Hand & Upper Extremity Care
  Dean Hand & Upper Extremity Specialists
  For Patients
  For Referring Physicians
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For Physicians: Hand and Upper Extremity Referrals

If you are a physician needing to refer patients with hand and upper extremity problems, please call:

Dean's Physician-to-Physician resource line,
Dean Direct at (888) 302-3326.

We recommend that physicians refer patients to the Hand and Upper Extremity Clinic using the following guidelines for acute and non-acute hand and upper extremity injuries and conditions:


CONDITIONS REQUIRING FOLLOW-UP WITHIN 1-3 DAYS POST-INJURY

• Lacerations with possible nerve, tendon, or vascular injury
• Fingertip amputations
• Soft tissue avulsion injuries of the hand or fingers
• Any referral for consultation for wound coverage, including possible need for flap or skin graft
• Fractures referred with known displacement / possible need for surgical repair
CONDITIONS REQUIRING FOLLOW-UP WITHIN 3-7 DAYS POST-INJURY

• Gamekeeper’s / Reverse Gamekeeper’s injuries
• Ligament injuries
• Fractures
• Dislocations and Fracture-Dislocations
• Mallet Finger
• PIP joint injuries / Boutonniere injuries
• Elbow / Hand / Wrist / Finger Acute Injury
NON-ACUTE CONDITIONS TO BE SCHEDULED AT NEXT-AVAILABLE APPOINTMENT
• Arthritis / Osteoarthritis
• Carpal Tunnel Syndrome
• Congenital Anomalies
• CMC Arthritis / Basal Joint Arthritis
• Cubital Tunnel Syndrome
• Cysts / Masses / Lesions
• deQuervain’s
• Dupuytren’s
• Epicondylitis / Elbow Pain (without fracture or acute injury) / Tennis or Golfer’s Elbow
• Ganglion Cysts
• Tendonitis
• Trigger Finger / Trigger Thumb
• Hand / Wrist / Finger Pain – Without Acute Injury
• Hand / Wrist / Finger Numbness or Tingling
• Hand / Wrist / Finger Swelling or Stiffness – Without Acute Injury


   
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