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Orthopedic surgeon Orthopedic surgeon Joshua Pletka, MD, Joshua Pletka, MD, explains common arm, shoulder and hand problems like fractures, rotator cuff injuries, carpal tunnel syndrome and trigger finger. Pletka, chief of orthopedics at Upstate‘s community campus, also explains when surgery is more appropriate than a conservative remedy, such as rest or a brace. Many minor hand and arm or sports-related problems can be treated at walk-in clinics at the Upstate Bone & Joint Center. Details are available at explains common arm, shoulder and hand problems like fractures, rotator cuff injuries, carpal tunnel syndrome and trigger finger. Pletka, chief of orthopedics at Upstate‘s community campus, also explains when surgery is more appropriate than a conservative remedy, such as rest or a brace. Many minor hand and arm or sports-related problems can be treated at walk-in clinics at the Upstate Bone & Joint Center. Details are available at upstateorthopedics.com. upstateorthopedics.com.