Specialists

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Shoulder Dislocation

Basics Description The shoulder joint has the greatest ROM of all joints in the body and, thus, is at high risk for dislocations. Shoulder joint stability depends on various dynamic and static anatomical restraints. Dynamic restraints include: Tendon of the long head of the biceps Scapular stabilizers Rotator cuff muscles and tendons Static restraints […]

Ankle Instability

Basics Description Recurrent ankle sprains occurring primarily from an inversion stress on a plantarflexed ankle, which lead to chronic ankle pain and instability Divided into 2 types: Functional instability: Pain causes ankle to be unstable. Feeling of ankle giving way Neuromuscular deficit True mechanical instability: Frank insufficiency of ligaments Physiologic ROM is exceeded. Positive […]

A Patient’s Guide to Wrist Anatomy

Introduction

The anatomy of the wrist joint is extremely complex, probably the most complex of all the joints in the body. The wrist is actually a collection of many bones and joints. These bones and joints let us use our hands in lots of different ways. The wrist must be extremely mobile to give our […]

A Patient’s Guide to Scaphoid Fracture of the Wrist

Introduction

Doctors commonly diagnose a sprained wrist after a patient falls on an outstretched hand. However, if pain and swelling don’t go away, doctors become suspicious that the injury is actually more serious. A fall on an outstretched hand commonly breaks the scaphoid bone of the wrist. X-rays taken at the time of the injury […]

A Patient’s Guide to Resection (Excision) Arthroplasty of the Thumb

Introduction

Thumb arthritis may be surgically treated with a procedure called resection arthroplasty or sometimes called excision arthroplasty. The term excision means to take out. In this surgery, the surgeon takes out a small bone at the base of the thumb and fills in the space with a rolled up section of tendon. The soft […]

A Patient’s Guide to Ulnar Collateral Ligament Reconstruction (Tommy John Surgery)

Introduction

The doctors call it a UCLR ulnar collateral ligament reconstruction. Baseball players and fans call it Tommy John surgery — named after the pitcher (Los Angeles Dodgers) who was the first to have the surgery in 1974. It is one of the major advancements in sports medicine in the last quarter century.

This guide […]

A Patient’s Guide to Shoulder Dislocations

Introduction

A shoulder dislocation is a painful and disabling injury of the glenohumeral joint. Most dislocations are anterior (forward) but the shoulder can dislocate posteriorly (backwards). Inferior and posterolateral dislocations are possible but occur much less often. The specific type of dislocation is based on the position of the humeral head in relation to the […]

A Patient’s Guide to Viscosupplementation for Osteoarthritis of the Knee

Introduction

The squeaky hinge gets the grease. In the same way, the joint that aches from osteoarthritis (OA) gets the attention. Since the knee works like a hinge joint, it makes sense that lubricating the joint might help people with knee osteoarthritis. Accordingly, a treatment called viscosupplementation has been used by doctors to restore lubrication […]

A Patient’s Guide to Revision Arthroplasty of the Knee

Introduction

Over the past 30 years, artificial knee replacement surgery has become increasingly common. Millions of people have gotten a new knee joint. The first time a joint is replaced with an artificial joint the operation is called a primary joint replacement. As people live longer and more people receive artificial joints, some of those […]

A Patient’s Guide to Popliteal Cysts

Introduction

A popliteal cyst, also called a Baker’s cyst, is a soft, often painless bump that develops on the back of the knee. A cyst is usually nothing more than a bag of fluid. These cysts occur most often when the knee is damaged due to arthritis, gout, injury, or inflammation in the lining of […]