9. The joint is irrigated periodically and at the end of the procedure to maintain good visualization and clear the joint of blood and tissue fragments.…
Current treatment options for Paul would be to get a shoulder arthroscopy, which is an operation that uses a small camera called an arthroscope to repair the tissues and tendons inside or around the shoulder joint. The patient will receive general anesthesia and during the procedure the surgeon inserts the arthroscope into the shoulder joint through a small keyhole incision. The surgeon will then inspect the tissues (cartilage, bones, tendons and ligaments) and then repair the damaged tissues by making 1-3 more small keyhole incisions and uses other instruments. Rotator cuff repair is bringing the edges of the tendon back together and then attaching the tendon to the bone with sutures. The surgeon may also use anchors to help attach the tendons to the bone, as these do not need to be removed after the surgery. After the surgery the incision will be closed with stitches and have a dressing covering it.…
The Anterior Cruciate Ligament (ACL) is one of the two cruciate ligaments of the knee, the other being the Posterior Cruciate Ligament (PCL). These ligaments are the stabilizers of the knee. The ACL is a strip of fiber tissue, which is located deep inside the knee joint. It runs from the posterior side of the femur (thigh bone) to the anterior side of the tibia (shin bone) deep inside of the knee. The ligament is a broad, thick cord the size of a person 's index finger. It has long collagen strands woven together in a fashion that permits forces of up to 500 pounds to be exerted. The function of the ACL is to prevent the tibia from moving in front of the knee and femur. The ACL also prevents hyperextension (or extreme stretching of the knee backward) and helps to prevent rotation of the tibia.…
Now this surgery is a very difficult and long process operation. Because there are three ligaments ruptured you have options on how they can be repaired. For the ACL, your options for the graft are the patellar tendon autograft, hamstring tendon autograft, quadriceps tendon autograft, and allografts. The reason these options are considered is because in the past doctors used to just sew the ACL back together, but didn’t have a high recovery rate. For the meniscus you have three options. Meniscectomy, which is the removal of the torn section of the meniscus, a suture repair of the torn section, or an implantation of a cadaver meniscus. The MCL is very unique, unless it is a very severe tear, the MCL will heal on its own once the torn ligaments are repaired. The knee will once again be stabilized after surgery and the MCL will begin to heal. This surgery is arthroscopic meaning that it is done using a small camera inserted into your joint area with a picture being presented on a screen to help surgeons see. The most crucial damage of the ligaments is the ACL and does require reconstructive…
“After 179 pitchers were analyzed on Tommy John surgery, 148 were able to return to the MLB, 174 pitchers were able to return to the MLB and the minors combined, while only five pitchers were not able to return to the MLB and minor league”. Most pitchers are successful after getting Tommy John surgery. Tommy John surgery allows a person’s elbow to heal properly. The surgery was originally used for pitchers, but now it can be used for any person who needs it. Numbers of ulnar collateral ligament reconstructions performed each year in Major League Baseball pitchers have increased since 1985, according to a graph that was provided by BJ Erickson. The way ulnar collateral ligament reconstructions surgery got its nickname “Tommy John surgery” was when a procedure was performed on Major League Baseball pitcher, Tommy John. It was originally…
Ulnar Collateral Ligament Reconstruction surgery, which is its medical name, is a grafting procedure in which doctors take tendons from another part of the body, like the forearm, hamstring, hip or knee and replace the ligament in the elbow with the other grafted ligament. Two holes are drilled into the arm bones and the replacement “ligament” is woven between the two holes like a figure 8. This injury is caused by a repetitive throwing or over head motion such as throwing a baseball or swinging a tennis racquet.…
Tommy John surgery, also referred to as ulnar collateral ligament surgery, is a medical procedure invented by Dr. Frank Jobe in 1974 that is usually performed on baseball layers and other athletes who injure the ulnar collateral ligament in the elbow. It was named after Los Angeles Dodgers pitcher Tommy John, who was the first person to undergo the procedure. For baseball players, this damage is mainly caused by the wearing down of the ligament through constant throwing or pitching of the baseball. Over time the ligament can wear down tremendously that without having the surgery, the layer’s career can presumably be declared over. During the surgery, a tendon from another area of the patient’s body is removed (usually from the non-throwing arm) and put in the place of the damaged elbow ligament. The tendon is surgically attached similar to a figure eight pattern. The tendon must then learn to function as a ligament and generally requires about twelve to sixteen months of rest and rehabilitation before the athlete can return to their respected sport. Tommy John surgery will not give an athlete an “upper hand” in making them more successful over their opponents.…
Most of the tears in this area can be repaired with different treatment protocol. The preferable treatment for these tears includes surgical procedures. On the other hand, when a tear is small, conservative treatment is preferred. When rotator cuff tears occur in young athletes, the position and sport the athlete plays is taken into consideration. A linebacker for a football team is more likely to receive a surgical procedure when compared to a soccer…
To go in-depth, UCL Reconstruction or Tommy John Surgery is where a surgeon uses a tendon graft to replace the UCL, which is located is on the inside of the persons elbow. The tendon graft is used to replace the damaged or tore tendon in the elbow, usually coming from another part of the body where it is not necessary for movement. The graft is then positioned to where it is drilled through the Ulna and Humerus. The most common graft that is used is called the Palmaris graft, in which they remove the tendon located in the wrist. Even though this is the most commonly used, many people are born without this tendon. Other graft options include use of a hamstring, toe extensor, or donor tendon (allograft). When the graft is put all the way through the Ulna and Humerus, it is finally attached to the…
Some common efforts are resting, icing, and arm rehabilitation. If these efforts are unsuccessful, surgery will be necessary to return to a competitive level (Erickson). UCL injuries requiring surgery are often caused by overuse and bad mechanics. With overuse occurring often in many adolescents, pitch rules and limits have started to take effect in leagues to prevent as many overuse injuries as possible. Overuse is one of the leading causes of injury and is a typical problem in younger athletes who play for teams with one standout pitcher. Overuse will often lead to microtrauma injuries, and when pitched on, these microtrauma injuries lead to larger scale injuries and larger problems (Andrews 54-56). UCL injuries can also be caused by repetitive stress on the elbow, usually caused by throwing. The injury occurs when the ligament loosens and stretches to a point where the bones creating the elbow joint are no longer held closely tightly (Ansorge). Elbow injuries often have symptoms that are quite recognizable. Symptoms are often pain and fatigue in the elbow, and can be recognized early if pain does not reside after stretching a few warm up throws (Andrews 59). Other side effects to a UCL injury can be a tightness in the elbow and a tingling in both the ring and pinky fingers of the throwing hand (Ansorge). Tommy John Surgery would be used to get rid of these symptoms, and to eventually restore the stability of the elbow joint that was causing the problems in the first place. The ultimate goal is to get an athlete to where he was, and to eliminate the reason for him not being able to throw in the first place (Ulnar). Before the surgery, the injury must first be diagnosed with either a physical exam, x-ray, or MRI revealing any damage to the ligament that would require a surgical procedure (Ansorge). After diagnosis, the surgical procedure will begin.…
Hours of physical therapy to rehabilitate the knee take lots of patience for recovery time. Starting physical therapy before and after ACL surgery is a great way to recover faster but remembering to take it slow, day by day is also as important. “The next four to six months are used to restore knee function to what it was before the injury. Strength, agility, and the ability to recognize the position of the knee are increased under the guidance of the physical therapist and surgeon. There is a balance between exercising too hard and not doing enough to rehabilitate the knee and the team approach of patient and therapist is useful (Buchholz, 2006).” Certain exercises like a simple knee bending increases mobility. Standing on a mini trampoline helps to retain knee balance. Practicing leg lifts upkeeps the torn ACL. Getting full knee range of motion before surgery limits complications. The goal is to get your knee back to normal. It is extremely important to keep up with daily physical therapy to move forward with the ACL process. Studies have shown, doing lots of treatment help women and their ACL tears to decrease the occurrence of it happening…
surgery on her ACL and meniscus. Her injury required surgery a few months later. This…
Whether it is chronic or acute, hip pain can be debilitating. Fortunately, advances in arthroscopic hip surgery have made life bearable again for countless hip pain sufferers. This type of procedure can be utilized to counteract an assortment of hip conditions, from injuries of the articular cartilage to labral tears to impingement of the hip. Modern arthroscopic surgical techniques are minimally invasive in general, making them far more appealing to patients than past options may have been. However, this kind of surgery can be technically demanding, so attending a surgical center or clinic with a well-trained and adequately sized staff is imperative. Proper aftercare and physical rehabilitation are vital to the healing process after arthroscopic surgery has been performed.…
One hazard to soccer players is a risk of a torn anterior cruciate ligament, also called the ACL. The ACL is a ligament that connects the thigh bone to the shin bone. A tear of the ACL is caused by the sudden twisting or jerking motion, like the action of a soccer player sliding…
The overall goal from after this surgery and recovery was to go back to how my life was before. I needed to find the strength and courage again to have the power to step foot on the soccer field without completely psyching myself out and have fear control me. Ryan Schaefer, who is my physical therapist and trainer, has torn both his ACLs several times and had excellent advice and relatable moments. Ryan is my Araidne, he helped me through my worst just like she did for Theseus. In the story I relate to Theseus because I am trying to find my thread after this surgery, and conquer my own version of the Minatour which is ACL reconstruction surgery.…