I perform the common shoulder operations. Around the elbow I operate on tennis and golfer¶¨s elbow, and decompress the ulnar nerve. At the wrist I excise ganglions, perform percutaneous and open scaphoid fracture fixation, and carpal tunnel decompressions. In the hand I perform trigger finger release, de Quervains decompression, and fix fractures of the hand bones. I have a particular interest in Dupuytren¶¨s disease and am one of the few surgeons regularly performing needle release in the out-patient clinic known as Needle Aponeurotomy or NA or needle fasciotomy.