General Orthopedics

Fracture Care


A fracture is a complete or partial break of a bone and is placed into two classifications:

OPEN: also known as a compound fracture. This is when the bone is visible through the skin or has broken through the skin

CLOSED: More commonly known as a simple fracture. This is when the bone has broken but has not broken the skin.

Causes of bone fractures:

  • Traumatic incidents such as: Vehicle accidents, sporting injuries & Falls

  • Conditions such as: Osteoporosis & certain types of cancer

Symptoms:

Pain, swelling, bruising, deformity, inability to use the limb

Evaluation includes:

Physical Exam, X-Rays, CT Scan & MRI Scan

Possible Treatments include:

Splints / Braces / Sling, Plaster Cast, NSAIDS or Tylenol, Elevation, ICE / REST, Surgical Intervention & Physical Therapy

Common Types include:

  • GREENSTICK: An incomplete fracture where a part of the bone is broken causing the other side to bend. This type of fracture is most common among children.

  • TRANSVERSE: The break is a straight line, perpendicular to the bone.

  • SPIRAL: The break is spiraled around the bone and is seen most commonly in a twisting injury

  • OBLIQUE: The break is diagonal across the bone

  • COMPRESSION: The Bone is crushed, which causes the broken bone to appear flatter or wider

  • COMMINUTED: The bone shatters into 3 or more pieces and is still present at the fracture site

  • SEGMENTAL: The bone is fractured in two places causing a “floating” segment of bone




Foot & Ankle Disorders


Foot Disorders are typically a result of a certain lifestyle choices or from a medical condition.

Parts of the foot include:

  • Toes

  • Heels

  • Arches

  • Soles

Causes:

  • Shoes that don’t fit properly

  • Injuries caused by exercise, sports and jogging
  • Medical conditions such as: Nerve Damage, Sprains, Strains, Fractures, Tendonitis, Neuromas, Hammer Toes, Plantar Fasciitis and arthritis of the joints.

Ankle disorders result from damage to the bone, soft tissue, or muscle in and around the ankle. The ankle is the most frequently injured joint in the body.

Common Types:

  • SPRAINS: An injury to the ligaments in the ankle

  • FRACTURES

  • TENDONITITS: Caused by inflammation to the tendons in the ankle

  • ARTHRITIS: Chronic inflammation of the ankle joint

Common Causes:

  • Running

  • Jumping

  • Overuse

  • Twisting or rotating the ankle beyond its normal range of motion

  • Tripping / falling

  • Landing on the foot with more force than normal

  • Lack of conditioning for the muscles in the leg and foot

  • Excess strain on tendons

  • Bone Spurs

  • Flat Feet that are left untreated

Symptoms:

Pain, swelling, stiffness, decreased mobility in ankle, unable to weight bare on the ankle, difficulty when walking, bruising, pain in the heal, thickening of tendon, loud popping sound at the back of the heel

Possible Treatments:

NSAIDS, Tylenol, Aspirin, ICE / Elevating, Cast / Compression bandages, Injections, Surgery, Joint Replacement

Prevention:

  • Stretch / warm up before physical activity

  • Wearing shoes that provide ankle support




Treatment for Osetoarthritis


Osteoarthritis (OA) also knows as the “wear and tear” arthritis, Degenerative arthritis or Degenerative joint disease. It is the most common chronic joint condition and occurs when the cartilage is worn away causing the bones in the joint to grind against each other. It is most common amongst the elderly but adults of every age could experience it. OA can occur in any joint but most commonly affected are the hands, fingers, knees, hips and spine.

Common symptoms include:

  • Pain

  • Stiffness

  • Swelling / inflammation

  • Injury site tenderness

  • Joint Instability

  • Restricted Range of Motion

  • Muscle weakness (severe symptom)

  • Bone Spurs (severe symptom)

  • Joint Deformity (severe symptom)

Causes:

  • Age

  • Past injuries (i.e. torn cartilage, dislocated joint, ligament injuries)

  • Joint Malformation

  • Obesity

  • Poor Posture

  • Repetitive strain on joints from a hobby or work

  • Joint Trauma

There is a wide variety of treatment offered for OA and ranges from conservative to more aggressive. The treatment is based upon symptoms, exam and your lifestyle. Treatments include: Physical Therapy, NSAIDS/Tylenol/ Aspirin, elevation, ICE/Heat, Injections, Weight Loss & Surgery




Joint Injections (Cortisone, Synvisc, Synvisc One & Others)


Injections are an effective treatment to reduce pain and stiffness in the effected joint due to inflammation, arthritis or other issues. It is a common treatment method which is minimally invasive and treats chronic joint pain and acute joint pain.

Common Types of Injections:

  • Cortisone

  • Synvisc

  • SynviscOne

  • Platelet Rich Plasma Therapy (PRP)

  • Stem Cell Therapy




Treatment for Joint Pain


Treatment for joint pain varies on the cause of the joint pain. There are many different effective treatments out there to treat pain.

Diagnosing the Cause:

Physical Exam & imaging (x-rays, MRI, CT Scan) will help to determine the cause of the joint pain.

Causes:

Joint Degeneration (Osteoarthritis), Tendinitis, Bursitis, Cyst, Trauma to the joint, torn ligament, tumor, overuse, Joint Infection, Arthritis, Fracture

Treatment:

Physical Therapy, Injections, Brace, Rest/ICE, Oral Pain reliever, topical agents, Surgery

Prevention:

Maintain a healthy weight, warm up / stretch before exercise or physical activity, strengthen surrounding muscles.




Post-Traumatic Care


From fractures resulting from trauma to pathologic fractures associated with tumors, our physicians can provide surgical and non-surgical treatment for all fracture care needs. We also specialize in reconstruction of deformity created from old fractures.




Joint Infections


When a patient has a joint infection they often times experience the following symptoms:

  • Joint pain

  • Swelling of joint

  • Possible fever

  • Warmth/rednesss around joint

  • Unknown generalized illness

Diagnoses of joint infections are made based on patient history, symptoms, physical exam and a possible joint aspiration (removal of fluid from the joint to examine it for infection).

Treatment typically includes surgery where the physician goes in and cleans out the infection. If a joint replacement is infected the infected joint replacement is removed and replaced with a new one. Antibiotics are often administered to help with the infection as well.




Non-Operative Management


Often patients do not need surgery for their injuries or pain. Our providers can effectively treat the symptoms and ailment with non-surgical treatment options.

Treatment options include:

  • Injections

  • Physical Therapy

  • Oral or topical pain relievers

  • Rest/Ice

  • Brace/Splint/Cast





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