Platelets play a intergral role in the bodies natural process of healing. Platelet-Rich Plasma (PRP) is a concentrate of platelet-rich plasma protein derived from the whole blood of a patient. The patients blood is drawn under sterile techniques and then centrifuged to remove the red blood cells. The PRP has 3-5 times the concentration of platelet then whole blood. Harnessing the bodies healing potential via the growth factors and cytokines in PRP, this preperation is then injected in the tissue where healing is desired. In some instances the treatment requires a series of three injections spaced out one week a part. PRP has been investigated and used across several speacilities including dentistry, orthopaedics, plastic surgery and dermatology. In Orthopaedics it's uses include treatment of chronic tendinitis, osteoarthritis and bone repair and regeneration.
Massive rotator cuff tears that have failed a previous repair or are irreparable, pose a challenge to both patients and doctors a like. The superior capsule reconstruction (SCR) offers a novel approach for these patients. SCR utilizes a graft that is attached to the superior glenoid, the shoulder socket, and the greater tuberosity on the humerus, the shoulder ball. The goal with SCR surgery is to help stabilize the humeral head in the glenoid. Theorectically with improved glenohumeral kinematics the deltoid and remaining rotator cuff muscles can function more effectively. Recent early follow up studies have shown promising results with decreased pain and increased function.
Injuries can be prevented. On November 9, 2017 I had the pleasure of presenting a talk at The Lenox Hill Hospital 50th Anniversary of the Orthopaedic Residency program. Doctors from all over the country, including the first ever Orthopaedic resident at LHH, were in attendance. I presented a talk titled, "Physimax; Injury Prevention, Sports Performance and Safe Return to Play". Physimax, through breakthrough marker-less video analysis technology, is able highlight individual injury risk and athletic performance factors in real-time, generating objective snapshots of each athlete's mobility, stability, strength and technique. With this information athletes, strength coaches, trainers and physical therapist can customize a training program to help correct any abnormality that may put the athlete at risk. The tests performed have be validated and research has shown that correction of these abnormalities can reduce the risk injury and increase sports performance.
Specialty Orthopaedics of New Jersey, P.A. is happy to sponsor The Franklin Lakes Scenic Half-Marathon & 5K, Sunday, September 24, 2017. Our own Dr. David P. Rudman will also be participating in this wonderful event. Money raised from this event will go to even a greater cause this year, Ben Landel's fight with cancer. Wyckoff Y Cares will donate 100% of the prodeeds towards the support of Ben Landel and the Fight Against Cancer. For more information on the race, how to get involved, and learn more about Ben's story please click this link. http://wyckoffymca.org/programs-services/triathlon-youth-biathlon/franklin-lakes-senic-half-marathon/
Little League Shoulder (LLS) is a common overuse injury to the growth plate of the proximal humerus in the pediatric population. Youth baseball pitchers are the most commonly affected. Pain with throwing is the most common chief complaint. Physical exam and Radiographs are often diagnostic, but sometimes an MRI is needed. Treatment mainly consists of rest, ice, antiinflammatories and review of proper mechanics with a gradual return to throwing program. Average time to return to sport is 4 months, but approximately 25% will return at a different position.
Tearing your Anterior Cruciate Ligament (ACL) can be a devistating injury. There are several treatment options available. Both non-operative and operative treatment options should be explored. A select few may be able to cope and can function well with a ACL deficient knee. Others may require surgical intervention to repair, augment or reconstruct their ACL.
There are many non-profits that truly help veterans. Here are just two of those programs.