for details, please see the rotator cuff section in my main website). If the rotator cuff becomes damaged enough, a tear may occur. However, not all rotator cuff tears require surgery.
Rotator cuff tears

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Scapho-Lunate (SL) Ligament Injuries

Scapho-lunate (SL) ligament injuries are serious injuries to the wrist. The scapho-lunate ligament connects two of the most important bones of the wrist together: the scaphoid and the lunate. The scapho-lunate ligament keeps those small bones of the wrist moving together in a normal, synchronous

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Metacarpophalangeal Joint (MPJ) and Proximal Interphalangeal (PIP) Joint Arthroscopy

The metacarpophalangeal joint (MPJ) is the large joint where the finger connects to the hand. The proximal interphalangeal (PIP) joint is the middle joint of the finger. If pain occurs at these joints, initial treatment consists of buddy-taping the finger to its neighbor and an injection. If the

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Proximal Interphalangeal (PIP) Joint Replacement

The proximal interphalangeal joint is the middle joint of the finger. Injuries to the proximal interphalangeal joint often lead to arthritis. The treatment of proximal interphalangeal joint arthritis starts with buddy taping of the finger to its neighboring digit and a steroid injection into the

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Proximal Interphalangeal (PIP) Joint Injuries

The proximal interphalangeal joint is the middle joint of your finger. It is an unforgiving joint when injured, and often becomes extremely stiff. What most people don't realize is that the bones of the fingers heal extremely quickly, and if this joint suffers a severe injury it can become

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Suprascapular Nerve Compression

The suprascapular nerve is the nerve to the rotator cuff. The suprascapular nerve runs in the back of the shoulder, where it can be compressed. This is effectively the 'carpal tunnel syndrome of the shoulder', although it's nowhere near as common.
Suprascapular nerve compression leads to pain

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Hamate Hook (Hamulus) Fractures

Fractures of the Hook of the Hamate (also called the "Hamulus") occur mainly in people who play racket or batting sports, such as tennis, golf or baseball. Hamate hook fractures lead to pain in the base of the palm on the small finger's side.
If seen soon after injury, Hamate Hook fractures are

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Stiff Fingers

Stiff fingers may occur following injuries to the hand or wrist. The first-line treatment for this is hand therapy, often using splints with springs or rubber bands on them to stretch out the digits. If therapy fails and the finger stiffness is decreasing hand function, a surgical solution can

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Acromioclavicular (AC) Joint Arthritis

Arthritis of the AC joint leads to pain at the top of the shoulder. This happens more frequently in laborers and weight-lifters, but is very common in the general population as well. The diagnosis of AC joint arthritis is best made on physical examination. This is because arthritic changes of

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Distal Radius Osteotomy

Many wrist fractures heal in 'suboptimal' position, either because they were not surgically fixed or because the surgical fixation did not turn out well. When a wrist fracture heals in poor position (called a 'malunion') it can lead to deformity, pain, stiffness, weakness, and dysfunction,

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Flexor Carpi Radialis (FCR) Tendinitis

The flexor carpi radialis (FCR) is one of the tendons that helps flex the wrist. It is located on the palmar surface of the wrist, near the base of the thumb. Overuse, such as occurs with repetitive lifting with the palm up, may lead to FCR tendinitis. This is similar to DeQuervain's tendinitis

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Biceps Tendon Disorders

The biceps tendon has two muscle 'heads' that contribute to it, the long head and the short head. The long head goes through the shoulder, where it often has problems. It can fully tear, partially tear, become painfully degenerative, or sublux/dislocate out of its groove. Any of these conditions

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EPL Tendon Rupture

The EPL (extensor pollicis longus) tendon extends your thumb. Following a wrist fracture, or sometimes due to arthritis and bone spur formation, the EPL tendon can rupture. In cases of arthritis, the EPL tendon rubs can rub across a bone spur until it abrades and fails. In cases of fracture, the

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Boxer's Fracture

Boxer's fracture refers to a fracture (break) of the 5th metacarpal, that is the hand bone connected to the small finger. It often happens from punching a solid object, hence its name. This injury leads to pain and swelling over the broken bone.

The vast majority of boxer's fractures can be

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Intersection Syndrome

Intersection syndrome leads to pain, swelling and occasionally 'squeaking' on the back (dorsum) of the wrist. The pain is worse with gripping or lifting. Intersection syndrome is usually due to overuse from activities that require repetitive wrist extension, such as raking leaves, shoveling,

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Patient Survey

Customer satisfaction is our top priority.
We appreciate your business and would like to ensure that you were happy with our service. Dr. Budoff is very interested in the quality and overall fulfillment of your visit. Please write 2-3 sentences below about your experience with us. Your feedback

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The 1st Metacarpal Osteotomy for Basilar (Basal) Thumb Pain in Young Adults

Arthritis commonly affects the base of the thumb. Older patients, or those with more advanced arthritis, are well-treated by the LRTI procedure, which is well-covered in this website. While the LRTI is extremely effective, it may be more surgery than a younger patient with less-advanced

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Finger Fractures May Result In Severe Pain and Swelling

Most of us overlook our finger injuries as we pay less importance to them. If pain and finger fractures are not treated on the right time, we might require taking finger rehab for regaining health of our fingers. Fingers are useful in doing all kinds of activities. This makes them suffer from various types of internal and external injuries. You may find it difficult to deal with such kind of injuries. However, there are many therapies and natural treatment with the help of which, you can get back them in shape and health. Having healthy fingers, you will be able to do your daily works without any problem.    

There are different types of finger injuries which can be really painful. A fracture of a finger is a very common injury and if you suffer from one then it is very tough for you to perform your daily tasks. Finger fractures may create difficulty in eating, brushing teeth, getting dressed, and other such daily tasks. Fracture will result in pain and swelling in your finger. You might also find it difficult to move your finger and it may also get deformed. 

Injuries of ligament and tendon are most frequently reported. Among the tendon injuries mallet finger also known as dropped finger is the most common type. It is the deformity of a finger caused by the damage of a certain tendon. This injury is common in sporting activities involving catching a ball. While playing, the tip of your finger or thumb might get hit with a ball and the force might damage the thin tendon the keep the finger straight. This may further lead to the tendon becoming overstrained or torn.

This type of injury will further result in severe pain and swelling of your finger. Thus, in order to avoid further finger complications, you need to consult a doctor who can treat it well.

Skier's Thumb (aka. Gamekeeper's Thumb)

Skier's thumb used to be called "gamekeeper's thumb". However, the #1 cause of this injury is currently skiing, leading to the name change. Skier's thumb is an injury to the ulnar collateral ligament of the thumb's MP joint (the big joint where the thumb attaches to the hand). Skier's thumb can

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The Stiff Finger

There are many causes of finger stiffness. Usually finger stiffness is due to previous fracture, ligament injury or surgery. Finger stiffness can be debilitating and may severely impair hand function.
Initial treatment for finger stiffness is hand therapy. A certified hand therapist will be

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SLAP Lesions

SLAP lesions are tears of the superior labrum (meniscus-like tissue around the glenoid socket) that include the attachment of the biceps tendon. These are uncommon injuries, except in throwing athletes and in patients who have had significant trauma (ski accidents, bad falls, motor vehicle

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Myths of Carpal Tunnel Syndrome

There are so many "old wives tales" surrounding carpal tunnel syndrome (CTS) that I thought I'd debunk a few.
Myth #1: CTS is related to typing or computers.
In short, this is simply untrue. This theory is based upon very poorly done "junk science" from years ago. This was made a big deal by

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Wrist Arthritis

Wrist arthritis is very common. Wrist arthritis may occur from ligament injuries, fractures, or from chronic overuse. Wrist arthritis leads to pain, stiffness and often swelling of the wrist.
Regardless of why the wrist arthritis occurred, nonoperative treatment should usually be tried first.

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Finger Fractures

The fingers are made up of three bones: the distal phalanx (the smallest bone closest to the finger tip), the middle phalanx (the next bone, located between the two small joints of the finger) and the proximal phalanx (the bone closest to the large knuckle that joins your finger to your hand).

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Extensor Tendon Lacerations

I'm lecturing Friday on hand lacerations: injuries to the flexor tendons, extensor tendons, nerve and arteries of the fingers and hand. One of the biggest changes in the treatment of hand lacerations is related to the extensor tendons. When I was training in the 1990's, extensor tendon

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Proximal Ulna Fractures

Proximal Ulna fractures are fairly common elbow injuries. There are two main types: olecranon fractures and coronoid fractures. Unfortunately, both types of proximal ulnar fractures frequently require surgical management.
Olecranon Fractures:
Non-displaced olecranon fractures (cracks in the

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Radial Head Fractures

Radial head fractures are the most common fracture of the elbow. Most commonly, they are minimally displaced (ie. not moved very much). While minimally displaced radial head fractures don't require surgery, they can still cause problems.
Far and away, the most common problem people have

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Triangular Fibrocartilage (TFC) Tears

The triangular fibrocartilage complex (TFC) is a very common source of pain on the ulnar (small finger) side of your wrist. The TFC is the main ligament that stabilizes the distal radio-ulnar joint (DRUJ). The DRUJ is the part of the wrist joint that lies between the two bones of your forearm

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Elbow Arthritis

Elbow arthritis can limit function, cause pain, and lead to serious impairment of the arm. Initial treatment includes a steroid injection and decreasing any painful activities. Sometimes a rubber-like sleeve worn over the elbow can help decrease pain by providing some stability, warmth and

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When is Carpal Tunnel Syndrome Not Carpal Tunnel Syndrome?

Carpal tunnel syndrome is the most common nerve compression in the arm. It causes the fingers of the hand to fall asleep, become numb, burn or tingle. But that doesn't mean that everything that causes numbness about the hand is carpal tunnel syndrome.
If the small and ring fingers are the only

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Rotator Cuff Tears

Rotator cuff tears are a common source of shoulder pain, weakness and dysfunction. However, not all rotator cuff tears need to be fixed surgically. Many rotator cuff tears are a natural part of the aging process. Over time, many of us lose our hair, many lose their bone density, and many of us

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Rotator Cuff Problems

The rotator cuff is a structure consisting of four tendons that help you elevate your shoulder. The rotator cuff is the most common source of pain, weakness and dysfunction about the shoulder. While the rotator cuff can be injured in a fall, a motor vehicle accident or by other trauma, most of

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Tennis Elbow

Tennis elbow is very common. It occurs most commonly on the outer side of your elbow, but may also occur on the inner side, and occasionally even in the back of the elbow. When it occurs on the inner side of the elbow it's called "golfer's elbow," but it's really the same problem. The problem is

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Endoscopic Carpal Tunnel Release – There are Different Types

Endoscopic carpal tunnel release (ECTR) provides the same cure from carpal tunnel syndrome as does open carpal tunnel release (open CTR), but with less pain, less problems and a quicker return to work and other activities. Compared to open CTR, ECTR leads to less pain and weakness, and a quicker

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Mallet Finger

Mallet finger refers to an injury that causes the finger tip to droop. These are very common injuries that occur when the extensor tendon on the back of the finger tears off the small joint (the distal interphalangeal joint or DIJ) near the finger tip. Mallet fingers can occur with minimal

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Frozen Shoulder (Adhesive Capsulitis)

Frozen shoulder is a very painful condition in which the shoulder freezes up and becomes stiff. It may or may not be due to trauma. People with diabetes, thyroid dysfunction or gout are more commonly affected. While the reason this happens is unclear (many blame a virus), it is an inflammatory

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Mucous Cysts

I recently wrote an article on mucous cysts for the Journal of Hand Surgery. These are a very common cause of finger masses. Mucous cysts are actually ganglion cysts of the small joint of the finger closest to the tip.
Much like ganglion cysts around the wrist (please see my last blog for more

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Wrist Ganglions

Gangions are the most common cause of a bump or mass around the wrist. These are 100% benign. They're simply herniations of fluid from an underlying joint caused by a weakness in its ligaments. When there is damage to the ligaments or the joint capsule (balloon) around the joint, an area of

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Elbow Arthritis

Elbow arthritis can be due to osteoarthritis (wear and tear arthritis), post-traumatic arthritis (after a fracture or dislocation) or due to rheumatoid arthritis (a systemic, inflammatory disease). Elbow arthritis can limit function, cause pain, and lead to serious impairment of the

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Shoulder Instability and Dislocations

The shoulder is the most mobile joint in the body. Consequently, it is also the most commonly dislocated large joint in the body. There are things you should know if you or someone you care about has dislocated his or her shoulder. For example, the first shoulder dislocation leads to a 20% rate

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Dr Jeffrey Budoff with 19 Years of Experience Is A Best Orthopedic In Texas

A doctor who has a doctorate, experience and who is a surgery specialist is called as an Orthopedic Surgeon. An orthopedic is involved with surgeries of musculoskeletal system that is responsible for movement of our body. If you are looking or an orthopedic in Texas then you can find many reputed doctors in the state. You can seek help from your family doctor asking him to recommend some of the bets and famous surgeons. Asking help from your family doctor or even any of the family members will make your search easy. It is always important to make sure to find the best surgeon who is a specialist and will make sure you get the best treatment as well.

If you have an option to make a choice among a number of surgeons, it becomes easy to select the surgeon who meets your requirements easily. Every surgeon is specialized on his or her own field. You must be able to choose the right surgeon who will be able to treat you problem well. Orthopedics can treat all kinds of problems related to hand, wrist, fingers, knees and all bone problems. A reputed orthopedic surgeon will built a good relationship with his patients so that they become confident and trust the surgeon. Any surgery requires anesthesia and many patients are scared of this, but having a trust upon the surgeon will make them comfortable with it and the doctor can operate without having any trouble and complications. 

If you are looking for a orthopedic in Texas then Dr Jeffrey Budoff is the best surgeon who can help your with your problem. He is one of the renowned surgeons in the state with 19 years of experience and practices in orthopedic surgeries. He has specialized in the surgeries of hand and upper extremity surgery. Until date, Dr Budoff has written more than 40 articles which have been published in leading medical journals and has also authored 20 textbook chapters.

Cubital Tunnel Syndrome (Does your small finger go numb?)

While carpal tunnel syndrome is the most common nerve problem, cubital tunnel syndrome is the second most common nerve problem. Cubital tunnel syndrome occurs when the ulnar nerve (the "funny bone" nerve) gets pinched at the elbow. It is a common source of nerve pain, especially at night.
What

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Basilar (Basal) Thumb Arthritis

The base of the thumb (the trapeziometacarpal joint) is commonly affected by arthritis. The arthritis often causes pain during pinching and gripping. It may be especially severe when opening jars or turning a key. It may progressively worsen until most/all hand activities become painful.

The

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Flexor Tendon Lacerations

Flexor tendon injuries can be devastating, life-changing events. The flexor tendons are the 'ropes' that make your fingers move. If they get cut, it's a very big problem. It seems like it should be easy to repair the tendon and get a good result, but it's not. The problem is that the tendon runs

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Osteochondritis Dissecans (OCD)

Recently, I wrote a blog on medial collateral ligament (MCL) injuries in teenage pitchers. The throwing motion puts a lot of stress on the elbow. There's significant tension on the inside of the elbow, potentially leading to MCL injuries. The other side of this coin is that there's also a lot of

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Wrist Fractures II

Distal Radius Fractures: Distal radius fractures (fractures of the big bone of the wrist) are the most common fracture in the entire human body. Despite the fact that some physician's belief that 'they all do well', they are probably the most treacherous fracture in the entire arm. If they heal

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Carpal Tunnel Syndrome

There are so many myths and so much misinformation regarding carpal tunnel syndrome (CTS) that I thought it might be good for a hand surgeon to go through the facts. Here are some common questions that I often hear:
What is the carpal tunnel?
The carpal tunnel is a passage for the median nerve

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Distal Biceps Tendon Ruptures

Distal Biceps Tendon Ruptures are common among men, middle aged and older. They can happen in women and younger men as well. Smoking leads to a 5x increase in the rate of rupture because smoking decreases the blood supply to the tendon so that it can't repair itself as between episodes of

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Trigger Finger / Trigger Thumb

Trigger finger and trigger thumb are extremely common. The problem is very similar to carpal tunnel syndrome except that, instead of the median nerve getting pinched, it's the tendon that moves your finger or thumb that gets compressed. People usually wake up in the morning with one or more of

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Tommy John (MCL) Elbow Reconstruction

These days, there seems to be a rash of medial collateral ligament (MCL) injuries in teenage pitchers. The problem is this: the really good pitchers are usually bigger, taller, heavier and can throw harder than the average pitchers. Everyone wants them to pitch for them. In Texas, the weather

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"Just a Sprain"

I am continually astonished by the number of patients that come to see me a month or later after they thought they 'sprained' their finger. Their finger is painful, swollen, and doesn't bend. It may even be deformed. These patients say things like, "I thought that if it was broken, it wouldn't

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DeQuervain's Tendinitis

DeQuervain's tendinitis is a space problem, like carpal tunnel syndrome. However, instead of a nerve getting compressed (as in carpal tunnel syndrome), this time it's a tendon that's getting compressed. It's the tendons on the thumb side of your wrist. You get swelling in the tunnel that the

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Carpal tunnel syndrome during pregnancy

Carpal tunnel syndrome is very common during pregnancy. It's probably caused by all of the swelling and fluid shifts that the mother goes through. Extra fluid collects throughout the body, including inside the carpal tunnel. This compresses the median nerve about the wrist, leading to carpal

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Pronator Syndrome

Pronator syndrome is compression of the median nerve about the elbow / upper forearm. It has symptoms similar to those of carpal tunnel syndrome, but is much less common. The two syndromes are therefore often confused. In addition, the two syndromes can occur simultaneously, meaning that the

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Ulnar Tunnel Syndrome

Ulnar tunnel syndrome is when the ulnar nerve gets compressed at the wrist. The small and ring fingers go numb. The symptoms are very similar to those of cubital tunnel syndrome, but ulnar tunnel syndrome is much less common. These two nerve compression syndromes are therefore often confused.

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Wrist Fractures

Some of the most miserable patients I see have had their wrist fractures fixed by non-specialists who think that distal radius fractures are all simple 'colles' fractures that 'all do great'. Unfortunately, this is far from the truth. Distal radius (wrist) fractures are probably the most

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Medical Center

Dr. Jeffrey Budoff
6560 Fannin, Suite 1016
Houston, Texas 77030
713-800-1120
Jeff@drbudoff.com
Patsy@drbudoff.com
Mary@drbudoff.com
Glenda@drbudoff.com
Lacy@drbudoff.com
Appointment Times:Tuesday PM 1:30-3:45Friday AM 7:45-10:45

Directions to the Medical Center office:
From the

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We've come so far so quickly.

Performed 4 endoscopic carpal tunnel releases (ECTR) and an endoscopic cubital tunnel release (ECubTR) this morning. As well as fixing a finger fracture and performing a LRTI for basilar thumb arthritis.
We've come so far so quickly. Many used to think that carpal tunnel syndrome (CTS) was due

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Clear Lake

Dr. Jeffrey Budoff
250 Blossom, Suite 285
Webster, TX 77598
713-800-1120
Jeff@drbudoff.com
Patsy@drbudoff.com
Mary@drbudoff.com
Glenda@drbudoff.com
Lacy@drbudoff.com
Appointment Times:Tuesday AM 7:45-10:45

Directions to the Clear Lake office:
Take 45 South. Exit Bay Area Boulevard,

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Pearland

Dr. Jeffrey Budoff
10905 Memorial Hermann Dr., Suite 202
Pearland, TX 77584
713-800-1120
Jeff@drbudoff.com
Patsy@drbudoff.com
Mary@drbudoff.com
Glenda@drbudoff.com
Lacy@drbudoff.com
Appointments:Thursday AM 7:45-10:45

Directions to the Pearland office:
From Highway 288 Traveling

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Katy

Dr. Jeffrey Budoff
507 Park Grove
Katy, TX 77450
713-800-1120
Jeff@drbudoff.com
Patsy@drbudoff.com
Mary@drbudoff.com
Glenda@drbudoff.com
Lacy@drbudoff.com
Appointment Times:Thursday PM 1:30-3:45

Directions to the Katy office:
If you are coming off of I-10 West exit, and take a left

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Rotator Cuff Tear

A Rotator Cuff Tear - Cannulas (clear hollow tubes) facilitate the passage of arthroscopic instruments into the shoulder.
Instruments are used to pass sutures through the torn Rotator Cuff tendons to sew them up side-to-side. This is shown diagrammatically (above) and then photographically

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Symptoms

Hand
Numbness of fingers (fingers go to sleep, feel cold, feel different, or don't feel as well):
All fingers: You probably have carpal tunnel syndrome. You may also have cubital tunnel syndrome. I will need to examine your arm to confirm this. Call 713-800-1120 for a consultation. We will

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Wrist Ganglion

Ganglion cysts are the most common cause of a bump or mass about the wrist. They are 100% benign. Ganglion cysts are simply herniations of fluid that come from the underlying wrist joint. The herniation is caused by a weakness in the wrist's capsule, the "balloon" of ligaments surrounding the

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ARCD Post-Operative Protocol

Arthroscopic Rotator Cuff Debridement (ARCD) Post-Operative Protocol
Early motion without restrictions. Strengthen Rotator Cuff and Scapulothoracic Muscles when comfortable (usually starts at 2 weeks). No formal activity restrictions. Let pain be your guide and take it slow.

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Rotator Cuff Repair Post-Operative Protocol

Abduction pillow x6 weeks, unless exercising or showering. No active shoulder ROM for 6 weeks. **No UBE. Early Scapulothoracic Isometric Strengthening is OK.
First 2 Weeks: Keep the shoulder immobilized. May use keyboards, computers and use the arm for eating with the elbow at the side.

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Rotator Cuff Exercise Protocol

Heat if needed before strengthening. No other modalities necessary. **Please do not use the UBE (upper extremity bicycle).
Use an isotube for all rotator cuff exercises. Start with one set of 10-12 repetitions of each exercise per day. Young athletes may do up to 3 sets per day. Others should

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Tennis Elbow Protocol

Wrist flexionWrist extensionSupinationPronationFinger ExtensionBall Squeeze
Exercises:1) Wrist extension2) Wrist flexion3) Pronation4) Supination5) Finger extension6) Ball squeeze
I greatly prefer elastic resistance to weights. Start with low resistance. Perform 10-15 repetitions of each

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Therapy Protocols

Tennis Elbow Protocol
Exercises: 1) Wrist extension, 2) Wrist flexion, 3) Pronation, 4) Supination, 5) Finger extension, 6) Ball squeeze... more
Rotator Cuff Exercise Protocol
Heat if needed before strengthening. No other modalities necessary. **Please do not use the UBE (upper extremity

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Contact Dr. Budoff

Jeff@drbudoff.com
Patsy@drbudoff.com
Mary@drbudoff.com
Glenda@drbudoff.com
Lacy@drbudoff.com

Dr. Jeffrey E. Budoff, MDPhone: 713-800-1120
Medical Center
6560 Fannin, Suite 1016Houston, Texas 77030
Appointment Times:Tuesday PM 1:30-3:45Friday AM 7:45-10:45

Clear

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Shoulder Instability / Dislocation

Bones of the shoulder
The shoulder's joint capsule and its thickenings (ligaments) - Superior gleno-humeral ligament (SGHL), middle gleno-humeral ligament (MGHL), anterior inferior gleno-humeral ligament (aIGHL), posterior inferior gleno-humeral ligament (pIGHL)

Bankart Lesion
Bankart

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Rotator Cuff Tendinosis

The Bones of the Shoulder: The two muscles that lift the arm are the deltoid, the big muscle that goes over the top of the shoulder, and the Rotator Cuff, which is the merger of four tendons that surround the shoulder.
The Large Muscles About the Shoulder
Rotator Cuff Injury
The Rotator

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Elbow Arthritis

Elbow Arthritis can be due to Osteoarthritis (from wear and tear), Post-Traumatic Arthritis (from a fracture or dislocation) or Rheumatoid Arthritis (a systemic, inflammatory disease). Elbow Arthritis can cause pain, stiffness, weakness, and dysfunction.

The initial treatment of Elbow

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Elbow Ligament Injuries

Medial Collateral Ligament (MCL) Injury

The Elbow's Medial Collateral Ligament
The MCL is a major stabilizer, especially during the overhead throwing motion. MCL injuries occur most commonly in throwing athletes. Most non-throwing athletes, recreational athletes, and even professional

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Elbow Fractures

Olecranon Fracture Fixed with a New Low-Profile Hook Plate
Olecranon Fractures
The olecranon is the bone at the tip of the elbow that the triceps tendon inserts into. It is an area of the elbow that is commonly fractured / broken during a fall. Olecranon Fractures that are non-displaced

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Distal Biceps Tendon Tear

Distal Biceps Tendon Tears occur most commonly in men aged 40-60 years old, especially those engaged in manual labor, athletics or weight lifting. However, Distal Biceps Tendon Tears can also happen in women and younger men. Smoking leads to a 5x increase in the rate of Distal Biceps Tendon

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Tennis Elbow and Golfers Elbow

Tendon problems about the elbow are very common. They occur most commonly on the outside of the elbow, but may occur on the inside, and occasionally even on the back of the elbow. When tendon problems occur on the outside of the elbow it's called "Tennis Elbow". When tendon problems occur on the

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Wrist Arthritis

Wrist arthritis is very common. There are a number of reasons that wrist arthritis occurs: from scaphoid fractures, ligament injuries, distal radius fractures, metabolic diseases (such as gout), rheumatoid arthritis or from just plain old wear and tear. Wrist arthritis leads to pain, stiffness

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Triangular Fibrocartilage Complex (TFC or TFCC) Tear

Normal TFCC Tension: Arthroscopic view of normal TFC
TFC central tear requiring debridement
The TFCC is a constellation of many structures.
Peripheral TFC tear requiring repair
TFC after Arthroscopic Repair
Healed Ulnar Shortening Osteotomy with 2 Screw Fixation


The Triangular

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Scaphoid Fractures

The scaphoid is probably the worst bone in the entire arm to break. It has a poor blood supply, it is subjected to high stresses, and it is a very important wrist bone. Scaphoid fractures are serious injuries. Textbooks have been written about them. They love to not heal (i.e. go on to

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Distal Radius Fractures

The Bones of the Hand and Wrist
Distal Radius Fractures (fractures of the large bone of the wrist) are the most common fracture in the entire human body. Distal Radius Fractures come in many different types and patterns, which are all treated differently. Despite the fact that some physicians

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DeQuervain&rsquo;s Tendinitis

DeQuervain's Tendinitis causes sharp pain on the radial (thumb side) of the wrist. This pain is located just above the thumb, and is usually worse with lifting and gripping. DeQuervain's Tendinitis is due to a space problem, similar to carpal tunnel syndrome. However, instead of a nerve getting

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Tetraplegic (Quadriplegic) Reconstruction

Spinal cord injury resulting in tetraplegia is a devastating, life-changing injury. Life becomes a battle for independence when even the smallest activity of daily living becomes a challenge.

The human mind and the human hand are wonderfully adaptable. Many determined tetraplegics can

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Flexor Tendon Injuries

Flexor tendon injuries can be devastating, life-changing events. The flexor tendons are the structures in the palm of the hand and the palmar side of the finger that flex or bend the fingers and thumb. Tendons are like ropes that connect the muscles to the finger bones. If a flexor tendon gets

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Dupytren&rsquo;s Contracture

The Fascia of the Palm
Dupytren's contracture is a genetic disorder in which the fascia of the hand contracts so that the fingers no longer fully extend. What is fascia? When you order a piece of meat, the tough gristle around the meat is fascia. In the hand, the fascia is composed of tough

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Rheumatoid Arthritis

Rheumatoid arthritis (RA) is a systemic disease (i.e. it affects multiple systems of the body). The primary treatment for RA is medical, and there are many new excellent drugs that can decrease pain and greatly slow the progression of RA. Surgery is used mainly to prevent and correct

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Finger Arthritis

The fingers can be affected by osteoarthritis ("wear and tear" arthritis), rheumatoid (inflammatory) arthritis, or arthritis that occurs because of joint injury (post-traumatic arthritis). Any of the three finger joints can be affected. The distal interphalangeal (DIP) joint is the smallest

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Basilar (Basal) Thumb Arthritis

LRTI: The trapezium bone has been removed, a tendon placed into the space, and a suture-anchor (metal) inserted into the thumb to stabilize it.

LRTI (Close-up)
The base of the thumb (the trapeziometacarpal joint) is the most common hand joint affected by painful arthritis. Approximately

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Trigger Finger / Trigger Thumb

Trigger Finger
The Tendons (Blue) go through a Tight Sheath (Purple)
The Tendon Gets Stuck in its Sheath, Causing Trigger Finger
Trigger Finger Release


Trigger finger and trigger thumb are extremely common. Triggering is due to a space problem, very similar to carpal tunnel syndrome

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Cubital Tunnel Syndrome

Does Your Small Finger Go Numb?
Carpal tunnel syndrome is the most common nerve problem. Cubital Tunnel Syndrome is the second most common nerve problem.
What is Cubital Tunnel Syndrome?
Cubital tunnel syndrome is very similar to carpal tunnel syndrome. Cubital tunnel syndrome occurs when the

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Carpal Tunnel Syndrome

What is the Carpal Tunnel?
The carpal tunnel is a space under the base of the palm that the median nerve (one of the major nerves to the hand) runs through. The carpal tunnel has rigid, unyielding boundaries: Its back and sides are made up of the wrist bones and its front, just under the palm,

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Examinations

Medical School, National Board of Medical Examiners, Part I, May, 1989, 99th Percentile
National Board of Medical Examiners, Part II, May, 1990, 97th Percentile
Residency Orthopaedic In-Training Examination, November, 1992: PGY-2 Year, 100th Percentile
Residency Orthopaedic In-Training

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Course Faculty

Moderator: Wrist and Elbow Reconstruction. The 53rd Annual Edward T. Smith Orthopedic Lectureship (University of Texas, Houston). Houston, TX 10/22/09
Moderator: Carpal Tunnel Syndrome Paper Presentations, ASSH Annual Meeting, San Francisco, CA, 9/4/09
Associate Master Instructor, Advanced

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Papers &amp; Chapters Written

Dr. Budoff has written chapters or conducted original research on these topics:

Carpal Tunnel Syndrome / Carpal Tunnel Release
Anatomy of Carpal Tunnel Release
Trigger Finger Release
Mucous Cysts
Treatment of Thumb Basilar Joint Arthritis
Tendinitis of the Hand, Wrist &amp;

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Textbooks Edited

Principles of Hand Surgery, 2nd Edition, Elsevier Science, Trumble TE, Budoff JE, Rayan G, Baratz ME, eds., Expected Publication in 2009
Master Skills: Fractures of the Upper Extremity, American Society for Surgery of the Hand, Budoff JE, editor, 2008
Hand Update 4, Trumble TE, Budoff JE,

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Professional Memberships

Arthroscopy Association of North America
American Academy of Orthopedic Surgeons
Texas Medical Association
Texas Orthopaedic Association
American Society for Surgery of the Hand
American Association for Hand Surgery
Associate Editor, Journal of Hand Surgery, 1/3/08-present
Reviewer,

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Education &amp; Faculty Appointments

Education
Harvard College, Bachelor of Arts – Government, Cum Laude, 1983-1987
Cornell University Medical College, Alpha Omega Alpha Honor Society, 1987-1991
General Surgical Internship, University of California – Irvine, 1991-1992
Orthopaedic Surgical Residency, University of California

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Home

Dr. Budoff's focus is on restoring function and eliminating pain with the least invasive method possible. Many patients are successfully treated without surgery. Should surgery be desired, Dr. Budoff is up to date with the newest, least invasive surgical procedures that minimize pain and

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Why Dr. Budoff?

Dr. Budoff is a board certified Orthopaedic Hand & Upper extremity surgeon involved in cutting-edge research involving the treatment of upper extremity disorders. Dr. Budoff has written and published over 40 articles in leading medical journals and has authored over 20 textbook chapters. In

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Learn the Causes of Elbow Arthritis

Arthritis is a common health condition that many people suffer in their old age. People suffering from arthritis experience swelling and pain in their joints. Fingers, toes, wrists, ankles, elbows, and knees are some of the joints which are usually affected by arthritis. This condition makes it difficult for the sufferers to move around easily without pain. This further makes the sufferer inactive and this can lead to other negative health effects. Arthritis sufferers should be careful and should do physical exercise as much they can in order to keep their bodies in shape. In case they cannot do the exercises by their own, they can go to the physical therapist for help and guidance.

Many people suffer from Elbow Arthritis that cause pain and swelling in their elbows. It causes pain in the elbow not only when they bend their elbow but also when they stretch out their hand. This also makes it difficult for a person to carry tins in their hand. Rheumatoid arthritis is one of the most common causes of arthritis of the elbow. Injuries due to various reasons may also cause pain and swelling in the elbow that further leads to arthritis.

In our body we have many joints that makes our movement easy and smooth. Rheumatoid arthritis is the diseases of joints linings or synovia in which the joint lining swells and thus the space between the joints narrows down. This disease slowly destroys the bones and soft tissues generally causing harm to the elbows and other joints including hand, wrist and shoulder. Elbow ligament injuries affect the cushioning cartilage situated on the ends of the bones which makes the movement of the joints smooth and easy. As the cartilage is destroyed due to injuries, the bones begin to rub against each other and this can lead to the development of arthritis in the injured joint.

Frozen Shoulder –What Is It and How to Treat It

When your shoulder joints get locked up and you can’t move your hand in its usual range of motion, then you must be having a frozen shoulder. This will deter your hand and shoulder from functioning properly and you will experience a severe pain. This is mostly common among the menopausal or pre-menopausal women.

Frozen shoulder is generally categorized into two. However, there is no specific reason for the cause of this situation. Trauma, surgery, or illness may be some of the causes of a locked shoulder. Though it is very difficult to find the exact cause of this situation, one will feel irritation to the lining of the joint capsule. This irritation further leads to the creation of the mark tissue that restricts the movement of the arm bone and thus restricts the movement of the arm joint. 

There are many treatments for the locked shoulder joints and these range from chiropractic adjustments, acupuncture to cortisone shots. However, most of the cases go untreated. One of the best treatments to reduce the pain when you suffer this situation is to ice the affected area and to avoid activities since it can lead to worse situation like strain. 

Heavy activities in such a situation may also lead to SLAP lesions; it is an injury in which a part of the shoulder joint called the labrum is affected. The joint of the shoulder is a ball and socket joint; but the socket of the shoulder joint is very thin, and thus intrinsically unbalanced. Thus to make a balance for the shallow socket, it has a cuff of cartilage called a labrum forming a cup for the end of the arm bone helping it to move within.

A particular labral tear is known as the SlAP lesion; and this stands for Superior Labrum from Anterior to Posterior. People suffering from this situation often complain of severe pain deep within the shoulder or at the back of the shoulder joint.

Consult an Expert Orthopedic For Bone and Joint Surgery

Human body is a composite of various systems that help in the effective functioning of various body parts. One of the largest and most important systems within human body is the musculoskeletal system. Bones, joints, ligaments, tendons, nerves and muscles are the main contents of this system and all of these have their presence in every part of our body. It is very obvious for an individual to suffer from issues with any of these elements within the system. Some of the common health issues that affect the musculoskeletal system include:

• Brakes
• Sprains
• Fractures
• Strains

You may suffer from these health problems due to regular wear and tear, such as sports-related injuries. Illness and other health conditions like arthritis may also be the reason for their cause. Sometimes injuries are so severe that one might even require bone and joint surgery to get rid of the pain.

If you are suffering from a problem with any part of your musculoskeletal system then you should immediately consult an orthopedic expert. He will help you with the best treatment after examining the severity of your bone and joint pain or injury. If you are wondering what types of treatment options are available to you then you can opt to visit a reputed clinic that is known for providing orthopedic care.

If you are residing in Texas and looking for an orthopedic center then you can surf through the Internet to find one of the best centers. There are a number of orthopedic centers offering orthopedic care but you should be careful while choosing one for your treatment. Choosing an orthopedic surgeon in Texas is also a tough job since there are numerous doctors who claim to be best at their work. However, before choosing one to handle your case, always make sure that the doctor is a board certified.