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Keyword: shoulder-elbow

The MUSC Health shoulder and elbow team is constantly working to provide the best orthopaedic care for our community by staying up to date on the current research and leading the field with their own studies right here in Charleston,  SC. This week the team is traveling to San Diego, California for the Annual meeting of the American Academy of Orthopaedic Surgeons (AAOS) to both learn and teach about the future of orthopaedic care. One area of research we are actively studying is shoulder replacement surgery as treatment for individuals with debilitating shoulder arthritis pain.

AAOS logoShoulder surgeon Dr. Richard Friedman presented a study of 238 patients to help determine the optimal design for a total shoulder replacement. In a total shoulder replacement, the socket of the “ball and socket” shoulder joint is replaced with an artificial new surface. Friedman et al. analyzed patient outcomes to conclude that a hybrid cage glenoid component results in fewer radiolucent lines and less intra-operative blood loss than the traditional cemented glenoids. Fewer radiolucent lines and less blood loss means better bone fixation and improved longevity of the shoulder replacement.

Your shoulder and elbow team prides itself on being at the forefront of orthopaedic research, as this study is just one of the many presented at the AAOS. Our number one priority is providing the best care for the greater Charleston community, so if you or a loved one has a shoulder or elbow concern be sure to make an appointment with a member of the team.

This month the Joint Commission reviewed the Joint Replacement Program at MUSC Health.

WGold seal of joint commissionhat is the Joint Commission?

The Joint Commission is an independent not-for-profit organization with a mission to improve health care by evaluating health providers and organizations and inspiring them to excel in providing the highest quality care. The Commission’s accreditation and certification is recognized nationwide and ensures that “behind every gold seal of approval is an organization committed to quality.”

The comprehensive certification MUSC Health received for hip and knee replacement surgery and the recertification for shoulder replacement surgery reflects our joint replacement physicians’ dedication to providing the highest quality care to our patients. Congrats, to all of the physicians and MUSC Health personnel who work each day to achieve this goal!

The humerus makes up the “ball” of the “ball and socket” shoulder joint. A humerus fracture can occur from a fall directly on the shoulder or arm. This injury is common in both the elderly population with low impact falls, as well as the younger population with high impact injuries from activities like mountain biking and riding a motorcycle. A proximal humerus fracture is the most common type of fracture and makes up the third most common fracture in geriatrics.Dr. Eichinger headshot

MUSC shoulder and elbow surgeon Dr. Josef Eichinger explored the controversy on treating the “unreconstructable” proximal humerus fracture at the Southeastern Fracture Symposium this past month. While hemiarthroplasty is an option, Dr. Eichinger discussed that reverse total shoulder arthroplasty is the superior treatment for these severe fractures. With better range of motion and patient outcome scores from multiple studies, the literature confirms that reverse total shoulder is the better option if you are suffering from this type of injury.

The reverse total shoulder replacement reverses the anatomical design of the shoulder, placing the socket on the humerus and the prosthetic ball on the glenoid. This allows for better range of motion without an increased risk of dislocation. Combining this innovative shoulder replacement with a complete anatomical repair of the tuberosities, the MUSC Health Shoulder and Elbow service ensures you and your shoulder receive the best treatment and can get back to your daily life.

Baseball today is nothing like it was in 1953: Pitches are faster, harder, and more frequent, training sessions are more intense, and you can participate year-round and on multiple teams. So while Little League shoulder (LLS) was first described in 1953, a lot has changed in the world of overhead throwing sports, meaning a lot has changed with this injury. Heyworth et al. explored our current state of LLS and uncovered a significant increasing trend in the past 14 years.Shoulder citation

LLS is an overuse injury specific to youth athletes when the body and bones are still growing. LLS symptoms include shoulder pain when throwing, weakness or arm fatigue, clicking noises in the arm, and shoulder instability. The study found an 8.5 percent increase in LLS diagnosis each year. Almost 90 percent of those with LLS played the pitching position, but catchers, other positions, and other sports like tennis are all at risk.

LLS can be treated with simple rest (three to four months), physical therapy, or programs to improve strength and throwing mechanics. MUSC Orthopaedics wants to help you avoid overuse injuries like LLS. If you or a family member participate in an overhead throwing youth sport, come out to the Overhead Throwing Community Workshop on February 4th where your nationally renowned shoulder, elbow, and sports medicine physicians will explain how to prevent injuries like LLS and make this season the healthiest one yet!Flyer for Overhead Throwing worship

Youth sports including little league baseball and softball are on the rise and as the spring season approaches, your MUSC Shoulder and Elbow team wants to make sure 2017 is the healthiest season yet. Come join us at the MUSC Mt. Pleasant clinic for a free overhead throwers’ community education workshop on February 4, 2017!Young boy pitching baseball

The workshop will be held 10 a.m. to 11 a.m. and will include talks from your nationally renowned MUSC Health surgeons, trainers, and sports medicine specialists. Topics include the biomechanics of pitching and throwing, training during and out of season, common shoulder and elbow injuries, as well as therapy to get back to play after an injury or period of rest. Refreshments will be provided and free physical examinations will be offered immediately after. Call 843-876-1119 to register. We hope to see you there!

Who: Youth overhead throwers and families

What: Free overhead throwers’ workshop

When: February 4, 2017, 10 a.m. to11 a.m.

Where: 1600 Midtown Avenue, Mt. Pleasant, SC 29464


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