Full List of Procedures


Samuel S. Abrams, MD, leads a premier orthopedic hand and upper-extremity practice with locations in Asheville, Hendersonville, and Arden, North Carolina. Dr. Abrams is a board-certified hand and upper-extremity surgeon.

He uses a conservative, collaborative approach to care, giving patients a voice in the decision-making process. Patients suffering from hand and upper extremity issues can turn to Dr. Abrams for advanced, up-to-date care and symptom relief.

He offers traditional braces, splints, occupational therapy, anti-inflammatory medications, injections, and minimally invasive hand and upper extremity surgeries, as well as AccuMed®, Arthrex®, Integra®, Innate®, Synthes®, Aptis DRUJ Arthroplasty, and Mitek® orthopedic products and devices. Dr. Abrams also offers Xiaflex injections for Dupuytren’s contractures.

Dr. Abrams and his team maintain their advanced credentials with continuing education to stay up-to-date with the latest advances in orthopedic technology and procedures. They warmly welcome patients to the practice and look forward to restoring their quality of life.

Dr. Abrams treats a wide variety of hand and upper extremity conditions, and offers many varying procedures including the following:

Hand & Finger

  • Nail bed repair/reconstruction
  • Tendon repair/reconstruction
  • Cyst/mass excision
  • Small joint fusions and replacements for arthritis
  • Tendon transfer to improve function
  • Trigger finger release
  • Nerve release
  • Nerve repair
  • Blood vessel repair/reconstruction
  • Scar revision
  • Skin grafting
  • Reconstruction of severe finger and hand deformities including Rheumatoid Arthritis
  • Reconstruciton of congenital hand deformities
  • Dupuytren’s contracture release 
  • Xiaflex injections and manipulation to release Dupuytren’s contractures without surgery
  • Finger contracture release
  • Nanoarthroscopy of small joints
  • Small joint replacement or fusion for arthritis
  • Complex hand and finger reconstruction of chronic injuries
  • Acute care and surgical fixation of complex hand injuries (table saw, fireworks, gun shot wounds, car and motor cycle accidents, etc.)
  • Open reduction and internal fixation of hand and finger fractures
  • Closed reduction and splinting of hand and finger fractures
  • Care of pediatric hand and finger fractures
  • Repair/reconstruction of thumb ulnar collateral ligament injury (skiers thumb)
  • Novel reconstruction for basilar thumb arthritis (CMC Arthroplasty)
  • Wide awake surgeries


  • Wrist reconstruction/salvage for severe arthritis and wrist injuries
  • Care of pediatric and adult fractures
  • Growth plate arrest procedures for incongruent growth following a childhood injury
  • Distal radioulnar joint (DRUJ) arthroplasty
  • Complete and partial wrist fusion
  • Fixation of complex and simple wrist fractures (adult and pediatric)
    • Distal radius fracture fixation
    • Distal ulna fracture fixation
    • Scaphoid fracture fixation
    • Carpal bone fracture fixation
    • Repair of malunited and nonunited fractures of distal radius/ulna, scaphoid, and carpal bones
  • Partial carpal bone replacement
  • Osteochondral autograft surgery of the wrist
  • Vascularized bone grafts for the wrist
  • Wrist arthroscopy 
  • Triangular Fibrocartilage Complex (TFCC) debridement and repair 
  • Scapholunate ligament repair/reconstruction
  • Ulnar nerve decompression at the wrist
  • Ganglion cyst excision
  • 1st dorsal compartment release for DeQuervain’s tenosynovitis
  • Tendon transfer to improve function
  • Repair/reconstruction of complex wrist deformities including Rheumatoid Arthritis
  • Minimally invasive carpal tunnel release
  • Wide awake carpal tunnel release surgery
  • Endoscopic Carpal Tunnel release


  • Ulnar shortening osteotomy and arthroscopic wafer procedure for ulnocarpal abutment
  • Fixation of complex and simple adult forearm fractures
    • Radius fractures
    • Ulna fractures
    • Both bone forearm fractures
    • Bone grafting
    • Masquelet technique for bone loss
  • Fixation of complex and simple pediatric forearm fractures
    • Radius fractures
    • Ulna fractures
    • Both bone forearm fractures
    • Closed reduction and casting of fractures
    • Closed reduction and fixation with flexible intramedullary rods
  • Contracture releases
  • Nerve release and repair
  • Skin grafting
  • Scar revision
  • Compartment release for chronic/recurrent compartment syndrome


  • Lateral epicondylectomy and tendon reattachment for lateral epicondylitis (Tennis Elbow)
  • Medial epicondylectomy and tendon reattachment for medial epicondylitis (Golfer’s Elbow)
  • Radial head replacement
  • Total elbow replacement
  • Fixation of complex and simple elbow fractures
    • Olecranon fractures
    • Radial head fractures
    • Distal humerus fractures
  • Cubital tunnel release
  • Ulnar nerve transposition at the elbow
  • Distal biceps tendon repair
  • Triceps tendon repair
  • Ulnar collateral ligament reconstruction (Tommy John Surgery)
  • Lateral collateral ligament reconstruction
  • Contracture release
  • Care for elbow dislocations
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