Specialists

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Capsular Deficiency

Fortunately, capsular deficiency is a rare condition. There is a paucity of literature that deals with soft tissues deficiency in relation to instability. It is more common in revision settings and after thermal capsulorraphy. The soft-tissue deficiency may also include the subscapularis. There are several reasonable surgical options and choices for soft tissue augmentation for […]

Absolute Indications for Open Surgery

Absolute indications for open stabilization procedures include significant degrees of glenoid or humeral bone loss, capsular deficiencies, or irreparable rotator cuff tears, particularly those of the subscapularis. In individuals with significant anterior glenoid erosion, an osseous reconstruction should be performed.

In the rare case where a large humeral head defect (Hill-Sachs lesion) plays a […]

Skiing injury and ACL tear

Both skiing and snowboarding can result in sports injuries, but they tend to have slightly different injury patterns. Skiers are more likely to have knee injuries (from twisting motion during falls), and snowboarders tend to have more upper body injuries (as a result of falling on an outstretched hand). There are also many injuries common […]

Hill-Sachs Lesions

The most common bony lesion associated with traumatic glenohumeral instability is a compression fracture at the posterolateral margin of the humeral head Commonly known as a Hill-Sachs lesion, this fracture occurs as the humeral head impacts the glenoid edge during dislocation.

The lesion is present in 80% of anterior dislocations, 25% of anterior subluxations, […]

Mechanism of Injury

A committee of representatives from the NFL Team Physicians Society and the NFL Athletic Trainers Society, NFL equipment managers, and scientific experts in the area of traumatic brain injury recently investigated the location and direction of helmet impacts in the NFL using sophisticated acquisition of high-speed video impact data and biomechanical reconstruction to determine impact […]

Lateral cruciate ligament injury and posterior lateral instability

Lateral cruciate ligament injury and posterior lateral instability The LCL is the primary restraint to varus stress of the knee (when the distal lower leg is pressed inward). It is most commonly injured in combination with one of the cruciate ligaments. The mechanism of injury is gait for increased external rotation of the foot, painful […]

Posterior Lateral Corner Injuries

SYMPTOMS

The symptoms are immediate haemarthrosis and pain in the posterior lateral corner of the knee. This injury is common in contact sports such as football and rugby. The diagnosis is often missed.

AETIOLOGY

The typical athlete suffers a hyperextension and varus rotation sprain during sport. The posterior lateral corner structures involve the […]

A Patient’s Guide to Swan Neck Deformity of the Finger

Introduction

Normal finger position and movement occur from the balanced actions of many important structures. Ligaments support the finger joints. Muscles hold and move the fingers. Tendons help control the fine motion of each finger joint. Disease or injury can disturb the balance in these structures, altering normal finger alignment and function. The result may […]

A Patient’s Guide to Patellar Tendon Graft Reconstruction of the ACL

Introduction

The anterior cruciate ligament (ACL) is a major stabilizer of the knee joint. This key knee ligament is commonly torn during sports activities. The standard operation to fix a torn ACL is with a patellar tendon graft. The surgeon takes out the middle section of the patellar tendon below the kneecap (patella). This new […]

A Patient’s Guide to Hamstring Tendon Graft Reconstruction of the ACL

Introduction

When the anterior cruciate ligament (ACL) in the knee is torn or injured, surgery may be needed to replace it. There are many different ways to do this operation. One is to take a piece of the hamstring tendon from behind the knee and use it in place of the torn ligament. When arranged […]