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The CPOSM blog covers the scope of contemporary issues surrounding Orthopedics and Sports Medicine.

What is an MCL Sprain?

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In Orthopedics Education

Golden State Warriors guard Stephen Curry has sustained a sprained ligament that will keep him out of play for at least the next two weeks, according to the team. The team announced that an MRI showed a “grade 1 MCL” sprain, which occurred when he slipped on the court during the game against the Houston Rockets.

What does “grade 1 MCL” sprain mean? It’s an injury that is common among alpine skiers and other athletes because of the high velocity of twisting, turning and falling.

Should You Consider Arthroscopic Shoulder Cuff Surgery?

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In Keith W. Chan MD, Orthopedic Services

By now most people have heard of a variety of minimally invasive surgical procedures, including arthroscopic knee and hip surgery. Rather than access bones and soft tissues via a large incision, a trained surgeon uses small incisions and a tiny camera to see the interior of the joint. These procedures have several advantages, including faster recoveries, reduced pain and fewer complications. These so-called “arthroscopic” procedures are usually an outpatient procedure.

Rotator cuff tears can occur as a result of a traumatic injury or as a result of wear and tear over time. Although our approach always starts with non-surgical treatments, some patients still need to have surgery to repair the tear. A repair can result in an improvement of range of motion, reduced pain and overall increased shoulder function.

Ready for a Pick-Up Game of Football?

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In Orthopedics Education, Sports Medicine

Three young men running and playing footballSuper Bowl excitement is taking a hold of the San Francisco Bay Area as we prepare for hundreds of thousands of visitors to come and enjoy the game and our beautiful City by the Bay. Some of you may be inspired to go out for a pick-up game in the local park. Before you go, be aware of the risks of injury.

There are four main categories of injuries that are common among football players: traumatic injuries, concussions, overuse injuries and heat sickness. Today we will focus on traumatic injuries.

Perhaps the most common traumatic injury among football players occurs in the knee. Specifically, players are prone to tearing their anterior cruciate ligament (ACL) and less commonly, their posterior cruciate ligament (PCL). Changing direction rapidly or landing from a jump incorrectly can tear the ACL. The posterior cruciate ligament is often injured from a blow to the front of the knee while the knee is bent. Meniscus tears are also common, and can can occur when twisting, cutting, pivoting, or being tackled.

New Study Suggests Exercise as Best Treatment for Lower Back Pain

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In Orthopedics Education

Lower Back PainIf you are like most Americans, you have likely experienced an episode of lower back pain at some point in your life. You may have tried a variety of self-help preventive treatments such as special insoles or back braces. However, a new study this week, published in the Journal of the American Medical Association Internal Medicine (JAMA) suggests that exercise may be the best treatment, and those other treatments may be a waste of money.

Researchers reviewed 21 clinical studies, which included over 30,000 people who had suffered an acute episode of lower back pain, and how they were treated. They determined that exercise — almost any exercise — reduced the risk of a repeat episode within a year by 25 to 40 percent. The exercise must be sustained, however. The study did show that the prevention benefit of exercise decreases after a year.

How to Get Fit and Avoid Injury

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In Orthopedics Education, Sports Medicine

Woman Running by the BayLike clockwork, the gym fills up in the days immediately following the indulgences of the holiday season. The regulars, the ones who have been coming (somewhat) faithfully over the previous year roll their eyes and wish for the quieter days of February, when many of the “newbies” will have lost their resolve to get fit.

Most concerning during January, either at the gym, the court, on the track, or the on-the-street urban boot camp is the risk of injury among novices as well as rejuvenated former athletes. Many exercise-related injuries are due to overuse of a muscle or a joint. These overuse injuries often are a result of taking on too much too soon, or from improper technique.

Before you launch your next couch-to-marathon mobile app, we strongly recommend these simple steps to avoid injury:

Joint Conversations With Peter Callander

Dr. Peter CallanderJoint Conversations With Doctor Peter Callander – About Osteoarthritis

Joint Conversations With Doctor Peter Callander – Knee Arthritis and Knee Replacement Surgery

In the following Joint Conversations interview put on as part of the Sutter Health Novato Community Hospital Bone & Joint program, we learn about orthopedic surgeon, Doctor Peter Callander who specializes in hip & knee replacement surgery. Doctor Callander currently serves as the director of the Bone & Joint Program at the Novato Community Hospital and is also the company physician for the San Francisco Ballet.

One of the more common reasons for a joint replacement is arthritis. This type of arthritis occurs when cartilage in a joint has worn away leaving bones to come in contact with each other resulting in inflammation of the joint, pain, and stiffness. This specific type of joint inflammation or arthritis is called osteoarthritis and generally happens later on in life after a person has worn down the cartilage in their joint. However, osteoarthritis doesn’t always effect people in their later years, genetic factors and joint trauma can cause osteoarthritis to affect people in their younger years.

Knee Replacement Surgery More Precise With New Technology

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In In The News, Robert E. Mayle MD

Millions of Americans undergo Knee Replacement Surgery every year but the success of the surgery depends on whether or not the replacement fits. A new device being used in the Bay Area is making knee replacement surgeries more precise. The device, known as Verasense, is part of a system that helps ensure a better fit for knee replacement. To get the best fit the Verasense device is first inserted into the knee. The device is almost the same size as the knee replacement but is embedded with a microchip sensor that beams data to a monitor next to the operating table. As the knee is moved during surgery the sensor measures the pressure at different points on the surface of the joint. If the Verasense is off balance the surgeon can remove bone or tissue to smooth out the movement. If it is too loose or too tight the surgeon can use thicker or thinner replacement caps. After the knee is in balance the surgeon can fit the patient with permanent replacement caps that will be the contact point of the new knee.

Doctor Robert Mayle Donates An Orthopedic Surgery

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In In The News, Robert E. Mayle MD

Salomon Zapeda had been in constant pain for over a year after he injured his knee at work. An MRI showed a torn meniscus in his knee that is a common injury routinely repaired, but Salomon didn’t have access to health insurance or Medi-Cal.  Operation Access, a Bay Area nonprofit that helps pair low-income and undocumented families with health care resources, was able to pair Salomon with CPOSM orthopedic surgeon Doctor Mayle who performed the orthopedic surgery free of charge. The goal of the donated surgery was to clean up Salomon’s torn meniscus and then allow him to regain his strength and range of motion over the next couple of weeks.

Read the entire article about Salomon’s Knee Surgery here.

Joint Conversations With Dr. Mayle

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In In The News, Robert E. Mayle MD

Hip ReplacementIn the following interview with Doctor Mayle on KSRO’s Joint Conversations, we learn about Doctor Mayle of California Pacific Orthopedics and Sports Medicine, and his field of expertise – hip & knee replacement.  Surprisingly enough, Dr. Mayle’s patients run from the age of 25 to the age of 100. Factors such as genetics, injury and general wear and tear of the joint can all cause the need for a replacement. Doctor Mayle also talks about hip arthritis and the symptoms that may arise from loss of cartilage.

Listen to the entire interview with Doctor Mayle on the KRSO Website.

Scuba Diving Only Six Weeks After Hip Replacement

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In Peter W. Callander MD

In the video above, Judith floats slowly towards her underwater GoPro video camera and bit by bit shows a message for Dr. Callander, “New Hip, Scoped Knee, THANK YOU Doctor Callander!”

Scuba diving and underwater video have been Judith’s hobby since 1996 and she has completed 500 dives. Prior to surgery, Judith experienced difficulty with getting her scuba gear on and off and at times lacked confidence on difficult dives due to increasing problems with her hip and knee. Following surgery, with Doctor Callander, Judith returned to scuba diving within six weeks. Although Judith is retired, she continues to travel the world and scuba dive in both calm waters and at times the more difficult dives of rougher conditions in remote locations like the Fiji islands.