Specialists

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Imaging Studies for Adhesive Capsulitis

The evaluation of a patient with adhesive capsulitis is not complete without an appropriate series of plain radiographs. True glenohumeral anterior-posterior views, along with axillary, scapular outlet and acromioclavicular views are considered necessary to exclude other shoulder girdle conditions which result in pain and stiffness. These films may often reveal osteopenia, but should not show […]

Complications

Surgical complications related to ASAD are similar to those of other shoulder procedures. They can be separated into complications related to inaccurate or incomplete diagnosis and those related to incorrect technique.

An incomplete diagnosis can occur from failure to recognize and address coexisting pathology such as a labral tear or partial rotator cuff tear. These […]

Skeletal Scintigraphy

Basics Description Skeletal scintigraphy is a nuclear medicine imaging method for bone disease. Advantages: High sensitivity for early detection of disease Whole body survey Disadvantage: Limited specificity Diagnosis Signs and Symptoms Indications Whole body skeletal scintigraphy: Primary bone tumors Osteomyelitis Joint prosthesis pain Occult fractures Stress fractures and shin splints Spondylosis Reflex sympathetic dystrophy […]

Scaphoid Fracture

Basics Description Fracture of the most radial (thumb side) of the carpal bones, usually as a result of a dorsiflexion injury to the wrist The most common of the carpal fractures, estimated at 60% Frequent problems include delayed diagnosis and nonunion. Classification: Chronologically: Acute or chronic Anatomically: In the proximal, middle, or distal third […]

Patellar Dislocation

Basics Description Patellar dislocation usually refers to lateral displacement of the patella out of its normal alignment in the trochlear groove of the femur. The patella is held stable by ligamentous forces, muscular forces, and bony anatomy. Disruption of any of these 3 components can lead to recurrent patellar instability. Classification: Subluxation: Patella sits […]

Fracture Treatment

Basics Description Fractured or broken bones are a common result of trauma. Treatment of fractures may be with or without surgery and depends on the location and severity of the fracture. Nondisplaced: 1 or both cortices may be involved, but the fracture has not moved. Nondisplaced fractures may be difficult to detect. Displaced: Displacement […]

Cubital Tunnel Syndrome

Basics Description Cubital tunnel syndrome consists of pain and paresthesias over the medial border of the forearm and hand, as well as weakness in an ulnar nerve distribution from compression of the ulnar nerve as it passes through the cubital tunnel at the elbow. It affects the elbow, forearm, and hand in the ulnar […]

Compartment Syndrome

Basics Description

Increase in tissue pressure within a limited space, compromising circulation and function of the contents of the space. Acute compartment syndrome is a limb-threatening emergency. Chronic (or exercise-induced or exertional) compartment syndrome usually is a self-limited symptomatic disorder. The elevated tissue pressure causes decreased perfusion, which can lead to necrosis of tissues and […]