So you think platelet-rich plasma (PRP) will help your arthritis

February 16, 2017

Fly-by-night marketing attempts even occur in medical field! For the past 20 years there has been a plethora of questionable studies suggesting that possibly hyaluronic acid originally derived from rooster comb could benefit arthritic joints (sold as Synvisc, Hyalgan and Euflexxa, etc.). Careful research discloses that actually, it is a…

Pronator Syndrome

April 16, 2015

Pronator Syndrome – Have you ever heard of it? Recurrent carpal tunnel syndrome is not common. Perhaps 1:200 to 1:100 patients who undergo carpal tunnel release will get recurrent persistence of carpal tunnel syndrome despite a properly performed carpal tunnel release. In analyzing a person with persistent symptoms after carpal…

Too Large for a Total Knee Replacement?

May 1, 2014

Baker, et al, reported on the association between body mass index (obesity or not) and the outcomes of total knee joint replacement. The researchers found that patients derive equivalent functional benefit following total knee replacement irrespectively of their preoperative BMI. The significance of this is that the study argues against…

Dermal Allograft Use in Massive Rotator Cuff Repair

September 16, 2013

Dermal Allograft Use in Massive Rotator Cuff Repair “Human Dermal Allograft Interposition for Reconstruction of Massive Irreparable Rotator Cuff Tears,” by Venouzioua Kokkalis, ZT, and Sotereanos, DG, American Journal of Orthopaedics, February 2013, pages 63-70. This is a small retrospective study involving 14 patients in the average of 54-1/2 years…

Pain and Dysfunction After Open Carpal Tunnel Release?

September 10, 2013

Greater Risk of Pain and Dysfunction After Open Carpal Tunnel Release The article so entitled by Boya et al. published in Muscle and Nerve, November 2008, Volume 38, pages 1443-1446, pointed out the frequent postoperative problems after open carpal tunnel release such as persistent weakness, pillar pain (deep-seated ache or…