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    • Hand & Wrist

    Extensor Tendon Lacerations

    Extensor tendon lacerations (wounds, cuts or tears) of the hand and fingers are quite common injuries, and can occur at many different levels. They are often associated with deep structure damage, such as bone, joint and ligamentous support. Symptoms include one or more of the following: loss of function or strength, diminished range of motion, and weakness when straightening the fingers or hand.

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    • Fractures, Sprains & Strains
    • Hand & Wrist

    Hand Fracture

    A fracture of the hand can occur in either the small bones of the fingers (phalanges) or in the long bones (metacarpals). Symptoms of a broken bone in the hand include: pain; swelling; tenderness; an appearance of deformity; inability to move a finger; shortened finger; a finger crossing over its neighbor when you make a fist; or a depressed knuckle, which is often seen in a “boxer’s fracture.”

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    • Hip
    • Joint Disorders
    • Physical Medicine & Rehabilitation (PM&R)

    Hip Bursitis (Trochanteric Pain Syndrome)

    Hip bursitis is typically the result of inflammation and irritation in one of two major bursae in the hip. One covers the bony point of the hip bone (greater trochanter). Inflammation of this bursa is known as trochanteric bursitis.

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    • Hip
    • Joint Disorders

    Hip Osteonecrosis

    Osteonecrosis of the hip is a painful condition that develops when the blood supply to the femoral head is disrupted. Without adequate nourishment, the bone in the head of the femur dies and gradually collapses. This causes the articular cartilage covering the hip bones to also collapse, leading to disabling arthritis and destruction of the hip joint.

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    • Hip
    • Joint Disorders
    • Joint Replacement & Revision

    Hip Resurfacing

    During hip resurfacing, unlike total hip replacement, the femoral head (ball) is not removed. Instead, it is left in place, where it is trimmed and capped with a smooth metal covering. In both procedures, however, the damaged bone and cartilage within the acetabulum (socket) is removed and replaced with a metal shell.

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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)
    • Pediatric Injuries
    • Physical Medicine & Rehabilitation (PM&R)

    Kyphosis (Roundback) of the Spine

    The term kyphosis is used to describe the spinal curve that results in an abnormally rounded back. Although some degree of rounded curvature of the spine is normal, a kyphotic curve that is more than 50° is considered abnormal. There are several types and causes of kyphosis: postural kyphosis, Scheuermann’s kyphosis, and congenital kyphosis.

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    • Fractures, Sprains & Strains
    • Muscle Disorders
    • Neck and Back (Spine)

    Lumbar Back Strain

    A lumbar strain is an injury to the tendons and/or muscles of the lower back, ranging from simple stretching injuries to partial or complete tears in the muscle/tendon combination. These tears cause inflammation in the surrounding area, resulting in painful back spasms and difficulty moving. An acute lumber strain is one that has been present for days or weeks. If it has persisted for longer than 3 months, it is considered chronic.

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    • Arthritis
    • Physical Medicine & Rehabilitation (PM&R)
    • Shoulder

    Shoulder Arthritis

    Over time, the shoulder joint frequently becomes arthritic, with bone spur formation and loss of cartilage between the bones. This can cause pain in the top of the shoulder with overhead movement or reaching across the body. It can also cause tenderness or pain with pressure, such as from a back pack or bra strap.

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    • Hand & Wrist

    Trigger Finger

    With trigger finger, when you try to straighten your finger, the tendon becomes momentarily stuck at the mouth of the tendon sheath tunnel. As the tendon slips through the tight area, you might feel a pop as your finger suddenly shoots straight out. Symptoms may include: a tender lump in your palm, swelling, a catching or popping sensation in finger or thumb joints, and pain when bending or straightening a finger.

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