Specialists

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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 […]

Nerve Entrapment

Pressure on the nerves in the groin is usually due to local anatomical conditions. The nerves in question are primarily the ilioinguinal and iliohypogastric nerves, the genitofemoral nerve, and the lateral cutaneous femoral nerve of the thigh, which all supply skin areas around the groin folds, and also the anterior cutaneous femoral nerve of the […]

Facet Joint Syndrome

The joints between the vertebral arches, the intervertebral facet joints, are oriented in such a way that they reduce the rotation capability of the vertebrae. If there were no facet joints the disks would wear out more quickly as a result of rotatory movement in the spine. When the disks are affected by age-related degenerative […]

Calcific Tendinitis

The degenerative changes that occur in the supraspinatus tendons as part of the aging process can, in combination with exertion, cause chronic inflammation with deposits of calcium. This can occur in athletes as young as 30–35 years. The calcium deposits can rupture into the bursa overlying the supraspinatus tendon; this brings about a temporary improvement […]

Subacromial Injection

Basics Shoulder injection sites: Subacromial area: Most common site Other potential sites include: Bicipital tendon sheath Glenohumeral joint Sternoclavicular joint AC joint To avoid confusion: Always refer to these injections by describing the anatomic location of the shot. Avoid describing any of these injections as a shoulder injection. Subacromial injection is reserved for pain […]

Posterior Interosseous Nerve Entrapment

Basics Description PINS occurs when muscles innervated by the posterior interosseous nerve are affected secondary to entrapment of the posterior interosseous nerve by 1 of several structures. The related, but separate, radial tunnel syndrome is characterized by pain and weakness on the lateral side of the elbow after activities with forceful elbow extension or […]

A Patient’s Guide to Wrist Fusion

Introduction

Arthritis of the wrist has many causes, and there are many ways of treating the pain. These treatments can be very successful, at least for awhile. But eventually the entire wrist can become so painful that nonsurgical treatments don’t work anymore. At this point, your surgeon may recommend a wrist fusion. Wrist fusion may […]

A Patient’s Guide to Lumbar Facet Joint Arthritis

Introduction

Arthritis of the lumbar facet joints can be a source of significant low back pain. Aligned on the back of the spinal column, the facet joints link each vertebra together. Articular cartilage covers the surfaces where these joints meet. Like other joints in the body that are covered with articular cartilage, the lumbar facet […]

A Patient’s Guide to Finger Fusion Surgery

Introduction

Arthritis of the finger joints may be surgically treated with a fusion procedure. Fusion keeps the problem joints from moving so that pain is eliminated.

This guide will help you understand

what parts make up the finger joint why this type of surgery is used how the operation is performed what to expect before […]

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

Introduction

If nonsurgical treatments are not successful in easing problems of thumb arthritis, your doctor may recommend replacing the surfaces of the joint. Joint replacement surgery is called arthroplasty.

This guide will help you understand

which parts of the thumb are involved how surgeons perform this surgery what to expect before and after surgery

Anatomy

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