Dr. Kenneth Robert Means, MD

Dr. Kenneth Robert Means, MD

Dr. Kenneth Robert Means, MD

Languages: English
Fax: (410) 467-5459

Contact this Provider:

  • Hand Surgery
Conditions I Treat
  • abnormalities of the hands
  • adhesive capsulitis of the elbow
  • animal bite of the hand
  • arm fracture
  • basal joint arthritis
  • Show All
Procedures I Perform
  • amputation of the finger surgery
  • amputation of the thumb surgery
  • arthrodesis of the wrist
  • arthroplasty wrist
  • arthroscopy of wrist
  • Show All
About the Provider

Dr. Kenneth Means, Jr. is an orthopaedic hand surgeon who sees patients in Baltimore and Ellicott City.  He is the Vice Chief and Clinical Research Consultant at the Curtis National Center at MedStar Union Memorial Hospital.

Dr. Means is a fellowship-trained, board-certified orthopaedic surgeon, and holds the Certificate of Added Qualification for Surgery of the Hand from the American Board of Orthopaedic Surgery. He is the hand/upper extremity consultant for multiple sports teams including the Baltimore Ravens, Baltimore Orioles, Towson University, Morgan State University, Stevenson University, and many other local and regional schools.  

Dr. Means specializes in hand, wrist, forearm, and elbow conditions, including fractures, dislocations, and nerve/tendon/ligament/blood vessel injuries; upper extremity nerve compression, including carpal and cubital tunnel syndromes; Dupuytren's contracture; trigger finger; and arthritis and other issues affecting these areas. Dr. Means uses both nonsurgical and surgical treatment options for patients.

At the Curtis National Hand Center, Dr. Means is involved in academic activities including research, grants acquisition, lecturing, book and journal publication, and education of fellows and residents from MedStar Union Memorial Hospital, MedStar Georgetown University Hospital, Johns Hopkins University Hospital, and the Walter Reed National Military Medical Center. He has received Golden Apple teaching awards from the MedStar Union Memorial Hospital Orthopedic Surgery Residency and from the Curtis National Hand Center Hand/Upper Extremity Surgery Fellowship. Dr. Means was also part of the inaugural international hand mission with Operation Smile.

Dr. Means attended a 7-year accelerated B.S./M.D. program at TSC-UMDNJ-NJMS, now TCNJ-Rutgers-NJMS, and then completed his Orthopaedic Surgery residency at MedStar Union Memorial Hospital in Baltimore, MD. He did additional fellowship training in hand and upper extremity surgery at the Curtis National Hand Center.

Dr. Means has been named an annual "Top Doc" by Baltimore magazine for Hand Surgery since 2017.

  • Fellowship Program: MedStar Union Memorial Hospital (2006)
  • Residency Program: MedStar Union Memorial Hospital (2005)
  • Medical School: University of Medicine and Dentistry of New Jersey at Newark (2000)
  • Board Certification: American Board of Surgery, Surgery of the Hand
  • Board Certification: American Board of Orthopaedic Surgery, Orthopaedic Surgery

Research Articles:      

Ghodasra JH, Yousaf IS, Sanghavi KK, Rozental TD, Means KR Jr, Giladi AM. Assessing the Relationship Between Bone Density and Loss of Reduction in Nonsurgical Distal Radius Fracture Treatment. J Hand Surg Am. 2021 Mar 16. [Epub ahead of print]

Shipp MM, Thakkar MY, Sanghavi KK, Means KR, Jr., Giladi AM. Disparities Limit the Effect and Benefit of a Web-Based Clinic Intake System. Orthopedics. 2021;44(3):e434-e439.

Raeker-Jordan, EA, Martinez M, Aziz KT, Miles MR, Means KR Jr, LaPorte DM, Giladi AM, Shimada K. "High-Fidelity Wrist Fracture Phantom as a Training Tool to Develop Competency in Orthopaedic Surgical Trainees." JAAOS: Global Research & Reviews 2021;5(5).

Jones CM, Melvani R, Aziz KT, Abbasi P, Means KR, Jr. Contact pressure between digital flexors and plates for distal radius approaches. J Wrist Surg. 2020;9(1):52-57.

Irwin CS, Parks BG, Means KR, Jr. Biomechanical Analysis of Zone 2 Flexor Tendon Repair With a Coupler Device Versus Locking Cruciate Core Suture. J Hand Surg Am. 2020 Sep;45(9):878.e1-878.

Elliott RM, Nayar SK, Giladi AM, Forthman CL, Parks BG, Means KR, Jr. The relationship between hemihamate graft size and proximal interphalangeal joint flexion for reconstruction of fracture-dislocations:  A biomechanical study. J Hand Surg Am 2019;44(8):696.e1-e6.

Nayar SK, Marjoua Y, Colon AF, Means KR, Jr., Higgins JP. The effects of capitate height alteration on dorsal intercalated segment instability. J Wrist Surg. 2020;9:29-33.

Hui-Chou HG, Thakkar MY, Means KR, Jr., Higgins JP. A prospective pilot study of vascular assessment of the upper extremity with laser angiography, Hand, online ahead of print, March 20, 2019.

Fakhre E, Means KR, Jr., Kessler MW, Desale S, Paryavi E, Lincoln AE. The epidemiology of hand-to-elbow injuries in United States collegiate sports over 10 academic years. Athl Train & Sports Health Care 2019; Accepted.           

Polfer EM, Sabino JM, Fleming IC, Means KR, Jr. Relative tissue oxygenation and temperature changes for detecting early upper extremity skin ischemia. Plast Reconstr Surg 2019;accepted.

Polfer EM, Zimmerman RM, Tefera E, Katz RD, Higgins JP, Means KR Jr. The Effect of Skin Pigmentation on Determination of Limb Ischemia. J Hand Surg Am. 2018 Jan;43(1):24-32.e1.

Meals CG, Saunders RJ, Desale S, Means KR, Jr. Viability of hand and wrist photogoniometry. Hand. 2018;13(3):301-304.

Morgan EN, Means KR, Jr., Paez AG, Parks BG, Innis PC. Suture button device stabilization following ring finger ray amputation: a comparative cadaver study, Hand. 2018;13(4):435-440.

Dunn JC, Means KR Jr, Desale S, Giladi AM. Antibiotic Use in Hand Surgery: Surgeon Decision Making and Adherence to Available Evidence. Hand (N Y). 2018 Nov 22.    

Zimmerman RM, Paryavi E, Zimmerman NB, Means KR, Jr. Complications after hand surgery in patients with raised International Normalized Ratio. J Hand Surg E 2017;42(7):742-746.

O'Brien FP, Parks BG, Tsai MA, Means KR, Jr.  A knotless bidirectional-barbed tendon repair is unferior to conventional 4-strand repairs in cyclic loading. J Hand Surg E. 2016; 41:809-814.

Kim JM, Zimmerman RM, Jones CM, Al Muhit A, Higgins JP, Means KR, Jr. The quality of randomised controlled trials involving surgery from the hand to the elbow: A critical analysis of the literature. Bone Joint J 2017;99-B:94-99.

Means KR, Jr., Rinker BD, Higgins JP, Payne SH, Merrell GA, Wilgis EFS: A Multicenter, Prospective, Randomized, Comparative Study of Hollow Nerve Conduit and Avance® Nerve Graft Evaluating Recovery Outcomes of Nerve Repair in the Hand. (CHANGE). Hand. 11: 144-151, 2016.

Han KD, Kim JM, Defazio MV, Bello RJ, Katz RD, Park BG, Means KR, Jr..  Changes in wrist motion after simulated scapholunate arthrodesis:  A cadaveric study. J Hand Surg Am. 2016; 41:e285-e293.

Tuffaha SH, Budihardjo JD, Sarhane KA, Khusheim M, Song D, Broyles JM, Salvatori R, Means KR, Jr., Higgins JP, Shores JT, Cooney D, Hoke A, Lee WPA, Brandacher G: Growth hormone therapy accelerates axonal regeneration, promotes motor reinnervation, and reduces muscle atrophy following peripheral nerve Injury. Plast Reconstr Surg 137:1771-1780, 2016.

Shin EH, Drake ML, Parks BG, Means KR, Jr. Hook plate versus suture anchor fixation for thumb ulnar collateral ligament fracture-avulsions: A cadaver study. J Hand Surg Am 2016;41(2):192-195.           

Tuffaha SH, Singh P, Budihardjo JD, Means KR, Higgins JP, Shores JT, Salvatori R, Hoke A, Lee WP, Brandacher G: Therapeutic augmentation of the growth hormone axis to improve outcomes following peripheral nerve injury. Expert Opin Ther Targets 2016: 20(10) 1259-1265.

Starr HM, Tsai MA, Parks BG, Means KR, Jr. Cadaveric investigation of active finger range of motion for detection of intratendinous needle placement. Plas Reconstr Surg 2016;138(2):268e-272e.

Demehri S, Hafezi-Nejad N, Morelli JN, Thakur U, Lifchez SD, Means KR, Jr., Shores JT: Evaluation of pisotriquetral motion pattern using four-dimensional CT examinations: Initial clinical experience in asymptomatic wrists. Clin Radiol 70:1362-1369, 2015.

Pet MA, Morrison SD, Mack JS, Sears ED, Wright T, Lussiez AD, Means KR, Higgins JP, Ko JH, Cederna PS, Kung TA. Comparison of patient-reported outcomes after traumatic upper extremity amputation: Replantation versus prosthetic rehabilitation. Injury. 2016 Dec;47(12):2783-2788.

Zelken J, Hayes AG, Parks BG, Al Muhit A, Means KR, Jr.: Two versus 3 lag screws for fixation of long oblique proximal phalanx fractures of the fingers: A cadaver study. J Hand Surg Am. 40:1124-1129, 2015.         

Thomas PR, Saunders RJ, Means KR, Jr.: Comparison of digital nerve sensory recovery after repair using loupe versus operating microscope magnification. J Hand Surg E. 2015, 40(6): 608-613.

Douglas KC,  Parks BG, Tsai MA, Meals CG, Means KR, Jr.: The Biomechanical Stability of Salvage Procedures for Distal Radioulnar Joint Arthritis.  J Hand Surg Am.2014;39(7):1274-1279.

Means KR, Jr., Dubin NH, Patel KM, Pletka JD: Long-term outcomes following single-portal endoscopic carpal tunnel release. Hand 2014;9:384-388.

Tyser AR, Tsai MA, Parks BG, Means KR, Jr. Biomechanical characteristics of hemi-hamate reconstruction versus volar plate arthroplasty in the treatment of dorsal fracture dislocations of the proximal interphalangeal joint. J Hand Surg Am. 2015;40(2):329-332.

Hepper CT, Tsai MA, Parks BG, Dubin NH, Means KR, Jr.: The effect of distal radius translation in the coronal plane on forearm rotation:  A cadaveric study of distal radius fracturesJ Hand Surg Am 2014; 39(4): 651-655.

Tyser AR, Tsai MA, Parks BG, Means KR, Jr.: Stability of acute dorsal fracture dislocations of the proximal interphalangeal joint: A biomechanical study. J Hand Surg Am. 2014 Jan; 39(1): 13-8.

Demehri S, Wadhwa V, Thawait GK, Fattahi N, Means KR, Jr., Carrino JA, Chhabra A: Dynamic Evaluation of Pisotriquetral Instability Using 4-dimensional Computed Tomography. J Comput Assist Tomogr. 2014;38(4):507-512.

Sirota MA, Parks BG, Higgins JP, Means KR, Jr.: Stability of fixation of proximal phalanx unicondylar fractures of the hand: a biomechanical cadaver study. J Hand Surg Am. 2013 Jan; 38(1): 77-81.

Starnes T, Saunders RJ, Means KR, Jr.: Clinical outcomes of zone II flexor tendon repair depending on mechanism of injury. J Hand Surg Am. 2012 Dec; 37A: 2532-2540.

Moss DP, Means KR Jr, Parks BG, Forthman CL: A biomechanical comparison of volar locked plating of intra-articular distal radius fractures: use of 4 versus 7 screws for distal fixation. J Hand Surg Am. 2011 Dec; 36(12): 1907-11.

Janz BA, Thomas PR, Fanua SP, Dunn RE, Wilgis EFS, Means KR, Jr.: Prevention of anastomotic thrombosis by botulinum toxin b after acute injury in a rat model. J Hand Surg Am. 2011 Jan; 36A: 1585-1591.

Maschke SD, Means KR, Jr., Parks BG, Graham TJ: A radiocarpal ligament reconstruction using brachioradialis for secondary ulnar translation of the carpus following radiocarpal dislocation:  A cadaver study. J Hand Surg Am. 2010; 35A: 256-261.

Lifchez SD, Means KR, Jr., Dunn RE, Williams EH: Intra- and inter-examiner variability in performing Tinel's test. J Hand Surg Am. 2010; 35A: 212-216.

Cho MS, Means KR, Jr., Shrout JA, Segalman KA: Carpal tunnel volume changes of the wrist under distraction. J Hand Surg Am. 2008; 33E: 648-652.

Means KR, Jr., Parks BG, Lee SK, Segalman KA: Release of the transverse carpal ligament alone is associated with elevated pressure beneath the distal volar forearm fascia in a cadaver model of carpal tunnel syndrome. J Hand Surg Am.  2007 Dec; 32(10): 1533-1537

Means KR, Jr., Parks BG, Nguyen A, Schon LC: Intramedullary Nail Fixation with Posterior-to-Anterior Compared to Transverse Distal Screw Placement for Tibiotalocalcaneal Arthrodesis: A Biomechanical Investigation.  Foot Ankle Int, 2006 Dec; 27(12): 1137-1142.

Title CI, Zaret D, Means KR, Jr., Vogtman J, Miller SD: First metatarsal head OATS technique: an approach to cartilage damage.  Foot Ankle Int 2006 Nov; 27(11): 1000-1002.

Baechler MF, Means KR, Jr., Parks BG, Nguyen A, Segalman KA: Carpal Canal Pressure of the Distracted Wrist.  J Hand Surg Am. 2004 Sep; 29(5): 858-64.

Lee HJ, Lum C, Means KR, Jr., et al: Temporal Bone Fractures and Complications:  Correlation Between High-Resolution Computed Tomography and Audiography.  Emergency Radiology 1998 Jan/Feb; 5(1):8-12.

Published Research Abstracts:

Ketonis C, Means KR, Jr.   Biomechanical testing of a novel micro-patterned 3D printed tendon fixation device. J Hand Surg Am 2018; 43:S59.           

Elliott RM, Nayar SK, Giladi AM, Forthman CL, Parks BG, Means KR Jr. The Relationship Between Hemihamate Graft Size and Proximal Interphalangeal Joint Flexion for Reconstruction of Fracture-Dislocations: A Biomechanical Study. J Hand Surg Am. 2018 Nov 9.

Polfer EM, Sabino JM, Fleming IC, Means KR, Jr.   Relative tissue oxygenation changes are more reliable than clinical exam or temperature changes for detecting early tissue ischemia.   J Hand Surg Am. 42:S45. 2017.

Hui-Chou HG, Means KR, Jr., Higgins JP. Prospective study of vascular assessment with laser angiography of the upper extremity. J Hand Surg Am. 41[9], S17-S18. 2016

Kim JM, Zimmerman RM, Jones CM, Dubin NH, Higgins JP, Means KR, Jr.: The quality of randomized controlled trials in hand, wrist, and elbow surgery: A critical analysis of current literature. J Hand Surg Am. 38[10], e46. 2013.

Parikh PM, Davison SP, Capone AC, Clemens MW, Means KR, Jr.:  Occupational injuries in surgeons.  Plastic Recon Surg 122(4S): 67. 2008.

Case Reports   McClelland WB, Jr., Means KR, Jr.:  Palmaris profundus tendon prohibiting endoscopic carpal tunnel release: case report.  J Hand Surg Am. 2012 37: 695-698. 

Masden DL, Means KR, Jr: Total Bodily Extrusion of the Lunate: An Extreme Inferior Arc Injury.  JBJS Case Connect, 2014 Nov 26;4(4):e113

Technique & Review Articles:

Means KR, Jr., Saunders RJ. Understanding and Measuring Long-Term Outcomes of Fingertip and Nail Bed Injuries and Treatments.  Hand Clinics 2021; 37(1):125-153.  Review.

Giladi AM, Lin IC, Means KR Jr, Kennedy SA. Applying Evidence to Inform Carpal Tunnel Syndrome Care. J Hand Surg Am. 2021 Mar;46(3):223-230.

Starr HM, Sedgley MD, Means KR, Jr., Murphy MS.  Ultrasonography for hand and wrist conditions. J Am Acad Orthop Surg. 2016; 24:544-554.

Paryavi E, Zimmerman RM, Means KR, Jr.: Endoscopic compared with open operative treatment of carpal tunnel syndrome. JBJS Reviews 2016; 4(6):e2.

Tyser AR, Means KR, Jr. Nerve injuries about the elbow: treatment options.   Current Orthopaedic Practice 2012; 23:29-33.    

Ramirez MA, Means KR, Jr.  Digital Soft Tissue Trauma:  A Concise Primer of  Soft Tissue Reconstruction of Traumatic Hand Injuries.  The Iowa Orthopaedic Journal 2011; 31: 110-120. 

Chhabra A, Soldatos T, Thawait GK, Grande FD, Thakkar RS, Means KR, Jr., Carrino JA:  Current Perspectives on the Advantages of 3-T MR Imaging of the Wrist.  Radiographics 2012 May; 32(3): 879-96.

A. Muhit, S. Arora, Y. Ding, M. Ogawa, W. Zbijewski, J. W. Stayman, G. Thawait, N. Packard, R. Senn, D. Yang, J. Yorkston, C. Bingham, Means KR, Jr., J. A. Carrino, and J. H. Siewerdsen , "Peripheral quantitative CT (pQCT) using a dedicated extremity cone-beam CT scanner,” Proc. SPIE Medical Imaging 2013

Textbook Chapters:   

Means KR, Jr., Saunders RJ, Graham TJ, Cannon NM, Yousaf IS. Pathophysiology and Surgical Management of the Stiff Hand; Postoperative Management of Metacarpophalangeal Joint and Proximal Interphalangeal Joint Capsulectomies. In: Skirven TM, Osterman AL, Fedorczyk JM, Amadio PC, Feldscher SB, Shin EK, eds. Rehabilitation of the hand and upper extremity. 7th ed. Philadelphia: Elsevier; 2021:345-371.

Means KR, Jr., Forthman CL, Baugher WH, Katz RD, Wittstadt RA, Segalman KA: Upper extremity neuromuscular disorders. In: Elkwood AI, Kaufman M, Schneider LF, editors. Rehabilitative Surgery: A Comprehensive Text for an Emerging Field, Switzerland:  Springer-Verlag, 2017, 305-326.

Means KR, Jr.: Strategies for handling the flexible and fixed swan-neck deformity. In: Graham TJ, Evans PJ, Maschke SD, editors. Master Techniques in Orthopaedic Surgery: The Hand. 3 ed. Philadelphia: Lippicott, Williams & Wilkins; 2016: 173-184.

Means KR, Jr., Graham TJ: Surgical Treatment of Carpal Bone Fractures, Excluding the Scaphoid. In: Hunt TR, Kozin SH, editors. Operative Techniques in Orthopaedic Surgery, 2 ed., Chap 39, Philadelphia: Lippincott, Williams & Wilkins; 2016: 368-379.

Means KR, Jr., Graham TJ: Disorders of the Forearm Axis.  In:  Wolfe SW et al, eds.  Green’s Operative Hand Surgery, 6th Edition, Philadelphia, PA: Elsevier, 2011: 837-868.

Means KR, Jr.: Neuropathies of the wrist and hand. In: Miller MD, ed):  DeLee & Drez's Orthopaedic Sports Medicine, Ed 4, chap. 78, Philadelphia: Elsevier, 2014: 908-916.

Means KR, Jr., Saunders RJ, Graham TJ: Pathophysiology and Surgical Management of the Stiff Hand.  In:  Skirven TM, Osterman AL, Fedorcyzk JM, Amadio PC, eds.  Rehabilitation of the Hand and Upper Extremity, 6th Edition, Philadelphia, PA:  Elsevier-Mosby, 2011: 885-893.

Means KR, Jr., Graham TJ: Surgical Treatment of Carpal Bone Fractures Excluding the Scaphoid.  In: Weisel SW, Hunt T III, eds.  Operative Techniques in Orthopaedic Surgery, Philadelphia, PA: Lippincott Williams and Wilkins, 2010: 2284-2294.

Means KR, Jr., Segalman KA: Carpal Fractures, Dislocations, and Fracture-Dislocations, Excluding Isolated Scaphoid Fractures.  In: Budoff JE, ed.  Fractures of the Upper Extremity: A Master Skills Publication, Rosemont, IL: American society for Surgery of the Hand, 2008: 133-154.

Means KR, Jr., Higgins JP, Graham TJ: Hinged Fixation and Dynamic Traction of PIP Fracture Dislocations.  In:  Capo JT, Tan V, eds.  Atlas of Minimally Invasive Hand and Wrist Surgery, New York, NY: Informa Healthcare USA, Inc., 2008: 63-71.

Means KR, Jr., Higgins JP, Graham TJ: Limited Incision Carpal Tunnel Release with the Indiana Tome.  In:  Capo JT, Tan V, eds.  Atlas of Minimally Invasive Hand and Wrist Surgery, New York, NY: Informa Healthcare USA, Inc., 2008: 293-297.

Means KR, Jr., Segalman KA: Carpal Tunnel Syndrome. In: Trumble TE, Budoff JE, eds.  Hand Surgery Update IV, Rosemont, IL: American Society for Surgery of the Hand, 2007: 399-407.

Segalman KA, Means KR, Jr.: Compressive Neuropathies.  In:  Trumble TE, Rayan GM, Baratz M, eds.  Principles of Hand Surgery and Therapy, Philadelphia, PA: Saunders, 2010:  286-301.

Means KR, Jr.: Nerve and Vessel Injuries and Disorders in Sport accepted for publication in LWW’s Athletic Hand and Wrist Injuries, Graham TJ, Hunt TR, eds.

In the News

Educational Media:

WMAR ABC TV 5 O’Clock News Interview - “Frostbite” – 2015

About.com - “Preventing wrist pain in cyclists” – 2014

CBS Radio Better Golf with Joe Plecker Interview - “Hamate hook fractures” – 2012

CBS Radio Public Service Message - “Lawnmower safety for your hands” – 2012

Baltimore Business Journal - “How Baltimore-area doctors cope with stress” – 2012

WBFF FOX45 News Interview - “Dupuytren’s disease” – 2011

WMAR ABC TV 11 O’Clock News Interview - “Thumb arthritis” – 2008

WYPR FM 88.1 Radio Commentary - “Cubital tunnel syndrome – the other carpal tunnel” – 2007

Baltimore Sun Newspaper Interview with Chris Emery - “Use caution to avoid common winter injuries” – 2007

WBAL AM 1090 Radio Interview with Bruce Elliott - “Distal radius fractures” – 2006

Retirement Living TV Healthline Program Interview with Kevin Soden - “Carpal Tunnel” – 2006

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Practice Locations
Member of Medical Staff
  • Annual Baltimore magazine Top Doc since 2017
  • Golden Apple Teaching Awards 2016, 2010, and 2008
  • American Association for Hand Surgery Annual Best Research Paper Award 2017
  • Roger H. Michael/Johnson & Johnson Resident Research Award