As Upper Extremity Specialists we strive to assist our patients regain and maintain their gainful use of the shoulders, elbows, wrists and hands. Our training has afforded us expert experience in treating newborns, children, adolescents, and adults of all ages from the fingertip to the shoulder, whether due to congenital, developmental, acquired, arthritic, post-traumatic or overuse conditions.  We do our best to ensure that personal and unhurried attention can be provided to each patient spending additional time teaching them about their problems so they leave with a good understanding of the cause, treatment, and prognosis for their condition. We individualize our treatments for each patient as each patient presents with their own unique circumstances leading to their condition often varying not only from occupation, recreation or hobby, but also from one limb to the other as each upper extremity typically specializes in different tasks based upon hand dominance.

 

Within our state of the art facility we offer Clinical, Rehabilitative and Surgical treatment for our patients accepting most insurances, private, worker's compensation, including state and federally sponsored programs. Although we are surgeons by training, we take pride in first guiding our patients through a well designed conservative treatment program, typically reserving surgical management for those patients that have exhausted their other options for splinting, medication, injections and/or therapy. When surgery is required, we take time to answer our patient's questions to their satisfaction and coordinate their procedure with skilled anesthesiologists at accredited facilities with postoperative plans of care to optimize their outcome.

 

Our goal is to provide the highest quality care to the patient using state-of-the-art techniques, by keeping up-to-date with current publications, meetings, and courses. 

 

 

 

Our Philosophy and the the Conditions we treat //

ARTHROSCOPIC SURGERY

 

Basilar Thumb Joint (Osteoarthritis at CMC joint)

Wrist (TFCC tear, Scapholunate Ligament, Lunotriquetral Ligament)

Elbow (Osteoarthritis and Loose Bodies)

Shoulder (Rotator Cuff, Rheumatoid Arthritis, Osteoarthrosis and Instability)

COMPREHENSIVE FRACTURE CARE

 

Phalangeal Fractures

Metacarpal Fractures

Carpal Fractures (Scaphoid through Triquetral)

Distal Radius and Ulnar Fractures

Elbow Fractures (Radial Head, Olecranon, Coronoid, Humeral Condyles)

Humeral Fractures (Distal, Midshaft, Proximal and Head)

Scapular Fractures (Glenoid and Body)

Clavicular Fractures

 

On Site 

Radiography 

Splinting (off the shelf & custom) 

Casting

Surgery  

Rehabilitation

 

TOTAL JOINT (Arthroplasty) SURGERY

 

Traditional Shoulder Replacement

Reverse Shoulder Replacement

Hemiarthoplasty Shoulder Replacement

Total Elbow Replacement

Radial Head Replacement

Basilar Thumb Reconstruction

OCCUPATIONAL THERAPY

 

Bronstein Hand Therapy is a full service Occupational therapy unit for patients needing ongoing rehabilitation care for their arthritic, athletic, industrial, traumatic, repetitive stress and neurologic conditions of the upper extremity. 

 

The Bronstein Hand Center has an on-site full-time occupational therapists expertly trained in hand, wrist, elbow and shoulder rehabilitation. Our facility has an acute, triage center within our office adjacent to the patient exam rooms so that the patient, doctor and therapist can optimally set a team effort rehabilitative treatment plan.

 

We have a dedicated, compassionate, and highly skilled Occupational therapy team staffed by Select Physical Therapy working full-time providing splinting, massage, range of motion, sensitization and desensitization techniques. They offer paraffin, ultrasound, cryotherapy and other modalities to facilitate our patient recovery. We offer dexterity and ergonomic training, strengthening and return to work rehabiliation with simulation techniques. Our therapist is well-trained with state of the art rehabilitative published protocols from national centers of excellence and then customized by the Bronstein Hand Center physicians.

 

We have an ongoing lecture series with local  therapists to improve our quality of care, and to rewrite therapy protocols striving to be the most progressive Hand therapy unit in Las Vegas.

 

There are multiple Hand therapy sites for our patients convenience including Summerlin, North and Central Las Vegas, and Henderson. Our patients typically will combine their physician office visit with a therapy visit when they are at the Bronstein Hand Center for their acute care, and then return to their neighborhood therapy unit for continued hand therapy care as their condition matures along its healing process. 

 

HAND & WRIST & ELBOW CONDITIONS

 

Arthritis,

Basilar Thumb Arthritis (Primary & Revision Arthroplasty)

Bursitis

Carpal Tunnel Syndrome (Primary &  Recurrent)

Compartment Syndrome

Complex Regional Pain Syndrome (RSD)

Complex Wrist Reconstruction

Congenital Hand Deformities

Crush Injuries,

Cubital Tunnel Syndrome

DeQuervain’s Tenosynovitis 

Dislocations

Distal Radius Fractures 

Dupuytren’s Contracture

Epicondylitis (Tennis / Golfer’s Elbow)

Fracture Care

Fusion (Complete and Partial Arthrodesis)

Ganglion Cysts

Gamekeeper’s / Skier’s Thumb

Gouty Arthropathy

Guyon’s Canal Ulnar Neuropathy

Hand Tumors

Industrial Hand / Wrist / Elbow/ Shoulder Injuries

Kienbock’s Disease

Lacerations

Mallet finger

Malunion/Nonunions

Nailbed Injuries

Nerve Injuries

Occupational Ergonomic Evaluation

Pregnancy-induced Carpal Tunnel

Regional  Anesthesia Catheterized Exercises

Raynaud’s Disease

Repetitive Stress Conditions

Rheumatoid Arthritis 

Scaphoid Fractures 

Sports injuries (Pro, College, Youth)

Stroke Contractures 

Sprains/Strains,

Tendinitis

Tendon Repair and Reconstruction

TFCC Injuries

Trigger Finger

Tumors

Wrist Arthroscopy

Wrist Trauma

COMPREHENSIVE

ELBOW & SHOULDER CARE

 

Acromioclavicular (AC) Separation

Arthritis (Rheumatoid, Osteoarthritis, Metabolic)

Arthroplasty (Primary and Revision)

Brachial Plexus Rehabilitation

Bursitis

Clavical Fractures

Distal Humerus Fractures

Epicondylitis

Fracture care

        Scapula (Body, Glenoid)

        Clavicle  

        Humerus,

        Ulna (Olecranon, Coronoid, Shaft),

        Radius (Head, Neck, Shaft)

Glenoid pathology

Gout

Humeral Tuberosity Injuries

Instability (Shoulder and Elbow Ligament Reconstruction)

Labral Tears

Reverse Shoulder Replacement (Arthroplasty)

Rotator Cuff Injuries

Subacromial Impingement Syndrome

Total Shoulder Replacement (Arthroplasty)