Sample Resume : ' Type II Slap Lesions '

When I asked him about the situation, he said that he asked her if she had the flu recently because sometimes the brachial plexus can give off flu like symptoms such as a fever, fatigue, cough, and runny nose. He said this condition is called brachial neuritis. He said the majority of the time it affects one side of the shoulder and that’s why he asked the golfer is she had any of the symptoms or the flu during the break. He said that the muscles become weak and in some cases, paralyzed. For treatment, Dr. Wallace said he prescribes pain relievers so it won’t bother the patient as much. He said in severe cases, the patient will undergo surgery and then see a physical therapist to help regain strength in the shoulder. When I asked if he thought the golfer had had brachial neuritis he said most likely no since

In Drew Marcos presentation, were first introduced to one athlete, in particular, Tommy John, an American professional baseball (left-handed) pitcher, who permanently damaged his ulnar collateral ligament in his pitching arm, leading to a revolutionary surgical operation. known as Tommy John surgery. It replaced the ligament in the elbow of his pitching arm with a tendon from his right forearm. The surgery was performed by Dr. Frank Jobe in 1974. After the surgery, the odds were against John, since there was a 1 in 100 success rate for that operation. But, he took a season off to recover and worked with a kinesiologist, who taught him a completely different way to pitching, eliminating the chance of him hurting his knee and arm. Before his surgery he won 124 games after his surgery 164 games won, John continued to play for 14 more years, retiring in 1989. Marcos, went on to discuss scapular strength and positional impairments such as scapular dyskinesia, insufficient posterior tilt, excessive abduction and prominent inferior medial border, which are all factors that play a part in the inverted “W” pitching position; that Marcos believes, is one of the driving forces behind the some pitcher’s injuries and the Tommy

I didn’t want to stop playing softball; it wasn’t an option for me so as soon as the pain was bearable, I would be right back on the field. My shoulder was my biggest challenge while playing. The pain in my shoulder was so strong that it made me want to quit several times just so I would have relief. My shoulder blade is higher on my back than it should be and doesn’t follow the right path when I throw a softball. I spent almost a year in physical therapy strengthening the muscles in my

Raney was experiencing any pain to the area and Mrs. Raney replied that the only pain is in the right shoulder. Mrs. Raney was able to supinate and pronate her right wrist 30-40 degrees. Her skin was dry. Dr. Mendelson replied that at this time Mrs. Raney no longer required to wear the wrist brace and she can use the extremity. Dr. Mendelson obtained x-rays of her right shoulder as Mrs. Rainey has limited range of motion. After reviewing this, Dr. Mendelson replied that Mrs. Rainey as tremendous arthritis in her shoulder. I inquired if it was traumatic arthritis and the result of the accident. Dr. Mendelson replied that it was not related directly to the accident necessarily but her shoulder was aggravated from the accident. Dr. Mendelson continued to state that symptomatically it will get better and at some point Mrs. Raney did have a glenoral crack. Dr. Mendelson inquired about how Mrs. Raney’s shoulder was prior to the accident and she stated that it was fine and she could raise her arm above her shoulder and head but now she can’t and has had limited movement since the accident. Dr. Mendelson assessed and evaluated her lower extremity and replied that Mrs. Raney’s left incision is now healed. Her right ankle is still healing, the wound is dry and her skin is consolidating over the area. Mrs. Raney has an avagus external rotation of her foot.

According to the American Sports Medicine Institute Tommy John surgery has become an epidemic in professional baseball pitchers.1 As if that isn’t concerning enough, it is being performed most prevalently on college baseball pitchers.2 The focus of this paper is to discuss how to prevent individuals from needing Tommy John surgery, the most successful methods/techniques in performing Tommy John surgery, as well as recovery from the surgery to allow a player to return or even eclipse their abilities prior to their injury.

My initial treatment instructions for the athlete were to continue resting, icing, compressing and elevating the injury for the first 48 hours. I advised him that he should ice the affected area a minimum of 4 times per day throughout the first 2 days of rehabilitation. This should help reduce the pain, swelling and inflammation as a result of the injury. I also recommended he take an over the counter anti-inflammatory medication if he felt he needed to. Due to the valgus stress test being positive, I referred the pitcher to a doctor for an MRI. The MRI later revealed a grade 2 tear of the ulnar collateral ligament with impingement of the ulnar nerve causing the tingling sensation in the fourth and fifth fingers of the right hand.

He is six months post labrum surgery. He said in practice he felt his shoulder slid out and back in during a drill. In the TC he started the throwers 7, to help build strength back into his shoulder. When I talked to him Sunday, he was feeling a little better but was still really sore. He was going to see the team doctor on Monday to make sure he didn’t damage anything.

She said, she fell last night while playing volley ball. She landed on her right shoulder and heard a pop sound, too. She did not take any pain medicines. She applied icepack and felt burning pain. This was an interesting musculoskeletal assessment case. We assessed her right shoulder and compared with the left one. We found slight dislocation of the shoulder joint. She had good circulation in her right arm, no swelling noted in the right hand and the capillary refill was < 2 secs. Mary said, since she had burning pain, it could be a nerve injury, too. We also noted a slight swelling of her trapezius muscle on the right side. She complained of pain on palpation. Mary applied a sling to her right arm to keep it elevated. She may need an MRI to see the damage. Mary sent her to the urgent care. She told her that, since she heard the popped sound, the ER or Urgent care doctor can replace it. It will be a painful procedure, and she will need a strong pain medicine. She gave her the note for her teacher and asked her friend to drive her to the urgent

Many major league and teenage pitchers today are requiring Tommy John surgery more than before. Tommy John surgery is named after the pitcher Tommy John, who was the first to receive this surgery. This particular arm injury is located in the elbow when the Ulnar Collateral Ligament tears. During the surgery, the UCL is reconstructed with another ligament from one’s body or a donor. Many people argue that this injury is a result of overuse/overthrowing, not giving the arm enough rest. Also, people argue that it is a result of improper throwing techniques. Both of those arguments are accurate, as they can both result in Tommy John surgery. Today in baseball, more and more people are getting arm injuries and needing Tommy

I met with Dr. O’Neill and was asked to complete five push-ups to test whether or not my ligament had properly healed. Unfortunately, when he noticed that I was unable to complete the push-ups, he knew the ligament would require Tommy John surgery. After a substantial amount of research, my family and I agreed that surgery was my only option. Even with the surgery, I would never be able to throw a ball normally again without additional years of rehabilitation. Dr. O’Neill’s plan was to remove a ligament out of my right wrist and insert it into my elbow, giving my elbow a “brand new” ligament. Because he was to operate on my wrist in addition to my elbow, I would be unable to move my hand or fingers for months. Losing the use of my dominant hand was a major obstacle, especially with my first year of high school right around the

Inspection of the right shoulder joint reveals atrophy. Movements are restricted with flexion to 90 degrees limited by pain and abduction to 75 degrees limited by pain. Hawkin’s test, Neer’s test, Shoulder crossover test, Empty Cans test, Lift-off test, and Apprehension test is positive. On palpation, tenderness is noted in the acromioclavicular joint and subdeltoid

The prevalence of Tommy John surgery, reconstruction of the Ulnar Collateral Ligament in the elbow, in Major League Baseball pitchers has been growing significantly over the past fifteen years. This injury results from overuse of the elbow joints as a result of thousands of pitches over many years. According to Liu et al, “an overall increase occurred in the number of UCL reconstructions performed on MLB pitchers from 1999 to 2014.” No more than fourteen MLB pitchers underwent surgery in any one year between 1999 and 2005, but seven of the next nine years has seen the number surpass this mark, culminating in highs of 35 surgeries in 2012 and 30 in 2014. They also found a revision rate of 13.2% over the same time period, meaning that roughly one in eight pitchers who undergo Tommy John surgery once will likely require it at least one more time in their career. Furthermore, the total number of revisions from 2012 to 2014 (21) exceeds the total number of revisions from 2003 to 2011 (20) with no signs of this trend slowing down. This is significant because while receiving Tommy John Surgery once is not necessarily career-threatening like it once was, receiving it more than once is far more likely to be so. According to doctors at Henry Ford Hospital, among pitchers who received the surgery more than once, only 65% returned to the MLB in any capacity and none of those pitchers were pitching more than three years after coming back (Verducci, Sports Illustrated).

As a shoulder expert, Dr. Armin Tehrany was asked by the NY Daily News to weigh in with his professional opinion about Wright’s shoulder impingement.

Turn on SportsCenter or Fox Sports during baseball season and you'll hear three words that used to spark fear in the hearts of players, Tommy John surgery. “Ulnar collateral ligament reconstruction (UCLR) commonly known as Tommy John surgery, is performed on both recreational and high-level athletes,” (Erickson, Nwachukwu, Rosas, Schairer, McCormick, Bach Jr, & Romeo, 2015). This procedure is commonly done on pitchers, because of the excessive use of their throwing arm, affecting the elbow. The process consists of replacing a ligament in the elbow with a tendon from another area of the body or from cadavers. When someone has Tommy John surgery they are no longer able to participate in baseball for one year. However, with the advances in this medical procedure, it has extended the careers of numerous pitchers, and in some cases improved their pitching. Due to the possibility of enhanced results, a troubling trend has developed in youth baseball. Parents and coaches are encouraging their players to go under the knife in their early teens just so they will not have to worry about elbow issues in the future. High school players who are perfectly healthy are having this procedure done at an alarming rate.

Mr. Krupp had the repair to the torn bicep tendon on 6/30/17. He reported that he was given a cold compression device and that really helped with the pain. On 7/10/17 I met him at the MSU sport medicine clinic. We met with Dr. Supinanski. The sutures were removed to the left inner aspect of the arm. There are no signs of infection. Mr. Krupp said he has not taken any pain medications for days. Instructions are no lifting with the left hand of a pound or more. He will start physical therapy now. At the next appointment Dr. Scorfar will address the left shoulder. At this point, no repair to the left shoulder can be done, we need to let the bicep tendon heal