Treatments
ROTATOR CUFF REPAIR
Rotator cuff tears are repaired arthroscopically during an outpatient procedure. Three or four small incisions are made around the shoulder and the rotator cuff tear is addressed. If the tear is small and does not involve the entire tendon thickness, debridement may be done to clean up the torn portion, leaving the intact portion alone. Bigger, full-thickness, tears require anchors to fix the tendon back down to the bone.
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SHOULDER LABRAL REPAIR
Shoulder labral tears are repaired arthroscopically during an outpatient procedure. Three or four small incisions are made around the shoulder and the labrum is either cleaned out and the torn portion is removed or repaired back to the bone using small suture anchors. Small labral tears that do not detach from the bone can be treated with debridement (removal) to clean up the torn portion. Detached labral tears require anchoring to the bone.
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ACL RECONSTRUCTION
ACL tears are reconstructed arthroscopically during an outpatient procedure. Because the ACL does not heal on its own and cannot be sutured back to itself, a graft needs to be used to reconstruct a new ACL. Graft choice depends on several factors, particularly age. Generally, patients under 30 years old are recommended to use what’s called an autograft, which is where the patient’s own tissue is used as the graft. The tissue used in this case is most often the hamstring tendons. Patients over 30 years old typically receive an allograft, which is a donated graft from a cadaver.
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Fracture Care
Fractures occur after trauma to a bone or joint and can present in several variations. Treatment for fractures can be surgical and non-surgical. Generally, if surgery is needed, hardware is used to reduce and stabilize the fracture so it can heal.
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