Doctor insights on:
Why Is The Shoulder More Commonly Dislocated Than The Hip
Anatomy: The shoulder joint is a little like a golf ball on a tee, and relies on ligaments and muscles to remain in position (located). The hip is more like a ball inside a socket, or a bowl that wraps halfway around the ball. It is much easier to knock a ball off a golf tee, than out of a bowl. ...Read moreSee 1 more doctor answer
Mechanics: The hip is a ball and socket type joint with strong supporting ligaments which give it inherent stability whereas the shoulder is practically a ball hanging in space which depends more on the integrity of the ligaments, cartilage(labrum) and muscles to stay in proper position. The shoulder has much more freedom of movement. In addition, there are more injury mechanisms in our typical activites. ...Read more
Why does the anterior side of the shoulder joint capsule tear more commonly than any other side during shoulder dislocations?
Instability forces: Shoulder stability is provided by the surrounding muscles, the glenohumeral ligaments/capsule and the labrum. The shoulder is most unstable during a trauma, when the shoulder is forced anteriorly (to the front) and inferiorly (below the shoulder). This puts significant force on the anterior capsule often resulting in tearing/stretching. An abducted & externally rotated shoulder is most vulnerable ...Read more
See a doctor for dx.: The elbow joint is where three long bones meet. There are many structures which may be the cause of elbow pain. Inflammation of a tendon is a common cause of elbow pain. The cartilage in the joint can also be inflamed. Other causes include bursitis, cellulitis, septic arthritis, a pinched nerve, osteochondritis dissecans, not to mentions sprains & strains. See your doctor for definitive diagnosis. ...Read more
Yes: Osteoporosis affects all of the bones in the body. The areas that are affected more are the areas prone to breaking and areas that hold the most weight. The hip and the wrist are prone to breaking, so they are often involved in osteoporosis injuries. The spine holds the most weight, so they can fracture or collapse even without a fall or accident. The shoulder sees less weight and is less injured. ...Read more
Not common: Shoulder arthroscopy is not often associated with postoperative elbow pain of any significance . The pain may be referred from your shoulder . Often the arm is put into a traction device with the arm extended and a weight pulling on the arm which can theoretically exacerbate an underlying condition of the elbow . ...Read more
What is the main cause of persistant pain in the front of the knee below the knee cap felt strongest w/twisting and foot back farther than knee?
PAF: Patellofemoral syndrome would be my first thought. Patella stabilizing brace or strap and Phys Therapy program to strengthen the VMO of the quads can be helpful along with modifying exercise to avoid aggravation. Ice after exercise and NSAID if no reason not to take. Other common causes arthritis, meniscal tear or degeneration, loose body in the knee, bony bruise to knee host of others as well. ...Read more
Embryology.: Before men are born the testicles form in the abdomen and then move through a tunnel to the scrotum. That tunnel is supposed to close, but stays open resulting in hernia in some men or children. The right side testicle falls lasr & is often higher in the scrotum than the left side. Statistics notes from childhood right side inguinal hernias are most common, maybe its tunnel is last to close. ...Read moreSee 1 more doctor answer
Is cervical spondylosis different from knee arthritis because of the shape of the joints involved? Neck seems to be more bothersome than other joints!
Outer lateral side of knee cartilage is torn so there is no space between femer and tibia in that region,what is the best advice for this?
Varies: It varies a little based upon whether there is any malalignment of the knee and whether arthritis is set in. If it is well aligned, non arthritic, then a meniscal transplant may be an option. Visco supplementation can be an option as well as off loading with a brace. All based on your specific factors. ...Read more
What causes throbbing along the joint line in the knee mostly medial? Is there any treatment to straightening the knee when it is stuck?
LOCKED KNEE: Although there are a number of possibilities, it sounds like you injured your meniscus.. When this structure gets torn, it often produces a "wedge" in the knee joint, preventing extension. Sometimes of the "locked" knee function will improve as the inflammation goes away. Schedule a consult with me and we can make the appropriate referral for imaging and further care in your local geography. ...Read more
Shoulder dislocation: Anteriorly (out the front).Get a more detailed answer ›
For function: If i understand the question correctly, the answer is that this type of joint allows a large range of motion, more so than a simple "hinge.". ...Read more
What is an osteomoty of the knee? After having that done would it cause the knee to lock and click?
Knee Osteotomy?: Knee osteotomy is an alternative to total knee replacement surgery. It is for selected younger persons with only portion of the knee affected by osteoarthritis. Most need knee replacement later, however. If a wrong candidate is selected, the outcome will be poor. Please be very careful in deciding... http://orthopedics.about.com/od/hipkneearthritis/a/osteotomy.htm. ...Read more
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