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Information about the Dean Hand and Upper Extremity Program For Referring Physicians

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

Dean Direct
Dean's Physician-to-Physician Resource Line
(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

Hand, Upper Extremity Care

  • For Referring Physicians

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Matthew S. Bliss, MD
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