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Dr. Hill Hastings

Orthopedic Surgery
Indianapolis, IN
48 years experience male

Locations

Office

Indianapolis, IN

Address

8501 Harcourt Road, Indianapolis, IN
Directions

About

Bio

Clinical Professor Orthopedic Surgery, Indiana University Medical School. In practice at Indiana Hand to Shoulder Center since 1981. Trained in General Surgery at Univ. of Colorado and Orthopedic Surgery at the Harvard Combined Program. His academic research and lectures has taken him all over the world for training and educating of other physicians. Dr. Hastings has over 100 publica¬tions to his credit, and has given over 500 national and international presentations. Special expertise in arthroscopy, reconstruction and replacement surgery of the elbow, wrist and hand. His special interests also include fracture management, elbow and wrist reconstruction, and the treatment of paralytic upper extremity disorders and arthroscopic treatment of shoulder problems. Dr. Hastings is co-inventor of the Biomet Discovery™ Elbow Replacement System. He designed and invented, in collaboration with the AO Hand Study Group, the AO Wrist Fusion Plate, now the gold-standard method for wrist fusion. He helped devel¬op in collaboration with the AO Hand Study Group the Distal Radius Plating System, the current AO Modular Hand Set, and the Phalangeal Percutaneous Screw Fixation System. For these developments, he received the AO/ASIF Innovation Prize. He has consulted on the Combi Distal Radius Plating System and currently is working with industry collaboration in the development of additional clavicle and upper extrem¬ity fracture systems. Much of his research has centered on the biomechanics of the PIP joint, which now forms the basis for dynamic external fixation of the PIP joint and other methods for treating complex proximal interphalangeal joint fractures and dislocations. He designed the Hemi-Hamate Resurfacing Arthroplasty, which is now widely used in reconstruction for complex volar fracture/dorsal dislocations. In 1994 he was awarded the Sumner L. Koch award by the Chicago Society for Surgery of the Hand and also the Emanuel B. Kaplan award by the New York Society for Surgery of the Hand for his investigations on the vascularity of the distal radius and vascularized techniques for bone grafting to the carpus. These contributions were judged to have “the greatest future clinical application to the practice of hand surgery.” His research in treatment of complex elbow contractures led to his co-development of the Lateral collateral preserving Approach to the Elbow for Release of Complex Contractures. This has become one of the gold-standard methods for open surgical correction of complex elbow contractures. His research also has led to a New Classification System for Primary Osteoarthritis of the Elbow. Dr. Hastings is an active member of the American Academy of Orthopaedic Surgeons, the American Orthopaedic Association, and the American Society for Surgery of the Hand, the American Shoulder and Elbow Surgeons, the American Society for Reconstructive Microsurgery, the International College of Surgeons, as well as other local, national, and international societies. He has been awarded honorary memberships to the Canadian Hand Society, the Venezuelan Hand Society, and the Hellenic Society for Surgery of the Hand. Dr. Hastings is also a Medical Consultant for the USA Gymnastics National team.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Orthopedic Surgery

Hand Surgery

Doctor Q&A

78 Answers
32 Agrees
The number of answers this doctor has agreed with.
A 45-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
NO: Carpal tunnel syndrome causes pain, numbness, tingling, and at times dropping of objects. I can present as pain that radiates up to the shoulder from... Read More
A 33-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Likely carpal tunnel: You are likely correct. Most often numbness at night comes from carpal tunnel syndrome. See if it mainly involves the thumb, index, middle, and part o... Read More
A 22-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Depends upon control: Jra starts as inflammation in joints. This then can lead to damage of the supporting ligaments which in turn then can lead to altered joint forces an... Read More
A 21-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Need information: It depends. I cannot say without more information. Many people are susceptible to developing osteoarthritis (wear and tear) at an early age. Genetic... Read More
A 32-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Tes: You need to know the characteristics of the fracture to determine appropriate treatment.
A 25-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Involves soft tissue: Arthritis in joints starts as an inflammatory reaction in the soft tissues (synovium) lining the joints. It subsequently when chronic or severe leads... Read More
A 39-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Yes: Usually requires surgical incision and drainage unless very early and mild. The are.
A 41-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Pain: Pain with combined flexion of the thumb and wrist.
A member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Cortisone injection: Most cases respond to a cortisone injection and wrist splint which includes the thumb.
A 33-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Low stress: The key to living with arthritis is to keep joints supple and avoid high loads or stress. A job that varies activities throughout the day, avoids col... Read More
A 34-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Breaks and stretch: Yes, frequent breaks...Even if they are just for a minute or two can help. Ergonomic correct positioning is essential. In addition warm up flexibility... Read More
A 52-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Nerve irritation: Very rare. At times positioning during surgery can stretch and irritate the brachial plexus. Pre-existing carpal tunnel syndrome can be aggravated by... Read More
A 58-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Biceps tendonitis: In individuals over age 40 tendon problems of the rotator cuff and biceps increase. The biceps frequently causes pain in front of the shoulder (anter... Read More
A 63-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Arthritis: It's not clear. Symptoms of arthritis are pain on movement after periods of rest which improve with gentle motion and heat. Often hands that are painf... Read More
A 53-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Sympathetic tone: In part circulation and sweating of the hand is controlled & regulated by our sympathetic nerves. We each carry different sympathetic tone tendencies... Read More
A 34-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Should recover: Closed crush injuries usually cause temporary neurapraxia injury which improves within 4-6 weeks. Rarely more severe pressure from the crush can phys... Read More
A 24-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Medication advances: Most common is osteoarthritis, which responds to heat, mobility, and non steroidal anti-inflammatory medications. Treatment may help symptoms but not... Read More
A 24-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Tendon adhesions: Scarring of the flexor tendons can impair use of the finger. Early on the restricting scar can be lengthened by good hand therapy. After 12 weeks it i... Read More
A 50-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Exact cause unknown: Most all patients with arthritis feel better in drier and warmer climates. Perhaps this increases blood flow to the affected joints but the exact mec... Read More
A 33-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Pins in the hand: It depends on where the pins are, how solid or fixed they are, and whether or not they are interfering with soft tissue gliding of the tendons of the ... Read More
A 38-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Variable: 1/2 of fractures of the proximal pole are healed by 5 mo, middle fractures by 12 weeks and distal (end) by 6 wks. Failure to heal relates to instabili... Read More
A 27-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
High.force/repetitio: Repetitive stress syndrome often tends to be over-diagnosed. The occupations most commonly associated are scanners in supermarkets and employees in m... Read More
A 40-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Promote motion: Medications can help the symptoms of arthritis but there are many exercises that promote health of joints. Joints are nourished by synovial fluid whi... Read More
A 30-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
All are different: "bible cysts" refer to a mass or swelling on the top of the wrist which is a ganglion. It is usually round and non-tender. Tendinitis in the back of ... Read More
A 22-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Shoulder likely: Shoulder problems such as rotator cuff injury, arthritis, and subacromial bursitis can make use of the arm painful. Heat, non steroidal anti-inflamma... Read More
A member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Depends: Requires a hand surgeon who has in addition to orthopedic, plastic, or general surgery training- has completed at least 1 year additional fellowship ... Read More
A 38-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Splint: Look for a wrist splint which includes the thumb.
A 25-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
No: You should call his/her office to appraise of your condition.
A 42-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Elevation, motion: Elevation of your hand above heart level is key, along with range of motion which acts like a pump to remove swelling. An edema glove from a pharmacy ... Read More
A 37-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Numbness, tingling: Compression of nerves interferes with their circulation, causing numbness and tingling. When severe or chronic it can cause constant or permanent loss... Read More
A 41-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Compression, motion: The hand works like a pump...Motion helps take out swelling, as does hand elevation. There are no magic medical potions, unless there is an inflammat... Read More
A 24-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
No, not crazy: It is not a problem in your hand..But more likely something more general like "essential tremor" (not progressive or due to underlying disease), Parki... Read More
A 31-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Possible arthritis: Seeing pulsation in your radial artery is usually normal and not worrisome. Pain at the base of your thumb, aggravated by gripping/opening jars/twist... Read More
A 28-year-old male asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Perhaps tennis elbow: Often pain on the inside of the elbow relates to "medial tennis elbow" often termed golfer's elbow or racket ball elbow. This is a degenerative tendo... Read More
A 30-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Therapy is best: Steroid injections bring improvement 50% of the time at 6 weeks, but usually symptoms return. Subsequent injections buy less time and degree of relie... Read More
A 25-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
? cubital tunne: The most common cause of numbness with elbow positioning is "cubital tunnel syndrome" exacerbated by pressure on the back inside of the elbow or prol... Read More
A 19-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Splint, NSAIA: It depends on a) related to an injury? B) is there swelling? C) does it hurt when you move it? Is it on the radial (thumb) side or on the ulnar (smal... Read More
A member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Short Popp ensplint: Antiinflatory medication such as Aleve (naproxen) or Ibuprofen will help along with a splint or brace. Look for a "cool comfort neoprene support" . Co... Read More
A 21-year-old male asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Cubital tunnel: The most common cause at the elbow is cubital tunnel syndrome. The ulnar nerve (crazy bone nerve) passes behind the medial epicondyle (inside bony pro... Read More
A member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Cleanse: If simple, shallow, cleanse wound and cover with dry dressing. If gapped may use a steristrip to approximate. If deep or long, over a joint, any chan... Read More
A 42-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Likely trigger thumb: If the lump is on the palmar side of your thumb by the web space it is likely "stenosing tenosynovitis" or "trigger thumb" this can cause clicking or... Read More
A 58-year-old male asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Thumb in abduction: Dequervains involves the abductor pollicis longs and extensor pollicis brevis tendon slips which pass through the first dorsal compartment (tunnel) at... Read More
A 48-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Ligament damage: In the neck (cervical spine) anterior subluxation results from a flexion and rotation injury. This tears the ligaments behind the vertebral bodies. I... Read More
A 41-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Not likely a problem: Your symptoms do not make immediate sense to me. Is it stiff? Cold exposure will often make joints feel stiff, cold or chilled, particularly if there ... Read More
A 44-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Often hormonal: Pigmentation occurs from the substance melanin, which with light activation also makes people tan. Knuckle hyper pigmentation can occur with physiolo... Read More
A 38-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Yes, with time: Fractures of the fingers can result in stiffness, particularly when immobilization exceeds 3 weeks. Tendon adherence can occur or joint involvement l... Read More
A 23-year-old female asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Temporary overuse: It should quiet down. Avoid the same activity for 5-7 days. If no gastrointestinal problems, taking a non-steroidal medicine such as Ibuprofen 3 time... Read More
A 36-year-old female asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
6-12 wks.: Almost all cases have palmar pain (pillar pain) for 6 weeks, then gradually better. 75% of patients have regained baseline strength by 6 wks. Some hav... Read More
A member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
No!! : It can impair comfortable use of the wrist and thumb but is not a danger to health.
A 21-year-old member asked:
Dr. Hill Hastings
Orthopedic Surgery 48 years experience
Perhaps: If you are talking about "focal dystonia" which affects accomplished musicians, recovery is unlikely and will be prolonged...But it can improve with r... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
236
Thank you notes
HealthTap member
Dec 16, 2012
Dr. Hill Hastings is my go to surgeon for gymnasts with elbow and wrist injuries. His knowledge and expertise is surgery simply amazes me. Many times other surgeons have offered little to no hope for ...Read More
HealthTap member
Mar 30, 2015
Dr. Hastings is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Hastings is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Well I don't have tennis elbow, and I know that thanks to the drs giving of there knowledge free, thank y'all very much!
HealthTap member
Thank you, your answer was very helpful! thank you for your time and clear explenation.
HealthTap member
This saved my life. Thank You! I been so. Worry did not know what :)

Education & Training

Medical/Graduate school

University of Southern California, Keck School of Medicine
Graduated 1974MD

Medical/Graduate school

Williams College
Graduated 1970MD

Medical/Graduate school

Keck School of Medicine of University of Southern California, CA
Graduated 1974MD

Residency

Massachusetts General Hospital

Residency

University of Colorado Hospital Anschutz

Awards

Top Doctor, Indianapolis Monthly Magazine
America’s Top Doctors, 1st, 2nd and 3rd editions, America's Top Doctors
Best Doctors in America 2003-2004, Best Doctors in America

Affiliations

American Academy of Orthopaedic Surgeons
American Society for Surgery of the Hand
American Shoulder & Elbow Surgeons
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less