Excellence Because We Care: About You, Your Time, and Your Well-Being.

Thank you for visiting the online home of Advanced Hand and Upper Extremity Surgery. We specialize in the medical and surgical care of hand, wrist and upper extremity. Our providers, Dr. William G. Littlefield and Dr. Dean D. Worthingstun, emphasize quality care and treatment for children, adolescents and adults, including treatments for these conditions:

  • Carpal Tunnel Syndrome
  • Tennis Elbow
  • Arthritis
  • Fractures / Dislocations
  • Trigger Digits
  • Tendon Injuries
  • Nerve Injuries
  • Tumors / Masses / Cysts
  • Cubital Tunnel Syndrome (endoscopic)
  • Sports Injuries / Conditions
  • Occupational / Work-Related Injuries and Conditions

Dr. Littlefield and Dr. Worthingstun have extensive training and experience in the areas listed below; please visit our Providers page for more information.

  • Trauma
  • Arthoscopy / Endoscopy
  • Sports Medicine
  • Children / Adolescent Care

Both Dr. Littlefield and Dr. Worthingstun are affiliated with Northside Hospital- Forsyth, Gwinnett Medical Center - Duluth, and Johns Creek Orthopedic Surgery Center.

Now accepting all Blue Cross Blue Shield plans including HMO, POS and PPO. See a full list of Insurance plans accepted on our Insurance page.
Office Hours

Regular office hours are 8:00 am to 5:00 pm. Patients are seen Monday through Friday, with appointments available as early as 7:00 am and as late as 6:00 pm on selected days. Office surgery for certain conditions is available. We are always available to take your call and meet your needs. Please contact us at 678.608.1951 and we will be happy to work around your busy schedule.

Office Locations

We serve the entire North Metro Atlanta area from our convenient locations in Cumming (Forsyth County) and Johns Creek/Duluth (Gwinnett County). Click here for office address, map and directions.