Hand and Upper Extremity

Dr. Robert Orfaly with patient

At OHSU our specialists use the latest advancements in diagnosis, treatment, and rehabilitation to treat hand and upper extremity injuries and conditions. OHSU's team of doctors, surgeons and advanced practice providers are specialty trained to treat hand and upper extremity injuries and conditions, such as shoulder bone spurs, torn rotator cuffs, fractures, carpal tunnel, ganglion cysts, damaged cartilage, arthritis and more. They will work with you to determine the best treatment for your hand, wrist, elbow and shoulder so you can get back to your active lifestyle.

Hand and upper extremity treatments

Our specialists evaluate and treat a wide range of hand and wrist injuries and conditions. Our team of doctors, surgeons, and therapists use their years of experience and expertise to create the best treatment plan for you. We can help you restore or improve hand and wrist movement and function.

Visit our Hand and Upper Extremity Treatments page for information about surgical and nonsurgical treatment options.

Our team

Adam Mirarchi, M.D.

Adam Mirarchi, M.D. earned his M.D. at Temple University, completed a residency at University Hospitals in Cleveland and completed a fellowship in Hand /Upper Extremity Surgery at Brigham and Women's Hospital in Boston. He specializes in caring for the hand, shoulder and elbow.

Dr. Omar Nazir

Omar Nazir, M.D. received his M.D. from Northeast Ohio Medical University and completed his residency at Wake Forest University Baptist Medical Center. He has advanced training in hand upper extremity surgery as well as microsurgery. His fellowship training involved principles of both plastics and orthopaedic surgery, offering him a unique viewpoint for upper extremity problems.

Robert M. Orfaly, M.D.

Robert Orfaly, M.D. received his M.D. from McGill University, completed his residency at the University of British Columbia and completed fellowships in hand and upper extremity surgery and shoulder surgery. He specializes in hand, shoulder and elbow treatment.

Schedule an appointment

Call 503-494-8645


Center for Health & Healing
Building 1, 12th floor
3303 S. Bond Avenue
Portland, OR 97239

OHSU Beaverton
15700 SW Greystone Court
Beaverton, OR 97006

Refer a patient

Patient story

Hand patient, Tiffani with her family

I crushed my finger between two boulders. We were building a retaining wall, and each boulder weighed from 200 to 400 pounds.

Read Tiffani's story