Tears of the Subscapularis: Hidden and Forgotten, No More!

Tears of the rotator cuff are a very common reason for shoulder pain, weakness and poor motion. The rotator cuff is a group of deep muscles all around the shoulder joint. They provide stability and power to the joint, and unfortunately, they are prone to both injuries and wear with overuse and aging. Some of … More Tears of the Subscapularis: Hidden and Forgotten, No More!

What if My Shoulder Dislocates to the Back? Some Treatment Options for Posterior Shoulder Instability…

The shoulder joint is particularly at risk for dislocation. Chances are you know someone in your family, or your group of friends, who has suffered a dislocation of the shoulder. This is partly due to the difference in size between the larger humeral head (ball) and the smaller glenoid (socket), as discussed in our previous … More What if My Shoulder Dislocates to the Back? Some Treatment Options for Posterior Shoulder Instability…

Sternoclavicular Joint Injuries: When to Consider Surgery, And How Is It Done Safely

The collarbone (clavicle) helps connect the upper limb to the trunk. The inner end of the clavicle, close to the center of the chest, rests on the sternum through the sternoclavicular (SC) joint. What an interesting joint! It needs to have stout, strong ligaments to serve as a stable connection between the limb and the … More Sternoclavicular Joint Injuries: When to Consider Surgery, And How Is It Done Safely

When Painful Snapping Around the Shoulder Blade Becomes Debilitating…: The Snapping Scapula Syndrome

The shoulder blade area and surrounding muscles may become irritated and painful for multiple reasons. Some of the most frustrated patients I have seen in my practice complain of years and years of painful snapping around the upper shoulder blade region. Oftentimes, these individuals have been told that physical therapy exercises are all they need … More When Painful Snapping Around the Shoulder Blade Becomes Debilitating…: The Snapping Scapula Syndrome

Serratus Anterior Weakness: One of Many Reasons for Shoulder Blade Winging

We are all familiar with the shape of our shoulder blade. It lies flat on our chest, and moves along with the arm as we position our hand in space. But in some shoulder conditions, the shoulder blade does not lie flat on the chest any more; it protrudes like the wing of a bird. … More Serratus Anterior Weakness: One of Many Reasons for Shoulder Blade Winging

Why Is It That Surgeons Call Certain Elbow Injuries “Terrible Triad”?

We all understand the meaning of the word “Terrible”. The Merriam-Webster dictionary defines terrible as (1) extremely bad and (2) difficult. It further expands the meaning to “exciting extreme alarm or intense fear”. Truly a perfect word to characterize a potentially devastating –and, by the way, quite common– elbow injury! If I sustained a terrible … More Why Is It That Surgeons Call Certain Elbow Injuries “Terrible Triad”?

Fusing Together the Bones at the Shoulder Joint: A Reasonable Alternative for Selective Desperate Situations

The whole purpose of joints is to provide motion between segments of the skeleton. Why would we ever consider surgically eliminating motion at the shoulder joint? At first, it sounds a little crazy, doesn’t it? But believe it or not, in certain desperate situations, shoulder fusion is a very good alternative… What do we mean … More Fusing Together the Bones at the Shoulder Joint: A Reasonable Alternative for Selective Desperate Situations

When Bone Grows Beyond the Elbow Skeleton: Heterotopic Ossification, Why Does it Matter and How to Deal with It

Did you know that bone can form outside of the boundaries of the skeleton? I am not talking about malignancies or cancer, but about masses of bone that appear in the soft-tissues surrounding the bones, and oftentimes end up blocking motion. In Medicine, the words “Heterotopic” and “Ectopic” basically mean “not in the right place”. … More When Bone Grows Beyond the Elbow Skeleton: Heterotopic Ossification, Why Does it Matter and How to Deal with It

Transfer of the Lower Trapezius: An Option to Consider for Bad Rotator Cuff Tears that Cannot Be Fixed

Tears of the rotator cuff represent a leading reason for shoulder pain worldwide. Surgery is oftentimes considered for those individuals with a torn rotator cuff when symptoms do not improve despite medications, injections, and physical therapy. Luckily, many rotator cuff tears can be repaired arthroscopically. This is particularly true when cuff tears are repaired right … More Transfer of the Lower Trapezius: An Option to Consider for Bad Rotator Cuff Tears that Cannot Be Fixed

The Tommy John Procedure: How Baseball and Other Throwing Sports May Injure the Elbow,… But Not To The point of Surgery in Many!

Baseball…, what a fascinating sport! We all love throwing a baseball and playing catch, don’t we? We also admire those very, very good professional pitchers with a skilled and blazing fast pitch. Isn’t it amazing that some pitchers can throw a baseball at a speed of 100 miles per hour? How about your favorite football … More The Tommy John Procedure: How Baseball and Other Throwing Sports May Injure the Elbow,… But Not To The point of Surgery in Many!