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    • Joint Disorders
    • Shoulder
    • Sports Medicine

    AC Joint Inflammation

    The AC (acromioclavicular) joint is formed where a portion of the scapula and clavicle meet and are held together by ligaments that act like tethers to keep the bones in place. Inflammation of the AC joint is a frequent cause of pain in the top portion of the shoulder.

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    • Arthritis
    • Fractures, Sprains & Strains
    • Joint Disorders
    • Physical Medicine & Rehabilitation (PM&R)
    • Shoulder
    • Sports Medicine

    AC Joint Issues

    Although many things can happen to the AC joint, the most common conditions are fractures, arthritis and separations. When the AC joint is separated, it means that the ligaments are torn and can no longer keep the clavicle and acromion properly aligned. Arthritis in the joint is characterized by a loss of the cartilage that allows bones to move smoothly and is essentially due to wear and tear.

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    • Joint Disorders
    • Muscle Disorders
    • Pediatric Injuries

    Bone, Joint & Muscle Infections in Children

    Children can develop “deep” infections in their bones (osteomyelitis), joints (septic arthritis), or muscles (pyomyositis). The most common locations for deep muscle infections are the large muscle groups of the thigh, groin and pelvis. Children who have infections of their bones, joints, or muscles often have fever, pain, and limited movement of the infected area.

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    • Foot & Ankle
    • Joint Disorders

    Bunions

    A bunion is a bump on the MTP joint, on the inner border of the foot. Bunions are made of bone and soft tissue, covered by skin that may be red and tender. Prolonged wearing of poorly fitting shoes is by far the most common cause of bunions, especially styles that feature a narrow, pointed toe box that squeezes the toes into an unnatural position. Bunions also have a strong genetic component.

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    • Fractures, Sprains & Strains
    • Knee
    • Ligament Disorders
    • Sports Medicine

    Collateral Ligament Injuries (MCL, LCL)

    Knee ligament sprains or tears are a common sports injury, and the MCL is injured more often than the LCL. The MCL is the most commonly injured ligament in the knee. However, due to the complex anatomy of the outside of the knee, an injury to the LCL usually includes injury to other structures in the joint, as well. Athletes who participate in direct contact sports like football or soccer are more likely to injure their collateral ligaments.

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    • Hand & Wrist

    De Quervain’s Tendinitis

    De Quervain’s tendinitis occurs when the tendons around the base of the thumb become irritated or swollen, causing the synovium around the tendon to swell and changing the shape of the compartment, which makes it difficult for the tendons to move properly.

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    • Hand & Wrist

    Dupuytren’s Contracture

    Dupuytren’s contracture is a thickening of the fibrous tissue layer underneath the skin of the palm and fingers. It is a painless condition and not dangerous, however, the thickening and tightening (contracture) of this fibrous tissue can cause the fingers to curl (flex).

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    • Fractures, Sprains & Strains
    • Sports Medicine

    Fractures

    A fracture is a broken bone. Although bones are rigid, they do bend with limited flexibility when outside force is applied. When that force is too great, the bone will fracture. Common causes of fractures include: trauma, such as auto or sports-related accidents; osteoporosis, which can weaken the bone; or overuse caused by repetitive motion that can tire muscles and place excess force on the bone, resulting in stress fractures like those most often seen in athletes.

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    • Foot & Ankle
    • Joint Disorders

    Hallux Rigidus (Stiff Big Toe)

    Hallux rigidus usually develops in adults 30-60 and occurs most commonly at the base of the big toe, or MTP joint. When articular cartilage in the MTP joint is damaged by wear-and-tear or injury, the raw bone ends can rub together and a spur, or overgrowth, may develop on the top of the bone. Because the MTP joint must bend with each step, hallux rigidus can make walking painful and difficult.

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    • Joint Disorders
    • Knee
    • Pediatric Injuries
    • Sports Medicine

    Jumper’s Knee

    Repetitive contraction of the quadriceps muscles in the thigh can stress the patellar tendon where it attaches to the kneecap, causing inflammation and tissue damage (patellar tendinitis). For a child, this repetitive stress on the tendon can irritate and injure the growth plate, resulting in a condition referred to as Sinding-Larsen-Johansson disease.

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    • Neck and Back (Spine)

    Lumbar Spinal Stenosis

    Lumbar spinal stenosis is a common cause of pain in the lower back and legs. As we grow older, our spines change and over time, normal wear-and-tear and the effects of aging can lead to a narrowing of the spinal canal (spinal stenosis). This puts pressure on the spinal cord and spinal nerve roots, and may cause pain, numbness or weakness in the legs.

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    • Joint Disorders
    • Physical Medicine & Rehabilitation (PM&R)
    • Shoulder
    • Sports Medicine

    Shoulder Impingement

    Rotator cuff pain commonly causes tenderness in the front and side of the shoulder. There may be pain and stiffness when lifting the arm, or when lowering the arm from an elevated position.

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    • Joint Disorders
    • Joint Replacement & Revision
    • Shoulder

    Shoulder Replacement

    In shoulder replacement surgery, the damaged parts of the shoulder are removed and replaced with artificial components, called prosthesis. Options include replacement of only the ball (head of the humerus bone), or replacement of both the ball and the socket (glenoid).

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