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Fax number: 843-737-8569

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Welcome to the Hand Institute of Charleston, your destination for hand and wrist care! Our board-certified fellowship-trained Orthopaedic Hand and Wrist Surgeons, Kyle Kokko MD PhD and Eric Angermeier MD, offer specialized and customized state-of-the-art operative and non-operative treatment options for all of your hand and wrist problems.

Troubleshoot Your Hand Problem

Conditions & Treatments

  • NERVES: Carpal tunnel syndrome, cubital tunnel syndrome, nerve injuries, hand numbness and tingling.
  • FRACTURES: Finger fractures, hand fractures, wrist fractures, boxer’s fracture, scaphoid fracture, distal radius fracture
  • TENDON: Trigger finger, tenosynovitis, tendon injuries, flexor and extensor tendon lacerations, de Quervain’s tenosynovitis, tendon transfers.
  • ARTHRITIS: Hand and wrist osteoarthritis, rheumatoid arthritis, thumb arthritis, CMC arthritis, SLAC wrist, bone spurs and cysts.
  • TUMORS: Hand and forearm tumors, ganglion cyst, mucous cyst, osteochondroma, giant cell tumor, Dupuytren’s contracture.
  • LIGAMENTS: Hand and wrist ligament injuries, ulnar collateral ligament injuries, gamekeeper’s thumb, skier’s thumb, scapholunate ligament injuries, TFCC tears, DRUJ instability, sports injuries
  • SURGICAL TECHNIQUES OFFERED: minimally invasive techniques, in-office surgery, opiod-sparing surgery, microsurgery, wrist arthroscopy
Call to schedule an appointment! 854-429-4263


Patient Education Library

Basic Hand and Wrist Anatomy

The structure of the human hand is a highly complex. It is composed of skin, blood vessels, nerves, tendons, ligaments, ...

Bone Health and Fracture Healing

Bones are very much alive and constantly changing over time, even in adults. We often hear about how diet and lifestyle ...

Bone Spurs and Cysts

Bone spurs are sharp spikes of bone that form at the margins of joints with arthritis. Sometimes you can actually fell t...

Boxer's Fracture

The metacarpal bones are the long slender bones which connect your wrist to your fingers and are roughly at the level of...

Braces, Splints and Casts

These are supportive devices made of durable materials and often with Velcro straps or buckles that allow it to be remov...

Carpal Tunnel Syndrome

Carpal tunnel syndrome is one of the most common conditions that we treat at Hand Institute of Charleston.

Cervical Radiculopathy

Cervical radiculopathy is a condition that results from a pinched nerve in cervical spine (neck region). The symptoms of...

Clicking and Popping

We thought we’d just address this age old question before proceeding! This type of popping noise is caused by cavi...

Complex Regional Pain Syndrome

Complex regional pain syndrome (CRPS) is thought to be a neurologic problem that causes severe pain, swelling, and stiff...

Cubital Tunnel Syndrome

Cubital tunnel syndrome is a condition that occurs when a nerve at the elbow (the ulnar nerve) is pinched or compressed ...

de Quervain's Tenosynovitis

We are proud to have board-certified, fellowship-trained orthopaedic hand and wrist surgeons who are available to guide ...

Distal Radius Fracture

In general terms, a distal radius fracture is the most common type of “broken wrist”. The radius is one of t...

Dupuytren's Contracture

Dupuytren’s Contracture is a genetic disorder that causes lumps and cords of abnormal scar tissue to form in the p...

Fireworks Safety

Independence Day is right around the corner, and everyone’s celebration may look different, but one thing is certa...

Fracture Nonunion and Malunion

A fracture is simply a crack or break in a bone. Fractures are very common in the hand and wrist, usually due to an acut...

Ganglion Cysts

Lumps and bumps on the hand, wrist, or forearm can be a cause of significant anxiety for patients but are rarely anythin...

Hand and Wrist Arthritis

Persistent hand stiffness or pain can make it difficult to perform daily activities. Turn to the board-certified physici...

Hand and Wrist Cysts, Masses & Tumors

Lumps and bumps on the hand, wrist, or forearm can be a cause of significant anxiety for patients but are rarely anythin...

Hand and Wrist Fractures

There are several different terms that may be used to describe a fractured bone.

Hand and Wrist Osteoarthritis

Arthritis literally means “inflamed joint”, and generally refers to any damage to the joints of the body. Th...

Hand and Wrist Rheumatoid Arthritis

The inflammation of the joint tissues leads to gradual destruction of the ligaments which hold the joints straight, and ...

Hand and Wrist Surgery

The skin incision allows the surgeon to then repair whatever deep structures (bones, tendons, ligaments, nerves) may be ...

Hand Infections

Hand infections almost always warrant medical attention. Deep infections of the hand can spread rapidly through the flui...

Hand Therapy

Hand therapy refers to a wide range of nonoperative treatments that are administered by hand therapists for hand injurie...

Hand & Wrist Therapy

Many people deal with hand and arm pain on a daily basis. Whether you have a traumatic injury or a condition that has bo...

Image-Guided Steroid Injections

Steroid injections are commonly performed to reduce inflammation around a joint or tendon (arthritis, tendonitis). While...

Is Cracking Your Knuckles Harmful?

We all know someone who loves to habitually crack their knuckles. Most of us have at least tried it a few times.

Lumps and Bumps

Benign cysts and masses are actually very common in the hand and wrist, and often don’t cause significant problems...

Mallet Finger

Mallet finger injuries usually occur due to a sudden jamming of the fingertip which results in either fracture (mallet f...

Mallet Fractures

The phalanx bones (called phalanges in plural) are the long slender bones which form your fingers. There are three phala...

Metacarpal Fracture

The metacarpal bones are the long slender bones which connect your wrist to your fingers and are roughly at the level of...

Minimally Invasive Surgery

Minimally Invasive Surgery techniques are those that aim to limit the size of the incision, and also limit the amount of...

Mucous Cysts

Malignant or cancerous tumors of the hand, wrist, or forearm are exceedingly uncommon, but we recommend you have any new...

Nerve Injuries and Lacerations

Nerves are very much like the fiberoptic cables that carry internet data to and from our homes. Nerves are composed of m...

Numbness and Tingling

This is one of the most common problems that we treat at Hand Institute of Charleston. Patients may describe that the ha...

Opioid-Sparing Techniques

While opioid-sparing techniques may not eliminate the need for opioids, we make every effort to reduce opioid use. Educa...

Pain and Stiffness

These are the most common problems that we treat at Hand Institute of Charleston. Pain and stiffness can both can have a...

Pediatric Hand and Wrist Fractures

Unfortunately, fractures are a right-of-passage for most children. Fractures are simply breaks or cracks in the bone.

Phalanx Fractures

Suspected hand fractures warrant emergent treatment if you are experiencing hand numbness and tingling, severe or &ldquo...

Scaphoid Fractures

The scaphoid is a small wrist bone at the base of the thumb that can be fractured (broken or cracked) due to wrist traum...

Scapholunate Ligament Injuries

The scaphoid and lunate are two small bones in the wrist held tightly together by a band of tissue called the scapholuna...

SLAC Wrist

SLAC stands for “scapho-lunate advanced collapse”. It is a painful condition of the wrist. The scaphoid and ...

Tendon Injuries & Lacerations

The tendons of the hand and wrist are mostly long white cords of tissue that connect the muscles to the bones and allow ...


Tendonitis is a very broad term referring to inflammation of one or more tendons. This commonly occurs in several locati...

TFCC Injuries

The triangular fibrocartilage complex (TFCC) is a combination of multiple ligaments and a central disc of cartilage loca...

Therapeutic Ultrasound

Therapeutic ultrasound is based on the same technology and used by hand therapists to treat chronic pain and promote tis...

Thumb CMC (Basal Joint) Arthritis

Arthritis literally means “inflamed joint”, and generally refers to any damage to the joints of the body. Th...

Trigger Finger

It is a painful (or sometimes painless) snapping or locking of the fingers or thumb. This occurs when the sheath around ...

Troubleshoot Your Hand Problem

While there is no substitute for a visit with our world-class hand surgeons, we realize that many of our patients like t...

UCL Injuries (Gamekeeper's or Skier's Thumb)

Thumb ligament injuries are common. The most common injury occurs to the ligaments at the joint located at the base of t...

Ulnocarpal Abutment Syndrome

Ulnocarpal abutment syndrome is a painful wrist condition in which bones rub together abnormally in the wrist leading to...

Walant Surgery

This is an anesthesia technique developed by hand surgeons in which minor surgeries and even some larger surgeries can b...

Work Injuries

Work injuries represent a broad spectrum of disorders including both acute injuries (fractures, lacerations), and chroni...

Wrist and Finger Sprains

A sprain is simply an injury of one or more ligaments. Mild sprains correspond with partial ligament injuries, while sev...

Wrist Arthroscopy

Wrist arthroscopy is a minimally invasive surgical technique. Small incisions are made on the wrist and a small tube wit...



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To book an appointment with the Hand Institute call our office at 854-429-4263 or check our availability with the Book Appointment button listed for both of our doctors above.