Injuries causing broken bones can be the most unexpected and devastating conditions for patients. In the hand & wrist, specialist evaluation is very necessary to decide whether your broken bone requires surgery or not, as many injuries in the hand & wrist may heal without surgery. If surgery is not required, specialist management is very important because stiffness and other side effects of casting and splinting can lead to loss of motion. If surgery is required, Dr. Nelson may fix the bone with plates and screws and possibly perform ligament repair or reconstruction if necessary.