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Muscle, Joint, and Shoulder Injuries



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  #41  
Old 02-26-2007, 08:46 AM
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Surgery

Quadriceps


Unless the doctor is sure that the injury is a partial tear, surgery will be done to repair the tendon.


After your operation, you will be placed in a cast or immobilizer as if you had a partial tear.


With physical therapy, your injured leg should be up to speed with your noninjured leg in 6 months.


Achilles tendon


Surgery to repair your Achilles tendon is recommended for active people who desire near normal strength and power in plantarflexion. An additional advantage with surgical correction is a lower rerupture rate of the tendon.


After your operation, your foot will be immobilized with your toes pointing downward for 3-4 weeks and then progressively brought into neutral position over 2-3 weeks before weightbearing is started. Surgery carries with it a higher risk of infection than closed treatment.


Rotator cuff


Many surgeons will not attempt surgical repair until nonoperative treatment has failed, even in cases of larger tears.


Surgical treatment is usually reserved for a severe tear in a young person or in an older person (aged 60-70 years) who is suddenly unable to externally rotate their arm.


Acromioplasty, removal of the coracoacromial ligament and repair of the rotator cuff tendon, usually results in near full rotator cuff strength.


Biceps


In young people unwilling to accept the loss of function and mild deformity involved with this injury, surgery is performed to repair the tendon.


Surgery is also considered for the middle-aged person who requires full supination strength in their line of work.


You should leave your arm in a sling for a few days after surgery and then begin to use the affected arm as tolerated. After surgery, your elbow flexion and arm supination is near normal in about 12 weeks.
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  #42  
Old 02-26-2007, 08:48 AM
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Prevention

To prevent future tears, avoid the cause of the ruptured tendon or treat the problem that led to the tear.

The prognosis for both surgery and nonsurgical treatment varies with the location and severity of the rupture.

Surgical repair, in concert with additional physical therapy, can result in return to normal strength. Nonoperative repair has also shown promise in tendon ruptures.

Nonoperative treatment is most effective in partial tendon ruptures. The drawback of nonoperative treatment is that strength is not as reliably returned to baseline with this type of treatment. The benefits include a decreased risk of infection and generally shorter recovery time.

----------------------------------------------------------------
Author: Samuel J Haraldson, MD, Sports Medicine Fellow, Department of Sports Medicine, UT Southwestern/Methodist Charlton Hospital.

Coauthor(s): Barbara J Blasko, MD, Clinical Assistant Professor, Department of Emergency Medicine, University of California at Irvine College of Medicine.

Editors: Michael D Burg, MD, Assistant Clinical Professor, Department of Emergency Medicine, University Medical Center, University of California at San Francisco-Fresno; Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine; Thomas Rebbecchi, MD, FAAEM, Program Director, Assistant Professor, Department of Emergency Medicine, University of Medicine and Dentistry of New Jersey.

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  #43  
Old 02-26-2007, 09:03 AM
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Thanks for the post. Most of the basic definitions, symptoms, first aid, etc. were covered in the first post. So if you get an injury look there to learn what the first things to look for and to do are in order to get the best outcome. That said, thanks for the addtional info, TALO.
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If you act sanctimonious I will just list out your logical fallacies until you get pissed off and spew blasphemous remarks.
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  #44  
Old 02-26-2007, 09:13 AM
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Quote:
Originally Posted by Eric3237 View Post
Thanks for the post. Most of the basic definitions, symptoms, first aid, etc. were covered in the first post. So if you get an injury look there to learn what the first things to look for and to do are in order to get the best outcome. That said, thanks for the addtional info, TALO.
We can always get a mod to delete what I posted....
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Old 02-26-2007, 10:59 AM
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NO NO, that's not what I meant. It's good info. I just want to make sure that someone new coming in that might click on the last page knows where to find the basic first aid stuff. Those initial moments and hours are SO crucial. And these are things you should begin even BEFORE you go to the doctor to minimize further injury. I.E. even if you have an apparent severe injury based on the symptoms listed and it is time to visit the emergency room, it would probably behoove you to do some basic first aid. In other words while you're sitting in the emergency room you should have an ice bag with you and have the area immobilized if necessary, etc.

This is great info on what a doctor will do and what to expect, etc. I just want people to know that they themselves are the first line of defense. And what you do and don't do can make a big difference in what the doctor finds when you see them.

For instance, much of this is speaking of acute severe injuries. But you can have a very minor injury with very little discomfort and REACT WRONGLY to turn it into something major. So those symptoms listed may not be there when you initially injury an area. But failing to recognize what IS there leads to that more severe injury and manifestations of those severe symptoms. And I suspect that this is actually what leads to most bad injuries in the gym so it is very important.

Last edited by EricT; 02-26-2007 at 11:20 AM.
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  #46  
Old 02-26-2007, 12:56 PM
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No worries Eric, I know you would never intend anything bad...I never took it like that either, just thought I would through it out there (to delete if already on board)....but I guess there can never be to much info on injuries....And sometimes I think it helps people look when the thread hasn't been visited in while.....
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  #47  
Old 02-26-2007, 02:25 PM
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Absolutely. And thanks.
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Old 02-27-2007, 01:50 PM
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Great Reference Material! Thanks.
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  #49  
Old 03-09-2007, 05:29 PM
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ACL INJURY

Ankle Injuries. Ankle Sprains, & Sprained Ankle Treatment

Ankle Injuries Part Two

Ankle Injuries Part Three

Golphers Elbow, Elbow Tendonitis & Elbow Pain

Groin Pain & Groin Pull Injury

Hamstring Injury

Knee Injury and Iliotibial Band Syndrome

Medial Collateral Ligament Sprain

Torn Knee Cartilage and Meniscus Tear

Frozen Shoulder and Rotator Cuff Injury

Tennis Elbow

This guy speaks a lot on flexibility. And it's good overall basic info. But on the stretching I would encourage people to take the lesson of it but not necessarily all of the specifics in terms of what kinds of stretches to do when, etc.

Last edited by EricT; 03-10-2007 at 01:16 PM.
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  #50  
Old 07-01-2007, 11:36 AM
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i have saved this entire doccument in WORD format and added it to this site: http://rapidshare.com/files/40460305...y_Eric3237.rar

peace
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