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PUBLIC NOTICE The Joint Commission on Accreditation of Healthcare Organizations will conduct an accreditation survey of KSF Orthopedic Surgery Center on May 7, 2009 and May 8, 2009. The purpose of this survey will be to evaluate the organization’s compliance with nationally established Joint Commission standards. The survey will be used to determine whether, and the conditions under which, accreditation should be awarded the organization. Joint Commission standards deal ...

(ABSTRACT) Physicians have struggled with the medical ramifications of athletic competition since ancient Greece, where rational medicine and organized athletics originated. Historically, the relationship between sport and medicine was adversarial because of conflicts between health and sport. However, modern sports medicine has emerged with the goal of improving performance and preventing injury, and the concept of the "team physician" has become an integral part of athletic culture. With ...

(ABSTRACT)The use if suture anchors in shoulder surgery has facilitated the rapid advancement of arthroscopic rotator cuff repair techniques. Innumerable anchor types have been developed which allow stronger, rapid, more effective arthroscopic rotator cuff repairs. Abundant research has been performed to maximize the efficacy of suture anchors in arthroscopic rotator cuff repair. The article reviews the literature regarding implant designs, technical considerations, clinical results, and ...

(ABSTRACT) Subluxation or dislocation of an intact lateral meniscus is a controversial and rarely reported cause of knee pain and locking. We report a case of knee locking caused by lateral meniscal subluxation in the absence of a meniscal tear or true discoid meniscus, with both magnetic resonance imaging (MRI) and arthroscopic verification. A 9.5-year-old child experienced multiple episodes of locking in full flexion of the knee. After 6 months of symptoms, arthroscopy was ...

The Sauve-Kapandji procedure and the Darrach procedure for distal radio-ulnar joint dysfunction after Colles' fracture. (ABSTRACT) This retrospective study evaluated the results of the Darrach procedure and the Sauve-Kapandji procedure for the treatment of distal radio-ulnar joint derangement following malunion of dorsally displaced, unstable, intraarticular fractures of the distal radius in patients under 50 years of age. Twelve of 18 possible patients in the Sauve-Kapandji group ...

Shoulder Impingement Syndrome (Abstract) Subacromial impingement syndrome is a common cause of shoulder pain. The purpose of this article is to review the clinical presentation, physical examination findings, and differential diagnosis of impingement syndrome. Using an evidence-based approach, we propose an algorithm for the management of subacromial impingement syndrome including indications for nonoperative management, advanced imaging, and operative management.  ...

Current Concepts Review: Revision Anterior Cruciate Ligament Reconstruction (Abstract)     Failed anterior cruciate ligament (ACL) reconstruction presents a difficult clinical challenge. Successful revision ACL reconstruction depends on identifying the causes of failure and correcting technical or diagnostic errors. Failed ACL reconstruction may be either traumatic or atraumatic. Atraumatic failures may be attributable to technical errors, diagnostic errors, or failure of graft ...

George MS, Huston LJ, Spindler KP. "Endoscopic versus Rear-Entry ACL Reconstruction: A systematic Review." Clinical Orthopaedics and Related Research 2007 Feb;455:158-61 Vanderbilt University Medical Center, Nashville, TN 37232-8774, USA. Anterior cruciate ligament reconstruction is commonly performed using the all-endoscopic (also known as all-inside or single-incision) method or the rear-entry (also known as outside-in or two-incision) method. We report a systematic review of ...

SHOULDER LABRAL TEARS The shoulder joint is composed of a ball (humeral head) and a socket (glenoid). The glenoid has a greater radius of curvature than the humeral head, making the shoulder inherently unstable. A rim of fibrous tissue (labrum) surrounds the socket and acts as a bumper to help keep the shoulder joint stable. The labrum also serves as the attachment of the biceps tendon as well as several stabilizing ligaments of the shoulder. Injuries to the shoulder such ...

PATELLOFEMORAL SYNDROME Patellofemoral syndrome (formerly known as chondromalacia patellae) is a dysfunction of the mechanics of the patella (knee cap). The patella normally rides in a groove in the femur known as the trochlea. The quadriceps muscle in the front of the thigh and the hamstring muscle in the back of the thigh control the motion of the patella. When the muscles become imbalanced, the patella does not ride normally in the trochlea, causing pain and sometimes a feeling ...

TOTAL SHOULDER REPLACEMENT What is shoulder arthritis? The shoulder joint is a ball and socket joint. The joint surfaces are normally covered by a smooth cartilage layer. Arthritis is a degeneration of the joint cartilage. Over time, the cartilage becomes thin, sometimes to the point that bone rubs on bone inside the joint. This process eventually leads to bone spurs and painful scar tissue in and around the shoulder joint. What are the symptoms and treatments of shoulder ...

Anterior Cruciate Ligament (ACL) Tears The anterior cruciate ligament (ACL) is the main ligament that controls the rotation of the knee. The ACL is important in providing stability during cutting and pivoting motions of the knee. What are the other main ligaments of the knee? The other main ligaments of the knee are the posterior cruciate ligament (PCL), medial collateral ligament (MCL), and lateral collateral ligament (LCL). These ligaments provide stability to the knee in all ...

Meniscus Tears The meniscus is a specialized C-shaped cartilage in the knee. The medial (inner) meniscus and the lateral (outer) meniscus act as a cushion in the knee to prevent the joint cartilage surfaces from grinding against each other. Meniscus tears in young patients are usually caused by a traumatic twisting injury to the knee and may be seen in combination with other ligament and cartilage injuries to the knee. In older patients, the meniscus can tear over time without ...

Rotator Cuff Injuries The rotator cuff is the group of four tendons (supraspinatus, infraspinatus, teres minor, and subscapularis) that helps rotate the shoulder and aid in overhead reaching. It also acts to depress the top of the humerus, opening the space between the humerus and the bone above it, known as the acromion. What is the difference between rotator cuff tendonitis and a rotator cuff tear? Rotator cuff tendonitis (also known as “bursitis” ...

Basal Joint Arthritis Arthritis is a disease that causes inflammation and stiffness in the joints.It often affects the joint at the base of the thumb. This joint is called the carpometacarpal joint. CMCJ arthritis occurs as a result of wear and tear on the joint. It is more likely to occur at a younger age if you have fractured or injured your thumb. Repeated gripping, twisting, or turning objects with your hand may make symptoms worse. If you have CMCJ arthritis, you may ...

Carpal Tunne Syndrome Carpal tunnel syndrome (CTS) is a common problem that affects the hand, wrist and fingers. This condition occurs when there is increased pressure on the median nerve at the wrist. The median nerve travels from the forearm into the hand through a “tunnel” in your wrist – the carpal tunnel. Wrist bones form the bottom and sides of the tunnel and a ligament covers the top. This tunnel also contains nine tendons. Increased pressure within the ...

Ganglion Cysts Have you noticed any lumps or bumps on your hand or wrist? You may have a ganglion cyst. A ganglion cyst is a firm, fluid-filled mass that may appear on the back of the wrist, palm side of the wrist, or at the base of the fingers. These cysts usually come from a nearby joint or around a tendon. Although ganglion cysts are common, they do not spread, do not become cancerous but can often change in size and sometimes disappear by themselves. A ganglion cyst may be ...

DeQuervain’s tenosynovitis Many different problems, from a simple sprain to severe arthritis, can cause pain or swelling of the wrist. One of the more common causes of wrist pain and swelling is DeQuervain’s tenosynovitis. DeQuervain’s tenosynovitis is inflammation of tissue on the thumb side of the wrist. Tendons (cord-like fibers that attach muscle to bone) and synovium (a slick membrane that covers tendons and allows them to move easily) become ...

Lateral Epicondylitis (Tennis Elbow) Epicondulititis is an irritation or inflammation of the tendons around the elbow joint. Lateral Epicondylitis (tennis elbow) is a painful condition on and around the bony prominence (epicondyle) on the outside (lateral side) of the elbow. Pain may radiate down your arm. Gripping or extending your wrist may intensify the pain. Medial Epicondylitis (golfer’s elbow) describes a similar condition. The pain focus is the knobby bump on ...

Stenosing Tenosynovitis (Trigger Finger) If you wake up in the morning and your thumb or finger is “locked” in a flexed position, you may have a trigger finger. Trigger finger or (Stenosing Tenosynovitis) is inflammation around the tendons to your fingers or thumb. Tendons (cordlike fibers that attach muscle to bone and allow you to bend your fingers) are held in place on the bones by a series of ligaments called pulleys. These pulleys form a series of arches through ...