Latest information on COVID-19
Support teaching, research, and patient care.
Dr. Ladd is a fellowship-trained orthopaedic surgeon with board certification in hand surgery and orthopaedic surgery. She is the Chief of Stanford’s Chase Hand & Upper Limb Center and Chief of the Children’s Hand Clinic at Lucile Salter Packard Children’s Hospital at Stanford. Dr. Ladd is also the Elsbach-Richards Professor of Surgery and Professor, by courtesy, of Medicine (Immunology & Rheumatology) and Surgery (Plastic and Reconstructive Surgery), at Stanford University Medical Center.As an experienced specialist in hand and upper extremity surgery, Dr. Ladd treats a wide range of conditions, including arthritis, carpal tunnel syndrome, Dupuytren’s disease, trigger finger, fractures, sports-related injuries, and more. Research interests of Dr. Ladd include arthritis, musculoskeletal biomechanics, and improving patient outcomes, as well as sex/gender differences in musculoskeletal conditions. She is internationally renowned for her research on base of thumb (carpometacarpal - CMC) joint osteoarthritis, a common and debilitating disease endemic in post-menopausal women. In addition, she has developed instruments for evaluating 3D upper limb kinematics, including the golf swing.Dr. Ladd has authored or co-authored more than 125 articles on quality measures in hand surgery, innovations in hand surgery techniques and technology, methods to reduce potential complications of surgery, and diversity in the orthopaedic workforce. Her work has appeared in the Journal of Hand Surgery, Journal of Bone and Joint Surgery, Clinical Orthopaedics & Related Research, Hand, Journal of the American Academy of Orthopaedic Surgeons, and many more publications. In addition, she holds 15 patents for technological innovations and advances related to hand surgery, arthritis, fractures, the golf swing, and musculoskeletal health.Among her many honors and awards, Dr. Ladd’s peers named her one of the Best Doctors in America 10 years in a row. She has won the Andrew Weiland award, the highest research honor for a hand surgeon, and the Emanuel B. Kaplan Excellence in Anatomy Award, both from the American Society for Surgery of the Hand. She has also won the Nicolas Andry Award for “significant contribution to musculoskeletal research” from the Association of Bone and Joint Surgeons.Dr. Ladd is a former board member of the American Academy of Orthopedic Surgeons and Chair of the academy’s Board of Specialties. As part of an initiative of the US Department of the Interior, she has provided volunteer services to the population of the Navajo Nation. She also has delivered volunteer surgical care for children with hand conditions In Vietnam.
Multiple projects related to the analysis of thumb carpometacarpal (CMC) Arthritis. These include patient demographics, kinematic analysis, pathoanatomy analysis.
US Dept of Interior
surgical care of children with hand anomalies and problems
1. The kinematics and forces associated with thumb carpometcarpal (CMC) function and pathology: current RO1 NIH grant evaluating the thumb position for normal functional tasks as determined with CT scans. The study evaluates normal subjects, and subjects with early arthritis over a 3 year period. Several related studies are underway.2. The anatomy, microstructure, and immunofluorescent characteristics of the thumb CMC joint: The ligaments of the thumb CMC joint are purportedly looser in women, and wear out in arthritis. Our studies to date do not fully support this concept, and we approach further study through a variety of quantitative techniques. These include anatomical dissection, histomorphometric analysis, immunofluorescent staining to determine proprioceptive mechanoreceptors, and the histology and micro-CT analysis of trabecular wear.3. Pathomechaniics of CMC arthritis: biomechanical wear, injury, genetic, and environmental causes: A variety of studies, including biomechanical testing, demographic analysis, and co-institutional study is underway.4. Archiving, vitalizing, and innovating medical and surgical knowledge, most recently with innovative iBook monographs: a thumb CMC arthritis iBook and Anatomy iBook for patient education will be published in 2013, and the next iBook planned is congenital anomalies of the hand.
Pain Relief After Trapeziectomy: Ibuprofen & Acetaminophen Versus Oxycodone
In the US, pain management after surgery for surgical treatment of osteoarthritis at the base
of the thumb typically consists of prescription opioids during the early recovery phase.
Given the highly addictive nature of prescription opioids, guidelines are being evaluated by
hand surgeons to reduce opioid use while still maintaining pain control after surgery. A
promising approach is to use non-narcotic medication as the first line of treatment. The
purpose of this study is to demonstrate the efficacy of a combination of non-steroidal
anti-inflammatory drugs (NSAIDs), ibuprofen and acetaminophen, in comparison to a morphine
analogue substance (oxycodone) for pain management in the first 30 days after surgery.
View full details