Specialists

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Biceps Tendinitis

Biceps tendinitis has been partitioned into primary tendinitis versus secondary tendinitis. Primary tendinitis involves inflammation of the tendon within the bicipital groove. To be considered primary, no other pathological findings (such as impingement, bony abnormalities within the groove, or biceps subluxation) should be present. It is considered an uncommon condition and should be thought of […]

Anatomy and Pathophysiology

In the normal shoulder, the coordinated muscle tension within the rotator cuff compresses the humeral head, keeping it centered within the glenoid fossa. By coupling with the force of the deltoid, a fulcrum is created that allows strength through a wide arc of motion.

The overlying subacromial bursae reduces friction between the tendonous cuff and […]

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 […]

Types of Elbow Injury

Elbow injuries in adults

Elbow injuries can be grouped into those occurring in medial, lateral, posterior or anterior areas.

Medial injuries

Medial injuries include medial epicondylitis, injury to the common flexors (myositis or acute rupture), compression of the hypertrophied pronator teres by the overlying fascia, chronic elongation and/or rupture of the medial collateral ligament with […]

Hip Joint Osteoarthritis

SYMPTOMS

There is gradual onset of diffuse exercise-induced pain in the groin. The hip joint is usually stiff and more painful in the morning than in the afternoon and rotational movements are most difficult. In severe cases, there is pain during rest. There are periods of better and worse symptoms. Secondary muscular symptoms are […]

Anterior Impingement Syndrome

SYMPTOMS

There is a gradually increasing stiffness of the ankle and exercise-induced pain around the anterior part of the ankle joint, often after previous sprain.

AETIOLOGY

Impingement syndrome is not a diagnosis but a symptom and may be caused by repetitive trauma to the anterior ankle joint, for example from striking footballs, recurrent sprains causing […]

Shoulder/Glenohumeral Arthritis

Basics Description Progressive loss of glenohumeral joint space with thinning of articular cartilage, formation of osteophytes, and progressive deformity Epidemiology Females are more likely than males to have primary glenohumeral osteoarthritis. Patients >60 years old are more likely to have it than are younger patients. Incidence ~0.4% in the general population Can reach 4.6% […]

Osteoarthritis

Basics Description The most prevalent form of arthritis May occur in virtually any joint of the body Has no cure and leads to pain and joint dysfunction The end result is loss of articular cartilage with secondary bone changes, including osteophytes, subchondral sclerosis, and subchondral cysts. Classification is by single or multiple joint involvement. […]

Arthroscopy

Basics Description Arthroscopy should be performed after a complete history and physical examination and after appropriate imaging studies have been obtained. Most procedures can be performed on an outpatient basis. Knee: Indications: Meniscal repair or debridement Meniscal cyst Treatment of osteochondral lesions ACL or PCL tear debridement or reconstruction Synovial biopsy or synovectomy Determination […]

Osteoarthritis of the Fingers and Thumb

WHAT IS OSTEOARTHRITIS OF THE FINGERS AND THUMB?

Osteoarthritis of the fingers and thumb is characterized as chronic and often disabling pain and stiffness of one or more joints. Most people who are affected by osteoarthritis of the fingers and thumb are middle-aged or older.

HOW IS OSTEOARTHRITIS OF THE FINGERS AND THUMB DIAGNOSED?

A […]