gaffney wrist

Omaha Hand and Wrist Specialists 

The hand and wrist are complicated parts of the body. When you have hand pain, wrist pain, or have suffered an injury, you want a doctor who is highly experienced with problems like yours, and that is what you will find at MD West ONE.

Fellowship-Trained Hand Surgeons

The hand surgeons at MD West ONE are fellowship-trained, which means they have taken additional training in hand and wrist beyond their medical and orthopedic specialty training. These surgeons have an exceptional understanding of every part of the hand and wrist, down to the microscopic workings of blood vessels and nerves. From hand arthritis, carpal tunnel, workers’ comp injuries to wrist sprains, MD West ONE's hand surgeons will help you find relief from your hand or wrist pain.

80-95% of our hand specialists cases are focused on the hand and wrist, giving them unparalleled expertise in a wide range of hand and wrist conditions from simple to the most complex.



  • Arthritis
  • Boxer’s Fracture
  • Broken Bones
  • Carpal Tunnel
  • Colles Fracture
  • Complex Nerve Problems
  • Congenital Abnormalities & Deformities
  • DeQuervain’s Tenosynovitis
  • Dupuytren’s Disease
  • Finger Dislocations
  • Finger Fracture
  • Ganglion Cysts
  • Hand Fractures
  • Hand Pain
  • Hand Tendonitis
  • Hand Trauma
  • Joint Contractures
  • Kienbock’s Disease
  • Mallet Finger
  • Overuse Conditions
  • Raynaud’s Disease
  • Sports-Related Injuries
  • Tennis Elbow
  • Trigger Finger
  • Workers Comp & Occupational Injuries
  • Wrist Fractures
  • Wrist Pain
  • Wrist Sprains & Strains
  • Wrist Tendonitis


We understand that the decision of having hand surgery or wrist surgery is not a decision you take lightly. That’s why we take a conservative approach to care, offering both surgical and non-surgical treatments, including:

  • Arthritis Care and Treatment
  • Cyst Removal
  • DeQuervain’s Release
  • Endoscopic Carpal Tunnel Release
  • Fracture & Dislocation Treatment
  • Hand & Wrist Arthroscopy
  • Joint Replacement
  • Ligament Repair
  • Microsurgical Flap Procedures
  • Microvascular Surgery
  • Nerve Repair
  • Reconstructive Surgery
  • Tendon Repair
  • Trigger Finger Release
  • Non-surgical treatments such as splints, casts, exercise and strength building programs, pain management, and rehabilitative therapy


If you are feeling pain and/or stiffness in your hand or wrist, you may be suffering from arthritis. Arthritis destroys cartilage and causes your bones to rub against one another, which causes inflammation in the small joints of your hand and wrist.

Signs and symptoms of arthritis include:

  • Weakness
  • Stiffness
  • Swelling
  • Limited range of motion
  • Cracking, clicking, grinding sounds

There are four types of arthritis that can affect the hand and/ or wrist:

  • Osteoarthritis (OA): develops overtime as cartilage naturally wears down
  • Rheumatoid Arthritis (RA): an autoimmune disease that causes the body to attack its own tissues
  • Psoriatic Arthritis: an inflammatory skin and joint disease
  • Posttraumatic Arthritis (PA): occurs after an injury to the hand or wrist

→   Make an appointment if you are experiencing signs and symptoms of arthritis in your hand or wrist. 

Boxer's Fracture

A boxer’s fracture is a break in the neck of the fifth metacarpal bone in the hand. It gets its name because the injury is common in inexperienced boxers. Metacarpal bones, in general, are some of the most commonly fractured bones in the hands. A large percentage of these qualify as “boxer’s fractures.” Boxers are not the only people who can get a boxer’s fracture, but usually the injury results from direct injury to a clenched fist. The force fractures the neck of the metacarpal bone below the pinky.

A hand surgeon will need to distinguish boxer’s fractures from other metacarpal fractures, which break the shaft of the metacarpal, or fractures of the base of the small finger. These injuries may need different treatments.

Make an appointment if you are experiencing signs and symptoms of boxer's fracture.

Broken Bones

Broken bones in your hand or wrist can occur from a direct blow or fall. You may be at higher risk of a broken hand or wrist if you participate in certain sports like hockey, football, in-line skating, or snowboarding. It is also common for these types of breaks to occur during motor vehicle crashes and may require surgical repair.

If you think you may have broken a bone in your wrist or hand, it is important to treat it right away so that the bones do not heal out of alignment hindering your ability to do everyday activities.

Signs and symptoms of a broken hand or wrist:

  • Swelling
  • Bruising
  • Tenderness
  • Numbness
  • Trouble or inability to move your fingers
  • Severe pain that may worsen when gripping or moving your hand or wrist
  • Obvious deformity

Make an appointment if you are experiencing signs and symptoms of a broken hand or wrist.

Carpal Tunnel

Carpal tunnel syndrome results from the pinching or entrapping of the median nerve in the underside of the wrist. The actual pathology in most cases is due to either a decrease in the volume of the carpal tunnel and/or swelling or thickening of the flexor tendons that pass through the carpal tunnel along with the median nerve. Some patients experience a decrease in the size of the carpal tunnel. This is most often associated with fractures or dislocations of the distal radius and/or wrist. It is occasionally seen when large bone spurs or “osteophytes”, form due to degenerative joint disease or arthritis.

Signs and symptoms of carpal tunnel:

  • Tingling or numbness in your fingers or hand
  • Weakness in your hand or a tendency to drop objects
  • Discomfort in your wrist or hand
  • Awakening in the night with tingling or numbness in the fingers or hand

Make an appointment if you are experiencing signs and symptoms of carpal tunnel.

Colles’ Fracture

A Colles’ fracture occurs when the radius bone in the forearm breaks and not the carpal bones of the wrist. The radius bone is the larger of the two bones in the forearm and the area of the bone near the wrist is the distal end. A Colles’ fracture is categorized as a type of distal radius break and occurs when the broken piece of bone points upwards. Irish surgeon and anatomist, Abraham Colles, first described this type of fracture in 1814 and it has since been named after him. This type of fracture often happens when someone falls on an outstretched hand but can also occur as a result of trauma such as biking, skiing, or car accident.

  • Common symptoms of a Colles’ fracture include:
  • Swelling
  • Bruising
  • Tenderness
  • The wrist positioned in a deformed way

Make an appointment if you are experiencing signs and symptoms of Colle’s fracture.

Complex Nerve Problems

Many nerves run between the shoulder and the fingertips carrying messages from the brain to the hands and wrists. Injury to the nerves often involves trauma such as the hand or wrist being overstretched, burned, or cut damaging the nerve or nerve ending.

Symptoms of nerve problems in the hand and wrist include:

  • Numbness
  • Weakness
  • Pain
  • Difficulty moving the wrist or hand

Make an appointment if you are experiencing signs and symptoms of complex nerve problems in your wrist or hand.