Specialists

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Partial Thickness Rotator Cuff Tears: Treatment

It is important to understand that not all full thickness rotator cuff tears are alike, and that some complete tears are compatible with excellent function and minimal discomfort. Armed with biomechanical models, basic engineering principles, and kinematic studies of patients with known rotator cuff tears, Burkhart defined the “functional rotator cuff tear.”

His reasoning was […]

Subscapularis Tears

Rupture of the subscapularis in association with primary anterior shoulder instability is more common after a prior open instability repair and should be suspected in those who have had prior anterior stabilization procedures in which the subscapularis was released for exposure.

Failure to recognize and treat a subscapularis tear in a proper and timely fashion […]

Managment-Operative Management

Surgical decision making is first dependent on whether a cyst is causing suprascapular nerve compression. If a ganglion cyst is present, then the cyst is a result of intra-articular pathology; in athletes, this frequently is because of a labral tear. The natural history of ganglion cysts about the shoulder is not known; however, it commonly […]

Rotator Cuff Rupture

SYMPTOMS

There is usually exercise-related pain and weakness of the shoulder on abduction and in overhead activities. The player may relate that ‘something snapped’ in the shoulder. In many partial ruptures, the initial symptom is secondary impingement or muscle atrophy and weakness.

AETIOLOGY

The onset can be dramatic, with complete loss of abduction […]

External Impingement

SYMPTOMS

There is gradual onset of pain in the shoulder on overhead activity involving internal rotation and abduction. Typically, the pain is worst in one specific position or during a certain movement but often the shoulder gradually stiffens up, restricting abduction and rotation. It is painful to sleep on that side and movement becomes […]

Malignant Fibrous Histiocytoma

Basics Description MFH is an uncommon, malignant, primary mesenchymal tumor of soft tissue or bone that resembles fibrosarcoma. In primary MFH of bone, the long bones are affected most commonly. Classification: Several subtypes have been described, but typing has not been shown to have prognostic implications. General Prevention No preventive measures are known. Epidemiology […]

Knee Anatomy and Examination

Basics Description Anatomy of the knee consists of compartments, bones, menisci, ligaments, muscles, and nerves. 3 compartments: Medial, lateral, and patellofemoral Bones: Patella: Serves as fulcrum to aid knee extension Medial and lateral menisci: Fibrocartilaginous structures in medial and lateral femorotibial compartments Aid in joint lubrication and nutrition and in load distribution across articular […]

Hip Pain in the Child

Basics Description Hip pain is a term used to describe discomfort in the groin, which receives sensory innervation provided by the obturator and femoral nerves. This pain can be produced by a lesion anywhere in the region of the hip joint, such as: Capsule and synovial lining Bone of the pelvis or proximal femur […]

Hemophilia

Basics Description This disorder of clotting factor results in easy bleeding. Secondary effects may occur in any system (most importantly brain, joint, muscle, and nerve) secondary to bleeding. Depending on its severity, it usually is diagnosed in early childhood. Classification: Severe: <1% clotting factor activity Moderate: 1-5% clotting factor activity Mild: >5% clotting factor […]