For appointments call 585.273.3157 Tomaino Arm Care Network

Hand Program

Dr Tomaino is a nationally recognized expert in the treatment of an extensive of array problems affecting the forearm, wrist, and hand including:

Nationally recognized program
Dr Tomaino is a member of the American Society for Surgery of the Hand,  an Associate Editor of the American Journal of Hand Surgery, and regularly participates in  national educational symposia. He has contributed more than 100 scholarly articles to textbooks and journals. Dr Tomaino leads the way in innovative care for hand and wrist problems, actively developing new, more effective methods of evaluating and treating his patients.

Our goal is to restore   pain free functional activity. Our multidisciplinary approach allows us to provide the most appropriate care for the patient's problem, with assistance from colleagues in rheumatology, rehabilitation medicine, neurology, and many other fields.

The Newsroom section of this website provides an up to date listing of his academic activity, which reflects his commitment to continuing self-education and the education of patients and professional colleagues. Listed below are various articles, which detail information regarding anticipated outcomes for different conditions treated by Dr Tomaino and his team.

Hand RESOURCES

Hand Conditions

AASH Directory of Common Hand Conditions
Treatment of Upper extremity pain

Hand Procedures

Hand Innovations - DVR Surgical Technique (Distal Radius)

Hand Products

NeuraGen® Nerve Guide (Nerve Repair)
Small Bone Innovations
Prostheses Following Amputation
Pain Pump After Surgery

Case Examples

Arthritis
Treatment of SLAC wrist arthritis with Partial Wrist Fusion
Treatment of SLAC wrist arthritis with Proximal row carpectomy
Distal ulna excision for painful DRUJ arthritis or chronic dislocation
Distal ulna replacement/arthroplasty
Total Wrist Replacement
Treatment of SNAC arthritis with distal pole scaphoid excision
Distal Interphalangeal (DIP)Joint fusion
Fracture
Surgery for Distal Radius Fracture
Correction of Distal Radius Malunion
Nerve Palsy
Tendon Transfers for Median Nerve Palsy (oppostion)
Tendon Transfers for Radial Nerve Palsy
Tendon Transfers for Ulnar and Combined Palsy
Restoration of Finger flexion and Prehension following Brachial Plexus Injury
Nerve Laceration
Treatment of a Severed Nerve
PT Exercises
Hand Therapy for Thumb basal joint arthritis
Hand Conditions
Thumb MP joint ligament injury
Kienbock's Disease of the wrist (lunate avascular necrosis)
Treatment of Mallet Finger
Wrist Fractures and Dislocations
Treatment of acute scaphoid fracture
Russe bone graft procedure for Scaphoid Nonunion
Vascularized bone graft surgery for Scaphoid Nonunion
Surgery for Scaphoid Nonunion with Humpback deformity
Treatment of Acute SL (Scapholunate) Dissociation
Hand Fractures
Treatment of Metacarpal fractures
Treatment of finger (phalangeal) fractures
Treatment of PIP joint Pilon fractures with Schenk Traction
Treatment of PIP joint Pilon fractures with Open reduction and Internal fixation
Treatment of PIP joint fracture-dislocations with Volar Plate Arthroplasty
Treatment of PIP joint fracture-dislocations with Hemi-hamate Arthroplasty
Minimally Invasive Technique for Metacarpal Fracture Fixation
Tendon Injury
Treatment flexor tendon laceration
Numbness or weakness in the hand or arm
Treatment of Carpal Tunnel syndrome
Rheumatoid Disease
PIP Joint replacement
Complete Wrist Fusion
MP Joint replacement
Total wrist replacement/arthroplasty
Partial Wrist Fusion
Thumb Arthritis
Treatment with trapezium excision and ligament reconstruction
Early stage disease: painful, basal joint hypermobility
Trapezium-retaining procedures for basal joint arthritis
Thumb CMC Prosthetic Replacement
Wrist Pain
Wrist Arthroscopy as a diagnostic tool
Treatment of ulnar wrist pain with Arthroscopic wafer resection
Arthroscopic excision of a painful wrist ganglion cyst
Scleroderma and Vascular Problems
Palmar Sympathectomy as treatment for pain/cold intolerance/digital ulceration
PIP joint fusion as a finger-saving intervention
Contractures and Stiffness
Dupuytren's Disease
Treatment of stiff fingers
Tendonitis
Treatment of trigger finger
Treatment of DeQuervain's disease/Radial sided wrist pain