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The Hand Clinic
One never fully appreciates the infinite functioning of the hand until it
becomes disabled in some way. At the South County Orthopedic Specialists
(SCOS) Hand Center we focus our efforts not only on treating the initial
cause of a patient's hand problem but also on developing a prescription
for rehabilitation that will restore the fullest function possible. The
Hand Center is an adjunct of the SCOS orthopedic practice; it specifically
provides specialty care and treatment of the hand and upper extremity.
We have combined the medical expertise and specialization of Dr.'s Kyle
W. Coker and Lonnie J. Moskow and
added a physical therapy unit dedicated to rehabilitation, wound care,
splinting, conditioning and strengthening of the hand and upper extremity.
Hand care is our business.
Our Physicians
Kyle W. Coker, M.D.
 Dr. Coker hails from Dallas, Texas. He did his
undergraduate studies at the University of Texas and completed his medical school training at the University of Texas
Medical Branch, Galveston, Texas. He performed both his internship and residency at Los Angeles County, University
of Southern California. He is fellowship trained from The Joseph Boyes Foundation for Research in Hand Surgery, Los
Angeles, California. Dr. Coker is Board Certified by the American Board of Orthopaedic Surgery for which he also has
an additional certificate in hand surgery. He is a member of the American Academy of Orthopaedic Surgeons and the
American Society for Surgery of the Hand. Dr. Coker limits his practice principally to treatment of the hand and
upper extremity. He is the team physician for Capistrano Valley H.S. He came to the Saddleback community in 1983.
He resides in Laguna Niguel with wife Diane. , and son and daughter, Chris and Becky.
Lonnie J. Moskow, M.D.
 Dr. Moskow is from Philadelphia. He attended the
University of Pennsylvania for both his undergraduate and medical school studies where he became a member of Phi
Beta Kappa. He also completed his internship and residency at the Hospital of the University of Pennsylvania. He
fellowship trained in hand and microvascular surgery at Sydney Hospital Hand Center, a world-renowned center for
hand surgery, in Sydney Australia. He is a Clinical Instructor, School of Medicine, Department of Orthopedics,
University of California at Irvine. He is a Diplomate of the American Board of Orthopaedic Surgery for which he
holds an added certificate in hand surgery. He is a Fellow of the American Academy of Orthopaedic Surgeons and a
Member of the American Society for Surgery of the Hand. Dr. Moskow limits his practice principally to treatment
of the hand and upper extremity. He is team physician for Laguna Hills High School, Dr. Moskow came to the Saddleback
community in 1990. He resides in Laguna Niguel with wife, Eileen, sons, Randy and Hunter, and daughter, Haley.
Referrals for Hand Patients
At the Hand Center someone is always available to answer your questions or accept patient referrals. We are set up
to evaluate and treat acute injuries such as Skil saw amputations, on the day of injury, or more chronic conditions
in a timely manner. Our close, multidisciplinary approach to these difficult problems has led to improved outcomes
in a variety of conditions. We welcome referrals from PCPs or orthopedists, from the simplest finger cysts to complex
microvascular reconstructions. Some of the diagnoses that you may consider for referral are: nerve compression
syndrome, rheumatoid or osteoarthritis, wrist pain or instability, workers' compensation upper extremity pain
syndromes, reflex sympathetic dystrophy, tumors or any acute injury involving fractures, tendons or nerves,
congenital hand conditions and hand and wrist dysfunction.
Other than rheumatoid arthritis and osteoarthritis, as a Treating physicians, nurse coordinators or adjusters for
work related hand conditions, you know that injury and compromise of functioning of the hand are very common. As
mentioned earlier, we can provide the medical treatment and care which best assures that your employees can be
successfully returned to work as soon as practicable.
Hand Therapy
We understand the critical role appropriate physical therapy plays in restoration of function to the hand.
Accordingly, we have established a hand therapy unit within the Hand Center. Our objective is to facilitate the
rapid return of function, relief from pain, and maximize both surgical and non-surgical outcomes. Our hand therapy
staff is an experienced and dedicated group of Certified Physical and Occupational Hand Therapists and licensed
assistants. We can provide advanced evaluation and treatment programs for all upper extremity disabilities and
injuries, protective and functional splinting, patient education and wound care.
Diane A. Coker, RPT, CHT
 Diane also comes from the "Lone Star' state. She
did her undergraduate work at Texas Tech University and completed her specialty training in physical therapy at
the University of Texas Medical Branch, Galveston, Texas, earning a B.S. and Certificate in Physical Therapy. She
received her certificate as a Certified Hand Therapist in 1991. Diane has lectured at the California State
University Long Beach, School of Physical Therapy; acted as and is a preceptor for the Chapman University Masters
Program in Physical Therapy; instructed in Hand Therapy at Loma Linda School of Physical Therapy and is Chief
Instructor, Kaiser hand Therapy fellowship Program. She brings over 15 years of practical experience with hand
therapy. Diane and Dr. Coker reside in Laguna Niguel with their son and daughter, Chris and Becky.
Hospital Affiliations
Our physicians maintain medical staff privileges at:
- Saddleback Memorial Medical Center
- Saddleback Valley Outpatient Surgery
- Laguna Hills Surgery Center
- SCOS accepts most insurances
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