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Triceps rupture 💪🏼 A young male was playing basketball when he felt a popping sensation in the back of his arm. On exam, he had weakness with elbow extension and a palpable gap with around 2 cm of tendon retraction. MRI confirmed a complete rupture of the triceps tendon. ⠀⠀
To repair this, an incision is made posteriorly and curved around the elbow. The ruptured triceps tendon is then identified and mobilized, and the tendon footprint is prepared. Sutures are placed in the tendon so that it can be repaired back down to the bone, and then two bone tunnels are drilled for the sutures to pass through. A knotless suture anchor is then placed to secure the tendon, creating a double-row repair.
Best part of my work week ⚒
34 year old basketball player suffered a complete rupture of his patellar tendon following a harsh landing from a jump. On x-ray, a complete rupture is usually easily identified due to patella alta, or a high-riding patella. This is seen in the pre-op x-ray above (left), and corrected post-operatively (right). When complete tears are repaired quickly, it prevents the tendon from shortening and scarring.
The goal of the surgery is to reattach the torn tendon to the patella and restore normal function. Strong sutures are tied to the tendon and then threaded through drill holes in the patella. These sutures are then tied in place to pull the torn edge of the tendon back to its normal position on the kneecap.
Honored to co-author a chapter about hip arthroscopy with @drvondawright in the newest edition of Master Techniques in Orthopaedic Surgery: Sports Medicine. Very proud of the work we did in this widely used publication!
14 year old quarterback presented to our clinic with right shoulder pain 3 weeks after his initial injury. X-rays revealed a proximal humerus physeal fracture. At the time of surgery we attempted a closed reduction, but because his shoulder had a few weeks to heal, there was zero movement of the fracture. At this point, we proceeded with a mini open delto-pectoral approach to reduce the shoulder and held the fracture in place with two lateral pins. These pins will be removed 4-6 weeks post-op
So great to be back on The Doctors this morning. Always an awesome time out in LA and so grateful for the chance to join. Check out my segment on the latest episode of @thedoctorstv on CBS!
An osteochondral allograft transplantation (OATS) is an operation in which a damaged area of a joint is removed and replaced with healthy bone and cartilage from a donor graft. This can be a successful treatment option for young and active patients with symptomatic cartilage injuries in their knee.
Once the lesion is exposed, a hole is made in the area of the defect. The osteochondral plug is then harvested from the donor graft to match the exact size of the lesion. The plug is then press fit into the hole, filling the site of the defect.
Over time, a successful OATS surgery will enable the bone and cartilage to grow into the damaged area of the knee - relieving symptoms, delaying early joint replacement, and allowing the patient to return to the activities they love most.
Arthroscopic rotator cuff repair 💪🏼
Your rotator cuff is a group of four muscles that stabilize your shoulder and allow you to lift and rotate your arm. Rotator cuff tears are a common injury that typically happen over time from normal wear and tear, but can also happen suddenly with traumatic injuries. In an arthroscopic rotator cuff repair, we are able to reattach the torn tendon back down to the bone through a few small incisions. After we finish the repair, we inject stem cells into the joint to facilitate healing post-operatively.
There are many different types of hip fractures, and this is an interesting case of an athletic young male who fell off a scooter and had an unusual fracture pattern for his age. We fixed his intertrochanteric hip fracture with a closed reduction and intramedullary nailing. This patient is a marathon runner and scuba diver, and we expect a total and quick recovery back to his active lifestyle.
Second episode of "The Doctors" on CBS in the books. Can't thank @thedoctorstv enough for letting me be a part of it!
Such a fun experience getting to work with @thedoctorstv. My first segment on the show aired yesterday, and the second episode will air next week!