Hip Surgery Effects

Hip Surgery Effects
Continuous aches that distract from daily life, burning sensation that slowly moves across the hip,
and endless throbbing are all debilitating effects that come with hip surgeries. Other hardships
include countless physical therapy appointments, an infinite number of anti–inflammatory pills,
multiple visits to the surgeon's office, and crutches or other walking aid devices. The patient's life
may be impacted for a few weeks, a couple months, some years, or for their whole life. In fact,
many people's lives have been affected. In just the past year, 200,000 – 300,000 hip replacements
were performed in the United States ("Total"). Some people's lives are changed for the better, but
there are others, a small percentage, of those who experience failed and unsuccessful hip surgeries.
The ineffective surgeries that do occur, usually happen because ... Show more content on
Helpwriting.net ...
There are problems that start occurring over time, but do not show up at the beginning. In a hip
replacement, a patient's artificial hip may begin to loosen over time. This doesn't occur as much
anymore due to the advancements of technology, but overtime people's artificial hip would slowly
detach and cause a lot of pain ("Hip"). In addition, patients are not able to perform high impact
sports because wear and tear can happen ("Total"). On the other hand, those who undergo hip
arthroscopies usually do not have to make changes to daily life, but that is all based on the damage
present (Byrd).There are certain rare cases in which people have had to quit high impact sports or
activities, but usually 85–90% of patients can play sports and return to daily life at the same level
they did previously (Coleman). This proves that there is a variety of long term outcomes depending
on the case, surgery, and person. All of the information the patient receives from the surgeon will let
them take the most appropriate decision based on what they want their future to be
... Get more on HelpWriting.net ...

AME REPORT
DOI: 2/19/2014. Patient is a 53–year old right–hand dominant female production worker who
sustained injuries to her neck, low back, right shoulder, and bilateral knees as a result of cumulative
trauma. Per OMNI entry, she was initially diagnosed with cervical radiculopathy, lumbosacral
radiculopathy, bilateral shoulders tendinosis/bursitis and knee tendinosis/bursitis.
Per the AME report dated 9/12/2014, future medical care should include surgical intervention if her
condition worsens. Patient is at maximum medical improvement in the absence of additional
treatment.
MRI of the right knee without contrast dated 10/1/14 revealed lateral patellar tilt and subluxation
with mild chondromalacia of the patella. There is small joint effusion. Baker cyst is noted. There is
horizontal tear of the ... Show more content on Helpwriting.net ...
The patient has difficulties ambulating stairs. Her pain is waking her up at night. She failed to
improve with the plethora of conservative treatment entailing physical and acupuncture therapies,
activity modifications, home–type exercise, injections, medications. On physical examination, the
patient is utterly uncomfortable. She ambulates with antalgic gait. Well healed incisions are noted on
the left knee. Patellar crepitus noted on the flexion and extension of the right knee with medial and
lateral joint line tenderness more so in the medial side. McMurray's test is positive medially. Patellar
crepitus is noted together with pain in patellar compression. Patient's Voltaren gel was refilled.
Patient was recommended to undergo right knee arthroscopy with partial meniscectomy and lateral
patellar release surgery. She failed to improve with above mentioned conservative treatment. Any
further conservative treatment will be of no benefit. Patient was also recommended 12 PT sessions
for the right knee

Steroid Case Study Sample
DOI: 4/22/2015. Patient is a 62–year–old male driver who sustained injury while banding a pallet of
milk when he fell, injuring his right shoulder. He is status post right shoulder arthroscopy, distal
clavicle resection, rotator cuff repair, and subacromial decompression on 06/22/15.
Per the medical report dated 02/09/16, the patient reported that the steroid injection on 01/07/16 did
not help. There is occasional worsening of pain with certain, random activities. He is having
occasional sharp pain at night. A steroid injection was administered on this visit on the right
shoulder. Patient was advised to continue medications, home exercise program (HEP) and activity
modification.
Based on the progress report dated 04/14/16, the

Why I Should Become A Physician Assistant
Most of my life I was consumed with the sport of gymnastics. I remember the rush I would get as it
was my turn to compete in front of the cheering crowd. In those moments nothing else mattered; just
me, the chalk on my calloused hands and the equipment in front of me. I have competed in
gymnastics ever since I was five years old. I spent six days a week in the gym practicing all year
round and even volunteered part of my time to a community program teaching gymnastics to
children. Gymnastics had a tremendous role in shaping me into the person I am today and it is what
also lead me to want to become a Physician Assistant.
Over the many years I've spent doing gymnastics, I've become a determined and motivated
individual. Always striving to do better in everything I do whether it 's in my routines or raising my
grades on every exam. Because in gymnastics to be the best it not only takes having the routine with
the most difficulty, but being able to perform those skills with precision which takes endless practice
and repetition. First or second place could be set apart by a hundredth of a tenth based on even the
smallest imperfection such as a foot not being pointed.
Although gymnastics is thought of as an individual sport it has taught me the importance of working
as a team. How well your team places depends on you and your teammates score; so you want to be
able to do what you can to see your teammates succeed, whether it is being there for them to help
tweak their technique

Code and Modifiers Used by Orthopedic Surgeons in Medical...
Fundamental of Health: Orthopaedic is the medical specialty that focuses on injuries and diseases of
your body's musculoskeletal system. This complex system includes your bones, joints, ligaments,
tendons, muscles, and nerves and allows you to move, work, and be active. (AAOS)
Once devoted to the care of children with spine and limb deformities, orthopaedists now care for
patients of all ages, from newborns with clubfeet to young athletes requiring arthroscopic surgery to
older people with arthritis. And to anybody that can break a bone. (AAOS)
Orthopedic surgeons manage special problems of the musculoskeletal system. This involves:
Diagnosis of your injury or disorder Treatment with medication, exercise, surgery or other treatment
... Show more content on Helpwriting.net ...
The physician reports CPT code 20610 (arthrocentesis, aspiration and/or injection; major joint or
bursa [eg, shoulder, hip, knee joint, subacromial bursa]) for the right knee injection, and 20610–59
for the right shoulder injection. Modifier 59 distinct procedural service * 25605–76 – Physician
reduces a distal radius fracture in the office on May 15 and the reduction is lost so that the fracture
must be reduced a second time on May 22, the physician would report CPT code 25605 (Closed
treatment of distal radial fracture [eg, Colles or Smith type] or epiphyseal separation, includes
closed treatment of fracture of ulnar styloid, when performed; with manipulation) for the May 15
visit and 25605–76 to indicate a repeat reduction for the May 22 visit. * 27412 Autologous
chondrocyte implantation, knee J7330 Autologous cultured chondrocytes, implant S2112*
Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells) The asterisk indicates it is
not paid by medicaid (www.priorityhealth) * CPT codes 29874 (Surgical knee arthroscopy for
removal of loose body or foreign body) and 29877 (Surgical knee arthroscopy for
debridement/shaving of articular cartilage) should not be reported with other knee arthroscopy codes
(29871–29889). Report G0289 (Surgical knee arthroscopy for removal of loose body, foreign body,
debridement/shaving of

Question Paper: Billing and Coding Applications with...
User | Kristin Maze | Course | BC3030X: Billing and Coding Applications with Simulations (5–21–
2012) Section 5 | Test | Week 1 – Coding Applications Test | Started | 5/27/12 1:52 PM | Submitted |
5/28/12 9:46 PM | Status | Completed | Score Time Elapsed | 59 minutes out of 1 hour. | Instructions
| | * Question 1
0 out of 4.5 points | | | LOCATION: | Outpatient, Hospital | PATIENT: | Larry Frost | SURGEON: |
Mohomad Almaz, MD | | |
DIAGNOSIS: Localized degenerative arthritis, left distal clavicle, with persistence of arthritic
symptoms
OPERATIVE PROCEDURE: Removal of distal 1 cm (centimeter) left clavicle
After satisfactory level of general anesthesia was reached and patient was in the ... Show more
content on Helpwriting.net ...
The first was placed along the superior anterolateral aspectof the knee.
The second was placed along the inferior anterolateral aspect and the third along the inferior
anteromedial aspect of the knee. We distended the knee with lactated ringer solution. We examined
the suprapatellar pouch and the medial and lateral gutters. No loose bodies were noted. The articular
surface of the patella and the adjacent surface of the femur appeared to be in excellent condition. We
then examined the medial compartment and probed the medial meniscus. She had a previous partial
medial meniscectomy involving the posterior one half or so of the medial meniscus,but there
appeared to be a horizontal tear within this posterior half of the medial meniscus.
We eventually ended up performing an excision of this portion of the meniscus. We left the anterior
one half of the meniscus intact. We excised the posterior one half of the meniscus back to what we
felt was a stable rim using a combination of basket forceps and the shaver. At this point then, we
thoroughly irrigated the knee. We then examined the notch area and probed the anterior cruciate
ligament. It was intact. We then examined the lateral compartment and probed the lateral meniscus.
It was intact. We examined the medial compartment once again finally, looking for any remaining
loose fragments. We then drained the knee and removed the hardware. The skin incisions were left
open, and sterile dressings were applied under a

Case Study : The Canary Group
Throughout the industry of outpatient surgery, there have been many changes in our country's health
care and economy. These changes have increased the challenges of improving or upgrading
operations, improving quality and satisfaction, accumulating revenue, coping with ever–changing
competition as well as completing business and professional goals (Gandolf, 2010).
The Canary Group Ambulatory Surgery Center will be an outpatient surgical center which aims to
maintain a comprehensive marketing effort to ensure the greatest visibility in the business targeted
market. An overview of the company's objectives and marketing strategies are listed below.
Marketing Objectives
Maintain and remain a moderate marketing presence in the community
... Show more content on Helpwriting.net ...
Patients that have low–moderate incomes or Medicare benefits that require lower costs will be a
great part of the target group. The Federated Ambulatory Surgery Association (FASA), state that the
top three specialty surgical services are ophthalmology (30%), orthopedic surgery (15%) and
gastroenterology (14%). Therefore, the ASC marketing plans will include obtaining business from
these physicians for patient referrals (Dyrda, 2013).
Marketing Methods Strategies
Internal marketing
Establish and maintain a business rapport with internal stakeholders (staff, physicians, patients and
payers).
Branding
The Canary Group ASC will

MRSA Case Study Essay
Answer: Unknown. MRSA carriers should be administered Vancomycin as antibiotic prophylaxis
prior to arthroscopic surgery, however evidence is inconclusive at present. Strength of
Recommendation: Limited Rationale: Prevalence of MRSA colonization is increasing in some
community settings, even in patients who lack traditional or any identifiable risk factors for
MRSA.1 Surveillance studies have suggested that the colonization rate in the general population
varies worldwide, with MSSA nasal carriers making up 20% to 36.4% of the population, and MRSA
nasal colonization composing 0.6% to 6% of the population.2 When simple arthroscopy is
performed (meniscal tears, articular debridement, synovectomy and microfracture), the risk of SSI is
extremely

Research Paper On Knee Arthroscopy
Knee Surgery or Knee Arthroscopy
Doctors or surgeons use Knee arthroscopy to diagnose and treat problems in the knee. The surgery
deals in making small incisions and inserting a tiny camera to see the knee for damage. Depending
on the images generated, he/she can correct the damage by using the Arthroscope (instrument that
look like a tube with a camera inside). The technique is used to identify and correct the knee
problems such as torn meniscus, misaligned kneecap and damaged ligaments.
Possible cases for Knee Arthroscopy
Torn anterior or posterior cruciate ligaments.
Torn meniscus (cartilage between the bones in the knee)
Patella out of position
Pieces of torn cartilage that are loose in joint.
Fractures in knee bones.
Swelling

Osteoarthritis Experiment
Background: Osteoarthritis is a common and progressive joint disorder. Despite its widespread, in
clinical practice only late phases of osteoarthritis that are characterized by severe joint damage are
routinely detected. Since osteoarthritis cannot be cured but relatively well managed, an early
diagnosis and thereby early onset of disease management would lower the burden of osteoarthritis.
Objectives: We evaluated if biophysical parameters of small synovial fluid (SF) samples extracted
by single molecule microscopy can be linked to joint damage.
Study Design & Methods: Single–particle imaging experiments were performed using a custom–
built single molecule microscope based on a Zeiss Axiovert 200 TV equipped with a 100 × NA 1.4
oil immersion objective lens. Fluorescence was excited at 532 nm by a diode–pumped solid–state
laser. For single–particle image acquisition, we used the iXon DV–860 BI camera (Andor
Technology, Belfast, Northern Ireland) in combination with a 4× magnifier and 3x binning yielding
a pixel size in the object space of 120 nm. For calculation of all P values, two–tailed Mann–Whitney
test was used. ... Show more content on Helpwriting.net ...
Samples have been taken of patients that underwent surgical procedures such as knee–Arthroscopy
and Implantation of knee–Arthroplasty. The patients of the Arthroscopy cohort have been structured
in two different groups. If there was no severe cartilage damage (ICRS–score 2) the patient has been
assigned to Group 2 (w/–JD). In patients that underwent implantation of a knee arthroplasty due to
severe osteoarthritis, synovial fluid has been taken before opening joint capsula by using a

Symptoms And Treatment Of Ocd
OCD
Introduction
Osteochondritis dissecans is a localized pathologic process that leads to the focal necrosis of
subchondral bone and secondary degenerative changes in the overlying cartilage [1]. Although OCD
is thought to be an inflammatory phenomenon to great extent, the certain pathogenesis is
controversial and remains unclear [2]. Repetitive microtrauma, vascular insufficiency, and genetic
factors have been implicated as etiological factors for this rare disease [1, 3].
With a high predilection for the knee, lesions can arise in several joints such as the elbow, wrist,
ankle, and femoral head [4]. Osteochondritis dissecans typically presents between 10 and 15 years
of age, with an estimated incidence of 0.02% to 1.2% [1, 4]. Based on ... Show more content on
Helpwriting.net ...
Patients and Methods
We retrospectively reviewed the medical records of 21 patients in whom the osteochondritis
dissecans of the knee was diagnosed and treated from 2001 to 2014 at our institution. Of 21 patients,
4 underwent autogenous osteochondral grafting (Mosaicplasty) due to massive fissured cartilage,
and 2 were treated by excision of the fragment. Remaining 15 patients underwent open reduction
and internal fixation with Acutrak headless cannulated compression screws (Acumed, Beaverton,
Ore) due to unstable OCD lesions of the knee. Within these 15, when considered skeletally maturity
at the time of surgery, while 6 had open growth plates, 9 presented with the closure of their growth
plates. On the basis of homogeneity of physeal status, this small sample of 9 patients with physeal
closure was included in the present study.
All patients included in the study were recalled for subjective, objective, and functional evaluation;
the study protocol involved the range of motion (ROM), ligamentous stability, Tegner–Lysholm
Score, Modified Cincinnati Rating System Questionnaire, Short Form–12 (SF–12) in addition to the
plain radiograph, computed tomography (CT), and magnetic resonance imaging (MRI) of the knee.
According to international knee documentation committee (IKDC) score, any development of
arthrosis was assessed at the final follow–up.
The average length of follow–up was 35 months

Total Knee Arthroscopy Essay
Abstract: Background and Purpose: Total knee arthroscopy (TKA) is a very common procedure
performed in the United States over 670,000 times annually.1 The number of TKAs is expected to
rise due to an aging population. The purpose of this case report is to explain the interventions used
based on current evidence in the literature, and to track a patient's progress through a three–week
physical therapy program following a right TKA. Case Description: This case report follows a 74–
year–old female after having a right total knee arthroplasty. She was previously independent with all
ADLs and functional activities. Intervention: Interventions used in this case included: retrograde
massage, scar massage, ice massage, transverse friction massage, range of motion ... Show more
These have all been shown to beneficial following knee replacement surgery. Two studies performed
by Bade and Stevens–Lapsley found that strength training of the quadriceps and hamstrings
following TKA resulted in better long–term outcomes and better performance in functional
activities.5,6 Ebert et al. found that manual drainage massage was beneficial for reducing pain and
increasing knee ROM after knee replacement surgery.7 According to Brugioni, patellar mobilization
is critical for maintaining adequate knee ROM after undergoing a total knee replacement surgery.
Gait mechanics and ambulatory endurance are often altered by knee surgery, and therefore, requires
gait training to be corrected. Bruin–Olsen et al. found that a specific walking–skill program had
better outcomes than traditional physiotherapy after TKA.9 Finally, Storey and colleagues found
that indoor and outdoor walking tests moderately correlated with functional walking ability
following TKA, which is important to keep in mind when choosing the right clinical objective

Cortisone Case Study
DOI: 1/4/2010. The patient is a 61–year–old right–hand dominant male driver who sustained a
work–related injury to his lumbar spine, neck and shoulders
Per the PT note dated 12/01/14, patient has attended 5 visits for bilateral shoulders.
Per the medical report dated 07/27/15, the patient had some discomfort following initial
improvement with cortisone injection. It was noted that the patient does have a history of cervical
pathology.
As per consultation notes on 6/30/16, the patient presents for evaluation of his right shoulder. He has
not worked for 5 years. His only treatment has been injections which gave him short–term pain
relief. He complains of constant right shoulder pain and it keeps him awake at night. It makes it
difficult for

Knee Injury Case Studies
This is a 53–year–old male with a 9/3/2015 date of injury. The patient stated that he was at work,
slipped on melted ice and fell to the ground. He immediately felt pain in his knee.
DIAGNOSIS: Left knee medial meniscus tear, chondromalacia, synovitis
01/26/16 Progress Report documented a follow–up visit for left knee pain. The patient has attended
13 visits of PT and his knee is more painful now. He is currently having daily medial sided knee
pain. He cannot run, walks with a limp, and has swelling and limited range of motion. The Worker's
compensation denied his MRI. He has been having pain in his knee since 09/03/15. The patient has a
PMH significant for LKS with ACL reconstruction by FAB, 1.5 years ago. He reported swelling,
catching,

Meniscal Tear
Speech 101
10/24/11
Topic – My meniscus injury and the processes in which I went through
Intro – About a year and a half ago I was training pretty hard to get into shape for the fire academy
here at rio hondo. I would run atleast 5 miles a day to keep good cardio, haha I don't do much of any
running any more. Well, One of those days I went on an uphill run with a 20lb weight pack and
experienced some pain in my left knee, about a month later It still hurt so i went to the doctor and
after an MRI it was determined that I may have torn my meniscus and I would not be able to attend
the academy until it healed. Today im going to go over some knowledge I gained about these types
of injuries by experiencing one first hand.
Body – 1. ... Show more content on Helpwriting.net ...
Works Cited
"Meniscal Tears – Your Orthopaedic Connection – AAOS." AAOS – Your Orthopaedic
Connection. Web. 24 Oct. 2011. <http://orthoinfo.aaos.org/topic.cfm?topic=A00358>.
The Center of Orthopaedic Surgery. "KNEE JOINT – ANATOMY & FUNCTION." THE
CENTER FOR ORTHOPAEDICS AND SPORTS MEDICINE. Nucleus Communications.
Web. 24 Oct. 2011.

Research: Cost Reduction or Cost Containment in Health...
Introduction Healthcare is under scrutiny to find cost reductions or cost containment. Available
healthcare dollars are diminishing with an increased aging population and costs continually on the
rise there is a need for healthcare institutions to become more accountable in how the dollars are
spent. Canadian healthcare is 11.2% of gross domestic product in 2013 (Information, 2013)Pressure
exists to maintain current service levels with decreasing budget dollars year after year. Healthcare
institutions (administration and sometimes physicians) spend a substantial amount of time and
energy yearly cutting dollars from existing budgets in order to provide a balanced budget. Savings
come in the form of salaries (jobs), supply savings, and ... Show more content on Helpwriting.net ...
Additional articles discuss how knowledge sharing of cost information with respect to diagnostic
tests (Ramoska MD, 1998) (Portale MD, Harper, & Fields MD, 2013) (Taheri MD, Butz PhD,
Griffes MHA, Morlock MBA, & Greenfield MD, 2000) (Sehgal MD & Gorman MD, 2011)
(Varkey, Murad, Braun, Grall, & Saoji, 2010) and drug cost (Polinski, et al., 2008) reduced
spending. Increased knowledge of implant costs encourages surgeons to formulate additional
considerations for selecting implants based on cost and outcomes (Streit MD, Youssef MD, Coales
MD, Carpenter MD, & Marcus MD, 2013) (Okike, et al., 2014)"One of the biggest challenges to
healthcare, now and in the future, will be monitoring and controlling costs" (Mitchell & Cherf MD,
2014). Research Question In an Ambulatory setting, surgical procedures absorb a large part of the
operating budget, in particular Orthopedics. When orthopaedic surgeons and nurses are made aware
of surgical costs, will this create an opportunity for knowledge sharing and engagement in cost
savings? Sharing the results of the research with orthopedic

Slap Tear
SLAP Lesion Tear
A SLAP lesion tear is an injury to the shoulder. This can cause painful symptoms and difficulty with
overhead activities whether they be athletic or those of daily living. In 1985, Andrews et al were the
first to describe the superior labrum tear. In their experience, they identified tears of the labrum from
throwing athletes located anterosuperor near the origin of the bicep tendon. The cause of the lesion
to tear was the bicep tendon being pulled off the labrum from the force generated during the
throwing motion. As time went on, the labral tears got categorized into four different types of
classifications called SLAP lesions by Snyder in 1990. A SLAP lesion, as described by Snyder
involves tears of the superior ... Show more content on Helpwriting.net ...
SLAP lesion can develop due to the repetitive forces of the throwing motion. Athletes that are
involved in overhead activities tend to develop a struggle in glenohumeral internal rotation. Both
internal impingement and peel back mechanisms can cause that to happen.
Walch et al first described the internal impingement as an intraarticular impingement of the rotator
cuff in the abducted and externally rotated shoulder. With 90 degrees of both abduction and external
rotation, the articular surface of the posterior superior rotator cuff becomes pinched between the
labrum and the greater tuberosity.5 The authors separated the labral lesions from SLAP lesions
which extended anteriorly to the biceps anchor at the supraglenoid tubercle, concluding that internal
impingement may be responsible for a subset of patients with isolated posterior SLAP tears.5
Burkhart et. al presented the peel back (posterior superior) mechanism that causes SLAP lesions.
The peel back has its origin in a biceps vector change in the position of abduction and external
rotation resulting in torsional forces to the labra–bicipital complex.6 Once the posterior superior
labrum gets fatigued, it will start to rotate medially over the upper rim of the glenoid. This could
happen in a late cocking position of

Homestead Case Study
Near UCSF's San Francisco General campus, a tired doctor could be forgiven for overlooking The
Homestead as a happy hour choice. With peanut shells on the floor, tastefully ironic boudoir
paintings on the walls, and cocktails with names like Corpse Reviver #2, the bar could be yet
another Mission hipster hole–in–the–wall. But The Homestead is more than just a place for bearded
twenty–somethings (and their omnipresent dogs) to get a pickle and a $2 Tecate. In fact, the bar is
the birthplace of UCSF's Institute for Global Orthopedics and Traumatology, a small, innovative
program with big worldwide intentions. Sure, IGOT has a proper home in an elegant brick building
near General's main entrance, but the heart and soul of the program is the Thursday ... Show more
Between 2010 and 2013, 160 doctors from 25 countries participated in the course in San Francisco.
Prior to the course, the 2012 attendees estimated that they collectively performed between 580 and
970 amputations annually because of soft tissue injuries. These same doctors, when questioned
again one year later, reported that they had performed 620 flaps, with 574 considered to be
successful. Even better, those 2012 participants taught flap techniques to 28 of their local
colleagues. It's impossible to estimate how much pain, suffering, and economic calamities were
prevented along with the

Idk Research Papers
Introduction:
The knee joint is one of the most commonly injured joint in day to day life and in many popular
sports. A comprehensive modality is needed to diagnose all the pathologic conditions of the injured
knee including that of the ligaments, fibrocartilages & articular cartilages. The information obtained
from conventional skiagrams, ultrasound or computed tomography of the knee is limited. Since its
introduction to musculoskeletal imaging in the early 1980s, MRI has revolutionized diagnostic
imaging of the knee[1,2].
Internal Derangement of the Knee (IDK) is the term used to cover a group of disorders involving
disruption of the normal functioning of ligaments or cartilages of knee joint thereby impairing its
normal mobility[1]. Arthroscopy ... Show more content on Helpwriting.net ...
The absence of an intrameniscal high signal was considered as a normal meniscus. The presence of
an intrameniscal high signal not extending to the articular surface was considered grade 1 and 2
degeneration of the menisci, while intrameniscal high signal intensity reaching the articular surface
was regarded as a tear.
The ACL and PCL were considered normal when it appeared as a band of fibres of low or
intermediate signal intensity on both sagittal and coronal images. It was considered partially torn
when it appeared fuzzy with an ill–defined outline and abnormal signal intensity within, and as
completely torn if there was disruption of all fibres, discontinuity or avulsion from its attachment.
Arthroscopies were done within 1 week of MRI after the patients had provided signed consent. The
Orthopedic surgeons were aware of the MRI results, as we thought it was better to emphasise MRI
findings to decrease the time needed to revise the videotapes in cases of contradictory results.
Structures included in the study were medial and lateral menisci and anterior and posterior cruciate
ligaments. We considered meniscal tear and degeneration as one group and compared against the
normal menisci. Cruciate ligaments were studied considering the complete and partially torn
ligaments as one group and compared against the

Osteochondral Injury: A Case Study
DOI: 8/19/2015. Patient is a 61–year–old female assembler who sustained injury while she was side
stepping at work when she felt a pop in her right knee. Per OMNI entry, she was initially diagnosed
with right knee sprain.
MRI of the right knee dated 12/09/15 showed no evidence of meniscal, cruciate, or collateral
ligament tear. There is fluid seen extending into the articular cartilage of the lateral tibial plateau
compatible with chondral injury. Furthermore, there is mild chondromalacia involving the medial
facet of the patella.
Per the IME dated 03/16/16 by Dr. Shankman, the patient has had PT for ten weeks, which have not
helped. She has had no injections and takes no medications. The patient has resolved osteochondral
bruise and pre–existing chondromalacia that was aggravated by the injury of record. It was opined
that the IW requires no further treatment from an orthopedic standpoint. ... Show more content on
Helpwriting.net ...
There is medial joint line pain. Pain is noted with McMurray's
Gait is antalgic.
Assessments are other tear of right knee medial meniscus, pain in the right knee and chondromalacia
patellae of the right

Rotator Cuff Repair
There are three different options for rotator cuff repair. Surgical techniques have become more
advanced and less invasive. Each technique has advantages and disadvantages, but the goal is the
same: to reattach the tendon and allow it to heal. The type of repair chose depends on the size of the
tear, the anatomy of the individual, and the quality of remaining healthy tendon tissue and bone.
Most repairs can be performed on an outpatient basis and do not require overnight hospitalizations.
The three techniques most commonly used include the traditional open repair, arthroscopic repair,
and the mini–open repair. Overall, all three have been rated similarly by patients in terms of pain
relief, strength improvement, and overall satisfaction. During

Medical Case Summary Injury
DOI: 12/5/2013. The patient is a 57–year–old female precertification technician who sustained a
work–related injury to her head, neck, lumbar spine, and right knee after slipping and falling on icy
sidewalk. As per OMNI entry, she was diagnosed with head/scalp injury, status post concussion,
cervical strain, headaches, and right knee medial meniscal tear status post surgery on 06/04/2014.
Based on the progress report dated 03/02/16 by Dr. Ozaeta, the patient has had a right knee
corticosteroid injection one week ago. She had to take a Norco yesterday for right knee pain. She
saw Dr. Cantrell, who requested 8 additional physical therapy sessions. She has low back
discomfort, notable when sitting. She takes nortriptyline and an antihypertensive. ... Show more
Assessments are major depressive disorder, right knee medial meniscal tear post arthroscopy with
recurrent tear and repeat arthroscopy, headache (concussion, cervical strain), lumbar strain and
cervical degenerative disc disease.
It was opined that her physical conditions are improving and nearing MMI. Her psychological state
could benefit from further counseling. She is very apprehensive about returning to any type of
modified work.
She was given a refill prescription for nortriptyline.
Treatment plan includes follow–up with orthopedics, follow–up with psychology, Dr. Gandolfo for
additional treatments for major depressive disorder, additional PT 2 x 3 sessions to treat the lumbar
spine, additional PT for vestibular rehabilitation, follow–up with neurologist, referral for psychology
and follow–up with primary care physician (PCP).
Per verification to the provider's office IW has had 13 PT visits for the back from 10/13/15 through
12/31/15. Requested for recent PT notes, however, no medical records received at the time of
submission of the review to PA.
Current request is for 6 Physical Therapy Visits for the Lumbar Spine between 3/8/2016 and

Femoroacetabular Impingement Research Paper
Femoroacetabular impingement (FAI) is a condition where the bones of the acetabulum are
abnormally shaped, making them not fit together properly. This can be due to irregular growths of
the femur and or the iliac spine. This abnormality, then causes the hip bones to rub together, leading
to damage within the joint. There are three types of FAI: pincer, cam and combined impingement.
Pincer impingement occurs because of an extra bony growth that extends over the normal rim of the
acetabulum. Conversely, cam impingement is formed when the femoral head is not round and
cannot rotate smoothly inside the acetabulum. Combined impingement is a combination of pincer
and cam (Figure 1). The causes of FAI typically relate to abnormal formation of the ... Show more
Recent research has found that specific sports, such as soccer, have a higher incidence of abnormal
bony features due to the high shear stress that is applied to the femoral head prior to the closure of
the athlete's growth plates. Indicating that Cam impingements occur during skeletal maturation and
high–impact sports practice.1 Again it can be assumed that the athlete had been partaking in such
practices for quite some time, making him a 'typical' case. However, this athlete also had a labrum
tear present. This could be due to playing on an FAI for many years, causing additional stresses to
the tissues surrounding the hip

Supraspinatus Injury Case Summary
DOI: 2/24/2016. Patient is a 46–year–old male production technician who sustained injury while he
was lifting a heavy door when he felt immediate pain in his right shoulder. Per OMNI, he was
initially diagnosed with right shoulder strain.
MRI of the right shoulder obtained on 03/01/16 revealed a small full–thickness tear through the
posterior margin of the distal supraspinatus tendon approximating 8 mm in width with tendinopathy
and thinning of the tendon. No retraction of the myotendinous junction is seen. Mild hypertrophic
osteoarthritic at the acromial clavicular joint with mild impingement onto the rotator cuff is seen.
Per the PT note dated 03/29/16, the IW has completed 8 visits.
Per the medical report dated 04/04/16, it was ... Show more content on Helpwriting.net ...
Even with active assistance, the patient can only achieve approximately 140 degrees of forward
elevation, 60 degrees of external rotation, and internal rotation barely to his upper sacrurn. He has
4/5 supraspinatus weakness and pain. Internal and external rotation strength seems to be normal. He
has a nonspecifically painful Neer's, Hawkins, and O'Brien's test. His proximal biceps and
acromioclavicular (AC) joint are both very tender to palpation.
Impression is rotator cuff tear with adhesive capsulitis, poorly controlled diabetes, AC joint
arthrosis, and proximal biceps tendinopathy.
Plan is for arthroscopy, rotator cuff repair, subacromial decompression, extensive debridement
including capsular release, possible biceps tenodesis and distal clavicle resection.
The difficult combination of adhesive capsulitis and a torn rotator cuff in a patient with blood sugars
that however around the 200s, was discussed. He understands that he is an increased risk of multiple
complications and his therapy will likely take longer due to the inevitable stiffness that will occur.
He would like to proceed.
Current request is for 1 Right Shoulder Arthroscopy, Rotator Cuff Repair, Subacromial
Decompression, Distal Clavicle Resection, Capsular Release, Debridement, and Biceps Tenodesis
between 4/26/2016 and 6/25/2016.
Signed C31 form not

The Effects Of Sports Injuries On Young Athletes
In this day and age, "Back to school" actually refers to "Back to sports". Children become more and
more physically active. They enroll in a variety of sports activities, whether in their own school or in
community–based sport programs. As a result of this tremendous life–style change in young people,
the number of sports related injuries in young athletes is escalating nationwide.
Statistics report that sports injuries are the second leading cause of injuries in school. Roughly 60
million children ages 6 to 18 participate in organized sport activites. The number of young athletes
seen in hospital emergency rooms for sports–related injuries is approximately 3 million, with
additional 5 million athletes who visit their primary care physician. The American Academy of
Orthopedic Surgeons reports that 3.5 million children are treated for sports injuries each year –
roughly half of them suffering from overuse injuries. The organization Safe Kids Worldwide reports
that every 25 seconds a young athlete visits the emergency room due to a severe sports injury.
With these alarming numbers in mind, an increase in children's safety while playing sports is
inevitable.
While regular physical activities benefit the normal and healthy growth in children, they can be
extremely harmful if the level of activity becomes overly intense or extreme.
"Today, children start with competitive sports as early as age 6 or 7. I applaud their discipline and
determination to be healthy and physically

Knee Replacement Case Study
DOI: 3/31/2016. Patient is a 58–year–old male driver who sustained injury when he was hit by a
vehicle. Per OMNI, he was diagnosed with right knee sprain/contusion.
MRI of the knee dated 7/15/16 revealed no meniscal tear, ligament rupture, or other acute injury.
Based on the progress report dated 08/17/16, the patient continues to have right knee pain without
significant improvement, however, he does get some substantial relief when he wears a right knee
brace. The medications give him functional improvement and pain relief.
On examination of the right knee, there is tenderness to the medial/lateral joint lines and
patellofemoral facet. Range of motion (ROM) is 0–135 degrees.
IW was diagnosed with right knee contusion, right knee pain and ... Show more content on
Helpwriting.net ...
Treatment plan also includes Vascu–Therm post operatively for cold therapy with deep vein
thrombosis prophylaxis, post–operative physical therapy, three times per week for six weeks, and
preoperative clearance prior to the surgical procedure to determine the patient is safe to proceed with
surgical intervention.
Per verification to the provider's office, the patient has not had any injections and there is no
available information on the number of PT visits attended to date.
Patient has been previously denied with 1 Right Knee Diagnostic Arthroscopy on 08/04/16 (Review
270777).
Current request is for 1 Right Knee Diagnostic Arthroscopy between 8/29/2016 and 10/28/2016; 18
Physical Therapy Sessions for the Right Knee with Evaluation between 8/29/2016 and 10/28/2016;
1 Month Rental of Home–Based Transcutaneous Electrical Nerve Stimulation (TENS) Unit for
Post–Operative Use between 8/29/2016 and 10/28/2016; 1 Pre–Operative Clearance between
8/29/2016 and

Tenderness Case Studies
DOI: 03/31/2016. The patient is a 44–year–old male field technician security who sustained a work–
related injury when he climbed over a fence when he fell, and landed on his right foot. Per OMNI,
he was diagnosed with fracture of the right foot.
Physical therapy notes dated 06/10/2016 revealed that the patient has been for a total of 7 physical
sessions. He has been able to tolerate a moderate level of strengthening and balance program
without significant difficulty. Initially, patient complained of posterior tibialis tenderness which has
reduced significantly since his initial visit.
Office notes dated 06/21/2016 revealed that the patient complained of right foot pain with a pain
rating of 6/10. Physical examination revealed tenderness

TFCC Injury Essay
When diagnosing a TFCC injury, it is very important to get information of all past injuries this
patient has had. Without proper knowledge, it is possible to miss–diagnose TFCC. The most
prominent symptom of a TFCC tear is wrist pain so it can rather vague. To help with this vagueness,
they do have tests that you can run to evaluate the TFCC. To test the stability of the distal radio–ulna
joint (DRUJ), they can perform the Piano–key sign and ulnocarpal ballottement test. They also have
the Ulnocarpal compression test that tests the maximum extremes of both pronation and supination.
Although just a few examples of tests that they can perform, they are very important when they are
trying to figure out what in the wrist is injured and to what degree is has been injured. As for
determining what the different tears are after testing, "Tears are ... Show more content on
Helpwriting.net ...
An MRI is short for magnetic resonance imaging and it uses a magnetic field and radio waves to
create very detailed images of the tissues within the body. "Conventional MRI has demonstrated
inconsistent diagnostic performance in detecting SLL, LTL, and TFCC tears. The low sensitivity for
SLL (40–75 %) and LTL (50–75 %) tears is largely due to their small structure. The accuracy of MR
imaging for TFCC tears is higher, at about 71–100 %." (10) Although they would like to have less
invasive techniques like the MRI, they need to get more accurate results like they do from the
arthroscopy, before they rely on the MRI only. With such a small area that they want an image of for
the TFCC injury, they must really refine the sections of images that they make so they can get a
clearer picture. As for using a radiograph as another form of diagnosis, they are not useful in a
TFCC injury and they will only help determine if there is osteoarthritis. This is usually a go to for
any other injury to see if any big damage has happened, however, it will not be helpful in this

An Incident At Johnny A 's Third Rail Pub
This claim arises out of a lawsuit filed in Kane County, Illinois involving an incident at Johnny A's
Third Rail Pub, a local pub owned by the Insured, Beslidheje, Inc. Mr. Tefik Ashiku owns and
operates the Insured corporate entity. The pub operates out of a building owned by the co–defendant,
Junaid Zubairi. Plaintiff's lawsuit alleges negligence against both Beslidheje, Inc. and Zubairi,
claiming that the stairway had insufficient or inoperative lighting at the time she fell.
We have had further discussions with Mr. Ashiku, Mr. Zubairi, and Ms. Kristen Finkensher, the
bartender on duty on the night of the occurrence. Their statements are consistent with the facts stated
in our prior report. In short, on the night of the incident, the City of South Elgin was hosting its
annual festival, Riverfest, near the pub. There were light towers located throughout the festival
grounds, which illuminated the surrounding buildings, including the pub. Plaintiff came into the
pub, ordered one beer and, at some point, left the pub. An unknown patron then alerted Ashiku and
his bartender that Plaintiff had fallen near the bottom of the stairs. Plaintiff refused assistance from
the bartender including an offer to call an ambulance and left in a vehicle driven by her friend. The
lights above the stairs were functional and the village's light towers brightly illuminated the stairs.
The bartender described the plaintiff as being about 5'8" tall and weighing about 300 pounds. She
believes

Labral Giver Research Paper
Opening a Car Door and Labral tear
The shoulder joint is the most mobile joint of the body moving in three planes and around three axes
(Lippert, 2011). The shoulder joint is made up of a synovial ball and socket articulation between the
large head of the humerus, and the small glenoid cavity of the scapula, making it one of the least
stable joints and more prone to injuries (Lippert, 2011). The stability of this joint highly relies on its
ligaments, tendons, glenoid labrum and its muscles (Lippert, 2011). Although these structures
maintain the stability of the shoulder joint, it is prone to many injuries and pathologies such as a
labral tear.
A labral tear is defined as a torn cartilage within the socket of the shoulder joint (Kirchhoff, &
Imhoff, 2010). Swimmers and volleyball players often face this pathology due to repetitive shoulder
abduction and external rotation of the arm. The symptoms of a labral tear can vary depending on
many factors such as severity of the damage ... Show more content on Helpwriting.net ...
Abnormal results of the O'Brien test might indicate a labral tear. This test is specialized to detect
glenohumeral joint labral tears. The O'Brien test is occasionally performed with the patient sitting,
and its arm positioned at a 90–degree flexion (Kirchhoff, & Imhoff, 2010). The shoulder should also
be about 10 degrees of adduction to properly examine the client (Kirchhoff, & Imhoff, 2010). A
presided diagnosis can be completed through X–rays, MRIs and arthroscopy (Lannon). Labral tear
treatment is available, and it consists of rest, anti–inflammatory medications, and physical therapy
(Lannon). If the first attempts to relieve pain are in vague, surgery is the last resort. As mentioned
above, Arthroscopy is a way to diagnosis and treatment. During arthroscopy, the surgeon can
visualize the injury in depth with the possibility of restoring the affected area through a small
incision

Six-On-Call Commitment Analysis
One in six on–call commitment. Outpatient care: New patient consultation and review/ follow–up of
cases both trauma and orthopaedic paediatric cases. Young adult hip cases with Mr Madan. I have
been working with Mr Madan for the past 18 months and I help in following up the complex hip
reconstruction cases and assessment of new referrals as well. Minor outpatient procedures like
Ponseti casting, Manipulations under conscious sedation, tenotomies for Ponseti casting. Inpatient
care: Ward rounds, consults from other specialities, attending the calls from accident and emergency
and general practitioner as well. Attend and participate in twice weekly journal club, thrice monthly
multidisciplinary meetings with all orthopaedic and radiology consultants.

Curricular Fibrocartilage Seizure Case Summary
DOI: 6/12/2011. The patient is a 58–year–old female cook who sustained injury when she opened
the door to the fridge and it fell on her breast.
Per the operative report on 10/27/15, the patient underwent right wrist arthroscopy, debridement of
triangular fibrocartilage tear, synovectomy and debridement of scapholunate ligament tear.
Per medical report dated 2/5/16 by Dr. Wright, the patient was last seen on 11/13/15, during which
she was 2 weeks status post right wrist arthroscopy. The patient was following her primary care
physician for hematuria and was hospitalized. She reports one week before Christmas she was
diagnosed with renal cancer and a left nephrectomy was performed. She has convalesced from
surgery and is eager to reinitiate treatment for her right wrist. She complains of ... Show more
There is tenderness with motion of the wrist. Strength is 4/5. She is tender over the first dorsal
extensor compartment and has a positive Finkelstein's test. Assessment includes internal
derangement of the right wrist, status post right wrist arthroscopy and De Quervain's tendinitis of
the right wrist/thumb. Patient will benefit from an additional course of PT to enhance and restore
strength and function of her right wrist. She will benefit from a thumb spica splint to allow her
tendinitis to resolve. She will continue applying her Voltaren gel.
Requested verification from the provider's office on the number of visits attended to date; however,
no callback/report was received prior to the submission of this request to PA.
Are the requests for 1 Right Thumb Spica Splint; and 18 Physical Therapy Visits for the Right Wrist
between 6/17/2016 and 8/16/2016 medically necessary?
C–4 for Preauthorization Request. NY Medical Treatment Guideline does not address the

Why I Should Become A Physician Assistant
Most of my life was consumed with the sport of gymnastics. I remember the rush I would get as it
was my turn to compete in front of the cheering crowd. In those moments nothing else mattered; just
me, the chalk on my calloused hands and the equipment in front of me. I have competed in
gymnastics ever since I was five years old. I spent six days a week in the gym practicing all year
round and even volunteered part of my time to a community program teaching gymnastics to
children. Gymnastics had a tremendous role in shaping me into the person I am today and it is also
what led me to want to become a Physician Assistant.
Over the many years I've spent doing gymnastics, I've become a determined and motivated
individual. Always striving to do better in everything I do, whether it 's in my routines or raising my
grades on every exam. To be the best in gymnastics, it not only takes having the routine with the
most difficulty, but being able to perform those skills with precision, which takes endless practice
and repetition. First or second place could be set apart by a hundredth of a tenth based on even the
smallest imperfection such as a foot not being pointed.
Although gymnastics is thought of as an individual sport, it has taught me the importance of
working as a team. How well your team places depends on you and your teammates score; so you
want to be able to do what you can to see your teammates succeed, whether it is being there for
them to help tweak their technique in a

Oral Analytical Summary
CLINICAL SUMMARY:
DOI: 2/10/2016. Patient is a 51–year–old female housekeeper who sustained left knee injury when
another employee from the hotel accidentally hit her knee with the housekeeping cart. As per
OMNI, she was initially diagnosed with tear in left knee. He is status post left knee arthroscopy on
6/23/2016.
Per the progress report dated 8/4/2016, patient returns with improving symptoms to her left knee and
has been undergoing post–operative physical therapy times seven visits and has been utilizing
Transcutaneous Electrical Nerve Stimulation (TENS) unit as well. She does still experience
significant intermittent post–operative pain which she currently rates as 6/10 in intensity. Patient
remains on her current oral analgesic mediations

Anatomical Language Arthroscopy: Joint And Surgical Procedure
Their answer was what is known as Arthroscopy. In anatomical language arthro means joint and
scopy means look. So arthroscopy literally translates as "to look into the joint." Advancements in
fiber optics have allowed doctors to be able to insert a small camera into the joint. Slowly, this
technique has been used for not only just looking but also aids in surgical procedures
("Arthroscopy."). Due to the fact that this is a minimally invasive procedure, it has reduced many of
the complications found in open repairs ("History of ACL Injury and Repair."). The joint remains
closed which lowers the risk of infection and eliminates the chances of the articular cartilage drying
out. Healing time and the damage to normal structures is therefore reduced.

Shoulder Arthroscopy
Shoulder arthroscopy in a painless way
A largest and the most complex joint in our body is a shoulder joint. Shoulder joints form when the
humerus bone fits into the scapula thus creates a ball and socket structure. Ligament, muscles,
padding, tendons, cartilage are totally comprised by the shoulder joint. When anything goes wrong
the total mobility of shoulder becomes painful and discomfort. Some common problems affect
shoulders such as Nerve compression, Arthritis, Rotating cuff problem, arthroscopy, and shoulder
joint dislocation.
Arthroscopy is a surgical procedure with a minimally invasive to diagnose and treat the joint
abnormalities. Doing arthroscopy examination, the abnormalities of shoulders like detachments,
swelling and tears, loose

Patient Status Report
DOI: 9/13/2012. Patient is a 57–year–old female teacher who sustained a hip/sciatica injury when
she slipped and fell inside the classroom's bathroom. She is status post open repair of right
hamstring avulsion off the ischial tuberosity on 1/24/2013.
Per AME report dated 5/5/2014, future medical treatment should include MRI of the right hip and
lumbar spine, EMG and nerve conduction study, use of oral and topical analgesics and home
stretching exercise program. Per the supplemental report dated 9/19/2014, patient was declared
permanent and stationary. Attached is another Supplemental to the AME report dated 03/11/15.
MRI of the right lower extremity dated 7/29/2014 reveals evidence of morphological and signal
irregularity of the superior labrum suspicious for tear.
Per PT status report dated 10/22/15, the patient has attended 12 sessions for the right hip and back.
Per progress report dated 11/10/2015, patient continued to have right hip pain and discomfort. Plan
is for patient to undergo right hip injection with ultrasound guidance. Patient was also prescribed
with medications.
Based on the orthopedic progress report dated 12/08/15 by Dr. Hughes, the patient comes in for
follow–up. Her right hip arthrogram did give her some improvement. She still has some
improvement, ... Show more content on Helpwriting.net ...
The patient's hamstring repair of three years ago did not solve her problems. Her MRI shows
significant derangement and labral tearing present. The patient needs increased pain medication as
her pain is worsening at this time. On examination of the right hip, there is tenderness in the anterior
groin area. Impingement sign is positive with flexion and internal rotation. Assessments are right hip
labral tear and status post right hip hamstring repair. The patient will follow up in four to six weeks
pending surgical approval of right hip arthroscopy with decompression and possible labral

Knee Arthroscopy Research Paper
Knee Arthroscopy
Knee arthroscopy is a surgical procedure to examine the inside of your knee joint and repair any
damage. The surgeon puts a small, lighted instrument with a camera on the tip (arthroscope) through
a small incision in your knee. The camera sends pictures to a monitor in the operating room. Your
surgeon uses these pictures to guide the surgical instruments through other incisions to the area of
damage.
Knee arthroscopy can be used to treat many types of knee problems, including:
To repair a torn ligament.
To repair or remove damaged tissue.
To remove a fluid–filled sac (cyst) from your knee. .
LET YOUR HEALTH CARE PROVIDER KNOW ABOUT:
Any allergies you have.
All medicines you are taking, including vitamins, ... Show more content on Helpwriting.net ...
○ A medicine that numbs the area (local anesthetic).
○ A medicine that makes you fall asleep (general anesthetic).
○ A medicine that is injected into your spine that numbs the area below and slightly above the
injection site (spinal anesthetic).
○ A medicine that is injected into an area of your body that numbs everything below the injection
site (regional anesthetic).
A cuff may be placed around your upper leg to slow bleeding during the procedure.
The surgeon will make a small number of incisions around your knee.
Your knee joint will be flushed and filled with a germ–free (sterile) solution.
The arthroscope will be passed through an incision into your knee joint.
More instruments will be passed through other incisions to repair your knee as needed.
The fluid will be removed from your knee.
The incisions will be closed with adhesive strips or stitches (sutures).
A bandage (dressing) will be placed over your knee.
The procedure may vary among health care providers and

Essay On Right Shoulder Arthroscopy
DOI: 6/22/2014. Patient is a 37–year–old female live in care attendant who sustained an injury to
her right shoulder as she helped a client out of bed and heard a pop.
Based on the progress report dated 01/11/16, the patient complains of constant right shoulder pain
status post shoulder arthroscopy.
Pain is severe with profound limitations, and described as aching, sharp and stabbing. There is
radiation of pain to the hand and fingers. Pain is aggravated by lying down, sleeping on involved
side, and use of the extremity. Associated symptoms include numbness, waking up at night, tingling,
pins and needles. Condition is getting worse with time. He is unable to return to work due to
physical limitations.
Patient continues using pain medications. Patient has modified activity level. Treatment received
includes activity modification, medications, shoulder arthroscopy and therapy. Tests performed
include X–rays, MRI x 2, and MR arthrogram.
On examination of the right shoulder, there is tenderness to the anterior region, inclusive of the
subacromial space and acromioclavicular (AC) joint. Range of motion shows flexion of 132
degrees, extension of 40 degrees, abduction of 117 degrees, adduction of 38 degrees, external
rotation of 90 degrees and internal rotation of 34 ... Show more content on Helpwriting.net ...
AC joint capsular strain is a consideration given this clinical history and correlation with pre and
post weightbearing radiographs of the AC joint is suggested to further characterize and assess, as
clinically indicated. Subacromial bursitis is seen. Metallic artifact is seen overlying the skin and
musculature near the proximal attachment of the deltoid musculature. This may represent artifact
related to item on the skin itself or related to postoperative changed. Clinical correlation is
recommended. No full–thickness tear of the rotator cuff is

Hip Surgery Effects

Recommended

Recommended

More Related Content

More from Robin Anderson

More from Robin Anderson (20)

Recently uploaded

Recently uploaded (20)

Hip Surgery Effects