The unfortunate consequence of an active lifestyle is the risk of injury. There are two types of injuries: Acute (Traumatic) Injuries and Chronic (Over-use) Injuries. If an injury requires you to stop involvement in your sport, you should be evaluated by a physician.
Arthroscopy – Hip, Knee and Shoulder
Arthroscopy is a surgical technique that our surgeons use to see inside your joint through the use of a small pencil size instrument called an arthroscope. The images from the arthroscope are transmitted through a small camera to a televisions monitor. These images allow our surgeons to identify and correct problems within your joint.
A variety of treatments can be performed using arthroscopy.
trimming or repair of torn cartilage
reconstruction of a torn ligament
removal of inflamed synovial tissue
treatment of joint instability
Arthroscopic surgery is performed using special microscopic instruments. Small shavers and cutting instruments are used to remove and shape tissue that is not repairable.
The anterior cruciate ligament (ACL) is one of the main stabilizing ligaments of the knee and is commonly ruptured in cutting sports and skiing, and can also be torn after landing awkwardly from a jump or fall. Unfortunately, the ACL has very limited potential to heal and often has to be reconstructed in individuals who continue to have symptomatic instability or looseness.
There are multiple different techniques for ACL reconstruction and the specific type of reconstruction is tailored to each patient. Patient age, activity, and expectations are all factors that are considered when performing a reconstruction
The meniscus is a mobile, c-shaped, shock-absorbing cartilage in the knee. Each knee has two meniscii – one on the inner side of the knee, and one on the outer side. Twisting or deep knee bending injuries can cause damage to the meniscus. The most common complaints of a meniscus tear are pain along the joint line and painful catching or frequent “giving way” symptoms. In addition, knee swelling is also common.
Small meniscus tears can be treated with oral anti-inflammatory medications or injections, but larger tears can be best treated with arthroscopic surgery.
The meniscus has a very poor blood supply, so there are only certain types of tears that have the ability to heal with surgical repair. Most meniscus tears are treated with removal or “debridement” of the torn portions to smooth-out the roughness of the tear.
Rotator Cuff Repair
Four important muscles originate on the scapula and attach to the humerus. Where their tendons fuse together on the humerus is called the rotator cuff. All of these components of your shoulder work together to create a normally functioning shoulder.
Symptoms of a rotator cuff tear may develop after an injury, such as a lifting a heavy object or a fall, or develop gradually with repetitive overhead activity. It is common for the pain to start in the side of the shoulder and radiate down the side of the upper arm. At first, the pain may be mild and only occur with overhead activities such as reaching or lifting. In addition, night pain and difficulty sleeping are very common complaints. It may be relieved by over-the-counter medication such as aspirin or ibuprofen.
Joint preservation is a concept of restoring normal and pain-free function to the knee, hip, and shoulder joint. Joint preservation is achieved through the use of multi-modality treatment options that can include:
Just as every patient is different, each patient’s joint preservation strategy is personalized for his or her age, activity level, expectations, and degree of joint dysfunction.