TURNER - Common Orthopedic Conditions - Wyoming Medical Center
Common Orthopedic Conditions Clayton E Turner, MD Casper Orthopaedic Associates Casper, Wyoming Frontiers in Wyoming Medicine 2014
Common Orthopedic Conditions 1. 2. 3. 4. 6. 7. 8. 9. 2 Ankle Sprain Plantar Fasciitis Tennis Elbow ACL Tear Meniscus Tear Rotator Cuff Tear Carpal Tunnel Syndrome Distal Radius Fracture
Ankle Sprain Ligament injury Ankle pain, tenderness, swelling Twisting force One or more of these ligaments can be torn or stretched. 3 Illustration reproduced with permission from The Body Almanac, Rosemont, IL American Academy of Orthopaedic Surgeons, 2003
Ankle Sprain 4
Ankle Sprain R.I.C.E. Rehabilitation Anti-inflammatory Brace Recurring problem 5 Adequate healing time Rehabilitation surgery Illustration reproduced with permission from The Body Almanac, Rosemont, IL American Academy of Orthopaedic Surgeons, 2003
Plantar Fasciitis Microtears of plantar fascia Painful heel Unrelated to “heel” spur on xray 6
Plantar Fasciitis 7 Tape heel, arch Customized orthotics Stretching Massage Exercises
Plantar Fasciitis - Treatment 8 Warm up well before sports or activities Ice heel, 20-30 minutes after sports or stretching (freeze Styrofoam cups) Anti-inflammatories Night splint Massage
Plantar Fasciitis Prepare before running Wear good, supportive shoes Arch support Keep feet strong Avoid activities that cause heel pain If pain persists Corticosteroid injection Surgical referral 9
Tennis Elbow Lateral epicondyle 10
Tennis Elbow 11 Pain just distal to bony ridge Extensor muscle origin Avoid with: warm up Avoid with: stretch before play Correct, well maintained equipment Condition beforehand Evaluate cause
ACL Injury 12 Direct blow to knee Non-contact injury, with foot planted and an attempted change in direction – pivot or cut Landing on straight leg Making abrupt stops
ACL Tear Normal anatomy Anterior cruciate ligament Patella Hyperextension Femur Anterior cruciate ligament tears Tibia Fibula 13 Illustration reproduced with permission from The Body Almanac, Rosemont, IL American Academy of Orthopaedic Surgeons, 2003 Femur slips
ACL Tear Treatment – aggressive rehab and potential surgical reconstruction Incidence of ACL much higher among female athletes Combination 14 of causal factors
ACL Tear- Prevention 15 Land safely from jumps Practice cutting maneuvers Use little steps to stop Strengthening exercises
Meniscus Tear 16 Helps knee joint carry weight, glide, and turn Twisting injury Football and other contact sports Subset of Degenerative Tears occurring in MA
Meniscus Tear Pain Giving way Locking Clicking Swelling 17
Meniscus Tear Normal meniscus 18 Torn meniscus
Rotator Cuff Tear 19
Rotator Cuff Tear Shoulder pain Worse at night Weakness Catching Limited motion 20
Rotator Cuff Tear Treatment Rest Cold & heat Sling Physical Therapy NSAIDS Injection Surgery 21
Rotator Cuff Tear Prevention Avoid repetitive activities with the arm at shoulder level or higher 22
Carpal Tunnel Syndrome Median nerve Transverse carpal ligament Flexor tendons Compressive neuropathy of the median nerve Common in: Pregnancy Diabetes Thyroid dysfunction 23
Carpal Tunnel Syndrome Numbness Tingling 24 Clumsiness Pain
Carpal Tunnel Syndrome 25 Splint or brace at night (neutral position) Ergonomic/work evaluation Cortisone injections Anti-inflammatories Surgery to release ligament if unresponsive
Distal Radius Fracture 26 Wrist fracture Fall onto outstretched hand (FOOSH) Snowboarders, skaters, elderly Nondisplaced - cast Displaced – reduction possible surgery, ? Intra- or extraarticular
Normal Wrist Normal wrist: 15’ radial deviation 11’ volar or palmar tilt Radial deviation 27 Volar Tilt
Distal Radius Fracture 28
Wrist Fracture – Cast Care 29 Keep it dry Don’t pull out the padding Don’t stick objects inside Keep dirt, sand & powder out Don’t break off or trim edges
Overuse Injuries Change Intensity Duration Frequency 30 Common issue in the aging population
Overuse Injuries & Boomeritis Training errors Improper technique Less-than-optimal environment 31
Acute vs. Overuse Injuries 32 Acute - sudden trauma such as sprains, strains, bruises, and fractures Overuse - series of repeated small injuries
Boomeritis Exercise - key, but . . . Bike accidents prevail Mortality children 50% wear helmets 33
Boomeritis t endinit is bur sit is 34 spr ains st r ains
Treatment 35 R.I.C.E. Modify or stop sports activities 90% of these issues can be addressed with conservative/nonsurgical measures Physical therapy & medication Surgery may be warranted in rare situations
Preventing Sports Injuries 36 Know and abide by rules Wear appropriate protective gear Know how to use equipment Never “play through pain”
Preventing Sports Injuries Warm up & stretching are two separate steps! Dynamic stretch Combine the 2 into One activity 37
Overuse Injuries 10% Rule 38 Don’t Increase Activity by More Than 10% Per Week
Common Orthopedic Conditions. 2 Common Orthopedic Conditions 1. Ankle Sprain 2. Plantar Fasciitis 3. Tennis Elbow 4. ACL Tear 6. Meniscus Tear 7. Rotator Cuff Tear 8. Carpal Tunnel Syndrome 9. Distal Radius Fracture. 3 Ankle Sprain Ligament injury Ankle pain, tenderness, swelling One or more of these ligaments can
S65 & S85 User Manual o Turner Shark OBD flash tool and USB cable o Turner USB memory stick, containing: o Turner Shark updated Base file o Turner Shark Tune file o Turner Shark Windows program setup file o Turner Shark User Manual PDF o Turner Shark Setup Guide PDF o Turner Shark software installed on your laptop (refer to sepa
The Wyoming Constitution is the foundation of Wyoming’s laws and is our State’s most essential document - preserving our liberty and justice in Wyoming. It was a proclamation of how this newest State, Wyoming, would responsibly protect the values of a rugged frontier when admitted as
Figure 1. Wyoming population growth rate by decade (1970-2020). Since 1990, Wyoming has maintained moderate population growth. Figure 2. Population growth rates for Wyoming and neighboring states (2010-2015). Wyoming had the second-lowest population growth rate relative to neighboring states. The U.S. Average was 3.7%.
Orthopedic Associates is a collection of talented, highly trained Orthopedic Surgeons and staff dedicated to serving Ocean County and beyond. Ocean Orthopedic Associates was founded in 1969 by some of the original Orthopedic Surgeons to practice in Ocean County and their commitment to excellence and dedica
The modern orthopedic hospitalist is an inpatient orthopedic specialist, devoting his or her time and knowledge to the fractures, injuries, and other issues that present to emergency departments as well as among the inpatient floors. An orthopedic hospitalist can address all acute care orthopedic needs. Some of the most commonly
What Does That Have To Do With Technology? An Orthopedic Practice can not exist without a properly educated, trained and licensed Orthopedic Surgeon. An Orthopedic Practice can not persist itho tpersist without a properly ed catededucated, trained and equipped Staff to convert the Orthopedic Surgeon's training and abilities
Research related to medical robots for orthopedic sur-gery began in the mid-1980s [1, 2]. The orthopedic medical robots are supposed to play an important role in orthopedic surgery. The role of orthopedic medical robots is divided into two kinds of essential features. The first feature is that the orthopedic medical robots can be used for bone .
published by the American Petroleum Institute (API, 1984, 1991) are generally not consistent with the physical processes that dictate actual pile capacity. For example, the experimental observa- tion of a gradual reduction in the rate of increase of pile capacity with embedment depth is allowed for by imposing limiting values of end-bearing and shaft friction beyond some critical depth .
