Treatments

Shoulder Orthopedic Treatment
Knee Orthopedic Treatment
Sports Injury Orthopedic Treatment
Hip Orthopedic Treatment
Shoulder Anatomy

Shoulder Orthopedic Treatment

Dr. Dee helps patients get through a wide variety of Shoulder Conditions so that they can regain full mobility and return to their regular activities.

Common Shoulder Conditions Treated by Dr. Dee
  • Revision Arthroscopic Procedures
  • Tendinitis
  • Synovitis
  • Shoulder Separation
  • Impingement Syndrome
  • Frozen Shoulder
  • Bursitis
  • Torn Rotator Cuff
  • Shoulder Instability
  • Quadrilateral Space Syndrome
  • Weightlifter's Shoulder
  • Osteoarthritis- This is where there is a loss of cartilage in the joints. The breaking cartilage thickens the bones causing pain and stiffness. In severe cases, where non-surgical shoulder treatments are not effective, surgeries may be performed.
  • Shoulder fractures- fractures in the shoulder commonly involve the clavicle (collarbone), humerus (upper arm bone) or the scapula (shoulder blade). Fractures will often cause severe pain, swelling, and bruising in the shoulder area. Treatment should be sought out immediately.
Possible Treatments May Include:
  • Injections- Injections help to ease pain and reduce inflammation in the affected area. Injections such as Cortisone are commonly administered to patients suffering from shoulder problems at the joint.
  • Physical Therapy- Orthopedic shoulder physical therapy will rehabilitate injuries in the muscles, bones, joints, ligaments and tendons. Exercises aid in the strengthening, increase in motion and reducing of swelling of the ailment.
  • Surgical Options- Depending on the severity of the injury, surgery options can range from a minimally invasive procedure to a total shoulder replacement.
  • Medications- Often times anti-inflammatory and pain medications are used alongside another form of treatment such as physical therapy.
Surgical Techniques:

After exploring the nature and details of your shoulder injury, and making the determination that non-surgical techniques will not fully mend the injury, Dr. Dee will plan out a specialized surgery plan for you and your injury. Surgical procedures used to treat shoulder conditions include:

  • Arthroscopy- This allows for the surgeon to see inside the joint of the shoulder using a few small incisions so that the problem can be properly identified. In some cases, the problem may be able to be correct with the surgeon removing loose or unwanted tissues from the joint. Recovery time from this type of surgery is typically shorter compared to others.
  • Rotator Cuff Repair- This procedure is used to repair a tear in the rotator cuff and improve functions of the muscles and tendons.
  • Bankart Procedure- This surgery tightens the ligaments and works to repair any torn capsular detachments and restores shoulder stability. The most common patients for the Bankart procedure are athletes that partake in throwing sports that have had recurrent dislocations.
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Anatomy of Knee

Knee Orthopedic Treatment

Dr. Dee helps patients get through a wide variety of knee conditions so that they can regain full mobility and return to their regular activities.

Common Knee Conditions Treated by Dr. Dee
  • Revision Arthroscopic Procedures
  • cartilage and biologic knee reconstruction
  • cartilage grafting
  • meniscus transplants
  • double-bundle/anatomic ACL reconstruction
  • Anterior Cruciate Injury (ACL)
  • Medial Meniscus Injury
  • Patella Pain Syndrome
  • Jumpers Knee
  • MCL Injury
  • Bone Chips
  • Muscle Damage
  • Osteoarthritis
  • Lateral Meniscus Injury
  • Patellar Instability
  • Posterolateral Corner Laxity (PLC) - This is the most common under diagnosed and under treated laxity in the knee. It can be in combination with other injuries, such as ACL tear, PCL, and meniscus tears. PLC is a common reason for suboptimal results following surgery if it is not addressed.
  • Meniscus Deficient Knee - After someone has had arthroscopy for a meniscus tear and still continues to do poorly or progressively does poorly. This patient would be a possible candidate for meniscus transplant
Possible Treatments May Include:
  • Injections: Injections are made directly into the affected area to help and reduce pain, increase mobility and promote lubrication in the joints
    • Platelet rich plasma injections, also known as PRP injections, are used to accelerate the healing process of tendons and overall encourage the body's natural ability to heal itself. A compilation of several proteins help to simulate repair and regeneration of the affected area.
    • Orthovisc is a knee pain injectable made from ultra-pure hyaluronan to lubricate the knee joints. This injection is the only one of its kind that can ease pain for up to six months in patients.
  • Physical Therapy: Specialized exercises are used to aid in the remediation of specific impairments or injuries to help promote greater mobility, functionality and overall the quality of life. By stretching and strengthening the area patients can promote healing.
  • Surgical Options: Depending on the severity of the injury, surgery options can range from a minimally-invasive procedure to total knee or knee joint replacement.
  • Medications: Most often times used in combination with another treatment, medicine helps to ease pain and promote comfort in the patient.
Surgical Techniques:

After exploring the nature of your knee injury, and determining that non-surgical techniques will not fully treat the injury, Dr. Dee will plan out a specialized surgery plan for you. Surgical procedures used to treat

knee conditions include:
  • Diagnostic Arthroscopy
  • ACL Reconstruction
  • PCL Reconstruction
  • Meniscus Transplant or Repair
  • Lateral Release
  • Knee Replacement

Cartilage transplant and replacement -These procedures range from marrow stimulation healing techniques (microfracture) to osteochondral transplant and stem cell augmentation.

Meniscus Transplantation- Complete meniscus replacement for a meniscus-deficient knee

Emphasize revision surgery - Meaning, people who have had ACL surgery or arthroscopy but have either failed or continue to have symptoms. This is what Dr. Dee specializes in, complex arthroscopic and mini-open knee surgery for revision of failed single-,multi-ligamentous, meniscus or cartilage procedures

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Anatomy of Knee

Sports Injury Orthopedic Treatment

Dr. Dee helps patients get through a wide variety of Sports Injury Conditions so that they can regain full mobility and return to their regular activities.

Common Sports Injury Conditions Treated by Dr. Dee
  • Revision Arthroscopic Procedures
  • ACL Tears
  • Ankle Sprain
  • PCL (Posterior Cruciate Ligament)
  • PLC (Posterior Corner Injuries)
  • Patellofemoral Syndrome
  • Patellar Instability
  • Wrist Sprain/Scaphoid fracture
  • Tennis/Golfer's Elbow (epicondylitis)
  • Runner's Knee
  • Separated Shoulder
  • Compartment Syndrome
  • Meniscal Tear
  • Collateral Ligament Injuries
  • Shin Splints
  • Achilles Tendinitis – most common in runners and athletes who are constantly running or jumping, this condition appears occurs when the tendon at the back of the ankle (Achilles) is overused and becomes inflamed. If left untreated, it may become chronic and it will be almost impossible to run.
Possible Treatments May Include:
  • Injections- Corticosteroid injections into the musculoskeletal site will instantly reduce pain and inflammation, readying it for healing processes
  • Physical Therapy- is crucial for an athlete's complete injury recovery, by rebuilding muscle strength and flexibility, as well as preventing damage and recurring problems
  • Surgical Options- If the extent of the injury is beyond injections and physical, surgery may be an option.
Surgical Techniques:

If your sports injury is too severe and cannot be treated with non-surgical techniques, Dr. Dee will create a customized surgery plan for you. Surgical procedures used to treat sports injury conditions include:

  • ACL reconstruction
  • Meniscus surgery
  • Lateral Release
  • Subacromial Decompression
  • Rotator Cuff Surgery
  • Ruptured Archilles tendon
  • Hernia
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Anatomy of Knee

Hip Orthopedic Treatment

Dr. Dee helps patients get through a wide variety of Hip Conditions so that they can regain full mobility and return to their regular activities

Common Hip Conditions Treated by Dr. Dee
  • Revision Arthroscopic Procedures
  • Trochanteric Bursitis
  • Tendonitis
  • Osteonecrosis
  • Lumbar Pain
  • Snapping Hip Syndrome
  • Muscle Strains
  • Hip Fracture
  • FAI (Femoroacetabular Impingement)
  • Labral Tears
  • Iliopsoas tendonitis
  • Developmental Dysplasia – this condition appears in infancy, where joints are dislocated and are unable to properly develop.
  • Legg-Calve-Perthes Diease – this condition occurs when there is restricted blood flow to an area of bone, leading to cell death and collapse of the bone. This may lead to early arthritis and permanent hip joint damage.
Possible Treatments May Include:
  • Injections Direct injections into the hip joints instantly reduces pain and inflammation in the affected area, improves flexibility, and provides lubrication for increase comfort.
  • Physical Therapy Additional physical therapy will maintain and progressively strengthen muscles, bones, joints, ligaments and tendons. A proper exercises routine will further aid in healing after the orthopedic treatment.
  • Surgical Options Depending on the scope of the injury, surgery options can range from a minimally invasive procedure to a total hip replacement.
  • Medications Anti-inflammatory and pain medications are ideal to take in conjunction with another form of treatment such as physical therapy.
Surgical Techniques:

If your hip injury is too severe and cannot be treated with non-surgical techniques, Dr. Dee will create a customized surgery plan for you. Surgical procedures used to treat hip conditions include:

  • Hip Arthroscopy
  • Cartilage Transplant and Repair
  • Hip Replacement
  • Hip Fusion (Arthrodesis)
  • Resection Arthroplasty (Gridlestone Procedure)
  • Hip Osteotomy

Hip Fusion (Arthrodesis) – This procedure consists of shaving off the hip bone surface until the raw bone is reached, and then merging the denuded joint surfaces together. This process eliminates the faluty bone part is causing pain and crafts a new strengthen hip bone.

Resection Arthroplasty – also known as the Gridlestone Procedure, involves the removal of the ball or head or the thigh bone to allow it to fuse with the hip socket. Good candidates of this procedure are patients who have trouble bending at the hip, or who have experienced an infection following a total hip replacement.

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