The Hand Center

Florida Bone & Joint Specialists

The Hand Center at Florida Bone and Joint Specialists is the largest and most comprehensively-trained hand and upper extremity orthopaedic and plastic surgery practice in the Panhandle. Comprised of Drs. Alexander Coleman, Steven Kronlage, and James Piorkowski, The Hand Center at Florida Bone and Joint Specialists provides cost-effective, patient-centered care across the entire continuum of hand, wrist and elbow conditions. We offer advanced imaging, cost-effective outpatient procedures in our office, and access to the world-renowned Andrews Institute for Orthopaedics and Sports Medicine. All of our physicians are board-certified and fellowship-trained, allowing them to provide unparalleled orthopaedic care to patients suffering from fractures and disorders of the hand, wrist and elbow.

Dr. Alex Coleman

Dr. Alex Coleman is a board certified and fellowship-trained orthopaedic surgeon specializing in hand, wrist, and elbow reconstruction, as well as microvascular surgery and limb salvage. His practice encompasses the full spectrum of hand and wrist conditions from the simple to the complex, utilizing a broad range of non-surgical treatment regimens, and when necessary, the latest surgical techniques.

Dr. Steven Kronlage

Steven Kronlage, MD is a board certified and fellowship trained orthopaedic surgeon with a Certificate of Added Qualification in Hand Surgery. He specializes in adult and pediatric conditions of the upper extremities; acute and post-traumatic reconstruction of the upper extremities; arthroscopic surgery of the wrist, elbow and shoulder; and arthroplasty of the hand, wrist and elbow. His practice addresses the full spectrum of hand and wrist conditions utilizing a broad range of non-surgical treatments and, when necessary, surgical techniques informed by the latest advancements in his field.

Dr. James R. Piorkowski

James R. Piorkowski, MD is a board-certified and fellowship-trained orthopaedic surgeon with additional board certifications in Plastic Surgery and General Surgery. He has a diverse clinical skill set that allows him to treat patients with a variety of injuries and conditions.

Common Conditions We Treat

Radial Head Fractures

The radial head is the most proximal portion of the radius bone and is located on the outside or lateral aspect of the elbow.

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Total Elbow Arthroplasty

Total elbow arthroplasty is a surgical procedure during which a diseased or damaged elbow is replaced with an implant. This implant then takes over the functions of the elbow.

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Triceps Tendon Injuries

The triceps is a tripinnate muscle, meaning it is made up of three parts–the long, medial, and lateral heads.

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Elbow Arthritis

In general, arthritis describes joint destruction as a result of chronic inflammation. Arthritis can be broken down into three broad types: osteoarthritis, inflammatory arthritis, and post-traumatic arthritis.

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Extensor Tendon Injuries

The extensor tendons run along the back of the hand and wrist and extend the fingers. These are tendons you see on the back of your hand when you flex the fingers.

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Finger Arthritis

In general, arthritis describes joint destruction. Arthritis can be broken down into three broad types: osteoarthritis, rheumatoid arthritis, and post-traumatic arthritis.

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Flexor Tendon Injuries

The flexor tendons are the long tendons that run from the mid-forearm to the fingertip; each finger has two flexor tendons, and the thumb has one.

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Little Leaguer’s Elbow

Little Leaguer’s elbow is an injury to the growth plate on the inside of the elbow, which is known as the medial epicondyle.

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Mallet Finger

A mallet finger is a disruption of the terminal extensor tendon at the tip of the finger, where the tendon attaches to the bone.

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Digital Mucinous Cysts

A mucous cyst is an “outpouching” of the last joint of the finger, which is called the distal interphalangeal joint.

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Olecranon Bursitis

Olecranon bursitis is the inflammation of the olecranon bursa.

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Radial Tunnel Syndrome

Radial Tunnel Syndrome, also known as radial neuritis, is a confusing and challenging condition affecting the terminal branch of the radial nerve in the arm, the posterior interosseous nerve.

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Scaphoid Fractures

The scaphoid is the most commonly injured of the carpal bones.

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TFCC Tears

An injury to the TFCC can cause chronic wrist pain, but, fortunately, successful treatment does not depend on chronicity of the injury, so patients with long-standing pain can often get better.

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Lateral Epicondylitis (“Tennis Elbow”)

Lateral epicondylitis is an age-related pain phenomenon that exists at the lateral side of the elbow. 

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De Quervain’s Syndrome

De Quervain syndrome is a tendonitis of the first dorsal extensor compartment sheath, which is located at the wrist.

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Cubital Tunnel Syndrome

Cubital Tunnel Syndrome (CTS) is a compressive neuropathy of the ulnar nerve at the point behind the inside of the elbow where the nerve travels through the cubital tunnel.

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Boutonniere Injuries

A boutonniere injury describes damage to the attachment or insertion point of the extensor tendon of the middle phalanx, which straightens the middle finger.

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Biceps Tendon Injury at the Elbow

There are two primary classes of biceps tendon injuries: biceps tendonitis and complete biceps rupture, both of which are likely the result of the same disorder.

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Trigger Finger

Trigger fingers are a very common orthopaedic condition of the hand. They are a result of the tendons of the finger swelling underneath the pulleys in the hand.

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Thumb Arthritis

Thumb arthritis, also known as basal joint arthritis, is the degeneration of the thumb joint at the base of the thumb metacarpal.

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Dupuytren’s Contracture

Dupuytren’s disease (often called Dupuytren’s contracture) is a thickening of the fibrous tissue underneath the skin of the palm and fingers.

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Distal Radius Fracture

In traumatic injuries, the distal radius breaks close to or at its joint with the carpal bones of the wrist. These fractures most often occur as the result of a fall on an outstretched wrist. It is the most common type of fracture in the arm.

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Carpal Tunnel Syndrome

Carpal tunnel syndrome is a compressive neuropathy affecting the median nerve.

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