LESSONS LEARNED FROM MAJOR LEAGUE BASEBALL. Thomas J. Noonan, MD Steadman Hawkins Clinic Denver
|
|
- Lynn White
- 5 years ago
- Views:
Transcription
1 LESSONS LEARNED FROM MAJOR LEAGUE BASEBALL Thomas J. Noonan, MD Steadman Hawkins Clinic Denver
2 1. GIRD isn t the holy grail Morgan/ Burkhart- most important pathologic process in throwers is loss of internal rotation in abduction (GIRD) caused by posteroinferior capsular contracture As shoulder externally rotates, contracted post band of IGHL will not allow head to fully ER around normal glenoid rotation point post/sup shift of hum head excessive ER
3 1. GIRD isn t the holy grail Shear forces at biceps anchor and post/sup labrum increase posterior SLAP tear via peel back mechanism Excessive ER increased stress of IGHL Increased ER increased shear and torsional stresses in post/sup rotator cuff undersurface fiber failure
4 1. GIRD isn t the holy grail Plenty of players get hurt without GIRD Humeral torsion strongly predictive of GIRD (bony changes may be responsible for ROM differences) Changes in ROM may be more important 25 Side to Side Differences in HT in Professional Pitchers with and without GIRD No GIRD p=0.006 GIRD
5 2. Things may predispose these athletes to injury which are beyond our control Humeral torsion Too little- shoulder injury Too much- elbow injury Humeral Torsion (dgrees) Elbow Injury No Injury Shoulder Injury 0 D HT ND HT
6 3. Treat the entire body Rotator cuff and periscapular strengthening critical but lower extremity and core also very important 88 professional pitchers 3 component of FMS in Spring Training (hurdle step, in line lunge, active straight leg test)
7 Results Functional Movement Risk Factors for an elbow injury in professional pitchers Stance Limb Stride Limb No. risk* % Injured RR P value risk* % Injured RR P value Hurdle Step * = In-Line Lunge * = Active SLR * = time-loss elbow injuries
8 4. Never underestimate what kind of pathology a player is able to tolerate
9 5. Shoulder surgery is not a good thing for a player Lintner et al (AJSM 2014) 68 players with SLAP tears Pitchers with non-op treatment- 40% RTP, 22% RPP Pitchers with surgical treatment- 48% RTP, 7% RPP Position players with non-op treatment- 39% RTP, 26% RPP Position players with surgical treatment- 85% RTP, 54% RPP Andrews- I ll do about anything I can to not operate on a shoulder
10 6. When it comes to shoulder surgery, less is more Trend toward debridement of SLAP tears Very few RCR performed Andrews- My results for rotator cuff repairs are worse than non-operative treatment of full thickness tears Andrews (AJSM 2006) 1 of 12 pitchers return to play after mini-open RCR 50% rule doesn t apply for RCT in throwers
11 7. UCL reconstructions are great but maybe not as great as we think they are Good results but how long do they last? Osbahr and Andrews 256 patients at >10 year follow-up 83% return to play Career longevity 3.6 years (2.9 at same or higher level of play) 86% retired for reasons other than elbow 34% had shoulder problems (25% surgery) UCL recon not necessarily the magic procedure it is perceived to be Unrealistic to assume you have a UCL recon and never any more problems Increased incidence of UCL graft rupture in MLB
12 8. Partial ACL tears may not do well, but partial UCL tears can UCL injuries 8 complete tears surgery 37 partial tears 1 immediate surgery 3 rehab MRI surgery 33 treated with rehab 3 failed surgery 85% RTP with rehab
13 9. Kids getting surgery is not conducive to a Major League career Never seen a MLB pitcher with history of shoulder scope in high school Most MLB players played other sports growing up Justin Morneau- hockey DJ LeMahieu- All-state basketball player Troy Tulowitzki- All-state basketball player Nolan Arenado- soccer Carlos Gonzales- soccer Corey Dickerson- football, basketball Charlie Blackmon- football
14 THANK YOU!
SLAP Lesions Assessment & Treatment
SLAP Lesions Assessment & Treatment Kevin E. Wilk,, PT, DPT Glenoid Labral Lesions Introduction Common injury - difficult to diagnose May occur in isolation or in combination SLAP lesions: Snyder: Arthroscopy
More informationCommon Shoulder Injuries in the Throwing Athlete: Amateur to Professional
Common Shoulder Injuries in the Throwing Athlete: Amateur to Professional Steven B. Cohen, MD Associate Professor: Dept Orthopedic Surgery / Rothman Institute Asst Team Physician Philadelphia Phillies
More informationNo financial disclosures
Thomas J. Noonan, MD Steadman Hawkins Clinic Denver University of Colorado No financial disclosures Thomas Noonan, Gregory Ford, James Genuario, Jason Kinkartz, Thomas Githens, Scott Murayama Steadman
More informationThrowing Injuries and Prevention: The Physical Therapy Perspective
Throwing Injuries and Prevention: The Physical Therapy Perspective Andrew M Jordan, PT, DPT, OCS Staff Physical Therapist, Cayuga Medical Center Physical Therapy and Sports Medicine ajordan@cayugamed.org
More informationSUPERIOR LABRAL TEARS: Fact or Fiction?
SUPERIOR LABRAL TEARS: Michael G. Ciccotti, MD The Everett J. and Marian Gordon Professor of Orthopaedics Chief, Division of Sports Medicine Rothman Institute Head Team Physician, Philadelphia Phillies
More informationAdvances in Rehabilitation of the Throwing Athlete
Advances in Rehabilitation of the Throwing Athlete Introduction It is a "whipping" action that brings the hand and eventually the ball to a speed of 90 to 100 mph. Elite level is 87 MPH (Football is 55
More informationDisclosures. Throwing is NOT Normal MCL RECONSTRUCTION: INDICATIONS, TECHNIQUE, RESULTS. Joshua S. Dines, MD. Sports Medicine and Shoulder Service
MCL RECONSTRUCTION: INDICATIONS, TECHNIQUE, RESULTS Joshua S. Dines, MD Sports Medicine and Shoulder Service Disclosures Consultant: Arthrex, Conmed Linvatec, Ossur IP/Royalties: Conmed Linvatec Editorial
More informationMy shoulder popped out what now?
My shoulder popped out what now? Richard Dallalana Epworth Shoulder Symposium June 2017 Shoulder Dislocation First event Best approach? Manual Reduction Should it be put back on field? - YES Prone lying
More informationType II SLAP lesions are created when the biceps anchor has pulled away from the glenoid attachment.
Arthroscopic Superior Labral (SLAP) Repair Protocol-Type II, IV, and Complex Tears The intent of this protocol is to provide the clinician with a guideline of the post-operative rehabilitation course of
More informationAPPENDIX: The Houston Astros Stretching Program
Vol. 35, No. 4, 2007 Glenohumeral Internal Rotation Deficits 1 APPENDIX: The Houston Astros Stretching Program Our Flexibility program consists of 5 positions. Four of the 5 have 2 variations of each position.
More informationGlenohumeral Capsule Tears in Baseball Pitchers
Glenohumeral Capsule Tears in Baseball Pitchers Christopher S. Ahmad, MD Professor Orthopedic Surgery Chief Sports Medicine Head Team Physician New York Yankees New York City Football Club Disclosure 1.
More informationThe ball-and-socket articulation at the glenohumeral joint is between the convex
SLAP Lesion Repair Emily Cotey, Emily Hurysz, and Patrick Schroeder Abstract SLAP lesion, which stands for Superior Labrum Anterior and Posterior, is a detachment tear of the superior labrum that originates
More informationRevision Tommy John. Disclosure. Revision UCL Recon 11/11/2016. Christopher S. Ahmad, MD
Revision Tommy John Christopher S. Ahmad, MD Professor of Orthopaedic Surgery Chief of Sports Medicine Head Team Physician New York Yankees Disclosure 1. Basic Science Support a. Arthrex b. Smith-Nephew
More informationArthroscopic Labral Repair Protocol-Type II, IV, and Complex Tears:
Arthroscopic Labral Repair Protocol-Type II, IV, and Complex Tears: The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that
More informationR. Frank Henn III, MD. Associate Professor Chief of Sports Medicine Residency Program Director
R. Frank Henn III, MD Associate Professor Chief of Sports Medicine Residency Program Director Disclosures No financial relationships to disclose 1. Labral anatomy 2. Adaptations of the throwing shoulder
More informationUpper Extremity Injuries in Youth Baseball: Causes and Prevention
Upper Extremity Injuries in Youth Baseball: Causes and Prevention Biomechanics Throwing a baseball is an unnatural movement Excessively high forces are generated at the elbow and shoulder Throwing requires
More informationSLAP Lesions Rehabilitation Concepts
SLAP Lesions Rehabilitation Concepts Kevin E. Wilk, PT, DPT, FAPTA Glenoid Labral Lesions Introduction Classification of SLAP tears Andrews & Carson: AJSM 85 Snyder: Arthroscopy 90 (Type I IV) Maffet et
More informationReturn to Play Criteria in the Overhead Thrower
in the Overhead Thrower Kevin E. Wilk, PT, DPT,FAPTA 2018 The Overhead Thrower Introduction Highly skilled athlete Requires flexibility, muscle strength, coordination, synchronicity & NM efficiency Proper
More informationPage 1. Shoulder Injuries in Sports.
www.schulterteam.ch Shoulder Injuries in Sports Matthias A Zumstein Shoulder, Elbow and Orthopaedic Sports Medicine Department of Orthopedic Surgery and Traumatology University of Berne, Switzerland matthias.zumstein@insel.ch
More informationSuperior Labral Pathology in Throwers
Superior Labral Pathology in Throwers Disclosures Available via AAOS website None relevant to this presentation L. Pearce McCarty, III M.D. Team Physician, Minnesota Twins Chairman, Orthopedic Surgery,
More informationP.O. Box Sierra Park Road Mammoth Lakes, CA Orthopedic Surgery & Sports Medicine
P.O. Box 660 85 Sierra Park Road Mammoth Lakes, CA 93546 SHOULDER: Instability Dislocation Labral Tears The shoulder is the most mobile joint in the body, but to have this amount of motion, it is also
More informationSLAP Lesions in High Demand Performers Randy Schwartxberg, MD
SLAP Lesions in High Demand Performers Randy Schwartxberg, MD How does this impact Cirque? Our challenge Return to prior form Training sessions 10 shows per week Cirque Medical Set-up Team Physician Orthopaedic
More informationSports Medicine: Shoulder Arthrography. Christine B. Chung, M.D. Professor of Radiology Musculoskeletal Division UCSD and VA Healthcare System
Sports Medicine: Shoulder Arthrography Christine B. Chung, M.D. Professor of Radiology Musculoskeletal Division UCSD and VA Healthcare System Disclosure Off-label use for gadolinium Pediatric Sports Injuries
More informationMUCL REPAIR. Felix H. Savoie III, MD Ray J. Haddad Professor & Chairman Department of Orthopaedic Surgery Tulane University New Orleans, LA
MUCL REPAIR Felix H. Savoie III, MD Ray J. Haddad Professor & Chairman Department of Orthopaedic Surgery Tulane University New Orleans, LA MUCL INJURY EPIDEMIC Frequency increasing despite major efforts
More informationMEDIAL ELBOW INSTABILITY
MEDIAL ELBOW INSTABILITY Felix H. Savoie III, MD Ray J. Haddad Professor & Chairman Department of Orthopaedic Surgery Tulane University New Orleans, LA Royalties: none Stock: none Stock option: Cayenne
More informationDisclosure 11/14/2016. Partial Thickness Rotator Cuff Tears in the Throwing Athlete. Partial Thickness Rotator Cuff Tears. Neal S. ElAttrache, M.D.
Partial Thickness Rotator Cuff Tears in the Throwing Athlete Neal S. ElAttrache, M.D. Disclosure I, Neal ElAttrache, or a family member(s), have relevant financial relationships to be discussed, directly
More informationSLAP Repairs Versus Biceps Tenodesis in Athletes 15 min
SLAP Repairs Versus Biceps Tenodesis in Athletes 15 min Power Points Not all SLAP tears need surgery Preservation of Native Anatomy GOAL Not all labral repairs are equal Kinetic chain MUST be addressed
More informationSHOULDER PAIN LESSONS FROM THE SPORTS FIELD MOVEMENT RESTRICTIONS. Steve McCaig
SHOULDER PAIN LESSONS FROM THE SPORTS FIELD MOVEMENT RESTRICTIONS 1 Steve McCaig Senior Physiotherapist England Development Programme, ECB, Loughborough, United Kingdom Throwing High forces upper limb
More informationDisclosures 7/25/2018. SLAP Tears In Overhead Athletes: Should We Be Fixing Them? How Do We Fix Them?
SLAP Tears In Overhead Athletes: Should We Be Fixing Them? How Do We Fix Them? Michael T. Freehill M.D. Associate Professor of Orthopaedic Surgery University of Michigan 10th Annual Detroit Regional Sports
More informationPatient ID. Case Conference. Physical Examination. Image examination. Treatment 2011/6/16
Patient ID Case Conference R3 高逢駿 VS 徐郭堯 55 y/o female C.C.: recurrent right shoulder dislocation noted since falling down injury 2 years ago Came to ER because of dislocation for many times due to minor
More informationSuperior Labrum Repair Protocol - SLAP
Superior Labrum Repair Protocol - SLAP Stage I (0-4 weeks): Key Goals: Protect the newly repaired shoulder. Allow for decreased inflammation and healing. Maintain elbow, wrist and hand function. Maintain
More informationA comparison of the immediate effects of muscle energy technique and joint mobilizations on posterior shoulder tightness in youth throwing athletes
Illinois State University ISU ReD: Research and edata Theses and Dissertations 11-7-2016 A comparison of the immediate effects of muscle energy technique and joint mobilizations on posterior shoulder tightness
More information11/6/2013. Keely Behning, PT, SCS, ATC MNPTA Fall Conference November 16, 2013
Keely Behning, PT, SCS, ATC MNPTA Fall Conference November 16, 2013 Upon completion of this course, attendees should be able to: Understand pertinent anatomy and biomechanics as they relate to specific
More informationANATOMY / BIOMECHANICS LONG HEAD OF BICEPS ATTACHES AT THE SUPERIOR GLENOIDAL TUBERCLE WITH THE LABRUM FIBROCARTILAGINOUS TISSUE IF THERE IS A TORN SU
SLAP LESIONS Management Of Glenoid Labrum Injuries INTRODUCTION First described by Andrews AJSM 85 Throwers 60% Normal Variants Sublabral Foramen Buford Complex Meniscoid Snyder Arth. 1990 termed SLAP
More informationPresented by Matt Repa ATC,CES
Presented by Matt Repa ATC,CES mrepa@ibji.com Illinois Bone & Joint Institute CSL Symposium 1/11/11 } Throwing is a very complex and dynamic activity. } As clinicians, how can we step in and make a difference?
More information/ 50 possible = ATPE 412 Exam #3 - Spring 05
ATPE 412 Exam #3 - Spring 05 CASE STUDY Big Bubba tore his ACL and anterior-lateral meniscus of his right knee on April 1 st of 2005. He had surgery on April 25 th using a patellar tendon autograft and
More informationIntern Arthroscopy Course 2015 Shoulder Arthroscopy Cases
Intern Arthroscopy Course 2015 Shoulder Arthroscopy Cases Mary Lloyd Ireland, M.D. University of Kentucky Dept. of Orthopaedic Surgery & Sports Medicine Lexington, KY Broken screw s/p Bristow procedure
More informationRehabilitation following UCL Surgery in the Overhead Throwing Athlete Kevin E. Wilk, PT, DPT,FAPTA. UCL Rehabilitation Rehab Plan
Rehabilitation following UCL Surgery in the Overhead Throwing Athlete Kevin E. Wilk, PT, DPT,FAPTA Elbow Injuries in Sports Introduction Number of elbow injuries appear are to be increasing Repetitive
More informationCase 1: Primary Dislocation. How I Manage Failed Instability Surgery. Case Presentations: Shoulder Instability
Case Presentations: Shoulder Instability Chicago Professor, Department of Orthopedics Head, Section of Shoulder and Elbow Surgery Team Physician, Chicago White Sox and Bulls Chief Medical Editor, Orthopaedics
More informationLatissimus Dorsi Injuries in Throwing Athletes
Latissimus Dorsi Injuries in Throwing Athletes Baseball Sports Medicine Mark S. Schickendantz, M.D. Director, Center for Sports Health Professor of Surgery Cleveland Clinic Head Team Physician Cleveland
More informationArm Pain in Throwing Athletes. Eric N. Hoeper, MD Primary Care Sports Medicine NorthShore University HealthSystem
Arm Pain in Throwing Athletes Eric N. Hoeper, MD Primary Care Sports Medicine NorthShore University HealthSystem I have no potential conflicts of interest to declare. What s the Big Deal? Between 26% and
More informationPosterosuperior glenoid internal impingement of the shoulder in the overhead athlete: Pathogenesis, clinical features and MR imaging findings
bs_bs_banner Journal of Medical Imaging and Radiation Oncology 59 (2015) 182 187 RADIOLOGY PICTORIAL ESSAY Posterosuperior glenoid internal impingement of the shoulder in the overhead athlete: Pathogenesis,
More informationChristopher A Brown, MD Sports Medicine Orthopedist. Duke Orthopedic Residency Sports Medicine Fellowship Stanford
Christopher A Brown, MD Sports Medicine Orthopedist Duke Orthopedic Residency Sports Medicine Fellowship Stanford Office Geneva Newark Opening Canandaigua and Penfield Topics Of Discussion Shoulder dislocation
More informationAnterior Labrum Repair Protocol
Anterior Labrum Repair Protocol Stage I (0-4 weeks): Key Goals: Protect the newly repaired shoulder. Allow for decreased inflammation and healing. Maintain elbow, wrist and hand function. Maintain scapular
More information32nd Injuries in Baseball Course January 24 26, 2014 Omni Hotel Atlanta, GA
FRIDAY January 24, 2014 32nd Injuries in Baseball Course January 24 26, 2014 Omni Hotel Atlanta, GA 8:00 a.m. WELCOME Kevin E. Wilk, PT. D.P.T., F.A.P.T.A. SESSION I SHOULDER I Integrate shoulder anatomy
More informationShoulder Injuries: Treatments that Work, Do Not Work, and When ENOUGH is Enough? Mark Ganjianpour, M.D. Beverly Hills, CA April 20, 2012
Shoulder Injuries: Treatments that Work, Do Not Work, and When ENOUGH is Enough? Mark Ganjianpour, M.D. Beverly Hills, CA April 20, 2012 Multiaxial ball and socket Little Inherent Instability Glenohumeral
More informationConflict of Interest. New Strategies in Rotator Cuff Repair. Objectives. Learner Outcome
Conflict of Interest New Strategies in Rotator Cuff Repair Sheri Lankford, BSN, CNOR I hereby certify that, to the best of my knowledge, no aspect of my current personal or professional situation might
More informationManagement of Anterior Shoulder Instability
Management of Anterior Shoulder Instability Angelo J. Colosimo, MD Head Orthopaedic Surgeon University of Cincinnati Athletics Director of Sports Medicine University of Cincinnati Medical Center Associate
More informationSlide 1. Slide 2. Slide 3. The Thrower s Elbow: When to Operate. Medial Elbow Pain in the Athlete. Goal of This Talk
Slide 1 The Thrower s Elbow: When to Operate Luke S. Oh, MD Massachusetts General Hospital Team Physician, Boston Red Sox Team Physician, New England Revolution Consultant, Harvard University Athletics
More informationLabral Tears. Fig 1: Intact labrum and biceps tendon
Labral Tears What is it? The shoulder joint is a ball and socket joint, with the humeral head (upper arm bone) as the ball and the glenoid as the socket. The glenoid (socket) is a shallow bone that is
More informationAddressing Core and Balance Deficits to Maximize Return to Sport in Overhead Athletes
Addressing Core and Balance Deficits to Maximize Return to Sport in Overhead Athletes Meg Jacobs P.T. Momentum Physical Therapy and Sports Rehab Hands on care for faster results www.wegetyouhealthy.com
More informationDr. Denard s Rehabilitation Protocols Arthroscopic Shoulder Surgery
2780 E. Barnett Rd Medford, OR 97530 541-779-6250 Dr. Denard s Rehabilitation Protocols Arthroscopic Shoulder Surgery These rehabilitation protocols are based on current studies detailing healing time
More informationA science-based protocol for the conservative and postoperative treatment of SLAP LESIONS & BICEPS PATHOLOGY
A science-based protocol for the conservative and postoperative treatment of SLAP LESIONS & BICEPS PATHOLOGY Prof dr Ann Cools, PT, PhD Dept Rehab. Sciences & Physiotherapy Ghent University, Belgium From
More informationRehabilitation Guidelines for UCL Repair
UW HEALTH SPORTS REHABILITATION Rehabilitation Guidelines for UCL Repair The elbow is a complex system of three joints formed from three bones; the humerus (the upper arm bone), the ulna (the larger bone
More informationER + IR = Total Motion
Treating the Thrower s Shoulder Michael M. Reinold, PT, DPT, ATC, CSCS Introduction Common site of injury» Repetitive forces / stresses Tremendous joint forces» Anterior shear forces 1-1.5 1.5 X BW» Distraction
More informationI (and/or my co-authors) have something to disclose.
Shoulder Anatomy And Biomechanics Nikhil N Verma, MD Director of Sports Medicine Professor, Department of Orthopedics Rush University Team Physician, Chicago White Sox and Bulls I (and/or my co-authors)
More informationManagement of Humeral Bone Loss in Anterior Shoulder Instability. Scott D. Mair, MD University of Kentucky Sports Medicine
Management of Humeral Bone Loss in Anterior Shoulder Instability Scott D. Mair, MD University of Kentucky Sports Medicine Disclosure Smith and Nephew Endoscopy fellowship support Importance Bone loss (glenoid
More informationIJSPT ORIGINAL RESEARCH ABSTRACT
IJSPT ORIGINAL RESEARCH THE EFFECTS OF A DAILY STRETCHING PROTOCOL ON PASSIVE GLENOHUMERAL INTERNAL ROTATION IN OVERHEAD THROWING COLLEGIATE ATHLETES Roy Aldridge, PT, EdD 1 J. Stephen Guffey, PT, EdD
More informationProximal Bicep Pathology: Leave it, Cut it, Fix it?
Proximal Bicep Pathology: Leave it, Cut it, Fix it? Jason Clark, D.O. AOAO 2018 Fall Meeting Atlanta, Georgia Disclosures No Disclosures Pathogenesis LHBT is a primary pain generator in anterior shoulder.
More informationOffice Orthopedics. No conflict of interest No financial disclosures 1/31/2018
Office Orthopedics Amin Afsari DO Orthopedic Hand and Upper Extremity Surgery Orthopedic Institute of Wisconsin Midwest Orthopedic Specialty Hospital 1 No conflict of interest No financial disclosures
More informationShoulder Instability and Tendon Injuries
Shoulder Instability and Tendon Injuries Shoulder Update Spire Hospital Leeds November 2017 Simon Boyle Consultant Shoulder and Elbow Surgeon Simon Boyle York and Leeds Nuffield Trained in Yorkshire, Annecy,
More informationDisclosure 8/10/2016. SLAP Or Biceps: Repair or Tenodesis? Royalties/Stock Options: Smith and Nephew, Omeros, Minivasive
SLAP Or Biceps: Repair or Tenodesis? Nikhil N. Verma MD Director Sports Medicine Professor, Orthopedic Surgery Rush University Medical Center Midwest Orthopaedics at Rush Disclosure Royalties/Stock Options:
More informationPreventing Shoulder Injuries and Treatment of Rotator Cuff Problems By Eric McGraw, DC*
Preventing Shoulder Injuries and Treatment of Rotator Cuff Problems By Eric McGraw, DC* *Dr. McGraw is a Wilmington based Chiropractor and Active Release Provider. He is a generous sponsor of the Carolina
More informationCSM 2018 Outline. Educational Session Title: Shoulder Pathomechanics in the Throwing Athlete - Causes, Surgery, Outcomes, & Rehab
CSM 2018 Outline Educational Session Title: Shoulder Pathomechanics in the Throwing Athlete - Causes, Surgery, Outcomes, & Rehab Speakers: Dr. Rafael F Escamilla, Department of Physical Therapy, California
More informationSHOULDER INSTABILITY
SHOULDER INSTABILITY Dr.KN Subramanian M.Ch Orth., FRCS (Tr & Orth), CCT Orth(UK) Consultant Orthopaedic Surgeon, Special interest: Orthopaedic Sports Injury, Shoulder and Knee Surgery, SPARSH Hospital
More informationElbow Injuries in the Adult Athlete. Tamara A. Scerpella, MD Professor, Orthopedic Surgery University of Wisconsin
Elbow Injuries in the Adult Athlete Tamara A. Scerpella, MD Professor, Orthopedic Surgery University of Wisconsin Acute Elbow Dislocation Fracture Distal humerus Olecranon Radial head Distal Biceps Rupture
More informationDIFFERENTIAL DIAGNOSIS: Looking for the causes of impingement
DIFFERENTIAL DIAGNOSIS: Looking for the causes of Ann Cools, PT, PhD Ghent University - Belgium Dept of Rehabilitation Sciences & Physiotherapy Ann.Cools@UGent.be «thinking about.» Which special tests
More informationThrowing is NOT Normal TREATMENT OF ELBOW INJURIES. Joshua S. Dines, MD IN OVERHEAD ATHLETES: HOW HAS IT EVOLVED?
TREATMENT OF ELBOW INJURIES IN OVERHEAD ATHLETES: HOW HAS IT EVOLVED? Joshua S. Dines, MD Sports Medicine and Shoulder Service Hospital for Special Surgery Throwing is NOT Normal Excessive Joint Forces
More informationSLAP is a Highly Overrated Pathology. Richard Dallalana 2017
SLAP is a Highly Overrated Pathology Richard Dallalana 2017 If you can t stun with science, then baffle with bullshit Martin Richardson 2017 We know nothing about SLAP tears Kibler, Arthroscopy 2016 No
More informationTHE 25 MINUTE SHOULDER SOLUTION:
THE 25 MINUTE SHOULDER SOLUTION: How To Maintain a Healthy Pitching and Throwing Shoulder with In-Season Baseball Strength Training By John Furia Xceleration Sports Training It s like clockwork three weeks
More informationSHOULDER DISLOCATION & INSTABILITY Rehabilitation Considerations
SHOULDER DISLOCATION & INSTABILITY Rehabilitation Considerations Meagan Pehnke, MS, OTR/L, CHT, CLT March 1 st, 2019 Philadelphia Surgery & Rehabilitation of the Hand: Pediatric Pre-course OUTLINE Discuss
More informationShoulder Instability. Fig 1: Intact labrum and biceps tendon
Shoulder Instability What is it? The shoulder joint is a ball and socket joint, with the humeral head (upper arm bone) as the ball and the glenoid as the socket. The glenoid (socket) is a shallow bone
More informationExercise Program to Modify Risk Factors For Shoulder Injury in Collegiate and Professional Pitchers
University of Montana ScholarWorks at University of Montana Graduate Student Theses, Dissertations, & Professional Papers Graduate School 2018 Exercise Program to Modify Risk Factors For Shoulder Injury
More informationReview shoulder anatomy Review the physical exam of the shoulder Discuss some common causes of acute shoulder pain Discuss some common causes of
Review shoulder anatomy Review the physical exam of the shoulder Discuss some common causes of acute shoulder pain Discuss some common causes of chronic shoulder pain Review with some case questions Bones:
More informationRevision Instability Repair
Revision Instability Repair Anthony A. Romeo, MD Professor, Department of Orthopedics Head, Section of Shoulder and Elbow Surgery Team Physician, Chicago White Sox and Bulls Chief Medical Editor, Orthopaedics
More informationCase 1. Exam. Cases. Shoulder Service
Cases Friday Afternoon Session Case 1 49 yr male Injury with loss of active elevation and now an internal rotation drop at side Lifting 20 lb bag at time Mild previous infrequent shoulder pain Exam AFE:
More information37th Injuries in Baseball Course January 25 27, 2019 Hyatt Regency Birmingham The Wynfrey Hotel Birmingham, AL
37th Injuries in Baseball Course January 25 27, 2019 Hyatt Regency Birmingham The Wynfrey Hotel Birmingham, AL FRIDAY January 25, 2019 7:30 a.m. WELCOME SESSION I ELBOW I Examine current concepts related
More informationPosition Statement. Journal of Athletic Training 209
Journal of Athletic Training 2018;53(3):209 229 doi: 10.4085/1062-6050-59-16 Ó by the National Athletic Trainers Association, Inc www.natajournals.org Position Statement National Athletic Trainers Association
More informationSHOULDER INSTABILITY
SHOULDER INSTABILITY Your shoulder is the most flexible joint in your body, allowing you to throw fastballs, lift a heavy suitcase, scratch your back, and reach in almost any direction. Your shoulder joint
More informationNon-operative Management of UCL Injuries
Non-operative Management of UCL Injuries Mark S. Schickendantz, MD Professor of Surgery Director of Sports Medicine Cleveland Clinic Head Team Physician Cleveland Indians Disclosures Arthrex DJO Smith
More informationBryan L Reuss MD. Objectives: Orlando Orthopaedic Center Orlando, FL
Bryan L Reuss MD Orlando Orthopaedic Center Orlando, FL breuss@mac.com Dr. Reuss earned his B.A. in Biology from the University of Kansas and his M.D. degree with Honors from the University of Nebraska
More informationUlnar Collateral Ligament Reconstruction
Ulnar Collateral Ligament Reconstruction 1. Defined a. The ulnar collateral ligament is critical for valgus stability of the elbow. It serves as the primary elbow stabilizer and as such, serves a very
More informationLawrence Gulotta Gillian Lieberman, MD October Gillian Lieberman, MD. Shoulder Imaging. Lawrence V. Gulotta, HMS IV 10/16/02
October 2002 Shoulder Imaging Lawrence V. Gulotta, HMS IV 10/16/02 Goals Review Anatomy of the Shoulder -Dynamic Stabilizers -> Rotator Cuff -Static Stabilizers -> Labrum and Capsule Systematic Approach
More informationOBJECTIVES. Therapists Management of Shoulder Instability SHOULDER STABILITY SHOULDER STABILITY WHAT IS SHOULDER INSTABILITY? SHOULDER INSTABILITY
Therapists Management of Shoulder Instability Brian G. Leggin, PT, DPT, OCS Lead Therapist, Penn Therapy and Fitness at Valley Forge Adjunct Assistant Professor, Department of Orthopaedics, University
More informationFirst-Time Anterior Shoulder Dislocation: Is it time to take a stand?
Evaluation and Treatment of the Injured Athlete Martha s Vineyard July 22nd, 2018 First-Time Anterior Shoulder Dislocation: Is it time to take a stand? Robert A. Arciero, MD Professor, Orthopaedics University
More informationFaculty Disclosure. ... Injury to the Ulnar Collateral Ligament. History. History. History 2/14/2017
Faculty Disclosure Nonoperative Treatment of Ulnar Collateral Ligament Injuries in the Throwing Athlete Michael G. Ciccotti, MD The Everett J. and Marian Gordon Professor of Orthopaedics Chief, Division
More informationFootball and netball season A review of the apophysis and the acute shoulder: assessment. Simon Locke Sport and Exercise Physician
Football and netball season A review of the apophysis and the acute shoulder: assessment Simon Locke Sport and Exercise Physician Apophyseal injuries; How to diagnose and manage? Goals for tonight Recognise
More informationCommon Surgical Shoulder Injury Repairs
Common Surgical Shoulder Injury Repairs Mr Ilia Elkinson BHB, MBChB, FRACS (Ortho), FNZOA Orthopaedic and Upper Limb Surgeon Bowen Hospital Wellington Hospital Objectives Review pertinent anatomy of the
More informationIndex. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Abduction pillow, ultrasling, 880, 881, 882, 883 Adolescents, shoulder instability in. See Shoulder, instability of, pediatric and adolescent.
More informationElbow Injuries in Young Athletes!
Elbow Injuries in Young Athletes! Andrew Martin DO, MBA, CAQSM! Director Sports Medicine Campbell University! Head Team Physician, Associate Professor Sports Medicine Disclosures None based on the content
More informationShoulder Surgery. Gregory M. Behm, MD Ravalli Orthopedics & Sports Medicine
Shoulder Surgery The purpose of this handout is to help you understand the way I perform shoulder surgeries and to help you plan for the recovery. Below are some general items that apply to most surgeries
More informationIndex. radiologic.theclinics.com. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Acromioclavicular joint injuries in football players, 318, 319 ALPSA. See Anterior labroligamentous periosteal sleeve avulsion. Anterior
More informationIntroduction & Question 1
Page 1 of 7 www.medscape.com To Print: Click your browser's PRINT button. NOTE: To view the article with Web enhancements, go to: http://www.medscape.com/viewarticle/424981 Case Q & A Shoulder Pain, Part
More information---Start of Pediatric and Adolescent Upper Extremity Fractures---
Presented by: Mary Lloyd Ireland Professor Dept. of Orthopaedic Surgery and Sports Medicine University of Kentucky Lexington KY www.marylloydireland.com ---Start of Pediatric and Adolescent Upper Extremity
More informationADVENTURES AND LESSONS LEARNED ON THE UCL
ADVENTURES AND LESSONS LEARNED ON THE UCL Michael G. Ciccotti, M.D. Department of Orthopaedics The Rothman Institute Thomas Jefferson University Philadelphia, PA Eastern Athletic Trainers Association Philadelphia,
More informationADOLESCENT SPORTS INJURIES. Orthopaedics in Motion April 5, 2017 John Lammli, MD
ADOLESCENT SPORTS INJURIES Orthopaedics in Motion April 5, 2017 John Lammli, MD OVERVIEW: Shoulder Injuries Knee Injuries Leg/Ankle Injuries SHOULDER INJURIES Injuries to the shoulder girdle are vast and
More informationEBP- An Examination of Special Tests for the Shoulder Module 4 Questions
EBP- An Examination of Special Tests for the Shoulder Module 4 Questions 51-100 Question 51 The Active Compression test using pain or a click as a positive test indicator provides a more accurate diagnosis
More information