Orthopedic injuries are not only common among athletes, but are frequently caused by everyday activities and accidents. The orthopedic surgeons at NY Bone and Joint Specialists are highly experienced experts in performing a wide variety of orthopedic surgery procedures to correct musculoskeletal and neuromuscular damage and pain.
After evaluating the source of pain or discomfort, an orthopedic doctor can discuss possible treatment options. Many injuries can be corrected through a series of physical therapy sessions and other non-invasive treatments. Most sources of pain can also be managed through physical therapy and other medicinal treatments. When conservative methods of treatment to not eliminate pain or return patients to a comfortable range of motion, then surgery may be the best option.
Many types of orthopedic surgery are common, as they correct injuries and diseases that cause musculoskeletal malfunction. Knee and hip joint replacements are becoming increasingly more common among elderly patients with severe arthritis. ACL correction surgery is becoming a frequent procedure for athletes. The specialty procedures that our team of orthopedic surgeons perform can treat a number of different injuries and conditions on various joints or areas of the body. These include:
- Sports Medicine
- Arthroscopic Surgery – Knee, Hip, Shoulder, Wrist, and Ankle
- Joint Replacement Surgery – Knee, Hip, and Shoulder
The knee is a frequent injury site. The knee joint bears the brunt of body weight and undergoes more stress than any other joint, in both athletic and non-active patients. Knee replacement surgery is now a highly successful and effective procedure. It is usually recommended for patients, especially the elderly, who suffer from debilitating arthritis, allowing them to walk comfortably again. It may also be necessary to treat some sports injuries, in which the knee has undergone trauma or repetitive motions of athletics, that have caused other underlying musculoskeletal abnormalities. ACL reconstruction is the most common sports injury procedure done to the knee. When trauma, usually occurring in impact sports, twists the knee, the AC ligament is surgically reconstructed to return mobility to the knee.
Many sports injuries and other types of knee damage are corrected through arthroscopic surgery. Arthroscopy allows the surgeon to work on the joint and surrounding tissues through very tiny incisions. There are multiple benefits to using this minimally invasive approach, including faster recovery and less scarring. The NY Bone and Joint Specialists team of orthopedic surgeons frequently perform a range of procedures for the knee, including:
- Knee Arthroscopy – Arthroscopic Surgery
- ACL Reconstruction Surgery
- Meniscal Repairs
- Knee Cartilage Repair and Transplantation
- Recurrent Patellar (Knee Cap) Dislocation
- Total Knee Replacement (TKR) Surgery
- Unicondylar Knee Replacement
- Iliotibial Band Syndrome
- Patellar Tendinitis (Jumper’s Knee) Surgery
- Revision Knee Replacement
SHOULDER AND ELBOW SURGERY
The shoulder joint is a very delicate structure that can be easily injured upon impact. Trauma can dislocate or damage the unstable ball and socket joint, tearing the ligaments and tendons around it. Once the supportive tissues are damaged, especially the tendons of the rotator cuff muscles that move the shoulder, they become weaker and more susceptible to further injury. Labral tears are a common sports injury as well, in which the cartilage cushioning the shoulder joint is damaged from such unnatural motions. Conservative methods like physical therapy may help alleviate pain and rehabilitate these tissues, but it is often not enough to prevent recurrent injuries. Recurrent dislocations are common among those who have naturally loose ligaments due to genetics, as well.
The shoulder joint is a very common problem area for athletes. Most sports, especially sports like swimming, golf, tennis, or baseball, require repetitive, overhead, forceful rotations of the shoulder joint. This easily wears the ball and socket joint, which can cause a variety of conditions that result in pain and loss of total mobility.
The elbow, though it is a stable double joint structure, undergoes the same such wear in athletics. Just as the shoulder undergoes repeated motions in sports like golf and tennis, so does the elbow. Although this joint is not prone to dislocations or easily broken, the tendons and ligaments in the area do undergo constant stress. The tissues that surround the elbow joint are susceptible to inflammation and irritation from repetitive motions or from holding the elbow firmly in position for long periods of time. UCL Surgery (or Tommy John surgery) is an increasingly common procedure done to repair the ligament of many pitchers. The resulting pain and stiffness can often be worked out through physical therapy sessions, but if enough tearing has occurred, surgery may be a good option.
- Shoulder Arthroscopy – Arthroscopic Surgery
- Shoulder Labral (SLAP) Repair
- Rotator Cuff Repair
- Shoulder Dislocation – First Time or Recurrent
- Shoulder (AC Joint) Separation
- Weight Lifters Shoulder (DC/AC Joint Osteolysis)
- Biceps Tendon Repair
- Shoulder Joint Replacement Surgery
- Shoulder Fracture
- Elbow Arthroscopy or Arthroscopic Surgery
- Golfers Elbow (Medial Epicondylitis)
- Cubital Tunnel Syndrome
- Elbow Fracture
- Lateral Epicondylitis (Tennis Elbow)
HAND & WRIST SURGERY
Overuse of our hands and wrists is inevitable. In our society, most people use their hands and wrists for a large portion of the day. The wrist is especially prone to carpal tunnel syndrome, during which the tendons running through the wrist and into the hand are irritated and inflamed, simply from holding the wrist in one position for long periods of time, as is common when typing. Trigger finger is also a common condition affecting those with desk jobs. Constantly using the fingers to type or click a mouse can cause stiffness and pain. Such conditions are also common in patients with labor careers, such as electricians, who work with their hands often.
Due to the constant use the hand region undergoes, it is a very common area for arthritis to occur. Inflammation, swelling, and stiffness from arthritis can keep a patient from performing the simplest of tasks, such as zipping a zipper or holding a pen. When symptoms of these conditions become too severe to treat with conservative methods, surgery of the hand may be the best way to restore function to the hand and wrist, allowing a patient to continue a normal lifestyle.
The hip joints, like the knees joints, are load bearing, experiencing wear and tear from almost all bodily movements. They are highly susceptible to arthritis, most often osteoarthritis, after years of supporting the weight of the upper body. As a patient ages, the discs that cushion the sacroiliac joints start to degenerate, becoming dehydrated and less able to repair themselves. This causes a grinding of the bones in the joint, which leads to inflammation, pain, and loss of mobility. The sacroiliac joints are also a problem area for pregnant woman. Besides the significant increase in weight that the joints must support, hormones produced at the time cause the hip joints to loosen in preparation for birth. This makes them highly unstable and a common source of pain. Ligaments and tendons surrounding the hips, often connecting to the knee or pelvis, are also prone to overuse in athletes. Sports that require sudden stops and twists, like running or football, can tear tissues in the area beyond their natural range of motion. If the pain caused by any of these conditions can not be managed with conservative methods, usually determined after 6 weeks of physical therapy routines, then hip arthroscopic surgery may be beneficial.
- Hip Arthroscopy – Arthroscopic Surgery
- Hip Resurfacing Procedure
- Direct Anterior Hip Replacement Surgery
- Revision Hip Replacement Surgery
- Total Hip Replacement Surgery
- Iliotibial Band Syndrome
FOOT & ANKLE SURGERY
The feet and ankles are delicate musculoskeletal structures. They are easily injured from everyday activities because they receive the brunt of impact while under the entire weight of the body. Twisting, spraining, fracturing, and even breaking the foot or ankle are commonly done even during the slightest trip or misstep. Though these injuries are common among all individuals, athletes are especially prone to damage in these areas. Running and jumping often shock the relatively unstable ankle joints and delicate metatarsals of the foot. The feet can also undergo various irritation and injury simply from constantly wearing uncomfortable or ill-fitting shoes. Once any of the many ligaments and tendons in the area are damaged, they become looser and more prone to injury in the future. If rest and physical therapy fail to alleviate pain and return function to the foot or ankle, ankle surgery may be the best option.