Specialists

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The Nord Technique

Glenohumeral arthroscopy is performed in the lateral decubitus position under 10 lbs. of traction as described in the preceding paragraphs. The arm is suspended at approximately a 45-degree angle of abduction and 10 degree forward flexion and distraction of the shoulder joint is accomplished with 10 lbs. of traction. This allows for external and internal […]

Operative Treatment

For patients who fail nonoperative treatment, the procedure of choice is arthroscopic subacromial decompression (ASAD). The advantages of the arthroscopic approach include minimally invasive surgery without detachment of the deltoid.

This leads to a more comfortable postoperative recovery and the capability to accelerate rehabilitation. Arthroscopy also allows complete evaluation of the glenohumeral joint and the […]

Differential Diagnosis

It is important to carefully evaluate for other sources of shoulder pain. These may include acromioclavicular arthrosis rotator cuff tear (partial or complete), instability, adhesive capsulitis, glenohumeral arthritis, biceps tendonosis, labral pathology, and cervical radiculopathy. It is also important to remember that there can be more than one source of pain. The two most common […]

Evaluation-Physical Examination

The physical examination of athletes with axillary nerve injury should include evaluation for range of motion (passive and active) as well as strength (abduction, forward elevation, external rotation, and internal rotation). Patients with a chronic history of the problem may demonstrate atrophy or asymmetry of the deltoid muscle mass.

A neurovascular examination should be performed […]

Fracture of the Distal Radius and Ulna

A fracture of the distal radius (Colles’ fracture) is the most common of all fractures. It usually occurs as a result of a fall on the extended arm, forcing the hand backwards and upwards. A less common injury is Smith’s fracture where the mechanism is a forward flexion (palmar flexion) of the wrist. The injury […]