Patient Appointments


Physician Referrals


 Our Doctors
Dr. Alan R. Koester

Dr. Steven R. Novotny

Dr. Sinan Ozgur

Scarlett Manchin, FNC-C

Sandra Finley, FNP-C 

From Our Patients

"I can't thank [Marshall Orthopaedics] enough for getting me back to normal after my accident...our special blessing was two young residents, Drs. Singh and Sayan, treating my wounds. Both were easy-going, confident, congenial and caring. They continually explained what they were doing and why." - Randy Sortet, Huntington, W.Va.

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Division of Hand and Upper Extremity

HandandupperextremityThe division is led by Alan R. Koester, MD who has been a member of the department since 2006, along with Steven Novotny, MD.  Dr. Koester and Dr. Novotny offer state-of-the-art care in the diagnosis and treatment for conditions of the hand, wrist and fingers. Marshall Orthopaedics has developed this webpage to be used as a resource for your pre-procedure and post-recovery concerns.  For a complete listing of the conditions we treat in the Hand and Upper Extremity division, please see below.





Q: What are some common hand & upper Etremity injuries?

Distal Radius Fracture (Colles' Fracture)
Finger Fractures
Hand Fractures
Scaphoid Fracture of the Wrist
Thumb Fractures

Sprains, Strains and Other Injuries
Sprained Thumb
Wrist Sprains
Animal Bites
Fingertip Injuries/Amputations
Flexor Tendon Injuries
Human Bites
Mallet Finger (Baseball Finger)
Nerve Injuries

Q: What are some common disease and syndromes involved in the hand & upper etremity?

Diseases and Syndromes
Carpal Tunnel Syndrome
Compartment Syndrome

Arthritis of the Hand
Dupuytren's Contracture
Reflex sympathetic dystrophy
Ulnar Tunnel Syndrome of the Wrist

Arthritis of the Wrist
deQuervain's Tendinitis
Ganglion (Cyst) of the Wrist
Kienböck's Disease

Finger/Thumb Arthritis of the Thumb
Boutonnière Deformity
Dupuytren's Contracture
Trigger Finger 

For descriptions of these and other orthopaedics conditions, please visit the American Association of Orthopaedic Surgeons.

Questions and Answers from American Academic of Orthopaedic Surgeons. For more information visit