Specialists

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Salvage Procedures

In rare cases, individuals will continue to complain of instability despite attempted surgical reconstructions. In certain settings, glenohumeral arthrodesis may be the only option available. A sobering observation was presented by Richards, who found that many subjects had subjective sensations of instability despite radiographic evidence of solid arthrodeses.

Moreover, some of these patients developed problems […]

Syndactyly

Basics Description Webbed fingers (or toes) , usually detected at birth Classification: Internal involvement: Simple (skin only) versus complex (bony involvement/fusion) Extent of syndactyly: Complete (entire length of digits involved) versus incomplete (some part of fingers joined) Synonym: Webbed digits Epidemiology More common in Caucasian males Incidence Syndactyly occurs per ~1 per 2,000 births […]

Spinal Stenosis

Basics Description Compression of neural elements secondary to osteoarthritic changes (bone spurs, hypertrophied ligamentum flavum, disc space narrowing) at intervertebral levels and facet joints Characterized by back and/or lower extremity pain, numbness, weakness, and possible bladder/bowel dysfunction. General Prevention No known preventive measures Epidemiology Symptoms develop during the 5th and 6th decades. No gender […]

Rheumatoid Arthritis

Basics Description Rheumatoid arthritis is a chronic, systemic, autoimmune inflammatory disease affecting synovial joints and extra-articular systems, including the skin, eyes, cardiovascular system, bronchopulmonary system, spleen, and nervous system. Epidemiology Incidence Affects 1% of the population Prevalence Variable onset, but most frequently between the ages of 35 and 50 years Females are affected 2-3 […]

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 Ligament Injuries of the Wrist

Introduction

Wrist injuries are common. If a wrist injury causes significant damage to the ligaments, it can result in serious problems in the wrist. Such an injury typically continues to cause problems unless corrected.

This guide will help you understand

how ligament injuries of the wrist occur what your doctor will do to diagnose serious […]

A Patient’s Guide to Artificial Joint Replacement of the Wrist

Introduction

The wrist joint is replaced with an artificial joint (also called a prosthesis) much less often than other joints in the body, such as the knee or the hip. Still, when necessary, this operation can effectively relieve the pain caused by wrist arthritis. When severe arthritis has destroyed the wrist joint, artificial wrist replacement […]

A Patient’s Guide to Thoracic Disc Herniation

Introduction

A rise in the use of magnetic resonance imaging (MRI) has led to the discovery that many people, perhaps as many as 15 percent of Americans, have a thoracic disc herniation. Seeing a herniated thoracic disc on MRI is often incidental, meaning it shows up when the person has MRI testing for another problem.

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Patient’s Guide to Posterior Lumbar Interbody Fusion

Introduction

Posterior lumbar interbody fusion (PLIF) is a procedure used to treat problems such as disc degeneration, disc herniation, and spine instability. In this procedure, the surgeon works on the spine from the back (the posterior) and removes a spinal disc in the lower (lumbar) spine. The surgeon inserts bone graft material into the space […]

A Patient’s Guide to Anterior Lumbar Interbody Fusion

Introduction

Anterior lumbar interbody fusion (ALIF) is a procedure used to treat problems such as disc degeneration, spine instability, and deformities in the curve of the spine. In this procedure, the surgeon works on the spine from the front (anterior) and removes a spinal disc in the lower (lumbar) spine. The surgeon inserts a bone […]