Hand & Upper Extremity Surgery

Restoring Function, Relieving Pain, and Rebuilding Lives

Our hands are remarkable structures that allow us to work, communicate, create, and interact with the world around us. When injury, arthritis, nerve compression, or congenital conditions interfere with hand function, even simple daily activities can become frustrating or impossible.


For more than 26 years, Dr. David Branch has provided comprehensive care for disorders of the hand, wrist, forearm, and peripheral nerves. Fellowship-trained in Hand, Microsurgery, and Replantation, he combines reconstructive expertise with an understanding that successful treatment is measured not simply by how a hand looks—but by how well it functions.



Whether your goal is relieving pain, restoring movement, recovering sensation, or returning to work, every treatment plan is individualized to your specific condition, lifestyle, and goals.

Conditions We Treat

Our hand and upper extremity practice includes evaluation and treatment of:


  • Hand and wrist injuries
  • Tendon injuries
  • Peripheral nerve injuries
  • Carpal tunnel syndrome
  • Cubital tunnel syndrome
  • Trigger finger and trigger thumb
  • Dupuytren's disease
  • Ganglion cysts
  • Arthritis of the hand and wrist
  • Thumb carpometacarpal (CMC) arthritis
  • Finger fractures and joint injuries
  • Soft tissue tumors and masses
  • Congenital hand differences
  • Pediatric hand injuries
  • Burns and scar contractures
  • Selected complex upper extremity reconstruction


Each of these conditions is discussed in greater detail within the following pages.

Our Surgical Philosophy

The hand is one of the most complex parts of the human body. Successful treatment requires balancing strength, motion, sensation, durability, and appearance.


Sometimes surgery offers the best solution. In many cases, however, splinting, therapy, injections, activity modification, or newer regenerative treatments may be appropriate before considering an operation.



The goal is always the same: selecting the treatment that provides the greatest long-term function with the least disruption to your life.

Advanced Reconstructive Techniques

Dr. Branch completed fellowship training in Hand Surgery, Microsurgery, and Replantation at the internationally recognized Buncke Clinic in San Francisco, where he developed expertise in complex reconstruction of bones, tendons, nerves, blood vessels, and soft tissues.



Although emergency replantation surgery is now largely concentrated at regional trauma centers, the principles of microsurgery continue to guide the treatment of complex hand injuries, peripheral nerve disorders, and reconstructive procedures performed in our practice today.

The Consultation Matters Most

No two hands—and no two patients—are alike.


During your consultation, Dr. Branch will carefully evaluate your condition, discuss both surgical and non-surgical options, explain the expected recovery, and develop a treatment plan designed to restore the highest possible level of function.

Our goal is not simply to repair an injury.


It is to help you return to the activities, work, hobbies, and lifestyle that matter most to you.

Have Questions? Reach Out To Us Today.

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