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Santa Rosa Orthopaedics Develops Hand Center for Comprehensive Hand and Upper Extremity Treatment
Date:12/17/2012

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Dr. Mazur explains, “Referral to a hand surgeon within a week of injury is appropriate for any laceration with loss of sensation, function, or movement. Displaced fractures should also be seen by a hand surgeon. Other symptoms warranting referral to a hand specialist include pain or numbness that persists or progresses; any noticeable deformity; lack of mobility or decrease in sensation; or compromised vascularity.”

Drs. Mazur and Severt actively participate in research at the national level. In its first few months of operation, the Hand Center has provided care for a broad spectrum of hand and upper extremity conditions, including fractures, lacerations, repetitive stress injuries, nerve-compressive neuropathies such as carpal tunnel syndrome and cubital tunnel syndrome, shoulder impingement, trigger fingers and other tendon disorders, DeQuervain’s syndrome, and lateral epicondylitis.

Arthritis affecting the hand is common, not only in the senior population, but also in patients under age 50. Dr. Severt comments, “We see a lot of Dupuytren's contracture in Sonoma County. This is a thickening of fibrous tissues beneath the skin of the hand, causing the fingers to curl inward toward the palm. It occurs most frequently in older patients of northern European descent, and more commonly in men than women. Given the demographics of our local retirees, we’d expect to see this syndrome even more often as our population ages.”

Collaborative care is a core value at the Hand Center. Both Dr. Mazur and Dr. Severt acknowledge that technology is never a substitute for a collaborative relationship between patients, surgeons, other physicians, therapists, and professional staff. “Equipment does not make the surgeon,” Dr. Severt says. “Appropriate evaluation and treatment is primarily based on the clinical acumen or skill of the surgeon. The equipment is used to supplement that skill.”

The Hand Center’s coordinated care process facilit
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