Why do you think the lady imaged below cannot get her shoe to fit anymore ? And yes, she truly does have a “screw loose” 😜 She presented with the screw head almost pushing through the skin as you can see in the image with the yellow arrow. The patient had surgery about 15 years ago by… Read more »
How do we accurately place screws in the knee and shoulder joints when we are using an arthroscope or even in some open surgeries? We use a technique called cannulation. A guide pin, which is quite small and commonly around 3 mm in diameter or smaller, is placed. If the guide pin is not in… Read more »
1. When ramping up your mileage do not increase your mileage more than 10% per week. 2. Listen to your body. If you start to have pain, you need to back off and increase your cross training activities. 3. Keep a detailed training log. A training log is also very useful if you get a… Read more »
Yikes!!! My patient broke both hips in the same year. Where you break your hip will determine what type of surgery you will need to have performed. On the left side she broke her hip in the intertrochanteric region of the hip joint. That type of fracture is treated with the intramedullary hip screw and… Read more »
When you have a joint in your body that is arthritic it is painful to move that joint. The body tries to prevent joint mobility by forming bone spurs around the joint to limit the range of motion. The body is essentially trying to fuse the joint that is painful. Surgically going in and removing… Read more »
The National Girls & Women in Sports Day dates back as far as 1987 and is a way of recognizing and honoring the contributions of female athletes. Thanks to the Athletic Department at the University of Louisville, Dr. Stacie Grossfeld was invited to take part in a celebration of the national holiday on Sunday January 27,… Read more »
Imaged below is a bio composite screw that I used in a knee. The screw will actually incorporate into your bone over time. One of the big advantages of this type of screw is if you ever need to have an MRI of the knee in the future, it will not cause any artifact. Retained… Read more »
My 12 year old son, poo poos it because we don’t have 4K monitors in the operating room and it’s only 1080p, however in 1080p this is what knee osteoarthritis looks like: The first image (upper left ) is a normal knee with normal white, smooth cartilage covering the end of the femur bone. Image… Read more »
Yep! While X-rays are excellent at showing bones, they are bad at showing anything else. An MRI can show not only the bone but bleeding, swelling and fluid within the bone. The detail is amazing. Imaged below to the left is a MRI view of a knee joint. The red circle reveals a stress reaction… Read more »
When you tear your anterior cruciate ligament (ACL), and undergo surgery, you cannot “repair” the ligament tear. You have to reconstruct the ligament. Reconstruction means you have to take some other ligament or tendon in the patient’s body and turn it into an ACL. There are many options. I commonly use two of the hamstring… Read more »
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