A review of common hand conditions and management by a hand PA - Part 3 by the orthoPAc podcast published on 2025-04-09T08:34:50Z In Part 3, we cover neurectomy, or denervation, of the thumb carpometacarpal (CMC) joint, and begin a discussion on treating trigger fingers. Vanessa Smith, MS, PA-C is a hand specialist who created OrthoRefresh.com as an educational tool for providers in primary care and orthopaedics needing a refresher on treating the hand and wrist.