Hand/Upper Extremity

Our physicians are orthopedic surgeons who have pursued additional sub-specialty training at the fellowship level in order to provide the most up-to-date and comprehensive treatment of the whole upper extremity.

In combination with our trained therapists and medical staff, they provide the very best in both surgical and non-surgical evaluation and treatment and have become a center of excellence for the Lexington and wider Kentucky areas in the treatment of upper extremity problems.

Frequently treated problems include:


  • Shoulder reconstruction, both arthroscopic and open
  • Shoulder arthritis (rheumatoid, osteo- and post-traumatic), including the whole spectrum from nonarthroplasty replacement, resurfacing and reverse arthroplasty
  • Acromioclavicular and sternoclavicular joint injuries/instability including arthroscopic stabilization
  • Rotator cuff tears and arthropathy
  • Unstable shoulders (primary and revision stabilization)
  • Proximal humeral fractures


  • Elbow instability (fractures, dislocations, fracture dislocations and recurrent instability)
  • Stiff elbow (soft-tissue and bony)
  • Radial head fractures (fixation, reconstruction and replacement)
  • Tennis and golfer’s elbow (nonoperative and arthroscopic management)
  • Elbow arthritis (rheumatoid, osteo- and post-traumatic; arthroscopic recontouring, hemiarthroplasty, total elbow replacement and revision elbow arthroplasty)
  • Biceps/triceps ruptures
  • Sports injuries of elbow
  • Osteochondritis dissecans (OCD)
  • Essex-lopresti injuries
  • Forearm rotational stiffness management


  • Carpal tunnel syndrome
  • Wrist and hand fractures
  • Arthritis of the hand and wrist
  • Stiff and painful hand problems
  • Poor circulation of the hand or fingers
  • Numbness, tingling and nerve problems
  • Trauma to the hand, including sprains and lacerations
  • Work-related injuries
  • Recreational and sports-related injuries
  • Hand and arm pain

Hand and Upper Extremity Faculty

Dr. Maureen A. O'Shaughnessy

Maureen A. O'Shaughnessy, MD

Positions Held:
  • Kentucky Clinic - Hand & Upper Extremity Clinic
  • Assistant Professor
Dr. Srinath Kamineni

Srinath Kamineni, MD

Positions Held:
  • Kentucky Clinic - Hand & Upper Extremity Clinic
  • Associate Professor-Special Faculty
  • Director-Elbow Shoulder Research Center
Dr. Chase Kluemper

Chase Kluemper, MD

Positions Held:
  • Assistant Professor