28. May 2016 06:08
The shoulder is a typical ball and socket joint where the humerus (rounded part of the upper arm bone) rests in the socket called glenoid. The humerus is much larger than the socket and a layer of soft tissue called labrum lines the inner part of the socket which creates additional space for the humerus to fit in, which helps in keeping the joint stable. Many ligaments join the bone and muscles within this socket. Tearing of this soft tissue lining is termed as the Glenoid Labrum Tear. Such tears mostly occur above or below the middle section of the labrum. In some cases, they may be accompanied by tendon and ligament damage as well.
- Sudden fall on the shoulder, arm and hand
- Direct trauma to the shoulder or upper arm
- Lifting heavy object
- Shoulder Dislocation
- Age related wear and tear of the cartilage
- Sports injuries
- Pain usually occurs when the arm is moved above the head
- Swelling and tenderness in the shoulder or upper arm
- A locking/catching kind of feeling in the shoulder
- Grinding or popping sound or feeling when the shoulder is moved
- Restricted range of motion
- Weak or unstable shoulder
- A constant feeing of the shoulder slipping out
- Physical evaluation of the injured shoulder to assess its functioning and stability
- The patient’s medical history and details of the injury may be taken into consideration
- X-ray imaging to check for bone damage or displacement
- CT scan and MRI may help to diagnose soft tissue damage
- In some cases a contrast medium may be injected to reveal the location of damage
- Prescription of anti-inflammatory medicines for pain relief
- Rest the injured joint
- Certain exercises may help to strengthen the rotator cuff muscles
- The orthopedic surgeon may use arthroscopic techniques to repair or remove the torn labrum
- Surgical tightening of the labrum tissues
- The arm and shoulder are cast in a sling post-surgery for stability after the surgery for a few weeks
- Gentle range of motion exercises are helpful post-surgery to regain flexibility and movement
We, at OrthoTexas, provide effective treatment for Glenoid Labrum Tear and other shoulder conditions. To schedule an appointment with the orthopedic surgeons in Plano, TX, call at (972) 985 – 1072 or visit 4031 West Plano Parkway Suite 100, Plano, TX 75093.
19. April 2016 09:12
Shoulder Instability occurs when the ligaments, tendons and connective tissues wear out as well as are unable to hold the joint bones together. The shoulder is the most mobile joint of the body that allows you to lift and rotate the arm. However, during certain movements, excessive stress may be put on the joint capsule, causing the ligaments to tear. As a result, the shoulder joint may become loose and the bones may slide excessively over each other. This condition is known as Shoulder Instability. It may either cause the humerus to move partially (subluxation) or completely (dislocation) out of the glenoid cavity.
- Repetitive overhead movements
- Previous shoulder injury
- Genetically loose ligaments
- Joint overuse
- Feeling that the shoulder may give out
- Tenderness to touch
- The joint may feel loose
- Recurrent shoulder dislocations
- Pain may increase with overhead movements
- Limited range of motion
- Numbness and tingling in the arm
- Popping or clicking sensation during certain arm movements
- Difficulty sleeping on the affected shoulder
The shoulder specialist may conduct a physical examination and inquire about any previous injury or joint dislocation. He may move the shoulder in different directions to check for strength and range of motion. Imaging tests, such as X-ray, CT scan or MRI may be required to determine the extent of damage caused to the ligaments and connective tissues within the shoulder joint.
- Lifestyle Modification: The patient may be advised to give rest to the affected shoulder and avoid activities that may aggravate the symptoms.
- Medication: The doctor may prescribe non-steroidal anti-inflammatory medications to provide relief from pain and swelling.
- Ice Packs: Applying ice packs at frequent intervals may also help to eliminate inflammation and reduce pain.
- Shoulder Brace: The doctor may advise wearing a shoulder brace or sling to provide support and hold the joint in a properly aligned position. This will restrict any jerky movements and prevent further damage to the shoulder.
- Physical Therapy: The physical therapist may suggest certain stretching and strengthening exercises to improve the stability of the joint.
- Surgery: Surgical treatment may be required to repair torn or loose ligaments so that they can hold the joint firmly in place.
The orthopedic surgeons at OrthoTexas provide comprehensive diagnosis and treatment for Shoulder Instability. To schedule an appointment in Plano, TX, you can call at (972) 985 – 1072 or visit 4031 West Plano Parkway Suite 100, Plano, TX 75093.
27. October 2014 08:26
Plica Syndrome is the problem that occurs in knee due to certain injury and overuse. It leads to intense pain and often diagnosis of the problem is difficult; however, once diagnosed the problem can be easily treated. For effective treatment, one should understand what happens during the problem and how it is treated. Plica is a defined as a fold in the inner lining of the knee joint. The lining, which has synovial tissue, helps in the unrestricted movement of the joint. Plica has four soft tissue folds, the medial Plica, one of the folds causes problem when it gets inflamed due to overuse or injury and is called Plica syndrome. The condition is common among athletes and runners.
- Repeated motion of the knee
- Exercises that irritate Plica
- Repeatedly bending and straightening of the knee
- Activities such as biking, running, climbing stairs
- Falling on the knee
- Hitting knee on hard surfaces during an accident
- Pain in the front of knee
- Popping and locking when the knee is bent
Plica Syndrome is difficult to diagnose. The orthopedic physician reviews the medical history of the patient and thoroughly examines the knee. He tries to access the extent of damage by the injury and determine the cause of the injury. The physician will look for a thickened piece of irritated tissue on the knee. He will also assess the strength and mobility in the knee. The physician may ask certain questions related to the routine activities of the patient. He also recommends imaging tests such as x-ray or MRI to find the source of pain.
Often Plica Syndrome is cured without surgery; however, if the problem persists the patient has to undergo surgery. The patient is suggested to limit the physical activities to reduce the inflammation. The doctor may also prescribe some anti-inflammatory medicines to reduce swelling. Ice packs and massages can also help. In case the symptoms persist, the patient may have to undergo surgery. There is no harm in removing plica as your body can remain without it. The surgery does not involve any complications and side effects.
The recovery time ranges from four to six weeks. During the recovery period, a physiotherapist can help patients recover the lost strength and mobility. Regular stretching and strengthening exercises benefit the knee. The patient should allow complete recovery before starting any physical activity or sports.
10. December 2013 11:01
Injuries to the spine are common while participating in various sports. These injuries can occur in any part of the spine, and are the major cause of sports-related back injuries. Other causes of these injuries include trauma to the soft tissue and fascia which are an essential component of the back structure. Injuries to the lower back or neck comprise up to 20% of all sports injuries. The various types of sports-related back injuries include:
- Upper back injury: These injuries are usually caused by a rib fracture or intercostal muscle strains, in sports like swimming, golf, tennis, skiing, and weight training with rotation, all of which involve the torso. It is rare for these injuries to be associated with spinal injury, owing to the relative immobility and extra support to the thoracic spine.
- Lower back injury: Being subjected to a large amount of strain in various sports, the lower back is relatively more prone to sports-related injuries. These injuries usually occur in sports like running, golf, weightlifting, etc., which involve repetitive impact, twisting motions, or end of range-of-motion weight loading.
- Neck injury: Neck injury is commonly witnessed in contact sports like football, in which the cervical spine is subjected to a great amount of stress, increasing the chances of neck injury.
Completing a warm-up before all types of sports can help to decrease the chances of back injuries. These warm-ups should be specific to the sport being played and should include increased circulation through easy movements; stretching exercises focusing on the lower and upper back, as well as the hamstrings and quadriceps; and slow initiation of the sports movements.
If you are suffering from a sports-related back injury, you can seek help from various sports-related experts at OrthoTexas. It is advisable to choose a sports medicine specialist with experience in your particular sport. Someone with this kind of expertise can help you to learn the correct form for a new sport or help to develop a proper technique for your current sport, which can help to decrease the chances of a future back injury.