Nicholas E. Crosby, MD article on Cubital Tunnel featured on IU Health website

IUlogoNicholas E. Crosby, MD is featured in a article on about 3 ways to avoid cubital tunnel syndrome.

Crosby says most people can alleviate symptoms with a few lifestyle changes.

• Wear an elbow pad. You can purchase an elbow pad at most any pharmacy. Place it on the back of the elbow during the day and the front of the elbow at night to keep the arm from a fully-flexed position.
• Avoid resting your elbows on hard surfaces like a desk or counter. If you choose to lean, be sure you’re wearing an elbow pad to cushion the stress.
• Use ear buds, headsets or speakerphones to avoid bending the arm at the elbow when you talk on the phone.

For the complete article please visit the website.

Former patient of Kevin R. Knox, MD signs at Toledo to play basketball after a lawn mower injury

knox_patient_story_fbThere is a great story on IndyStar website about Nick Rodgers of Pike high school signing with Toledo to play basketball.  Rodgers was injured in 2012 while mowing and Kevin R. Knox, MD was the physician that operated on his injured right hand.  Here is a link to the story on the IndyStar website.







Indianapolis Monthly Top Docs

Top Doc Issue

Top Doc Issue

The November 2014 issue of Indianapolis Monthly is out and several of the Indiana Hand to Shoulder physicians our once again included in the Hand Surgery category. Congratulations to Robert M. Baltera, MD, James J. Creighton, Jr., MD, Thomas J. Fischer, MD, Jeffrey A. Greenberg, MD, Hill Hastings II, MD, William B. Kleinman, MD and Alexander D. Mih, MD.

This is a great response to the announcement on our facebook page from a former patient.

Dr Hastings gave me my hand back after a lawn mower accident in Dayton, Ohio on May 16, 1991. I don’t have the words to express my gratitude for that. It’s good to see so many of the doctors who were at the hand center while I was an active patient make this list, although, it does NOT surprise me.I was flown to Indianapolis after my accident because they were the best in their field, and my hand was more than the local hand docs had the capacity to repair. I’m just glad the local docs knew their limits and sent me to Indy.

-Kathy S.

Safe Pumpkin Carving

pumpkin carving hand safety

pumpkin carving hand safety

Halloween is a fun holiday for the whole family to enjoy. Carving pumpkins has become as big a part of Halloween as Trick-or-Treating. Each year during the fall season, the Indiana Hand to Shoulder Center’s surgeons treat many adults and children who suffer from severe hand and finger injuries due to careless pumpkin carving activities. These injuries range from simple lacerations to more severe tendon and nerve injuries that can require extensive surgery to repair and may also result in a permanent loss of hand function. Most injuries result from knives slipping in an individual’s hand resulting in laceration to digital nerves and flexor or extensor tendons. A knife with to much applied pressure can also suddenly slice or puncture through a pumpkin resulting in a stab wound to the other hand which has been supporting or holding the pumpkin. Have a safe Halloween by following these tips.

  • Adults, not children, should always perform the pumpkin carving. Never let children play with knives or pumpkin carving tools. Allow the children to draw the pattern on the pumpkin and clean the seeds out of the inside of the pumpkin.
  • Utilize pumpkin carving kits. A serrated pumpkin saw is safer to use than a sharp knife. A large and very sharp knife is not the best tool to use to carve.
  • Prepare a clean, dry surface for carving. Any moisture on your hands, tools or table can cause slipping that can lead to injuries.
  • Thoroughly wash and dry hands and all carving tools before starting.
  • When you start your cutting, always cut away from yourself and cut in small controlled strokes.
  • If an injury occurs apply pressure to the wound with a clean cloth. If the pressure does not stop the bleeding after 15 minutes an emergency room visit may be required.

The Fall months ahead, here are a few safety tips to help prevent any upper extremity injuries

Ladder Safety

With the Fall months upon us the leaves are changing colors and falling to the ground. Many home owners will be raking and cleaning the leaves out of their yards and gutters. One of the tools used for this is the ladder. Ladders are very useful tools, but if not properly used you can hurt yourself. The most common injuries are dislocations and sprains, followed by fractures and open wounds. These injuries are typically severe and complicated secondary to the high degree of energy the body absorbs from a fall from a like this. Here are some helpful tips to use this fall.

  • Always inspect the ladder before use. Check for loose screws or damage.
  • Place ladder on a even surface.
  • Do not use the top step on the ladder.
  • Always maintain a 3-point contact (two hands and a foot or two feet and a hand) on the ladder when climbing and always face the ladder.
  • Do not extend the center of your body’s torso past either side rail of the ladder. Over-reaching or leaning to far to one side when you are on a ladder could make you lose your balance and fall.
  • Ladders should be set up at a 4:1 angle (1 ft out from the base for every 4 ft of rise)
  • Use the right ladder for the job. Extension ladders are ideal for use outdoors to reach high places like gutters on the roof.
  • Be sure all locks are properly engaged on the extension ladder before use.
  • If you would like further information Werner Ladders has provided a great “Ladder Safety Tips” brochure on their website. It is full of helpful illustrations and diagrams. Please visit their website and download the PDF file at

    Ergonomic Rakes

    The task of raking the leaves out of the yard can be taxing and cause pain in your upper extremity. You can stretch before raking to warm up your muscles and make sure to take breaks often. The use of an ergonomic rake can greatly decrease the stress on your back and arms. Here are a list of a few ergonomic rakes.

    The Snake Rake

    Leaf Gard Brand Pivot Leaf Rake

    The ergonomic Leaf Rake