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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

Related Dean Providers

Matthew S. Bliss, MD
Orthopedics, Sports Medicine

Matthew J. Boardman, DO
Orthopedics, Hand Surgery

Michelle E. Dubis, PA
Orthopedics, Physician Assistant
Jennifer L. Gaschke, PA-C
Orthopedics, Physician Assistant