Thursday, 17 of January of 2019

Tag » The American Academy of Orthopedic Surgeons

Shoulder Injuries – What to Expect



Football injuriesAs football season moves into full swing across the country, shoulder injuries are inevitable, whether players are NFL pros, college or high school athletes. Most of the time, injuries come from contact with another player as a result of a tackle, block or collision or fall to the ground. Even though players wear protective gear, rotator cuff injuries, sprains, strains, contusions and fractures are common shoulder injuries that can be sustained during the game or practice.

The American Academy of Orthopedic Surgeons describes the shoulder as several joints that combine with tendons and muscles to allow you to move your arm in a wide range of motion. Of course, this also makes the shoulder prone to injury.

But it’s not only football athletes who can suffer from a shoulder-related problem. The discomfort of bursitis, tendinitis or tendon tears, shoulder instability, impingement and osteoarthritis can affect anyone of any age or athletic ability.

If your shoulder is giving you chronic trouble, making it difficult to lift your arm or the pain wakes you up at night, don’t put off scheduling an evaluation to determine the cause and best treatment plan.

What can you expect during a consultation?

In addition to a physical exam, the doctor may order an X-ray or arthrogram, which involves injecting dye into the shoulder to help better visualize the joint and surrounding tissue. Sometimes, diagnostic imaging tests such as, CT Scan, ultrasound or MRI, may be required if the doctor wants to gain a more detailed picture of the anatomy, especially of the muscles, ligaments and tendons. Arthroscopy, which uses a tiny video-camera to allow the doctor to see inside the joint, can be used for both diagnostic evaluation and surgical repair of the problem.

For more information about shoulder pain or other orthopedic injuries, go to or call the office at 239-936-6778 to schedule a consultation.

What Is That Bump On The Back Of My Wrist?




Photo Credit: Mayo Clinic

Have you ever had a small, round, fluid-filled lump develop on top of the wrist or at the base of your palm? These non-cancerous lumps are called ganglion cysts and they are very common. They can be a little as a pea or as large as a small tangerine. In addition to the hand and wrist, they can develop at the ankle and foot and at a finger joint.

Quite often ganglion cysts “appear and disappear” without concern and don’t require treatment. But sometimes they can become large enough to put pressure on the nerves, which can create pain, tingling and muscle weakness. They can also interfere with moving your wrist or simply be unsightly in appearance.

What can you do? The American Academy of Orthopedic Surgeons suggests that the first step might be to take over-the-counter pain relievers and wear a wrist brace or splint to relieve discomfort. But if that option proves ineffective, there are two minimally invasive choices.

Needle aspiration involves inserting a small needle into the cyst to drain the fluid and reduce the pressure on the nerves.  The cyst and part of the joint capsule or tendon sheath can also be surgically removed. Both of these choices are good ones, but it’s important to know that even if the procedure is successful, unfortunately, ganglion cysts have a high rate of recurrence.

Who’s at risk for developing a ganglion cyst? The Mayo Clinic reports that although anyone can bet them, the cysts are more common in young women between the ages of 20 and 30, as well as in people who have osteoarthritis of the finger or wrist or who have had a joint or tendon injury.

For more information about hand conditions or other orthopedic-related concerns, call Dr. John Kagan at 239-936-6778 or go to

Arthritis of the Hand, Wrist & Fingers





Think of the demands we place on our hands, wrist and fingers nearly every waking moment. From grasping, pulling, twisting, turning and bending to texting and typing, our hands are constantly busy. Over the next few weeks, we’ll talk about medical conditions like osteoarthritis, ganglion cysts and trigger finger and how they can affect our hands and interfere with quality of life. Today’s blog will be about osteoarthritis: causes, symptoms and how to live with it.

The joints in the hand, wrist and fingers, just like the knees, hips and shoulders, can be damaged by osteoarthritis. The  loss of cushioning cartilage creates pain, stiffness and swelling, making it hard to bend the fingers or turn the wrist. Did you know that swelling results from the body’s attempt to make up for the loss of cartilage by producing extra fluid in the joint lining? However, the swelling stretches the joint covering, which is uncomfortable. The swelling may also make the joint hot to the touch.

What causes all of this to happen? Age can definitely be a factor, but so can heavy usage and an injury like a fracture. The American Academy of Orthopedic Surgeons reports that an injured joint is seven times more likely to become arthritic, even if the injury is properly treated.


The main goal of treatment is to relieve pain and swelling. Anti-inflammatory drugs such as Tylenol and Advil and prescription drugs such as Celebrex can be helpful. So can the use of finger or wrist splints; application of hot or cold, topical creams, special therapeutic exercises and steroid injections.

Surgical treatment is less common for hand, wrist and finger osteoarthritis. However, the AAOS reports that the development of tiny instruments make arthroscopy of the small joints of the hand and wrist now possible. In addition, some orthopedic surgeons specializing in hand surgery are performing joint fusion or joint replacement of the wrist and finger knuckles.

The first step in diagnosing osteoarthritis of the hand is to schedule a consultation for a physical exam and X-rays. For more information, go to or call 239-936-6778.

NBA Players At Risk For Torn Meniscus & Other Sports Injuries


Photograph: Bob Pearson/EPA

Photograph: Bob Pearson/EPA

Hardly a month goes by without news about a sports-related injury sidelining a professional athlete. In April, Russell Westbrook, a star point guard with the Oklahoma Thunder collided with a player from the Houston Rockets during the NBA playoffs, resulting in a torn meniscus that required surgery.

The same month, Danilo Gallinari of the Denver Nuggets tore his ACL when he landed awkwardly after going for a layup shot in a game against the Dallas Mavericks. And Danny Granger of the Indiana Pacers has had ongoing problems with patellar tendinitis that finally resulted surgery on his left knee in April.

Knee injuries plague athletes in all sports, not just basketball. But the demands of basketball, including high and long jumps, as well as the need to accelerate, stop and turn abruptly – and the risk of collisions put players at high risk. The American Academy of Orthopedic Surgeons reports that the knee joint, which is the largest joint in the body, is one of the most easily damaged. Injuries typically fall into three categories – the ligaments that connect the knee joint to the bones of the legs are torn; the meniscus, the tough, rubbery cartilage that cushions the knee joint is ripped; or the kneecap is damaged.

For the average person who sustains a knee injury, a period of rest from the activity, medication and an injection may be all that is needed to alleviate the pain and mend the damage. But for professional athletes, who often repeatedly injury the same party of the body and may not give themselves adequate time for rehabilitation, a more aggressive course of treatment and surgery may required.

While the knee’s design can make it vulnerable to injury, so can muscle weakness and lack of flexibility, reports the Mayo Clinic. A fitness regimen that strengths the leg and pelvic muscles around the kneecap, hips and pelvis can help keep the knee joint more stable and balanced.

For more information about knee pain and treatment options, visit

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