Hand Surgery

main image for hand

The Hand Surgery service offers comprehensive care for problems from the elbow to the finger tips. The multidisciplinary medical team includes fellowship-trained hand surgeons, specialized hand therapists, nurses, and technicians who work together to provide the best possible care available. MUSC offers state-of-the-art surgical and nonsurgical treatment options including injections, minimally invasive arthroscopy, and microsurgical techniques. Providers in the Orthopaedics Department and Physical Medicine provide patient care in concert with plastic surgeons, endocrinologists and other specialists to manage complex problems and patients with chronic systemic illnesses such as rheumatoid arthritis and peripheral vascular disease.

Faculty leadership

All three MUSC orthopaedic hand surgeons – Drs. Angermeier, Kokko, and Pellegrini – are active members of the American Society for Surgery of the Hand and are involved in scientific presentations at the Annual Meeting of the Society. Dr Pellegrini co-developed the Ligament Reconstruction Tendon Interposition (LRTI) arthroplasty, which is one of the most common techniques used to treat basal joint arthritis of the thumb. Drs. Kokko and Angermeier are also active members of the American Association of Hand Surgeons.

Photograph of Dr. Kyle Kokko explaining a hand surgery procedure to a patient.
Dr. Kyle Kokko explaining a hand surgery procedure to a patient.

Kyle P. Kokko, MD, PhD
Assistant Professor

Dr. Kyle Kokko is a hand and wrist specialist at the Medical University of South Carolina. He completed his orthopaedic surgery training at MUSC and a hand surgery fellowship at the Hospital for Joint Diseases in New York City. Dr. Kokko specializes in microsurgery, wrist arthroscopy, minimally invasive surgical techniques, xiaflex injections for Dupuytren’s disease, and platelet rich plasma (PRP) injections. He is an accomplished hand surgeon using the WALANT technique for office based surgical procedures.

Photograph of Dr. Eric Angermeier assessing hand and finger mobility.
Dr. Eric Angermeier assessing hand and finger mobility

Eric W. Angermeier, MD
Assistant Professor

Dr. Eric Angermeier is a hand and wrist specialist at the Medical University of South Carolina. He completed his orthopaedic surgery training at MUSC and a hand surgery fellowship at Duke University. Angermeier specializes in microsurgery, wrist arthroscopy, minimally invasive surgical techniques, complex traumatic injuries, and xiaflex injections for Dupuytren’s disease. Dr. Angermeier is an accomplished hand surgeon using the WALANT technique for office based surgical procedures.

Clinical

Common Problems Treated

  • Nerve: carpal tunnel syndrome, cubital tunnel syndrome, nerve injuries, hand numbness and tingling.
  • Tendon: trigger finger, tendonitis, tenosynovitis, tendon injuries, flexor and extensor tendon lacerations, de Quervain’s tenosynovitis, tendon transfers.
  • Fractures: finger fracture, hand fracture, wrist fracture, boxer’s fracture, scaphoid fracture, distal radius fracture, forearm fracture, malunions, nonunions.
  • Arthritis: hand and wrist osteoarthritis, rheumatoid arthritis, thumb arthritis, CMC arthritis, SLAC wrist.
  • Cysts and Tumors: enchondroma, epidermal inclusion cyst, hand and forearm tumors, ganglion cyst, glomus tumor, lipomas, mucous cyst, osteochondroma, giant cell tumor, Dupuytren’s contracture.
  • Ligaments: hand, wrist, and elbow ligament injuries, ulnar collateral ligament injuries, gamekeeper’s thumb, skier’s thumb, scapholunate ligament injuries, TFCC tears, DRUJ instability, sports injuries.

Education and Training

The Hand Surgery Service takes great pride in the education of resident trainees at MUSC. Over the past five years, eight orthopaedic residents have chosen to pursue subspecialty training in a hand surgery fellowship. This noteworthy accomplishment is a testimony to the exceptional teaching quality provided by Drs. Angermeier and Kokko, for which the hand surgery service is well known in the residency program.