683 03 Golden Sneakers for Older Individuals - Why does my Arm Hurt скачать в хорошем качестве

683 03 Golden Sneakers for Older Individuals - Why does my Arm Hurt

Mary Lloyd Ireland, M.D. Professor - University of Kentucky Dept. of Orthopaedic Surgery and Sports Medicine www.marylloydireland.com 0:42 Think of Cervical Disc Herniation Unilateral Night Pain 1:23 Sensory Distribution 1:47 The Burden of Musculoskeletal Diseases in the United States: Prevalence, Societal and Economic Cost AAOS, Feb. 2011 2:22 The Burden of Musculoskeletal Diseases 2:56 REPLACEMENT SURGERY Agency for Healthcare Research and Quality (AHRQ) www.qualitymeasures.ahrq.gov KNEES 600,000 HIPS 234,000 SHOULDERS 53,000 3:18 Counseling Patients Education www.orthoinfo.com topic • www.webmd.com/ WebMD • Ask.com/Total Specific Joint Replacement • Lawyers.com • Doctors.com 4:26 Internet Search—Results • Osteoarthritis 12,800,000 • Knee Osteoarthritis 8,900,000 • Hip Osteoarthritis 3,310,000 • Supplements 50,6000,000 •Total Knee Replacements 37,000,000 •Total Shoulder Replacements 2,740,000 5:01 In the Mid 1980’s Metal Staple for Treatment of Instability-I never used-Whew! Caused OA and Humeral Head Erosion. 5:48 35-year-old male, 3 mo. After arthroscopic Bankart repair, chondrolysis 6:14 David Abbasi MD, John Badylak MD, Jeremy Stern MD, OrthoBullets Chondrolysis is devastating! 6:41 Who Gets GH Osteoarthritis • Weight Lifters • Performance Enhancing Drug Users • Males more that Females • Use of UE for weight bearing 7:01 Avid Weight Lifter and Football Official­ Previous Open Anterior Recon L Shoulder Severe OA 7:33 Nonoperative treatment - Glenohumeral osteoarthritis •Supportive treatment •Nonsteroidal anti-inflammatory medications – Glucosamine chondroitin sulfate •Physical therapy of no benefit •Attempts at proper neck and scapula positioning can be made but increasing range of motion of the shoulder is not possible in severe glenohumeral osteoarthritis 7:51 GH OA Surgical Treatment Options • Arthroscopy • Hemiarthroplasty • Total Shoulder Arthroplasty • Reverse Shoulder Arthroplasty • Biologic Resurfacing • Arthrodesis 8:11 Treatment of Arthrosis in Young Active Patient •Arthroscopy is gold standard for detecting chondral injuries •Concerns about progressive glenoid erosion and glenoid loosening leads one to pursue nonarthroplasty techniques to manage these young active patients •Algorithmic decision-making approach to encompass patient-based and disease-based factors is needed. Boselli KJ, Ahmad CS.  Treatment of glenohumeral arthrosis.  Am J Sports Med 2010;38(12):2558-2572. 8:42 70-year-old white female: pain limited motion for two years, nondominant shoulder 8:57 Shoulder Joint Replacement From: AAOS Orthoinfo: Shoulder Joint Replacement https://orthoinfo.aaos.org/en/treatme... 10:13 Which is Safer? Organized Sports or Free Play? 10:37 I Am Invincible! 10:53 "Adults are obsolete children." — Dr. Seuss