Doctor insights on:
Pectoralis Major Flap
The pectoralis major ( latin: pector = breast) is a thick, fan-shaped muscle, situated at the chest (anterior) of the human body. It makes up the bulk of the chest muscles in the male and lies under the breast in the female. Underneath the pectoralis major is the pectoralis minor, ...Read more
Ruptured or not.: Removal of an uncomplicated saline or silicone implant can be simple and performed under a straight local anesthetic if a capsulectomy is not required. Severe capsular contractures, pocket transitions, delayed silicone ruptures, textured implants, etc can present with various clinical pictures that may be significantly more complicated and may require more extensive surgical procedures. ...Read moreSee 7 more doctor answers
No vessels, one nerv: The eyebrow is well supplied with small arteries and veins but there is no named or large artery at that site. The supraorbital nerve takes off medially (near the middle) and supplies the forehead on that side. Is that major? It is annoying if it loses sensation No motor nerves are in that area. ...Read more
Should I consider surgery?
SLAP tear extending from superior posterior to anterior
inferior labrum. Possible tear of middle glenohumeral ligament. Partial-thickness bursal surface supraspinatus tendon tear. Focal cartilaginous loss of glenoid.
Depends: Partial acl tears needs to be tailored to your individual situation depending on age, activity level, and instability. Plus, 1) a complete acl does not always need surgery, 2) a partial acl may be completely stable or may be completely unstable, 3) an acl reconstruction can be a relatively minor surgery when performed well. I recommend asking a sports medicine orthopedist that earns your trust. ...Read moreSee 1 more doctor answer
Yes: Pec major tendon tears are much less common than rot cuff tears and are usually related to an eccentric contraction while bench pressing. Tears in the muscle belly can be treated non-operatively. Tears off the humerus leave a deformity in the axillary fold( near the armpit) and almost always require surgical fixation of the tendon back to the humerus. Best of Luck! ...Read more
Have multidirectional instability; dislocation chipped cartilage & caused frozen shoulder. Rom revived thru partial capsular release. Concerns?
15wks postop revision rotator cuff surg w/fullthickness infra tear 1.5cm retracted superior to humeral head & .5cm partial supraspin tear, can fix it?
Revision Cuff Repair: Attempting a 2nd revision has a low likelihood of working. If you're having significant pain, weakness and limited range of motion - you may want to discuss superior capsular reconstruction or reverse total shoulder arthroplasty with your orthopedic surgeon. If your symptoms aren't that debilitating - may want to try non-op - PT, injections, etc. ...Read more
Complete full-thickness retear of infraspinatus 1.5cm retract @15wks post-op revision rotator cuff repair. Can use bioinductive implant in re-repair?
Sarcoid lesions in marrow of humeral head and neck.Small 4 mm tear of the anterior fibers of the supraspinatus tendon.Rest of rotor cuff ok.-surgery?
How much pain : Are you having? If you are in persistent pain and cannot use your shoulder or have night pain, typically the tear would be responsible and surgery might be indicated. Most docs have to see the MRI to determine need for surgery. If you have little pain and or are using the shoulder without too much problems you probably dont need surgery. ...Read moreSee 1 more doctor answer
Is surgery mandatory for extensive tearing of the anterior & anterosuperior aspect of acetabular labrum extending into superolateral aspect of hip?
Never mandatory. : The indications 4 surgery is first a diagnosis, then if symptomatic ; interferes with ur daily activities, u r the 1 who6 makes the decision 4 surgery. U will b given all the options ; u decide how 2 proceed. What u describe can lead 2 early arthritis, but also all surgery comes with risks. ...Read more
Hip -focal 3 mm full-thick hyaline cartilage defect involving the superiolateral acetabulum that partially undermines the superiolateral labrum??
Is gum flap surgery for a 5 mm pocket considered a minor type dental procedure when compared to other invasive surgical types?
Is bucket handle tear surgery categorized in "cartilage repair (using arthroscopy)" or some other category for informing insurance?
What are options for recovery for a partial tear of the biceps anchor OR tear of the biceps anchor-superior labral interface---PT 5 weeks w/o change?
Had an mpfl reconstruction now need ACL hamstring reconstruction are there major risks with the ACL recon due to hypermobility and previous MPFL recon?
On thing is if Ur-: -own tissue is 2 B used, it is of poor quality due 2 Ur general condition of hyper-mobility means Ur tissue will also B effected since it will also become hype-mobile meaning it will stretch. Best option is cadaver bone-tendon-bone allograft. It will not stretch like Ur own will. Also I would B tested 4 Marfan's. There R 3 grades of this malady. 1= people who R short in stature with Ur symptoms. ...Read more
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