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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