The wrist
• Carpal tunnel syndrome – Dr. Topper has been using the endoscopic approach to treating this condition since its inception nearly ten years ago. He was also one of the initial investigators of this method at Mayo Clinic. The endoscopic approach offers superior clinical results, a faster recovery and less recurrence.

• Wrist arthroscopy – By employing advanced technology to tighten loose ligaments and structures in the wrist, Dr. Topper often can restore function without the need for a partial wrist fusion, which may result in permanent loss of motion. Dr. Topper has been invited to speak about this technique to other hand surgeons at national meetings and has earned the distinction of Chairman of the Instructional Courses Lecture by his peers.

• Instability of the wrist – Dr. Topper uses the latest arthroscopic techniques, which can successfully restore stability to the bones and ligaments of the wrist. Because these techniques are minimally invasive, there is less scarring and a faster recovery time.

• Total wrist arthroplasty – By incorporating a state-of-the-art implant, Dr. Topper can improve the grip strength as well as provide superior range of motion.

Dr. Topper also offers specialized treatment for rheumatoid deformities of the wrist, wrist fractures, ganglion cyst, De Quervain’s tendonitis, extensor tendon injuries and the latest vascularized grafts for Kienbock’s disease.