A new Hospital for Special Surgery study suggests that the current rehabilitation used for patients undergoing tendon-bone repairs such as rotator cuff repair may be partially to blame for the high rates of failed healing after surgery. Experiments in a rat model of this injury suggest that immobilizing the limb for four to six weeks after surgery, rather than quickly starting physical therapy, improves healing.
The accurate diagnosis of associated injuries after traumatic anterior shoulder dislocation in patients older than 60 is critical for the recovery of shoulder function because more than half of patients had rotator cuff tears or anterior capsulolabral lesions, which may lead to recurrent shoulder dislocation.
Satisfactory clinical outcomes without recurrence were obtained after early detection of abnormalities and different treatment modalities based on associated injuries and the number of dislocations experienced.
Early passive motion exercise has been the standard rehabilitation protocol after rotator cuff repair for preventing postoperative stiffness. However, recent approaches show that longer immobilization may enhance tendon healing and quality.
Steroid injections are no longer routinely recommended for lateral epicondylitis (tennis elbow). Instead, physical therapists offer an alternative treatment in the form of something called iontophoresis.
In this article, the use of steroid injection is compared with iontophoresis delivered in two different ways. Iontophoresis uses a small electric current to drive steroid medication through the skin. It is a noninvasive method of reducing the pain of tennis elbow.
Back, neck and shoulder pain is the natural result of prolonged sitting at work behind a computer, as is bad posture. This can cause headaches and excessive tension in neck, shoulders, arms, forearms, wrists, back, hips, thighs and legs.
Preventing back and neck pain while sitting is not an exact science as there are many differing opinions on the subject. However, there are some common denominators on which most chiropractors and other medical professionals agree:
Researchers studied three types of tennis serves, and identified one in particular, called a “kick” serve, which creates the highest potential for shoulder injury.
The study examined the difference in body positioning for the three serves. Researchers measured the distance between the vertical center line of a player’s body and the hitting surface of the racquet when the player hit the ball. For the kick serve, players swung the racquet closer to the center – about 21 cm (8 inches) and 16 cm (6 inches) closer than for the flat serve and slice serve, respectively. The players also extended the racquet farther behind them for the kick serve: 8 cm (3 inches) farther than for the flat serve.
Elbow position alone appeared to not affect injury rates and performance in college-level, male pitchers say researchers presenting at the American Orthopaedic Society for Sports Medicine’s Specialty Day in San Francisco, CA.
“The elbow’s position in relation to an injury and enhanced performance in baseball pitchers is highly dependent upon the trunk’s position,” said lead researcher, Carl W. Nissen, MD of Elite Sports Medicine and Connecticut Children’s Medical Center in Farmington, CT. “Our research showed that the pitching motion is complex and a direct relationship between true elbow position and how much stress is placed on a joint does not appear to exist.”
A new study has shown that 44% of postmenopausal women treated for a distal radius fracture (DRF) were either vitamin D deficient or insufficient, researchers reported here at the American Academy of Orthopedic Surgeons 2012 Annual Meeting.
Their vitamin D levels were significantly lower than in control subjects, reported Hyun S. Gong, MD, from Seongnam, and Cheol Ho Song, from Seoul, Korea.
At this morning’s AAOS event, Dr. Raymond Raven III, MD shared how he leverages social media to engage with patients, grow his hand & upper extremity surgery practice, and raise awareness of medical issues.
There was a little bit of a meat skirt, for lack of better words, hanging around the edges. It was oozing. I could see the radius and ulna bone sticking up maybe about half an inch.
The snow is falling, the temperature is dropping, and it’s time to pull out those skis, sleds and skates!
While winter sports provide a wonderful opportunity to exercise and enjoy the outdoors, these activities also have the potential to cause severe injury if proper safety precautions are not practiced. Common injuries from skiing, skating and sledding include sprains and muscle strains, dislocations and fractures.
When Americans go looking for information on health, they turn to the Internet as one of their first sources. According to a recent survey by the Pew Internet and American Life Project, 61 percent of adults say they look online for health information. There’s a term for them: e-patients.