October 2021 Case of the Month

This month’s case presentation is that of a 65 year old woman who sustained a complex fracture of her shoulder. We recently performed surgery on her shoulder and the presentation highlights some of the unique tools, software, and techniques that we used to successfully manage her shoulder problem.

September 2021 Case of the Month

This month’s interesting case involves a 16 year old high school volleyball player with recurrent patellar instability, a symptomatic full thickness cartilage defect in her patella, and symptomatic loose bodies in her knee. She failed conservative treatment and elected to proceed with surgical intervention. She underwent a right knee scope with loose body excision x […]

August 2021 Case of the Month

This month’s case presentation is that of a young man that sustained a shoulder dislocation while experiencing a seizure. The violent muscle contractions that can occur during a seizure can result in a shoulder dislocation with considerable damage to the ligaments, muscles, and tendon of the shoulder, but can also damage the bones of the […]

June 2021 Case of the Month

This month’s interesting case is that of a man that injured his shoulder after becoming lightheaded and passing out or, possibly after sustaining a seizure. He came to see us about 1 1/2 years later. His shoulder motion and shoulder function were very limited. He was diagnosed with a fixed posterior dislocation of the shoulder. […]

March 2021 Case of the Month

This month’s feature case is a young teenage figure skater that presented with chronic lateral sided knee pain following a surgical excision of a torn lateral meniscus. She was managed with an osteotomy ( cutting of the bone ) of the distal femur to correct her “knock knee” malalignment, along with a lateral meniscus allograft […]

February 2021 Case of the Month

This month’s case of the month is a 41 year old man who sustained a traumatic left shoulder dislocation. For most 41 year old people that dislocate their shoulder, the chance for recurrent instability is probably 10-15%. However, our patient broke off a section of the glenoid (socket) with his dislocation and he sustained several […]

I have heard that you can only have 3 cortisone injections over a lifetime. Is that true?

Corticosteroids are steroid medications that are frequently used to help minimize inflammation.  They can be administered orally, topically, or by injection into a specific area or intravascularly.  In contrast to anabolic steroids, which are those steroids that are used to build muscle mass, corticosteroids are catabolic steroids, which “break down” as opposed to “build up”.  […]

What are the facts and myths with Stem Cell injections?

Stem cells are progenitor cells in the body that have the ability to differentiate into different cell lines, thus, the ability to generate bone, soft tissue, cartilage, and organ tissue.  In the lab, cells can be made to differentiate and regenerate heart tissue, ear cartilage, etc.  To date, modifying stem cells is not approved by […]

I have heard about injecting “chicken fat” into knees. Can you tell me about that?

I think you are referring to hyaluronic acid injections.  Orthopedic surgeons have been using hyaluronic acid injections to help patients with knee arthritis for more than 20 years.  Hyaluronic acid is a substance that is present in the human body with highest concentrations in joints and eyes.  The substance gives joint fluid more viscosity and […]

Are there any supplements that are useful for knee health?

 This is a great question that I am frequently asked.  Before I answer, it must be pointed out that supplements are different than pharmaceuticals, or drugs.  For reasons of safety and patient’s interests, the Food and Drug Administration ( FDA ) has very stringent criteria and requirements for companies to bring a product to market.  […]