Recent advances in technology including social and electronic media ,mobile devices and cloud servers have impacted our everyday lives. The impact of these technologies on orthopedic resident training and their implementation of patient care has been dramatic. At Maimonides Medical Center, the Orthopedic Surgery department uses these technologies to their fullest both for the education of the residents as well as improving patient care.
In The News
Nursemaid’s elbow is one of the most common orthopedic injuries seen in children between the ages of 1-3 years. It is not, as some think, a dislocation of the elbow, or rather a slip of one of the ligaments in the elbow over a bone. This occurs because children’s ligaments are loose and the bones are not fully formed yet.
Avoid buying one-shoulder backpacks for your child. Single strap backpacks force all of the weight onto one shoulder. This causes your child to unnaturally bend to one side in order to evenly distribute the weight. Consequently, your child will develop lower back problems.
Pain in the neck that radiates to the shoulder and often down the entire arm is often caused by a pinched nerve in the neck. This is known medically as a cervical radiculopathy. The spine is comprised of a column of bones called vertebrae and within the vertebra lays the spinal cord. In the neck or cervical spine, nerves leave the spinal cord through openings in the vertebra and run down the arm providing sensation and motor function to the arms.
One of the most common treatments offered to our patients is a steroid injection. A steroid injection is offered either as a primary treatment or in an attempt to avoid more significant treatments such as surgery. There is, however, an unrealistic fear of steroid injections that patients often have. Some fears and concerns patients have about steroid injections are founded, but most are unfounded. Many believe that there is an upper limit of steroid injections that they can receive.
Having an abnormal finding in the bone can be scary. There are many reasons to have a lesion in your bone (a “lesion” is an unknown abnormality), and biopsy is often the only way to find out. After evaluating it by examination and some radiographic studies (X-ray, CT, MRI, etc.), it may need to be biopsied. A biopsy is a surgical procedure by which Dr. Goodman gets a piece of tissue to be studied in the lab by the pathologists (a type of doctor specializing in diagnosing disease based on the tissue)
Patients with cardiac disease have double the risk of developing hip fracture, and hip fractures often occur in patients that have symptomatic heart disease. These patients often need cardiac surgery before their hip fracture can be addressed. This requires patients to have two major operations in one hospital stay. Since it is imperative that patients undergo hip surgery as quickly as possible in order to decrease complications, having to undergo cardiac surgery first can increase complication rates.
Having a soft tissue mass (bump) can be scary. The mass can arise from many things, such as trauma with a blood collection, benign fatty tumors, other non-cancerous conditions, as well as some cancerous conditions. After evaluating it by examination and some radiographic studies (X-ray, MRI, etc.), it may need to be biopsied.
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