30. December 2016 07:34
The elbow joint consists of various bones and tissues that are nourished by the blood supply from numerous arteries. Insufficient or loss of blood supply to these parts may lead to death of the bone and the articular cartilage that protects it. This condition is termed as the Osteochondritis Dissecans of the Elbow. The lower part of the humerus, Capitellum, is most commonly affected by the condition. It helps to rotate the palm and forearm.
In most cases, Osteochondritis Dissecans of the Elbow is observed in people aged 10-20 years who are particularly active in sports. The damage to the bone or the cartilage may be partial or complete. If it is partially affected, the problem may heal through conservative methods of treatment. However, in severe cases, the bone piece or cartilage tissue may get detached and begin floating within the joint spaces.
- People with a family history of Osteochondritis Dissecans are more likely to develop this condition
- Repeated injuries to the joint may eventually result in loss of blood supply (Avascular Necrosis)
- Indulging in sports that require excessive overhead movement, such as basketball, tennis, volleyball, gymnastics etc., may stress the elbow joint
- Occupations or activities that require lifting heavy weights
- Pain while bending or straightening the elbow
- Crepitus- a sensation or sound of bone cracking when the elbow is moved
- Swelling and tenderness
- Limited range of motion
- A feeling of the joint being unstable
- Detailed clinical evaluation of the joint using palpation, visual analysis and moving the affected arm in different directions
- Family and medical history of the patient may be taken into consideration
- MRI or CT scans may be carried out to assess the exact location and severity of damage to the cartilage
- X-ray imaging may be done to examine the changes in bone structure
- Immobilization of the joint using a brace, splint, sling or cast
- The patient may be required to abstain from any activity that causes puts stress on the elbow. This is usually recommended in cases where the bone or cartilage is partially damaged. The patient, being in the growth phase, tends to develop new bone mass and cartilage tissue that repairs the damaged one
- Physical therapy may be recommended to maintain joint health and flexibility
- Corticosteroid injections may be administered directly into the joint for immediate relief
- Surgical removal of the damaged bone mass or cartilage
- Arthroscopic surgery to drill holes into the bone to increase blood supply to the affected area and promote cartilage growth
- Loose parts of the bone may be held in place using screws and pins
- Bone and cartilage graft- A piece of healthy bone or cartilage tissue may be extracted from another part of the body and planted in place of the damaged ones to regain functionality of the joint
For diagnosis and treatment of Osteochondritis Dissecans of the Elbow, visit OrthoTexas. To schedule an appointment with the elbow doctors in Plano, TX, you can call at (972) 985 – 1072.
27. December 2016 10:30
Quadriceps tendon refers to the band of tissues that allow the four quadriceps femoris muscles (vastus medialis, vastus lateralis, rectus femoris and vastus intermedius) to converge above the patella. This tendon, in association with the quadriceps muscles, enables the extension of the knee joint. Excessive stretching and tearing of this tendon is referred to as the Quadriceps Tendon Rupture. The condition most commonly affects people above the age of 40 years. The rupture is generally preceded by the degeneration of the structure due to other factors. This injury may result in physical disabilities and in some cases a part of the patella also breaks along with the tendon attached to it.
- The predisposing factors that may cause Quadriceps Tendon Rupture are as follows
- Medical conditions like Obesity, Diabetes, Gout, Renal failure, Hyperparathyroidism etc.
- Prolonged immobilization of the lower extremities
- Falling on a flexed knee
- Direct trauma to the kneecap during sports or vehicular accident
- Overuse injuries due to excessive jumping or running
- Inflammation of the quadriceps tendon
- Severe Pain
- Swelling and tenderness
- The joint becomes unstable and the patient may fall or stumble while walking
- A popping sensation at the time of injury
- The pain increases with physical activity
- Change in color of the skin around the knee
- the orthopedic doctor may peform thorough clinical evaluation of the injured leg
- The patient’s medical history, mode of injury and lifestyle details may be taken into consideration
- X-ray imaging may help to reveal the bone structure and fractures if any
- MRI and CT scan may help to evaluate the extent of damage to the soft tissue structures
- The range of motion may be analyzed
Partial tears can be treated through conservative methods while the complete tears require surgical treatment. These may include the following procedures.
- The knee may be immobilized for a period of 3-5 weeks
- Physical therapy may be recommended to improve range of motion
- Exercises focused on strengthening the hamstring muscles must be performed
- Lifestyle modifications may be recommended
- Rest the injured leg by keeping it elevated at chest level
- Compression may be done using soft bandage
- Use of ice packs during the first 24-72 hours of injury may be helpful
- Plasma injections that have a rich platelet count may promote healing of the tendon
- Wires, screws and pins may be used to secure the tendon in place
To know more about the treatment options available for Quadriceps Tendon Rupture, consult the surgeons at OrthoTexas. For an appointment, visit 5757 Warren Pkwy, Suite 180, Frisco, TX 75034 or call at (214) 618-5502.
24. December 2016 10:19
The Ulnar Collateral Ligament is a band of ligaments that connects the upper arm bone (humerus) to the lower arm bone (ulna). These soft tissue structures stabilize the elbow joint and allow a person to perform overhead arm movements such as playing tennis or throwing a ball. An ulnar collateral Injury occurs due to stretching, loosening or tearing of these ligaments. The condition may result in physical limitations and is a common injury observed in sportspersons. Ulnar Collateral Ligament damage does not occur due to stress form daily activities as this type of damage requires a considerable amount of force that exceeds the threshold of the ligaments to cause lengthening or tears. This injury has a high incidence of re-occurring post treatment.
- Overuse injuries caused by repeated overhead movement such as playing volleyball or basketball
- Inherent weakness of the muscles and ligaments
- Improper throwing techniques
- Not warming up before indulging in a sport
- Elbow Dislocations
- The ligaments may be damaged due to surgical procedures applied on the elbow joint or the upper arm
- Pain in the elbow joint and the arm, which may increase while performing tasks that require lifting the hands or arms above the head
- Swelling and tenderness in the inner side of the elbow joint or the upper arm
- Limited range of motion
- A tingling sensation in the arm and inner side of the elbow
- Weakness in the elbow joint
- Numbness in the fingers (particularly little finger) and hand
- Loss of grip
- A popping sound at the time of injury
- Change in color of the fingernails
- Analysis of the existing symptoms reported by the patient
- MRI scan may be required to view the ligaments
- The doctor may use palpation and pressure to identify the exact location of pain
- The patient may be recommended to take rest and abstain from any physical activities that cause pain
- Physical therapy with special focus on ROM (range of motion) exercises may be recommended to accelerate recovery
- Anti-inflammatory medicines may be prescribed by the doctor
- Ice packs may be applied to ease pain and swelling
- Protective splint or elbow brace may be recommended
- In case of complete tear, surgery may be suggested. It will aim at reconstructing the ligament and removing the damaged parts, if any
- It may also be advised to avoid arm movements that aggravate pain or increase the risk of injury
The surgeons at OrthoTexas offer complete treatment for Ulnar Collateral Ligament Injury. To schedule an appointment, call at (972) 492-1334 or visit 4780 North Josey Lane, Carrollton, TX 75010.
20. December 2016 09:02
Haglund's Deformity, also known as Mulholland Deformity or Pump Bump, refers to the abnormal growth in the bony structure behind the heel bone. The condition eventually causes the bursae (located between this bone and Achilles tendon) to become irritated and swollen. Haglund’s Deformity can affect any person although it is more commonly observed in women.
- Prolonged wearing of hard shoes with a closed back that rubs against the heel bone
- Genetic deformity in the shape or structure of the heel bone
- Presence of a high-arched foot
- Tightness of the Achilles tendon
- Unusual gait such as walking on the outer side of the heel
- Running on hard surfaces
- Excess body weight can stress the heel bone and the tendons
- Past injuries to the foot or heel
- Visible outgrowth of the bone behind the heel
- Considerable pain while walking or wearing shoes
- The back of the heel feels swollen and tender when touched
- Tightness in the heel or at the back of the foot while moving
- Clinical evaluation of the affected foot
- X-ray imaging may be required to analyze changes in foot structure
- Analysis of the patient’s gait
- The symptoms reported by the patient, daily activities as well as type of shoes worn may be taken into consideration to establish the cause and diagnosis
- Using customized orthotic supports may allow even distribution of pressure on the foot and prevent the bone from rubbing
- Non-steroidal anti-inflammatory medicines may be prescribed by the doctor
- Use of heel pads may be recommended to prevent pressurizing the heel
- Ice packs may be help to reduce swelling
- Wearing open shoes may help to reduce pain while walking
- In severe cases, an immobilizing boot or temporary cast may be recommended
If the Achilles tendon is tight or damaged, surgery may be required to reduce the pressure on the joint. During the procedure, the orthopedic doctor removes the outgrowth and smoothens the bone.
Post-surgery, the patient may be recommended to wear soft padded shoes and use crutches to prevent weight bearing.
For complete treatment of Haglund's Deformity, visit the orthopedic foot doctors at OrthoTexas. To schedule an appointment, call at (940) 382-1577.
16. December 2016 05:05
The scapula or shoulder blade is a triangular bone in the shoulder joint which is surrounded by muscles and tissues. Any break or crack in the bone can lead to a scapula fracture. It is a rare injury because this bone is relatively stable and can move in different directions which reduces the chances of breakage. In most cases, scapula fracture is accompanied by damage to the ribs, collar bone, spine and lungs.
- Vehicular accidents that involve high energy traumas
- A fall on the shoulder
- Direct hit with a blunt object
- Trying to prevent a fall by stretching out the arm may damage the shoulder blade
- Severe pain while moving the arm or upper body
- Swelling and tenderness in the thoracic region
- Bruising and discoloration
- Open wounds may be present
- Crepitus, i.e. the sensation of bones grinding against each other
- Limited range of motion
- Detailed clinical evaluation of the injured shoulder
- The orthopedic doctor may look for any additional injuries
- CT scan or MRI may be required for a detailed view of the soft tissue structures and scapula
- Nerve conduction test may be carried out to check for impulses in the arms and hands. This can help to rule out damage to the blood vessels
- Most scapula fractures can be treated with conservative methods and surgery is rarely needed.
- Use of a shoulder sling to keep the joint in place as well as to allow the bones and soft tissues to heal completely.
- Passive stretching exercises may be recommended to regain mobility and reduce stiffness post immobilization
- Non-steroidal anti-inflammatory medicines may be prescribed to relieve pain
- In case a part of the bone is displaced during the injury, surgical reduction may be required. The repositioned bones are held in place using metal screws and plates
- It may take about 6 months or a year for the fracture to heal and the joint function to be restored completely. Regular physical therapy sessions may speed up the recovery.
For comprehensive diagnosis and treatment of scapula fracture, visit OrthoTexas. To schedule an appointment with the orthopedic surgeons in Plano, TX call at (972) 985 – 1072.
12. December 2016 07:32
Back spasm refers to the sudden, involuntary muscle contractions that lead to sharp pain in the lower back. A spasm is considered to be a natural mechanism through which the muscles protect themselves from the external or internal stress to any part of the body.
In the back, a spasm may be an indicator of either an underlying condition or injury to any of the spinal structures. It requires immediate medical attention and if left untreated, may result in permanent physical disability.
- Anatomical conditions such as Herniated Disc, Spinal Stenosis, Osteoarthritis of the spine, Spondylolysis or Degenerative Disc Disease
- Overuse injuries
- Poor postural habits
- Direct injury to the spine
- Sports injuries
- Vehicular accidents
- Dehydration as well as deficiency of calcium and potassium
- Lifting heavy weights
- Spinal abnormalities, such as Kyphosis and Lordosis
- Weak muscles along the spine and stomach
- Sudden tightening of the back muscles
- Dull or severe pain
- Limited range of motion
- Pain may be felt even while resting
- Tingling sensation in the back, upper or lower extremities
- Uncontrolled bladder and bowel movements
- The patient may be questioned about the duration and onset of the pain, routine activities, occupation, past injuries, medications etc.
- Palpation may be done to identify the exact location of the pain
- The patient may be asked to perform some physical movements to identify the positions that increase pain
- X-ray imaging may be done to analyze the bone structure
- MRI and CT scan may help to diagnose problems in the soft tissue as well as vertebrae
The aim of the treatment is to allow the affected muscles and soft tissues to heal naturally. For this, an orthopedic doctor may recommend the following treatment options:
- Lie down on your back and keep the upper part of the body slightly elevated using pillows
- Anti-inflammatory medicines and muscle relaxants may help to relieve pain
- Applying ice packs at regular intervals to the affected part may help to reduce inflammation
- Performing light exercises may help to improve blood circulation within the spine and promote healing
- Using heat pads may provide immediate relief from muscle stress
- Avoiding activities such as lifting weights, bending, twisting etc. may prevent aggravated pain and discomfort
- Physical therapy may be required to promote muscle strength, flexibility as well as prevent recurring flare ups in the future
The spine specialists at OrthoTexas provide complete diagnosis and treatment for back spasm and other orthopedic conditions. To request an appointment with the surgeons in Allen, TX, feel free to call at (972) 727-9995.
9. December 2016 13:46
Dupuytren’s Contracture can be defined as a deformity that results in thickening of the fascia, a thin elastic tissue under the skin of the palm. The fibrous cords in this tissue develop knots, causing the fingers to bend downwards. In most cases, it is the little and ring finger that gets bent towards the palm. Dupuytren’s Contracture is a progressive disorder that may affect one or both the hands and the symptoms tend to aggravate over the time.
- Dupuytren’s Contracture is categorized as an idiopathic disorder as the exact cause has not been not clearly identified. However, the following factors may increase an individual’s susceptibility to the condition:
- It could be a genetic trait that
- affects members of the same family
- Men above the age of 50 years are more likely to develop the condition
- Alcohol consumption and smoking are believed to cause changes in the blood vessels that may lead to skin contractures
- Diabetic people are at a greater risk
- Routine activities such as wearing gloves, shaking hands may become difficult
- Visibly deformed fingers as they tend to bend towards the palm
- The lumps of tissues may be visible in the hand and are sensitive when touched
- Pain may or may not be experienced
- Reduced flexibility of the hands and fingers
- The deformity begins with the thickening of the skin of the palm and as it progresses, the palm may appear puckered due to thick knots
- Inability to straighten the hand or grasp objects
- Some patients may develop knots on their knuckles as well as soles of the feet
- Details of the patient’s family history, medical history and lifestyle may be noted
- The orthopedic doctor may perform a physical evaluation of the hand which includes comparison of both the hands to identify the symptoms and palpation to detect knots or lumps under the skin
- Table top test- The patient may be asked to place his hand flat on the table. Inability to do so confirms the presence of Dupuytren’s Contracture
Treatment is aimed at ceasing the progression of the condition and enabling the patient to cope up with the symptoms. These may include:
- Needling technique may be used to puncture the thick tissue cords in the palm. It can be used to pierce more than one finger at the same time as no incision is made
- Splinting may be helpful in straightening the fingers in case of mild contractures
- Surgical release or cutting of the affected tissue that causes bending of the fingers
- Enzymes may be injected into the affected part of the palm to weaken the hard lumps and cords. The fingers are then manipulated to bring them back into their normal position and improve flexibility
- In severe cases, all the tissues from the hand may be surgically removed followed by a skin graft to allow reconstruction of the palm.
- Physical therapy may be recommended post-surgery
- Wearing padded gloves while lifting weights or grasping objects may be helpful
The hand and wrist specialists at OrthoTexas provide comprehensive treatment for Dupuytren’s Contracture. Patients in Frisco, TX can call at (214) 618 - 5502 to schedule an appointment.
5. December 2016 10:34
Shoulder Tendonitis is a medical condition which involves swelling and irritation of the tendons and muscles in the shoulder joint. The tendons are strong connective tissues that support the joint, help in the movement and keep the constituent bones in place. A set of muscles called the rotator cuff form an important part of the shoulder joint that prevents the humerus from slipping out of the glenoid cavity. They help in the upper arm movement such as lifting, swinging etc. Tendonitis majorly affects the rotator cuff muscles as the maximum movement is centered on this area and is thus also referred to as Rotator Cuff Tendinopathy or Impingement Syndrome. Although Shoulder Tendonitis is a progressive condition, it can be rectified with appropriate treatment.
- Repeated stress and micro-traumas caused to the rotator cuff
- Growth of bone spurs
- Shoulder Bursitis- inflammation of the small fluid filled sacs in the joint called bursae
- Impingement of the rotator cuff into the acromion bone may be a potential cause of swollen tendons
- Poor posture may cause problems in the neck and thoracic spine which may alter the biomechanics of the shoulder joint
- Sport activities that require repeated or high speed movement of the arms such as badminton, tennis, baseball, swimming etc.
- Inherent weakness in the supporting joint muscles
- Habitual sleeping or lying on the same side of the shoulder
- Pain and discomfort while lifting the arms overhead, placing the hands behind the head, lifting weights or lying on the affected shoulder
- In case the condition aggravates, pain may be experienced even while resting
- A feeling of cracking or joint locking may be felt when the shoulder is moved
- Loss of strength in the shoulder and upper arm
- Swelling and tenderness
- Limited range of motion and stiffness
- Details of the patient’s medical history, past injuries and symptoms reported may be taken into consideration
- The doctor may check the affected shoulder by palpation and ask the patient to move the arm in different directions
- X-ray imaging may be required to check bone spurs
- Ultrasound and MRI imaging may provide a detailed picture of the tendons and the location of inflammation. It may also be useful in diagnosing tears in the tendons and muscles
- The affected shoulder needs to be rested and any strenuous activity should be avoided
- Applying ice packs at regular intervals for 24-72 hours may help to reduce pain and swelling
- Shoulder straps, slings, taping and bandages may be used for light compression and support
- Anti-inflammatory medicines may be prescribed by the orthopedic doctor to relieve discomfort
- Physiotherapy and light exercises may be carried out to improve flexibility as well as keep the joint active
- Corticosteroids may be injected into the joint for relief
- Arthroscopic surgery may be recommended to treat the rotator cuff muscles
- Maintaining a good posture, not sleeping on the affected shoulder and avoiding carrying heavy objects close to the body are other measures that can prevent flaring up of the problem
For effective diagnosis and treatment of Shoulder Tendonitis, visit OrthoTexas. To schedule an appointment with the shoulder pain specialists in Carrollton, call at (972) 492 – 1334.