Sports MEDICINE PATIENT ADVISOR rotator cuff
Rotator Cuff Strain Rehabilitation Exercises. You may do all of these exercises right away. Scapular range of motion: Stand and shrug your shoulders up and hold for 5 seconds. Then squeeze your shoulder blades back and together and hold 5 seconds. Next, pull your shoulder blades downward as if putting them in your back pocket Title: Full page photo Created Date: 5/23/2014 3:49:52 P
Most rotator cuff tears can be repaired surgically by reattaching the torn tendon(s) to the humerus. It is not a big operation to repair a torn rotator cuff, but the rehabilitation time can be long depending on the size of the tear and the quality of the tendons/muscles. The deltoid muscle is separated to expose the torn rotator cuff tendon(s) enough to progress. Strengthening of the rotator cuff is done within limits of pain. Do NOT have the patient perform full-can or empty-can supraspinatus exercises! Rotator Cuff Strengthening Internal and External Rotation Isometrics against a wall. Hold pressure for 20 seconds then rest. Do 3 sets of 10 repetitions Sports Medicine Advisor 2003.1: Rotator Cuff Injury Exercises: Illustration
Rotator Cuff Injury Exercises Your healthcare provider may recommend exercises to help you heal. Talk to your healthcare provider or physical therapist about which exercises will best help you and how to do them correctly and safely. Latissimus dorsi strengthening: Sit on a firm chair. Place your hands on the seat on either side of [ The Sports Medicine Patient Advisor Pierre Rouzier, MD HBO and Company, 1999. Rotator Cuff Strain Rehabilitation Exercises You may do all of these exercises right away. 1. Scapular range of motion: Shrug your shoulders up. Then squeeze your shoulder blades together. Then relax you . This can happen when the cuff is weak, the bursa is swollen or if there is a bone spur present. Tendinitis caused by impingement can occur with repetitive shoulder activities, such as sports or jobs involving overhead reaching. • Rotator cuff tear PCSM (7276) PCSM's mission is simple: Developing lasting friendships through excellent care. Since 2003, PCSM has provided complete care to all active persons throughout Southern California. PCSM was founded by Dr. Byron Patterson, a former athlete with a passion for sports medicine and healthy living. Our goal at Primary Care Sports Medicine.
Sports Medicine Advisor 2003
- Burns School of Medicine, University of Hawaii Jennifer R. King, D.O. Pediatric Sports Medicine Assistant Clinical Professor Department of Surgery, John A. Burns School of Medicine, University of Hawaii What is a rotator cuff injury? A rotator cuff injury is a strain or tear in the group of tendons and muscle
- MOON Patient Cuff Rehab Booklet Rotator Cuff Impingement Booklet Rotator Cuff Tear Booklet Total Shoulder Booklet Pitching Injury Prevention Video Pitching Injury Prevention Booklet Concussion Returning to Play After a Concussion Foot & Ankle Ankle Bracing Booklet Ankle Sprain Booklet Sideline Emergencies Lightning Guideline
- SPORTS TIP Rotator cuff tear on an MRI. sportsmed.org STOStsInjuries.org Sports Tips are brought to you by the American rthopaedic Society for Sports Medicine. They provide general information only and are not a substitute for your own good judgment or consultation with a physician. To learn more about other orthopaedic sports
shoulder joint). The rotator cuff is important in maintaining the humeral head within the glenoid (socket) during normal shoulder function and also contributes to shoulder strength during activity. Normally, the rotator cuff glides smoothly between the undersurface of the acromion, the bone at the point of the shoulder, and the humeral head. Rotator cuff tendinosis is characterized by decreased tendon strength, tendon degeneration, and can also be caused by compression of the rotator cuff tendons by other structures. Sports that involve repeated overhead activities, especially when leaning forward, such as basketball, swimming, lifting weights, and tennis can be difficult Title: Scanned Documen The Sports Medicine Patient Advisor, Third Edition I see a lot of seniors limping around because of nerve and muscle pain. You don't have to be an athlete to benefit from this book. In the past, I found references to this book on an Osteopath's website. The references proved to be helpful with a couple of my muscle and nerve problems . Rotator cuff tendinopathy causes pain around the shoulder. It can hurt to lift the shoulder up. Reaching and overhead motions may hurt. Lifting objects can be painful. Sporting activities that require overhead motions such as swimming, tennis, or throwing tend to aggravate symptoms
Rotator Cuff Injury Exercises - Tufts Medical Center
- rotator cuff helps raise and rotate the arm. As the arm is raised, the rotator cuff also keeps the humerus tightly in the UQEMGVQHVJG UECRWNC the glenoid. The upper part of the scapula that makes up the roof of the shoulder is called the acromion. Sterling Ridge Orthopaedics & Sports Medicine
- Mayo Clinic surgeons and scientists collaborate to develop new solutions that improve rotator cuff healing, speed rehabilitation and improve the outcomes for people experiencing shoulder problems. Avenues being explored include: Advanced pain management, utilizing nerve blocks. Biologic augmentation for repair procedures
- The rotator cuff is made up of four pairs of muscles and tendons stabilizing the shoulder and arm. The most common wear and tear injury occurs on the front of the shoulder blade from years of use. Spectrum Health orthopedic specialist are experts in their field. Let us help you. Learn mor
Patient Education - Primary Care Sports Medicin
The Sports Medicine Patient Advisor, 3rd edition. note: These handouts are actually from an old 2nd edition. The third edition has much nicer, color, updated stuff. If you find these old ones useful you should definitely buy the newest edition. Abdominal_Muscle_Strain.pdf. Achilles_Tendon_Injury.pdf. ACL_Injury.pdf. ACL_Reconstruction.pdf. For more information about rotator cuff surgery, email us or request an appointment. Be sure to follow us on Facebook and Twitter as well! Who knew? Karen Gross is a WOSM patient and senior counsel at Widmeyer Communications. She is an author, educational advisor, and former college president Knee. Anterior Cruciate Ligament Tear. Question and Answer article on ACL Injuries from ESPN Training Room Emedicine article on ACL Injurie ARTHROSCOPIC ROTATOR CUFF REPAIR. If an arthroscopic rotator cuff repair was performed then your postoperative activity and restrictions will be as follows: The first six weeks you will be required to wear a sling and do passive external rotation stretches as tolerated with your elbow at your side to achieve at least 45° of external rotation Shoulder impingement occurs when there is a pinching or compression of tendons or bursa in the shoulder from bones of the shoulder. This is a common cause of shoulder pain and often results from overhead activities conducted in things like work and sport. Shoulder impingement can cause pain during everyday activities, and over time, can lead to.
Patient Guidelines & Handouts Vanderbilt Sports Medicine
- A preceding traumatic event is uncommon. The patient will usually have full motion of the shoulder but can have a painful arc during abduction. Palpation along the anterior and lateral borders of the acromion may produce pain. Strength testing is normal and weakness may indicate a rotator cuff tear
- Rotator Cuff Injury. Download PDF. What is a rotator cuff injury? A rotator cuff injury is a strain or tear in the group of tendons and muscles that hold your shoulder joint together and help move your shoulder. How does a rotator cuff injury occur? A rotator cuff injury may result from many different reasons, including: Using your arm to break.
- Haglund's Deformity (Retrocalcaneal Bursitis) This condition is a bony enlargement on the back of the heel that can aggravate the retrocalcaneal bursa, a fluid-filled sac located on the back of the heel between the Achilles tendon and the calcaneus. The bursa can become inflamed and swollen, a condition called bursitis
- THE SPORTS MEDICINE PATIENT ADVISOR Rotator Cuff Strain Rehabilitation Exercises 215 You may do all Of these exercises right away. 1. Scapular range of motion: Shrug your shoulders up. Then squeeze your shoulder blades together. Then relax your shoulder blades down. Hold each position 5 seconds. Repeat 10 times. Do 3 sets. 2. Wand exercise
- current patient education materials a set of webpages were created to illustrate rotator cuff anatomy and injuries. With rotator cuff tears as an example, the website will include pages dedicated to anatomy, causation, symptoms, injury descriptions, treatment, surgery, physica
Managing Your Rotator Cuff Tendinosis - Symptoms
Sports Medicine Curriculum The Educational Purpose Knee Pain Neck and Upper back pain Rotator Cuff Tendonitis Carpal Tunnel Syndrome Medial Epicondylitis de Quervain's tenosynovitis Anterior Cruciate ligament tears Shoulder Laxity/Subluxation Meniscal Injuries Iliotibial band syndrome Labral Injuries will learn to involve the patient in. The rotator cuff, one of the most important components in the shoulder, is a network of four muscles and several tendons that form a covering around the humeral head. The cuff holds the humerus in.
The Sports Medicine Patient Advisor, Third Edition
Rotator cuff injury; Shoulder impingement; Tendinitis; If you need care for a condition not listed here, consult with one of our orthopedic and sports medicine providers. Expertise in shoulder pain treatment. Depending on the severity of your shoulder pain or injury, our doctors may recommend a combination of nonsurgical and surgical options. THE SPORTS MEDICINE PATIENT ADVISOR 195-----Lateral Epicondylitis(TennisElbow)----. • Youcanalsodoicemassage. Massage your elbowwith ice byfreezing water ina Styrofoam cup.Peelthetop ofthe cup away toexpose the iceand hold ontothe bottom ofthecupwhile you rub theiceoveryour elbow for5to 10minutes. • Dothe exercises recommended byyour doctor
Rotator cuff tendinopathy: causes - Sports Medicin
The Problem. Management of massive rotator cuff tears is a technically challenging problem in orthopedic surgery. Poor tissue quality, tendon retraction, muscular atrophy, and scarring all. Our goal is to get you back to an active lifestyle. We provide a broad range of advanced orthopedic care. Our doctors use both surgical and nonsurgical means to treat injuries, degenerative diseases, sports injuries, infections, tumors, congenital disorders and trauma. Many have fellowship training in joint replacement and sports medicine The Sports Medicine Patient Advisor is a comprehensively illustrated practical guide to the treatment of and rehabilitation from sports injuries. The book guides the injured patient through the description of the injury, diagnosis, the suggested short-term treatment and the longer-term rehabilitation exercises. Rotator cuff injury. AMSSM is the go-to organization for legislative and policy issues related to sports medicine and athlete health and safety. Legislation by State. AMSSM offers a variety of advocacy resources, including a map that tracks legislation important to sports medicine physicians. Sports US
Rotator cuff injury - Doctors and departments - Mayo Clini
Ideal for orthopedists and those in the field of physical medicine and rehabilitation, Clinics in Sports Medicine offers the latest in patient management trends and updates on the newest advances in the field. Published four times a year—in January, April, July, and October—each issue focuses on a single topic in sports medicine, from spine, knee, head, and neck injuries, to trauma. The rotator cuff is a group of four muscles: the supraspinatus, infraspinatus, teres minor, and subscapularis. The rotator cuff tendons attach around the humeral head (ball) and connects the humerus to the scapula. The long head of the biceps originates from the top of the glenoid fossa and labrum (top of the golf tee). It the
Rotator Cuff Injury Orthopedics Spectrum Healt
- Rotator cuff tears do not heal on their own without surgery, but many patients can improve functionally and decrease pain with nonsurgical treatment by strengthening their shoulder muscles. Just because there is a tear, does not necessarily mean a surgery is needed
- Sports Injuries and Sports Medicine. Michigan Medicine sports medicine specialists serve athletes and active patients with sports related injuries and conditions of the shoulder, elbow, hip, knee and ankle. We provide complete care to athletes of all interests, levels and ages. Our sports medicine programs encompass many medical disciplines.
- The Sports Medicine Patient Advisor contains over 150 easy to copy patient education handouts. This is the book that needs to be on every health care provider's bookshelf and should be used constantly. Pre-print the topics that are common to your practice and have them readily available to give to your patients
- Then you may be at risk for rotator cuff injury, which most often occurs in people who repeatedly perform overhead motions. SoutheastHEALTH Orthopedic Surgeon Dr. Matthew Baker has expertise in shoulder injuries and shares advice about preventing and treating rotator cuff injuries, a problem that sends almost 2 million people to a healthcare.
- The rotator cuff is a group of muscles and tendons that hold the shoulder joint in place and allow you to move your arm and shoulder. Problems with the rotator cuff may cause weakness or pain and restrict movement. It may also cause damage to the shoulder joint. Often, tendons can be repaired
- The guide includes details on many causes of shoulder pain including rotator cuff injuries, shoulder bursitis, osteoarthritis in the shoulder and more. Request an Appointment: 866.275.7496 (Cleveland, Ohio) 330.344.2663 (Akron, Ohio) Don't Let Shoulder Pain Slow You Dow
- Carefully assess the rotator cuff for concomitant injury, helpful to check the subacromial space Piftalls Assess patients over 40 for associated fractures and rotator cuff tears after a dislocatio
Andrews Sports Medicine Patient Resource Center. Our online patient resource center was launched to provide our patients access to articles that our physicians periodically share with our patients. In the past, we provided patients with the appropriate hard-copy article; however, you can now view and print these articles from this page The orthopaedic sports medicine program at Women's College Hospital is the largest in Toronto, and one of the largest in Canada. As the epicenter of the University of Toronto Orthopaedic Sports Medicine (UTOSM), the surgeons at WCH provide expert care for patients, weekend warriors and elite athletes with injuries to their knees, shoulders, hips and ankles
Orthopedic Handouts - PebbleSpo
- Orthopedic medicine is constantly evolving. And knowledge is key to understanding the many advanced treatment options available today for a variety of orthopedic conditions. It's easy to stay current. Just view our videos, browse our Articles and Blogs, and contact us about any additional information you may need. We're here to help
- Alejandro A. Homaechevarria MD, ABFP, CAQSM (Dr. Alex) is fellowship trained in sports medicine and specializes in pediatric and adult sports injuries, back pain, shoulder and knee injuries, concussion management, and fracture management. He also specializes in adult and geriatric degenerative arthritis joint evaluation and treatment
- At North Texas Orthopedics & Spine Center, our fellowship-trained and specialty-trained sports medicine doctors, Dr. Pat Peters, Dr. Kerry Donegan, Dr. Jeffrey Moffett, Dr. Eric Stehly, Dr. Ryan Mulligan, and Dr. Casey Stuhlman are recognized experts in the diagnosis and treatment of sports injuries and conditions, including tennis elbow, fractures, and sprains
- ArthroCare generated 68% of its revenue from sports medicine sales in the second quarter of 2013. That works out to $118 million of the company's $175 million in quarterly revenue. Source.
- Rotator cuff tears can also result from sudden shoulder movements or overuse, for instance during sports, such as pitching in baseball or playing tennis, or falls. The decision on how to treat rotator cuff tears is very individualized. Some rotator cuff tears can be treated with non-surgical methods
Who Knew? Lessons from Rotator Cuff Surgery - Washington
- Dr. Ticker has served as an orthopedic and sports medicine advisor to numerous athletic teams, ranging from youth leagues to professional teams. 'The safest thing for a patient is to be in the hands of a man engaged in teaching medicine. Dr Ticker diagnosed and performed a flawless surgery to correct both labrum and rotator cuff tears.
- Biceps tendonitis can be treated with rest, physical therapy, injections, or surgery depending on the severity and origin of the tendonitis. Surgery is performed when the tendonitis does not respond to nonoperative interventions and can involve simply cutting the tendon known as a tenotomy or cutting the tendon and inserting it into the upper part of the humerus
- Shoulder impingement syndrome is believed to be the most common cause of shoulder pain in adults, and the major shoulder problem in sports medicine. It develops in a progressive manner to bind the rotator cuff and subacromial bursa beneath the coracoacromial arch superiorly and the upper humerus inferiorly. If left untreated, rotator cuff degeneration and eventual partial or complete tears of.
- Our Patient Portal provides safe and secure online access to better communicate with your Tufts Medical Center Community Care doctor. This easy-to-use web tool is a convenient way to book appointments, request referrals, renew prescriptions, view medical records/test results and communicate with your healthcare provider from the privacy of your own computer
- Lewis J, et al. Rotator Cuff Tendinopathy: Navigating the Diagnosis-Management Conundrum. J Orthop Sports Phys Ther. 2015;45:923-37. PMID: 26390274. Roy JS, et al. Diagnostic accuracy of ultrasonography, MRI and MR arthrography in the characterisation of rotator cuff disorders: a systematic review and meta-analysis. Br J Sports Med. 2015;49.
- Rotator Cuff Tear Overview. The rotator cuff is the name for the four muscle-tendon units that surround and help control the shoulder joint throughout its range of motion. A rotator cuff injury is the most common shoulder affliction found in patients living in the Dallas, Frisco and Fort Worth, Texas communities
- Chondromalacia patellae is a term used to describe the damage or softening of the cartilage on the underside of the kneecap. It is similar to patellofemoral pain syndrome (runner's knee) in which the pain is felt under and around the kneecap
Karim Meijer MD Orthopedic Sports Medicine Specialist
Rotator Cuff Repair with Albert Volk, MD. Albert Volk, MD, one of the founding partners of Orthopaedic Associates of St. Augustine, is a fellowship-trained knee and shoulder reconstructive and sports medicine surgeon. He has two board certifications with the American Board of Orthopaedic Surgeons, one in Orthopaedic Surgery and the other in Sports Medicine Rotator cuff injuries that result from work exposure, sport, trauma, or due to tendon degeneration with increasing age currently are preferentially repaired arthroscopically. Healing of the repaired rotator cuff often requires 6 to 12 months or longer depending on several conditions. Tear size, patient age, sex, return to work or sport participation, social and economic environment, and the.
Arthroscopic Shoulder Surgery - Jacksonville Sports Me
- Overuse injuries in the arms and legs such as shoulder impingement, tennis elbow, shin splints and tendonitis/bursitis. At UVM Health Network - CVMC Orthopedics & Sports Medicine, we are committed to delivering the best in comprehensive sports medicine. Call our office today at 802-225-3970. Catherine Mygatt Naden, MD
- A Patient's Guide to Labral Tears Introduction. Since orthopedic surgeons began using a tiny TV camera called an arthroscope to diagnose and treat shoulder problems, they have discovered several conditions that no one knew existed. One of these conditions is an injury to a small structure in the shoulder called the labrum.A labral tear can cause pain and a catching sensation in the shoulder
- Carpal tunnel syndrome is caused by pressure on the median nerve in your wrist. People who use their hands and wrists repeatedly in the same way tend to develop carpal tunnel syndrome. Pressure on the nerve may also be caused by another injury which may cause inflammation and swelling. In addition, pressure may be caused by inflammation.
- Dr. Ralph Venuto 360 San Miguel Drive, Suite 701 Newport Beach, CA 92660 Phone : 949-759-360
- A rotator cuff tear is a rip in the group of four muscles and tendons that stabilize your shoulder joint and let you lift and rotate your arms (your rotator cuff). It's also called a complete.
Shoulder Impingement Treatment Austin Sports Me
- Then, rotator cuff exercises will help stabilize the ball in the socket. from Encyclopedia of Sports Medicine by Lyle J. Micheli, M.D. SAGE Publications, 2010: If the tendons in the rotator cuff are torn (a condition known as a rotator cuff tear), raising the arm may be difficult or, if the tear is complete, impossible
- Conclusion Rotator cuff injuries to the shoulder are common, painful and debilitating. Many arm and shoulder movements especially including overhead activities are made possible by the collective actions of four small muscles in the rotator cuff group and structure of the shoulder joint
- A rotator cuff tear is an injury where one or more of the tendons or muscles of the rotator cuff of the shoulder get torn. Symptoms may include shoulder pain, which is often worse with movement, or weakness. This may limit people's ability to brush their hair or put on clothing. Clicking may also occur with movement of the arm
- The Sports Medicine Patient Advisor-book with handouts 2. Physical therapy Rotator cuff o Empty can: diagonal plane between abduction and flexion w/thumb pointing down o Full can: diagonal plane w/thumb point up . Shoulder Rehabilitation in Athletes Page 3 of 5 7.9.0
- Sports Medicine Curriculum The Educational Purpose Knee Pain Neck and Upper back pain Rotator Cuff Tendonitis Carpal Tunnel Syndrome The Sports Medicine Patient Advisor: Pierre Rouzier, Tammy White, Tom Gilfilan, Jane Johnson, Pierre A. Rouzier: Books
- Rotator cuff tears are a common injury to a complicated joint. Risk factors commonly associated with rotator cuff tears include older age, certain sports or jobs, and family history.3 Rotator cuff tears are much more common among people over 40 years of age. Certain sports that regularly require the use repetitive arm movements, such a
Shoulder Injury/Impingement Orthopaedic Associates of
- Rotator Cuff Tears • Patients will complain of shoulder pain typically located on the side of the arm • Pain is worse with overhead activities and lifting away from body • Night time pain is a hallmark and typically what brings a patient to my office • Weakness is commo
- Sports Related Injuries: He is certified as a State of Florida Expert Medical Advisor. We work closely with nurse case managers and he addresses work status and major contributing cause with each initial evaluation. The advancements in arthroscopic rotator cuff repairs return the patient back to work and sport faster and with less pain.
- Rotator Cuff Tears. Superior Labrum (SLAP) Tears. Biceps Tendinitis. Frozen Shoulder (Adhesive Capsulitis) Elbow. Elbow Pain. Tennis Elbow (Lateral Epicondylitis) The Sports Medicine Patient Advisor. Amherst, HBO and Company, 1999. Call to book an appointment: 805-981-1788 Page updated.
- Our sports medicine specialist is a former Olympic rower, making him one of the most qualified sports doctors around. Common conditions he treats include arthritis, bursitis, carpal tunnel, nerve conditions, concussions, fractures and sprains, trigger finger, rotator cuff strains, cervical radiculopathy and lumbar radiculopathy
- Sports injuries (ACL tears, meniscus tears, rotator cuff injuries, etc.) Minimally invasive surgery for better outcomes Ellis Medicine's orthopedic unit specializes in Total Joint Arthroplasty for hip, knee and shoulder replacements, utilizing advanced surgical techniques for faster recovery and better outcomes
- Joseph Horrigan is a full time Clinical Faculty member at SCU and serves as Executive Director of Tactical Sports Medicine. He teaches MSK differential diagnosis while serving as an advisor for SCU's Sports Medicine Clinic and educational programs including the Sports Medicine Honors Program and Sports Medicine Residency
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One of the top sports medicine doctors Los Angeles & Beverly Hills has to offer, Dr. Steven Sampson is an internationally-recognized expert in the field of non-surgical orthopedics and the science of sports medicine.. He's the founder of the Orthohealing Center, a pioneer in the field of regenerative medicine and a trusted advisor and physician to Olympic athletes and the Los Angeles. The reason Rotator Cuff injuries involve chronic re-injury is because even the slightest movement can wipe out all of the healing you've done. Treatment alone won't protect against re-injury. If you want to heal as quickly and completely as possible, you need to rest your shoulder and, and you need a proactive solution.You need the same tools that professional athletes use Episurf Medical AB (Nasdaq: EPIS B) announces that Dr. Kevin D. Plancher, MD, MPH of Plancher Orthopaedics & Sport Medicine, New York, has been appointed Lead Investigator for the company's IDE clinical study, EPIC-Knee: Episealer® Knee System IDE Clinical Study. As Lead Investigator, Dr. Plancher will serve as a medical advisor to Episurf Medical and [ A SLAP tear is a torn piece of cartilage in the inner portion of the shoulder joint. It can be painful and/or limit movement in the shoulder, especially overhead motions. The shoulder labrum is a ring of cartilage around the shoulder socket that stabilizes the head of the upper arm bone. A SLAP tear or lesion occurs when there is damage to the.
Dr. Kissenberth specializes in sports medicine, arthroscopy, and complex reconstruction of the shoulder, elbow and knee. They are involved in biomechanical projects in the overhead athlete as well as stem cell studies on rotator cuff tears and how use of patient-specific instrumentation improves glenoid baseplate micromotion in a simulated. Sports Medicine. High-quality Sports Medicine Care from New York's #1 Hospital. Sports Performance Institute. View All Services. Call for an appointment: 877-697-9355 Find a doctor. Secondary Menu: Shoulder, Elbow & Sports Medicine. Back to secondary menu Shoulder, Elbow & Sports Medicine. Close secondary menu
The Sports Medicine Patient Advisor is a comprehensively illustrated practical guide to the treatment of and rehabilitation from sports injuries. The book guides the injured patient through the description of the injury, diagnosis, the suggested short-term treatment and the longer-term rehabilitation exercises. The book has been written in a clear, non-technical style which will be easily. Visiting a Patient Frequently Asked Questions Gift Shop Our sports medicine professionals lead the way in orthopaedic research, education and pain management. We offer treatment for a wide range of sports injuries, from rotator cuff tears to tendonitis of the elbow, to foot fractures and more. The treatment we provide is personalized so.
Dupuytren's Contracture Signs and Symptoms. Signs and symptoms of Dupuytren's contracture in a hand can include: Small, tender nodules (lumps) that appear on the palm of the hand. A thickening of the skin of the palm. The skin of the palm may appear puckered or dimpled Case Study: Explanation: A 56-year-old man presents to the office with left shoulder pain that has persisted for several months. He notices the left shoulder is not as strong as the right shoulder. Particular attention will be made to spitting sutures, which happens on average in 10-to-20% of patients for the lead author, Sherwin S.W. Ho, M.D., a sports medicine specialist for minimally invasive arthroscopic procedures of the shoulder, elbow, hip, knee and ankle in Chicago Dr Robert Tashjian is an orthopaedic surgeon in Salt Lake City, West Valley and West Jordan, UT. He specializes in rotator cuff repair, shoulder joint replacement, shoulder and elbow arthroscopy, elbow tendon and ligament repair and total elbow replacement The first series of investigations studied the non-operative treatment of rotator cuff tears, and produced 14 peer-reviewed manuscripts. The American Shoulder and Elbow Surgeons recognized this work by awarding Dr. Kuhn the Charles S. Neer Award in 2011 and 2013. Dr