27. July 2016 12:24
Bennet’s fracture can be defined as a crack or break in the first carpometacarpal joint at the base of the thumb. This is the point where the metacarpal bone of the thumb meets one of the eight carpal bones, trapezium, that forms the wrist. The cartilage that covers it helps in the extensive movement of the thumb and maintains joint stability. In most cases, Bennet’s fracture causes this ligament to get detached from the bones, leading to a dislocation of the carpometacarpal joint. If not treated properly, the injury may result in loss of functionality, thumb weakness and the development of Osteoarthritis at the base of the thumb.
- Thumb injury due to punching something hard
- Falling on the hand with the thumb partially flexed
- Work related injuries
- Motor vehicle accidents
- Contact sports injuries, such as in boxing, rugby and soccer
- Swelling and tenderness at the base of the thumb
- Difficulty grasping objects
- Visible deformity in the thumb and wrist
- Joint instability
To diagnose a Bennett’s fracture, the orthopedic doctor may physically examine the site of injury to look for visible deformity and signs of dislocation. He may conduct certain imaging tests, such as X-ray, CT scan or MRI, to confirm the exact location of injury and extent of dislocation of the carpometacarpal joint.
Conservative treatment is not usually recommended as the fracture involves displaced joint surfaces that need to be aligned back to their normal position. However, in case of a hairline fracture without any significant displacement, the orthopedic doctor may perform closed reduction procedure. In this, the thumb may be manually manipulate the joint to restore the original position of the bone. The patient may be advised to wear a splint or cast to immobilize the thumb and promote a faster healing.
Surgical intervention may be required for a major Bennett’s fracture. It may also be required to treat a shortened or abnormally rotated thumb as a result of the injury. Metal screws, wires and plates may be inserted to hold the broken bone fragments in place. Physical therapy may be recommended post-surgery to reinstate complete functionality of the thumb.
We, at OrthoTexas, specialize in the diagnosis and treatment for Bennett’s fracture as well as other hand injuries. To schedule an appointment with our hand and wrist surgeons in Denton, TX, you can call at (940) 382 – 1577 or visit 2535 W. Oak Street, Denton, TX 76201.
23. July 2016 12:33
Hip Dislocation is a traumatic injury that occurs when the top rounded part of the femur moves out of the pelvic socket known as acetabulum. The injury mainly occurs due to high impact car accidents. If not treated immediately, it may cease the blood supply to the top of the thigh bone, leading to permanent damage. In most cases, Hip Dislocation also involves injury to the ligaments, muscles, labrum, soft tissues and nerves in the joint.
Hip Dislocation may be classified as:
- Anterior Dislocation: This involves forward rotation of the leg with the hip slightly bent.
- Posterior Dislocation: It is a common injury that causes the leg to rotate inwards towards the middle of the body.
- Motor vehicle collisions
- Falling from a significant height
- Sports injury, particularly in football, snowboarding and skiing
- Previous hip replacement surgery
- Severe pain in the hip
- Visible deformity in the injured leg
- Pain increases when trying to move the leg
- Pain may radiate to lower back, knees and legs
- Difference in the length of both legs, with the injured leg appearing to be shorter
- Numbness and swelling
- Loss of sensation in foot or ankle, in case of nerve damage
Hip Dislocation can be diagnosed with a physical examination by an orthopedic doctor. The position of the leg and visible deformity in the hip is indicative of dislocation. The doctor may conduct certain imaging tests to determine the exact position of the dislocated bone as well as identify damage to the adjacent structures within the joint.
- Reduction: In case of a minor dislocation, the orthopedic doctor may perform a closed reduction procedure to bring the bone back to its normal position. A sedative or anesthesia may be administered before the procedure.
- Medications: The doctor may prescribe non-steroidal anti-inflammatory medications to provide relief from pain and swelling.
- Assistive Devices: Crutches or cane may be used to avoid bearing on the injured leg.
- Surgery: If the bone pieces or soft tissue fragments block the thigh bane from moving back into the socket, surgical intervention may be required.
- Physical Therapy: After the surgery, the doctor may advise the patient to do some stretching exercises to restore the flexibility of the hip joint.
The orthopedic surgeons at OrthoTexas provide effective treatment for Hip Dislocation. To schedule an appointment with our hip specialists in Carrollton, TX, you can call at (972) 492 – 1334 or visit 4780 North Josey Lane, Carrollton, TX 75010.
20. July 2016 09:14
Congenital Scoliosis can be defined as a sideways curvature of the spine due to a deformity present at birth. This means that the child’s spinal cord did not develop properly doing the initial four to five months of fetal growth. The condition is characterized by a twisted or rotated spine, which usually resembles the letter ‘C’ or ‘S’. Though the deformity is innate, the symptoms may not become apparent until the child attains adolescence.
- One or more of the spinal vertebrae may form partially or completely fail to develop
- Bones may not get separated as they should be
- Absence of one or more bones in the spine
- Formation of compensatory curves in the spine to balance the Scoliotic curves
- Tilted or uneven shoulders
- One shoulder blade may protrude more than the other
- The head or upper body may tilt to either side
- One hip may be higher than another
- Uneven waistline
- Tilted pelvis
- Prominence of ribs on one side
To diagnose Congenital Scoliosis, the spine surgeon may evaluate the child’s medical and family history. He may conduct a physical examination to look for the apparent symptoms. He may also check the reflexes in the abdomen and legs to rule out any nerve problem. Imaging tests such as X-ray, CT scan, MRI and ultrasound may be performed to detect the exact abnormality that has led to the development of Scoliosis.
If the scoliotic curve is much not significant, the spine specialist may monitor its progression by conducting X-rays after every few months during the growing years. Braces or cast may be used to treat a curve between 25 and 40 degrees. It may help to reduce the pressure on the spine and keep it in a more aligned position.
Surgical intervention may be required for children who:
- Have significantly abnormal curves
- Have curves that are worsening with growth
- Have developed an abnormality of the spine
- Are experiencing neurological problems, weakness, numbness or a loss of coordination due to the deformity
The spine surgeon may recommend spinal fusion to join the underdeveloped vertebrae so that they heal into a single bone. If the child is young, a ‘growing’ rod may be attached to the spine above and below the curve. After every few months, the surgeon may lengthen the rod to allow continued growth of the spine. Once the child has completely grown, a spinal fusion may be performed.
The spine surgeons at OrthoTexas specialize in the treatment of Congenital Scoliosis and other orthopedic conditions. Patients in Frisco, TX can call at (214) 618 – 5502 to schedule an appointment or visit 5757 Warren Pkwy, Frisco, TX 75034.
16. July 2016 11:38
The ankle, or the tibiotalar joint, connects the leg and foot. It comprises of various bones, muscles, blood vessels, tendons and ligaments. The joint bears maximum body weight, helps maintain body balance and absorbs external shocks while running, standing and walking. The bones are protected by a thick cartilage which prevents them from rubbing against each other. Ankle Arthritis is characterized by damage or gradual wearing out of this cartilage.
Listed below are the different types of Arthritis that may affect the ankle joint:
- Rheumatoid Arthritis- It is a chronic condition which may result in joint inflammation. In this, the body’s immune system starts attacking the synovial membrane which protects the joint
- Osteoarthritis- This is the most common form of Arthritis which is characterized by the damage caused to the cartilage within the joint. As a result, the bones tend to rub against each other and get damaged
- Juvenile Arthritis- It is commonly seen in young people less than the age of 16 years
- Gout- A type of Arthritis that occurs when level of uric acid in the blood increases and starts depositing within the joint spaces in the form of hard crystals
- Infectious Arthritis- Bacterial, fungal or viral infection in the blood may lead to this type of Arthritis. It is also known as Septic Arthritis.
- Psoriatic Arthritis- A type of arthritis which is accompanied or preceded by a skin disease, Psoriasis
- Degeneration of joint due to aging
- External injury or trauma to the joint may develop Arthritis over a period of time
- Genetic predisposition
- Inherent misalignments in bone or joint structure
- Bone dislocation/fracture
- Ligament and tendon tear
- Excruciating pain
- Loss of movement
- The joint may feel tender when touched
- Visible Deformity
- Difficulty in weight bearing
- Stiffness in the joint, particularly in the morning
- Feeling of warmth around the joint
- Pain tends to flare up after prolonged or vigorous physical activity
- Detailed clinical examination of the joint
- The orthopedic doctor may analyze the patient’s symptoms and medical history
- Evaluation of changes in gait
- X-ray may be conducted to assess bone damage
- Blood tests to identify the type of Arthritis
- MRI and CT scan may be done to reveal soft tissue damage
The non-surgical methods of treatment may include:
- Lifestyle modification to reduce activities that aggravate pain
- Incorporating light exercises to maintain joint and muscle strength
- Weight loss may be recommended to prevent putting pressure on the joint
- Ankle foot orthosis (AFO) may be used to improve joint stability
- Shoe inserts and walking cane may be helpful
- Physical therapy may also be recommended to increase ankle strength
- Prescription of anti-inflammatory medicines
Surgical methods may include:
- Arthroscopic Debridement- removal of damaged cartilage and other parts using arthroscopic techniques
- Bone fusion or Arthrodesis- The affected bones may be combined together using plates, wires or screws to cease their movement and prevent rubbing against each other. It helps to relieve pain and prevent the condition from worsening.
- Total ankle replacement or Arthroplasty may be recommended for patients with advanced stage of Ankle Arthritis
For diagnosis and treatment of Ankle Arthritis, visit OrthoTexas. To schedule an appointment with the foot and ankle specialists in Flower Mound, TX, you can call at (972) 899 – 4679.
12. July 2016 13:04
Nursemaid’s Elbow or Radial Head Subluxation is a common physical disorder affecting children in the age group of 1-7 years. The injury is also known as Pulled Elbow and Toddler’s Elbow. As the bones and joints of children are tender and still in a formative stage, there is an increased likelihood of dislocations. The elbow joint is made up of the upper arm bone, humerus, and two lower arm bones; ulna and radius. These are held together by the ligaments, muscles and tendons. The elbow further comprises into two joints:
- Humeroulnar joint, where the humerus meets the ulna and enables the elbow to bend
- Radiocapitellar joint, the meeting point of radius and humerus that enables the forearm to rotate
In Nursemaid’s Elbow, the radiocapitellar joint gets dislocated. It is a temporary injury and may not lead to any long term damage to the joint. As the child grows, the ligaments and muscles become stronger as well as keep the joint stable, thereby, reducing the chances of suffering the injury.
- A sudden force to the child’s wrist or arm
- Yanking or swinging the child with the arm
- Lifting the child by holding his hands or arms
- Forcefully dragging a child by pulling his/her arm
- Loose ligaments
- Breaking a fall with an outstretched arm
- Rolling over in bed may lead to partial displacement of the bones
- Visible deformity in the form of a slightly bent arm
- Pain which may increase while moving the arm
- Inability to rotate the arm or palm
- The child may tend to hold his arm near the body and does not move it
- Clinical evaluation of the injured arm and the mode of injury
- The doctor may observe the way the child holds, moves or bends the arm
- X-ray imaging may be done to rule out fracture or damage to adjacent structures
- Physical Reduction- The orthopedic doctor may manually push the bone back in place. This procedure may cause some initial discomfort to the child but once the position of the bone is restored, he may be able to move the arm easily.
- Anti-inflammatory medicines may be prescribed to provide relief from pain and inflammation.
- Wearing a sling for a few days may be recommended to keep the arm in a stable position
We, at OrthoTexas, provide complete diagnosis and treatment for Nursemaid’s Elbow. To schedule an appointment with our elbow doctors in Plano, TX, you can call at (972) 985 – 1072 or visit 4031 West Plano Parkway Suite 100, Plano, TX 75093.
9. July 2016 15:19
Whether it is a sprain, strain, fracture or more severe orthopedic condition such as Osteoarthritis, Bursitis, ACL Tear etc., physical therapy helps to ensure a faster and healthier recovery for the patient. It is also effective in restoring the joint’s range of motion and strength after a surgical procedure. When combined with orthopedic treatment, physical therapy can be helpful to improve the overall health of an individual. The therapists evaluate the fitness level and specific health problem experienced by the patient to formulate a personalized as well as effective rehabilitation program.
Given below are some common physical therapy techniques and the benefits they offer:
- General Orthopedics Rehabilitation: This form of physical therapy is aimed at helping patients recover faster from orthopedic injury or surgery. The therapists focus on encouraging active participation of the patients for maximum results of physical therapy.
- Sports Injury Prevention: It aims at helping athletes maintain their form for better performance in sports. It also involves strength and resistance training to prevent injuries on field as well as during the practice sessions.
- Occupational Therapy: In this, the physical therapists diagnose and treat conditions that prove to be an obstruction in an individual’s daily activities. These may include walking, sitting, running, climbing stairs and other physical tasks.
- Functional Capacity Evaluations: The physical therapists perform functional capacity evaluations to determine the patient’s ability to return to work following an injury or surgery. With functional capacity evaluations, the patient can work more productively while minimizing the risk of recurrent injuries.
- Hand Therapy: It is beneficial in relieving pain in the hand or upper limbs. The therapy may be recommended for patients with various orthopedic conditions such as Carpal Tunnel Syndrome, Repetitive Motion Disorder, ligament tears, Tennis Elbow, Rotator Cuff Tear etc. With hand therapy, patients can restore the normal functionality of the upper limb and strengthen the muscles to prevent further injuries.
- Custom Splinting: This is also aimed at treating orthopedic conditions affecting the upper extremity joints. With the help of a splint, the therapists restrict the movement of the injured joint to avoid any jerky movement or excessive stress. This helps to prevent further damage to the joint and boost the healing process.
The physical therapists at OrthoTexas provide comprehensive rehabilitation services to the patients across McKinney, TX. To schedule an appointment with the physical therapists, you can call at (972) 727 – 9995 or visit 7300 Eldorado Parkway, Suites 165/165A, McKinney, TX 75070.
5. July 2016 10:56
Pes Anserine Bursitis, or Knee Tendon Bursitis, refers to an inflammation of the bursa on the inner side of the knee. The bursa is a lubricating sac located between the shinbone and hamstring tendons that prevents the two structures from rubbing against each other. The condition occurs when the bursa produces excess fluid and becomes inflamed, thereby placing pressure on the adjacent parts of the joint. Certain factors may increase a person’s susceptibility to develop Pes Anserine Bursitis. These are:
- Sports activities like running and swimming
- Old age
- Medical conditions such as Knee Osteoarthritis or Medial Meniscus Tear
- Improper training techniques
- Running uphill
- Sudden increase in running distance
- Tight hamstrings
- Trauma or contusion to the inner part of the knee
- Outward turning of the lower leg due to Flat Feet or Knock Knees
- Forceful twisting with the foot planted on the ground
- Repetitive activities
- Pain at the inner part of the knee
- Tenderness to touch
- Difficulty bending or straightening the knee
- Pain may increase while exercising, climbing stairs or any other stressful activity
- Limited range of motion
The orthopedic doctor may physically examine the knee and check for tightness in hamstring muscles. He may inquire about the patient’s medical history and nature of activities performed on a daily basis. An X-ray may be conducted to rule out a stress fracture. CT scan or MRI may be required to assess damage to the medial compartment of the knee. The doctor may take a sample of bursa fluid to be tested in case infection is suspected.
- Rest: The patient may be advised to take rest for a few days and avoid any activities that may aggravate the pain.
- Ice pack: Application of ice packs at frequent intervals may reduce swelling and stiffness.
- Medications: The orthopedic doctor may prescribe anti-inflammatory medications to provide relief from pain. Antibiotics may be prescribed in case of infection of septic bursitis.
- Injections: Injecting steroid mediations directly into the joint may be suggested in case of severe pain and swelling.
- Physical therapy: Performing light stretching exercises may help to release stiffness and strengthen the hamstring muscles.
- Surgery: In case the symptoms do not subside, the doctor may recommend surgical removal of the bursa.
- Lifestyle modification: Athletes may be suggested to reduce or alter their exercise programs to prevent the condition from recurring.
OrthoTexas provides complete diagnosis and treatment for Pes Anserine Bursitis. To schedule an appointment with the orthopedic surgeons in Allen, TX, you can call at (972) 727 – 9995 or visit 1125 Raintree Circle, Suites 100/100A, Allen, TX 75013.
2. July 2016 13:49
Distal humerus fracture refers to a break in the upper arm bone or the humerus. The three bones, humerus, radius and the ulna together, form the elbow joint and the base of the humerus is called the distal humerus. The bones are held together by ligaments, muscles and tendons. The distal humerus fits into the cup shaped part of the ulna and enables the elbow to move or bend. Fractures of the distal humerus are rare and generally occur in association with other arm injuries.
- Falling directly on an outstretched hand
- Vehicular accidents
- Sports injuries
- A direct hit to the elbow joint
- Bruising or skin discoloration
- Inability to move the elbow
- The joint may feel unstable
- The fractured bone may protrude out of the skin, in severe cases
- Severe pain
- The area around the joint may be tender to touch
- Swelling, numbness or joint disfigurement may be seen
- Clinical examination of the injured arm to check for the severity of injury
- Palpation may be done to assess the exact location of tenderness and pain
- The pulse rate may help to analyze disruption of blood flow to the limb
- X-ray may be conducted to point out the exact location and extent of damage
- MRI scan may be required if damage to soft tissues is suspected
The treatment of distal humerus fracture may depend upon the type of injury and damage caused to the bone as well as soft tissues. Non-surgical procedures may include:
- A splint may be used to keep the joint stable during the healing period
- Cryotherapy- application of ice packs at regular intervals
- Pain killers and anti-inflammatory medicines may be prescribed to relieve pain
- Antibiotics may be prescribed in case of infection of an open wound
- The patient should avoid lifting weights for a few weeks
Surgical procedures may be required in case of an open fracture. The following procedures may be recommended:
- Using minimally invasive techniques, metal pins, screws and wires may be inserted into the joint to stabilize the bone
- Bone Fillers- In case the bone is badly crushed, a piece of bone may be taken from another body part such as pelvis and inserted into the joint. Alternatively, artificial bone mass made up of calcium may be used
- Surgical replacement of the elbow may be suggested if the joint is damaged beyond repair
- Physical therapy may be helpful in regaining joint strength and mobility post-surgery
For effective treatment of distal humerus fracture, visit OrthoTexas. To schedule an appointment with the orthopedic surgeons in Flower Mound, TX, you can call at (972) 899 – 4679.