Specialists

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Biceps Instability

Biceps instability takes the form of either frank dislocation or more subtle subluxation. As noted previously, the primary restraining structures holding the LHB in the bicipital groove are the medial sling and subscapularis tendon. Habermayer and Walch divided LHB dislocations into extra-articular or intra-articular. The much less common extra-articular dislocations dislodge from the bicipital groove […]

Dislocation of MCP joint

Dislocation of the MCP joint is a rare injury. When it does occur the border digits (the index and little fingers) are most commonly affected. Dorsal dislocation of the MCP joint occurs following forced hyperextension (bending backwards) of the fingers. The volar (palm) plate is ruptured and the head of the metacarpal can sometimes be […]

Anterior Shoulder Dislocation

SYMPTOMS

There is acute onset of localised swelling and pain over the anterior part of the shoulder with deformation, after an excessive external rotation and abduction trauma. This is the most common type of dislocation in sports (85-90 per cent). Movements of the arm cause pain and the patient will protect the arm in […]

Neck Pain

Basics Description In adults: Common Usually secondary to degenerative disc disease and arthritis In children and adolescents: Less common When it does occur, the pain often is secondary to a neoplasm or infection. Neck pain also occurs after trauma and is extremely common after motor vehicle accidents. General Prevention No definite methods of prevention […]

Musculoskeletal Radiography

Basics Description Plain radiography has been the primary musculoskeletal imaging technique for >100 years. X-ray beams generated by an x-ray tube pass through the body part to be imaged, and differential absorption and scattering of the x-ray beams occur. The exiting beam carries information about the density of the material traversed. This information is […]

Back Pain

Basics Description Low back pain, the most common musculoskeletal condition, is responsible for the loss of 17 million work days per year in the United States and ~$60 billion of the annual U.S. health care budget. 70-80% of adults experience severe back pain at some time during their lives. Back pain, which affects the […]

A Patient’s Guide to Osteoarthritis of the Hip

Introduction

Osteoarthritis (OA) is a common problem for many people after middle age. OA is sometimes referred to as degenerative, or wear-and-tear, arthritis. OA commonly affects the hip joint. In the past, little was done for the condition. Now doctors have many ways to treat hip OA so patients have less pain, better movement, and […]

A Patient’s Guide to Posterior Cervical Fusion

Introduction

Posterior cervical fusion is done through the back (posterior) of the neck. The surgery joins two or more neck vertebrae into one solid section of bone. The medical term for fusion is arthrodesis. Posterior cervical fusion is most commonly used to treat neck fractures and dislocations and to fix deformities in the curve of […]