DOI: 12/19/2013. Patient is a 59-year-old right-hand dominant male master mechanic who sustained injury to his right shoulder while going down on a step ladder when it shifted causing him to fall on his right side.
The patient underwent a right shoulder arthroscopic Bankart repair with capsulorrhaphy and arthroscopic rotator cuff repair on 3/17/14; right shoulder arthroscopic subacromial decompression with extensive debridement of the glenohumeral joint, including labral tear, rotator cuff tear and chondral defect on 02/05/15; and right shoulder arthroscopic superior capsular reconstruction, extensive debridement and loose body removal on 05/02/16.
Based on the medical report dated 9/22/16, the patient presents for right shoulder pain. It was noted that the patient is over 5 months status post right shoulder arthroscopic superior capsular reconstruction for nonrepairable rotator cuff tear. The patient continues to complain of significant shoulder pain with any overhead activity. Pain keeps him up at night. He is very distressed by his pain. Musculoskeletal examination notes that the right shoulder has an active forward elevation to 100 degrees with pain and guarding beyond going any further with forward passive motion up
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Nuzzo is satisfied that the physical therapy has been done to the extent possible to maximize the surgical procedure done in May 2016 then if the right shoulder condition can be deemed to be permanent and stationary and without that total shoulder arthroplasty, then he should be seen for permanent and stationary report to be completed or a follow-up agreed medical re-evaluation should be done; however, if the physical therapy is not successful in achieving the goals desired by patient and recommended by Dr. Nuzzo then the reverse total shoulder should be done after which, it would be probably a year before he could be deemed to be permanent and
On History- The patient was a 49-year-old Caucasian male with a chief complaint of pain and weakness in R shoulder abduction and external rotation (dominant shoulder). He was a retired baseball player. He has been a baseball pitcher for 12 years before he retired 5 years
Baseball players and fans call it Tommy John surgery, after the pitcher who was the first to have the surgery 29 years ago. By any designation, it is one of the major advancements in sports medicine in the last quarter century. Technically it is a ulnar collateral ligament replacements procedure.
Oatis C. (2009) Kinesiology: The Mechanics & Pathomechanics of Human Movement (Second ed.). Glenside, Pennsylvania: Lippincott Williams & Wilkins.
The anatomy of the knee contains the femur, tibia and the patella. There are four main ligaments within the knee. Those ligaments are called medial collateral (mcl), lateral collateral (lcl), anterior cruciate (acl) and posterior cruciate (pcl). The anterior cruciate ligament (acl) is in the middle of the knee and prevents the shin from sliding. An anterior cruciate ligament tear is the most common harmed ligament, undergoing an estimate of 200,000 happenings yearly. Typically individuals who play sports such as football, basketball, skiing or soccer experience this injury.
The all too familiar "pop!" immediately followed by weakness, pain, and immobility; the classic signs of a shoulder injury. Many shoulder injuries affect the rotator cuff. "Each year approximately 200,000 American require surgery related to the repair of the rotator cuff" (Yamaguchi). This vast number of surgeries makes shoulder injuries a popular topic in the medical field. Physicians have been researching ways to improve patients' recovery and return their range of motion back to normal. One such improvement is the release of the long head of the biceps tendon.
When comparing rotator cuff tears from the common people and athletes, they are much more common when a person is physically active in sports. An injury in the rotator ...
Labral tears can occur either above or below the midline of the glenoid cavity. A SLAP lesion (involving the superior labrum, in a front to back direction) involves a labral tear occurring above the midline of the socket. There are different types of Labral tears, they include the following: A Bankart lesion involves a labral tear below the midline of the socket. This type of tear also affects the glenohumeral ligament. A different type of labral tear, which is rare, is a rear labral tear. Rear labral tears develop over time and are often accompanied by partial rotator cuff tears.
Retrieved September 16, 2000 from: http://www. www.sechrest.com/mmg/knee/kneeacl.html. Arthroscopic ACL Reconstruction -. et al. (July 11, 1999).:Arthroscopy.com. Retrieved September 16, 2000 from: http://www.arthroscopy.com/sp05018.htm.
Snap, crackle, pop. That is the horrific sound a baseball pitcher hears after throwing a pitch. The UCL tear used to haunt pitchers forever until 1974, when a man named Tommy John had a surgery to repair his UCL tendon and it was successful causing this surgery to transform baseball. Before his arrival, Tommy John Surgery was known as a “dead arm” injury (Tommy John Surgery). When doctors diagnose players with this injury, it’s no longer a total shock as today you are easily able to come back from this surgery as when 30 years ago, you couldn’t. In my paper I will talk about the basics of the injury, history of the UCL, ways to diagnose a UCL tear, and how to recover from Tommy John surgery along with some unbelievable facts about this distressing injury. This injury and surgery has revolutionized baseball and prolonged the careers of many great players in the MLB.
Sports Medicine is a medical field that specializes with physical fitness, treatment and prevention of injuries related to sports and exercise. It was introduced around the early Greek and Roman era when the first modern Olympic Games took place. The Greek felt they could do something to help heal and prevent injuries that the athletes were receiving. Now in sports medicine, certain injuries can only be assessed and treated by specific physicians. These physicians can include physical therapists, athletic trainers, and strength and conditioning coaches. Although sports physicians are most commonly seen by athletes after they are hurt so they can be treated, there are some physicians that are seen before an injury occurs so that they can learn how to prevent injuries.
Shoulder impingement is a common injury among athletes or those who have physically demanding jobs. The shoulder impingement occurs as a result of the rotator cuff tendons becoming compressed against the bone. As time progresses, the compression area will become inflamed and swollen. The irritation will create a sensation of pain and limit movement in the shoulder. An expert
Patient returned the next day still complaining of pain. The PT applied heat, then initiated the exercise program, but the patient could not perform theem to same extent as previously, secondary to pain. Therefore, the PT told the patient to schedule an appointment with his physician. The patient was seen by the MD the next day and an arthrogram performed that revealed a reinjure to the repaired site. And a second surgery repaired the rotator cuff.
Balta, D. M. D. (2009). The TMJ: How can Such a Small Joint Cause so Much Trouble?, [Online]. Available: http://www.drbalta.com/tmj.htm [11/12/14].
Rotator cuff tear – The muscles adjoining the shoulder joint are required for rotating the shoulder, amid other movements. The tendons of these muscles furthermore influence the structural strength of the shoulder joint. Harsh, rapid actions, for example in tennis and baseball, can result in tearing of one of these tendons. This then causes pain as well as a decline in range of motion. Surgery possibly will be necessary to repair a torn
The nerves are raging, mainly in his stomach as the butterflies flutter till no end. "Is everything ok? Will everything go as planned?" He couldn't stop thinking about what might happen. Images were racing wild as he thought about his teammates going to battle without him. He couldn't comprehend why he had to let them handle it on their own. He has played with them since they were in eighth grade, and when they need him the most, all he can do is sit and cheer. He hates this feeling of helplessness, but at the same time he knows he has to do what little he can do, well.