Brigham and Women's Hospital’s Post

** Wednesday Wisdom! Why the rush for early ACL surgery? ** In the video I detail a recent case where a 60-year-old patient injured her knee skiing, sustained an isolated ACL grade 3 tear and within 2 weeks had a surgical consult and surgery booking at a hospital; her goal was to return to walking, activities of daily living and help out with her grandchildren. After a comprehensive shared-decision making process, the patient has opted for rehabilitation with the option of delayed surgery, if needed. What is driving these early decisions? How can we work collaboratively as a multidisciplinary team to get the best outcomes for patients? If you are a patient, what was your experience after your ACL injury? Feel free to share your thoughts and experience below! 👇 For free podcasts, videos, articles, patient stories and links to online courses as well as video consultations, go to the Global Specialist Physiotherapy ACL website: https://lnkd.in/gJCJXWP

A 33-year-old female ballet instructor presented with persistent forefoot pain limiting her dance activities. Radiographic imaging revealed joint space narrowing and suspected subchondral bone abnormalities in the affected region. Intraoperatively an osteochondral lesion containing a sufficient rim of healthy cartilage was identified. 6mm S-Core® bone prep was performed, including controlled resection of surface bone and stimulation of the underlying subchondral layer. Next, an acellular dermal graft was custom cut to match the defect site. The matrix was securely affixed to the implant platform and inserted to the proper depth, approximately flush with or slightly below the level of intact cartilage. Through careful Xray & MRI evaluation and application of the S-Core® implant, this case demonstrated the potential for regenerative treatments to restore normal joint mechanics. Proper execution of established protocols gave reason for optimism regarding post-operative recovery and return to full activity levels over a short time without recurring symptoms. The successful outcome continues to support the benefits of this surgical approach. To learn more please visit https://lnkd.in/gBMAmxw Walter Strash Matt Thibaut Thomas Kinder #podiatry #podiatrist #footandanklesurgery #orthopedics #jointpainrelief #jointpainoptions

Hallux Rigidus, the most common arthritic foot condition, is characterized by pain, swelling, stiffness and decreased range of motion of the big toe. While the cause of this condition is unclear, it is generally more common in women, and has been linked to foot trauma (i.e., ballet dancers and soccer players). Cheilectomy surgery, often utilized to correct hallux rigidus, has been found to increase range of motion in the 1st MTP joint, as well as shift the plantar pressure in the forefoot medially (Nawoczenski et. al.) Using motion capture and force plate technology our lab can assess this limited range of motion in hallux rigidus patients pre-surgically, and then quantify their improvements in both kinematics and pressures post-operatively. Link to Full Article: https://lnkd.in/e6vkA9hU #halluxrigidus #ballet #motioncapture #biomechanics #URochesterResearch #plantarpressure #gait University of Rochester School of Medicine and Dentistry

Skiing My Scopes: Effective Treatment for Anterior Ankle Impingement While 'skiing my scopes' isn't always my go-to method, it's highly effective for tackling anterior ankle impingement. The technique provides a dynamic approach, improves efficiency, enables optimal range of motion and traction for the ankle joint, and can allow for offending tissue removal verification prior to withdrawal of scope. #AnkleScope #AnteriorAnkleImpingement #FootandAnkleSurgery #Orthopedics

Two Surgeons Talk Tennis Elbow – Why Cortisone, MRIs And Surgery Are Rarely Needed Two Orthopedic Surgeons, Luks and Berg, talk about Tennis Elbow: Its true nature, the risks of Cortisone Shots and why MRIs and surgery are rarely needed – A candid and revealing discussion! https://lnkd.in/ggV6XY3b #LateralEpicondylitis #MedialEpicondylitis #GolfersElbow #TennisElbow

Let's talk about the ballet body trend! According to the 2023 ASPS Plastic Surgery Statistics Report, procedures aimed at achieving a harmonious, elegant physique are on the rise. Swipe left to dive into the ballet body trend and discover what's driving this surge! Curious to learn more? Click the link for the full report! https://lnkd.in/gxxs7vvA #BalletBody #BreastAugmentation #BreastEnhancement #BreastImplants #SmallVolumeImplants #Liposuction #Lipo #TummyTuck #Abdominoplasty #CosmeticSurgery #CosmeticProcedures #CosmeticEnhancements #ASPS #PlasticSurgery

What does #TommyJohnSurgery look like today from 50 years ago when Frank Jobe, MD, pioneered it? For one, the largest increases in UCL surgeries have been at the youth level. Brian Schulz, MD, orthopaedic surgeon at the Cedars-Sinai Kerlan-Jobe Institute, discusses with The Athletic possible reasons why: "I think it’s early sport specialization, not taking time off and playing other sports." Check out the full article to learn more about #TJ50.

The days immediately following my initial surgery for Ehlers-Danlos Syndromes (EDS) encapsulated a profound journey of resilience, medical innovation, and personal reawakening. 48 Hours Post-Op Two days after undergoing significant surgery, including CMC joint arthroplasty and FCR tendon transfer, I found myself in a state of reflective optimism. Dr. Ericson's pioneering approach, which involved harvesting a tendon from my forearm to strengthen my thumb, started to unveil its transformative potential. This innovative surgical solution aimed to correct tendons that had wandered from their paths for a lifetime, a direct consequence of the hyperelastic nature of my connective tissues, indicative of EDS. Having endured the physical demands of boxing, karate, and the strenuous lifestyle of a Marine, this surgical correction represented more than just a physical restoration; it symbolized a reclamation of parts of my identity long compromised by my professional demands and my condition. The procedure addressed the mechanical instability of my wrist—a source of constant discomfort—with remarkable precision and care, rendering me virtually pain-free during and after the surgery, a result that far exceeded my expectations. 72 Hours Post-Op By the third day of recovery, the physical signs of my surgical intervention became increasingly evident. The swelling subsided, revealing the surgical incisions. This recovery phase was not just a physical challenge but also a period of profound introspection. It highlighted the reality faced by individuals with EDS—a condition often misinterpreted, misdiagnosed, and mishandled by a healthcare system generally ill-equipped to address less common disorders. Forward-Looking: The Path of Advocacy and Renewed Hope Sharing these updates, my objective extends beyond narrating my personal journey; it is an earnest call for greater awareness, understanding, and research into EDS and how it can be managed more effectively. My experiences with Dr. Ericson and the life-changing surgeries he performed serve as a beacon of hope for many living in the shadows of undiagnosed or inadequately treated conditions. To those navigating their EDS journeys or advocating on behalf of loved ones, remember: the path to diagnosis and effective treatment is laden with obstacles but also ripe with opportunities for discovery and transformative care. For those considering the potential of such transformative surgeries, I urge you to consult with specialists like Dr. Ericson. Dont stop advocating for yourself! Semper fidelis, Bryan (@KindaSpoony)

The Power Of Robots Robotic total joint replacement uses a robotic arm to install a new prosthesis in the knee. Exercises before surgery strengthen the knee and reduce recovery time. #robotictjr #jointreplacement #newportsurgical https://zurl.co/ErX1