The Hand and Upper Extremity is where Dr. Lee made his name: and where he helped design the hardware.
Carpal tunnel, distal radius fractures, scapholunate ligament injuries, basal joint reconstruction, and the full spectrum of hand and wrist surgery. Performed by a surgeon who helped design implants now used by his peers around the country.
Surgery at the level of the person teaching it.
Dr. Lee serves as Chief of Hand and Upper Extremity Surgery at Lenox Hill Hospital, a Northwell Health flagship in New York City. He is double fellowship-trained in hand and upper extremity surgery and in sports medicine, a combination that makes him fluent in both the fine reconstructive work of the hand and the high-demand return-to-sport considerations athletes care about.
Beyond his clinical practice, Dr. Lee has helped design numerous orthopedic implants now used by surgeons around the world, including plating systems and anchors for the hand, wrist, and elbow. When you have surgery with Dr. Lee, the hardware in your wrist may be hardware he helped create.
As a global educator in orthopedic surgery, Dr. Lee instructs over five surgical skills courses each year, training surgeons from around the world on the latest techniques and innovations.
Procedures & techniques.
Endoscopic carpal tunnel release
Minimally invasive technique through a small incision, less post-operative pain, and faster return to work than traditional open release. The healed scar is often unnoticeable. Dr. Lee has performed thousands of these procedures, and regularly instructs courses on how to do them.
Hand and Wrist fracture fixation
Fractures of the Distal Radius and Ulna, Scaphoid, thumb and fingers using current-generation hardware, including plating systems Dr. Lee helped design.
Ligament reconstruction with internal brace
Scapholunate, thumb UCL, and basal joint reconstructions using the anchor and internal brace constructs Dr. Lee helped design.
Basal Joint Arthritis
Internal brace techniques Dr. Lee helped designed have revolutionized this operation that previously required sacrificing your own normal tendon. This surgery has been reduced to a 20 min operation
Wrist Arthritis (SLAC Wrist)
Dr. Lee has spent a considerable amount of his research in creating novel treatments for wrist arthritis, preventing the need for fusions and wrist replacements.
TFCC tears
While TFCC tears are common, mastering their arthroscopic treatment requires a rare level of specialization. Dr. Lee’s elite sports medicine training gives him a unique edge in treating these complex wrist injuries. A recognized leader in the field, he regularly instructs surgeons from around the country on advanced TFCC repair techniques.
Revision surgery and salvage
Dr. Lee is regularly referred patients whose first surgery elsewhere didn't go as planned. He'll review imaging and operative notes before discussing options.
He helped design the plate in your hand/wrist.
Dr. Lee has helped design plating systems used in hand and elbow fracture fixation. Few surgeons in the country have that level of involvement with the hardware they implant.
What patients come in for.
Basal Joint Arthritis
Thumb CMC reconstruction with an internal brace system Dr. Lee helped design.
Boutonniere Deformity
A bent finger from disruption of the central slip of the extensor tendon, after injury or in rheumatoid arthritis. Recognized early, it is often treated with splinting and therapy; chronic deformities may need reconstruction.
Carpal Tunnel Syndrome
Including endoscopic release, a minimally invasive approach with faster recovery than traditional open surgery.
Chronic Exertional Forearm Compartment Syndrome
Exercise-induced forearm pain, tightness, and swelling that builds with activity and eases with rest, from elevated pressure in the forearm muscle compartments. Seen in climbers and grip-intensive athletes, with fasciotomy an option for those who must keep competing.
De Quervain's Tenosynovitis
Thumb-side wrist pain from irritation of the first dorsal compartment tendons. Most cases improve with splinting and a corticosteroid injection; persistent cases are treated with a short release.
Distal Radius Fracture
The most common fracture orthopedic surgeons treat. Dr. Lee uses fixed-angle volar plating in displaced or intra-articular cases.
Dupuytren's Disease
Progressive thickening of the palm's fascia that can curl a finger over time. Treated based on function, with in-office needle and enzyme options as well as surgery.
Extensor Tendon Subluxation
When the extensor tendon slips off the knuckle, often after a punch or in inflammatory arthritis. Treated with splinting acutely, or surgical realignment when chronic.
Finger Collateral Ligament Injury
Sideways injuries to the small ligaments that stabilize finger joints. Most heal without surgery; the unstable ones benefit from internal brace repair Dr. Lee helped design.
Finger Pulley Injury (Climber's Finger)
Rupture of the small bands that hold the flexor tendons against the finger bones, classically from a crimp-grip fall in rock climbing. Most isolated injuries heal with taping and protected motion; multiple-pulley ruptures may need surgical reconstruction.
Ganglion Cyst
The most common lump in the hand, a benign fluid-filled cyst. Many need no treatment; symptomatic cysts are treated with aspiration or excision of the cyst and its stalk.
Guyon's Canal Syndrome
Ulnar nerve compression at the wrist, in Guyon's canal, causing numbness and tingling in the ring and small fingers and sometimes grip weakness. Treated by relieving the source of pressure, with decompression reserved for persistent or weakening cases.
Hand & Wrist Fractures
Fracture fixation using hand and elbow plating systems Dr. Lee helped design.
Hand and Finger Arthritis
Osteoarthritis of the finger joints and hand, with pain, stiffness, and bony nodes. Conservative care comes first, with splints, therapy, and injections; surgery is reserved for joints that stay painful.
Intersection Syndrome
An overuse tendinopathy where two forearm tendon groups cross a few centimeters above the wrist, causing pain, swelling, and sometimes a squeak. Common in rowers and weightlifters, and it usually settles with rest, splinting, and activity changes.
Kienbock's Disease
Loss of blood supply to the lunate, a carpal bone of the wrist, causing pain, stiffness, and reduced grip. Treatment is staged by imaging, from immobilization early to joint-leveling or salvage procedures in advanced collapse.
Mallet Finger
A drooping fingertip from disruption of the terminal extensor tendon, often from a ball striking the finger. Most are treated with continuous splinting; surgery is reserved for large bony fragments or open injuries.
Mucous Cyst
A small cyst over the last joint of the finger, almost always associated with arthritis in that joint. Surgical removal must include the underlying bone spur to prevent recurrence; aspiration alone is best avoided because of infection risk.
Nerve Laceration
A cut nerve in the hand, wrist, or forearm, often from glass or a knife, causing numbness or weakness in that nerve's distribution. Treatment is early microsurgical repair, with grafts or conduits to bridge gaps and hand therapy to support recovery.
Rheumatoid Arthritis of the Hand
Systemic inflammatory arthritis affecting the joints and tendons of the hand and wrist. Medical management with a rheumatologist is the foundation; the hand surgeon addresses tendon ruptures, nerve compression, and painful deformities.
Scaphoid Fracture
The most commonly fractured carpal bone, with a fragile blood supply that makes early treatment important. Treated with casting or a headless compression screw depending on the fracture.
Scapholunate Ligament Injury
Internal brace reconstruction using anchors Dr. Lee helped design.
SLAC Wrist and Salvage Procedures
End-stage wrist arthritis after an old scapholunate tear or scaphoid non-union. Salvage procedures relieve pain and preserve a functional wrist.
Swan Neck Deformity
A finger deformity with the middle joint hyperextended and the fingertip flexed, from an imbalance of the finger's tendons and ligaments. Early flexible deformities respond to therapy and small splints; fixed or disabling ones are treated surgically.
Tendon Laceration
A cut flexor or extensor tendon, usually from a sharp injury, causing loss of finger bending or straightening. Treated with precise specialist repair and a structured hand-therapy motion program to prevent stiffness and rupture.
TFCC Tear
Tear of the triangular fibrocartilage complex, the cartilage-and-ligament structure on the pinky side of the wrist. Treated with splinting, PRP, or arthroscopic debridement or repair, depending on the tear pattern.
Thumb UCL/RCL Tear (Skier's Thumb)
Ligament tear at the base of the thumb, often from a fall or ski-pole injury. Internal brace repair Dr. Lee helped design supports earlier return to pinching and sport.
Trigger Finger
Catching, clicking, or locking of a finger from a thickened tendon nodule at the A1 pulley. Most cases resolve with a single in-office injection; a short A1 pulley release handles the rest.
Ulnar Impaction Syndrome
Pinky-side wrist pain from an ulna that sits too long relative to the radius. Treated with splinting, injections, PRP, or arthroscopic ulnar shortening (wafer procedure).
Wartenberg's Syndrome
Compression of the superficial radial nerve, often by a tight watch band, causing burning and tingling on the back of the hand. Most cases resolve when the source of pressure is identified and removed.
Wrist Arthroscopy
Two 4 mm portals, a small camera, and direct visualization of every ligament and cartilage surface in the wrist. The diagnostic and treatment workhorse for TFCC tears, ligament injuries, and persistent wrist pain.
Credentials that matter here.
- Chief of Hand and Upper Extremity Surgery, Lenox Hill Hospital (Northwell Health)
- Double fellowship-trained, Hand & Upper Extremity, Sports Medicine
- Helped design hand and elbow plating systems used nationwide
- Castle Connolly Top Doctor since 2008
- Routinely sees second-opinion and revision-surgery referrals
Ready to talk about your case?
In-person visits in NYC or Scarsdale. International and out-of-area patients can begin with a telemedicine consultation.