Referrals to Norton Louisville Arm & Hand typically can be seen by the next day, if necessary, for both simple and complex conditions, including fractures — from the humerus to the fingertip.

Some of the most common referrals are for carpal tunnel syndrome, arthritis, sports injuries and congenital hand anomalies.

Patients can be seen on the same or next day when the need arises for issues such as open fractures, progressive infection, complex lacerations with nerve or tendon involvement, open nail bed injuries, and severely displaced fractures.

“Access is not an issue. We can schedule same-day or next-day appointments when needed,” said Luke P. Robinson, M.D., hand surgeon with Norton Louisville Arm & Hand. “We are a group that specializes in both operative and nonoperative treatment of arm and hand issues.”Norton Louisville Arm & Hand, the largest regional provider of comprehensive arm and hand specialist care, consists of nine fellowship-trained hand and arm surgeons and four advanced practice providers.

“Even within our group, we have subspecialists for patients with congenital hand issues, for those with sports injuries and for those who need complex elbow and wrist reconstruction,” Dr. Robinson said.

Patients with non-displaced fractures, closed nail bed injuries, bicep ruptures, mallet finger, lacerations that have been sutured, and burns are seen in three to seven days.

The practice also sees patients with chronic nerve issues affecting the hand, wrist and hand arthritis, ganglion cysts, carpal tunnel syndrome, cubital tunnel syndrome, epicondylitis, trigger finger, Dupuytren contracture, and de Quervain tenosynovitis.

The group is also willing to provide patients with a second opinion about their diagnosis or treatment options.

In cases where patients do need surgery, Norton Louisville Arm & Hand now offers wide-awake surgery, performed under local anesthetic.

“This technique allows for patients to continue blood thinners; it costs less and does not require an IV. Patients can eat and drink normally the morning of surgery,” Dr. Robinson said.

Surgeons at Norton Louisville Arm & Hand also perform joint replacement and complex reconstructive procedures for the hand, wrist and elbow.

For patients with Dupuytren contracture, the group offers surgical and nonsurgical options. Dupuytren contracture is a progressive hand condition occurring when a thick cord of tissue causes a contracture in the palm that can limit the ability to straighten the fingers.

Norton Louisville Arm & Hand is active in both education and research and participates in clinical trials that give its team extensive experience in new therapies once they’re approved for a broader use. Patients also can benefit from access to these innovative treatments.