Shows
H2OrthopedicsExploring Tibial Spine Avulsion: A Specialized Injury in Youth AthletesThis summary provides an in-depth exploration of tibial spine avulsion, a knee injury commonly seen in skeletally immature patients. The episode discusses the anatomy of the tibial spine, the causes of avulsion in young athletes, and the potential long-term complications associated with this injury. Treatment options, both surgical and non-operative, are also covered, with a focus on the importance of proper rehabilitation and monitoring for postoperative complications.
2024-04-0122 minH2OrthopedicsAutologous Biologics in Orthopedics: A Closer Look at PRP and Stem Cell InjectionsOrthobiologics, including PRP and stem cell injections, have gained popularity in orthopedic surgery as potential treatments for a variety of conditions. While these injections hold promise, there is still much debate and uncertainty surrounding their effectiveness and appropriate use. PRP injections involve drawing blood from the patient and separating the plasma and platelets, which are then reinjected into the target tissues. Stem cell injections, on the other hand, utilize bone marrow or adipose tissue-derived cells with the potential to differentiate into different types of tissues. Despite their popularity, the scientific consensus on when and how to use orthobiologics remains unclear...
2024-03-1829 minH2OrthopedicsUnraveling the Anatomy of Tibial Plateau FracturesTibial plateau fractures, a common occurrence in winter sports like skiing, can significantly impact an athlete's performance and overall knee joint health. This podcast episode of h2 Orthopedics explores the mechanism of tibial plateau fractures and the factors that influence the decision between surgical and non-surgical treatment options. The fractures typically occur when the femoral condyle impacts the top of the shin bone with enough force to cause a fracture. The severity and location of the fracture determine the necessary treatment approach, with the Schatzker classification providing a framework for categorizing these fractures. Non-displaced or minimally displaced fractures may...
2024-03-1123 minH2OrthopedicsACL Revision: Understanding some of the reasons for failure and steps necessary for successful revision.ACL revision surgery is a procedure performed when a patient's anterior cruciate ligament (ACL) reconstruction has failed. This transcript delves into the reasons for ACL revision and the considerations to be taken prior to the surgery. The episode discusses various factors that can contribute to the failure of an ACL graft, such as improper tunnel positioning and size, alignment issues, meniscus tears, and ligament instability. It highlights the importance of preoperative planning and the need to assess the patient's unique situation before proceeding with a revision. The episode also explores different graft options, mentioning autografts and allografts, and emphasizes...
2024-02-2623 minH2OrthopedicsBack Pain- Touching the Surface of a Common but Complex ProblemBack pain is a common and often debilitating condition that affects a large portion of the population. In this comprehensive guide, Doctor of Medical Science, Physician Assistant, and Athletic Trainer Mike Begg discusses the different causes of back pain and offers insights into managing and treating the condition. He explains that, in most cases, back pain is muscular in nature, and can be attributed to an imbalance in core muscles. Begg emphasizes the importance of rest, stretching, and physical therapy in treating muscular back pain, along with the judicious use of over-the-counter anti-inflammatory medications. However, he cautions against over-reliance o...
2024-02-1225 minH2OrthopedicsA Patients Perspective Who are all these people involved with my surgery?!?This podcast episode delves into the complex and intriguing process of surgery, providing a comprehensive overview from the decision to undergo a surgical procedure to the post-operative recovery. The host, Mike Begg, shares his extensive experience in sports medicine and orthopedics, shedding light on the many steps involved in getting a patient from point A to point Z. From obtaining surgical authorization to scheduling the procedure, reviewing medications and past surgical history, to the actual operating room experience and post-operative care, Mike highlights the crucial role played by various healthcare professionals in ensuring a successful surgical outcome. This behind-the-scenes...
2024-02-0528 minH2OrthopedicsDecoding Unusual Presentation of Shoulder Pain: A Case StudyIn this engaging case study, a 56-year-old man presents with shoulder pain following a tennis ball throw but exhibits atypical symptoms. Despite initial suspicions of a rotator cuff tear, further examination reveals potential neck involvement. The patient experiences weakness, limited motion, and radiating pain down the arm. Range of motion tests and strength assessments indicate a combination of shoulder and neck issues. X-rays detect arthritic changes in the cervical spine, narrowing the neural foramina and likely impinging the nerves. The subsequent MRI findings confirm a partial rotator cuff tear and stenosis in the cervical spine. Treatment involves targeted injections...
2024-01-2217 minH2OrthopedicsUnderstanding Chondral Defects: A Case Study Chondral defects can cause knee pain, swelling, and limited range of motion. In this podcast episode, an orthopedic specialist presents a case study of a 45-year-old patient experiencing knee pain and swelling after an injury. The examination reveals a large effusion and tenderness on the medial side of the knee joint. X-rays show slight narrowing of the medial compartment, indicating potential early osteoarthritic changes. An MRI confirms a full-thickness chondral defect on the medial femoral condyle and a loose body in the knee joint. Treatment options discussed include conservative management with physical therapy, injections, and surgical interventions such as microfracture...
2024-01-1532 minH2OrthopedicsBiceps Injuries: Surgery or No Surgery?Biceps tendon injuries can be a point of confusion when it comes to the need for surgery. Depending on the location of the injury, such as the proximity to the shoulder or the elbow, surgical intervention may or may not be necessary. This transcript dives into the anatomy of the biceps and explains the different types of injuries that can occur. If the long head of the biceps tendon near the shoulder is torn, surgery is not always required, and conservative treatment can be sufficient for many patients. However, if the distal biceps tendon near the elbow is torn, surgical...
2024-01-0821 minH2OrthopedicsUnraveling the Complexity of Radial Head FracturesRadial head fractures can occur when individuals slip and fall, landing on an outstretched arm. While not the most common fracture, they can cause significant pain and lead to other complications. In this episode of H2Orthopedics, Mike Begg explores the anatomy and mechanics of radial head fractures, as well as the different types and treatments. He emphasizes the importance of not ignoring elbow pain and seeking medical evaluation to ensure that potential additional injuries, such as distal radial ulnar joint instability, are properly addressed. From non-operative management to surgical interventions like radial head arthroplasty, the goal is to...
2024-01-0118 minH2OrthopedicsUnderstanding Hip Arthroplasty: What, Why and How?Hip arthroplasty, also known as hip replacement, is a surgical procedure that addresses hip pain and limited range of motion caused by arthritis or other conditions. This comprehensive guide explores the anatomy of the hip joint, the causes of hip arthritis, the diagnosing process, and the surgical procedure involved in hip arthroplasty. It delves into the benefits of different approaches, such as the anterior and posterior approaches, and highlights the recovery process and expected outcomes for patients. If you're experiencing hip pain or limited mobility, this guide offers valuable insights to help you understand the potential benefits of hip arthroplasty.
2023-12-2524 minH2OrthopedicsHamstring Injuries: Oh my Hammy!The episode discusses hamstring injuries, focusing on both hamstring strains and hamstring tendon ruptures. Exploring the mechanics of hamstring muscles, which play a vital role in knee flexion and hip extension, the episode explains how injuries occur. Hamstring strains often happen during activities involving sudden acceleration or deceleration, resulting in overstretching of the muscle. On the other hand, hamstring tendon ruptures typically occur when the tendon detaches from the bone. The podcast delves into the diagnostic process for differentiating between the two and emphasizes the importance of imaging studies like MRI for accurate assessment. Treatment options for hamstring injuries...
2023-12-1821 minH2OrthopedicsTreatment Options for AC Separation: Surgical vs Non-OperativeThis episode provides a comprehensive guide to AC separation, a common injury among hockey players, mountain bikers, skier/snowboarders, and active individuals in general. It explains the causes, symptoms, and treatment options to help provide a firm understanding of the injury and options to manage the condition.
2023-12-1126 minH2OrthopedicsFoot and Ankle Issues: A Quick Look at Common InjuriesThis episode looks into various foot and ankle issues, providing insight into their complexity and offering guidance on understanding and managing these problems. With over 30 years of experience in sports medicine and orthopedics, Mike Begg, a certified physician assistant, sheds light on normal foot anatomy, common injuries like ankle sprains, tendon problems, fractures, and more. Begg emphasizes the importance of seeking medical attention for persistent foot and ankle discomfort and explains the significance of proper diagnosis and treatment. Whether it's addressing flat feet, fractures, or ligament injuries, this podcast episode offers valuable information and highlights the importance of not...
2023-12-0427 minH2OrthopedicsAdhesive Capsulitis: Your Guide to Understanding Frozen ShoulderFrozen shoulder, also known as adhesive capsulitis, is a condition characterized by inflammation and stiffness in the shoulder joint that limits range of motion. There are two types of frozen shoulder: primary, with an unknown cause, and secondary, which is often caused by an injury or underlying condition. In this informative podcast episode, Mike Begg discusses the anatomy of the shoulder, risk factors for developing frozen shoulder, and the importance of early intervention in managing the condition. He explores various treatment options, including physical therapy, oral anti-inflammatories, steroid injections, and surgical procedures. This in-depth discussion provides valuable insights for individuals...
2023-11-2724 minH2OrthopedicsShoulder Arthritis with Cuff Tears - "Reverse Shoulder Replacement"Rotator cuff arthropathy is a condition characterized by an irrepairable tear or failed rotator cuff repair, shoulder weakness, and arthritis. This podcast episode delves into the diagnosis, workup, and treatment options for this condition. The host explains the normal anatomy of the shoulder joint and how a torn rotator cuff can lead to abnormal mechanics and arthritis in the shoulder. In cases where the rotator cuff cannot be repaired, a reverse shoulder replacement may be recommended. This surgery involves placing a glenosphere on the socket side and a socket on the ball side to change the center of rotation...
2023-11-2024 minH2OrthopedicsShoulder Arthritis- "The Anatomic Replacement Option"This podcast episode by H2Orthopedics delves into the topic of shoulder arthritis and provides insights on diagnosis and treatment options. As a certified physician assistant and athletic trainer, Mike Begg discusses the normal anatomy of the shoulder joint, the effects of arthritis, and its diagnosis through X-rays and CT scans. He also explains the limitations of non-operative treatments and injections for regrowing cartilage. For patients like Mary, who has experienced worsening shoulder pain, difficulty sleeping, and decreased range of motion over the past few months, surgical intervention such as shoulder replacement, also known as arthroplasty, becomes a viable...
2023-11-1322 minH2OrthopedicsTraumatic Patellofemoral InstabilityPatella Femoral Dislocation, also known as a kneecap dislocation, is a condition where the kneecap slips out of its groove, causing pain and swelling. This podcast episode discusses the normal anatomy of the patella femoral joint and the injuries that can occur to the soft tissues and cartilage in a dislocation. It also explains the workup process, which involves X-rays and MRIs to assess the extent of the injury. Treatment options range from conservative care with braces and support, to surgical interventions such as ligament reconstruction and cartilage procedures. The recovery process and rehabilitation are crucial for regaining stability in...
2023-11-0622 minH2OrthopedicsACL Injuries: Part 2 - Treatment OptionsIn this episode of H2Orthopedics, the focus is on the treatment options for ACL injuries, with a particular emphasis on surgical methods. While non-operative treatment is a viable option for some patients, it comes with its own risks, such as increased chances of meniscus tears and arthritis development. Surgical treatment, on the other hand, offers better stability and reduces these risks. The types of surgical options include ACL repair, where the ligament is sewn back onto the bone; ACL reconstruction with autografts from the patient's own tissue; and ACL reconstruction with allografts from a donor. Each option has...
2023-10-3028 minH2OrthopedicsUnderstanding ACL Injuries: Part 1ACL injuries are a common and impactful injury that can affect an individual's lifestyle. This transcript discusses the normal anatomy of the ACL, including its attachment points and function in the knee joint. It also explores the mechanism of injury and symptoms associated with an ACL tear, such as a popping sound, swelling, and instability. The evaluation process, which includes a detailed history, physical examination, and imaging, is explained. X-rays and MRI are essential to diagnose an ACL injury and rule out other associated injuries like fractures or meniscus tears. The importance of sharing accurate information regarding the injury event...
2023-10-3025 minH2OrthopedicsDemystifying Rotator Cuff Injuries: Understanding Anatomy and Treatment OptionsThis comprehensive episode delves into the world of rotator cuff injuries, providing in-depth information on the anatomy of the shoulder and how it relates to these injuries. It covers the normal anatomy of the rotator cuff, the tendons involved, and their functions. The podcast discusses the pathologic anatomy of rotator cuff injuries, including tears and the implications of potential tendon retraction, and explains the diagnostic process using physical examinations, X-ray imaging, and MRI scans. It also explores the various treatment options available, ranging from conservative care such as modification of activities and physical therapy, to slightly more invasive options...
2023-10-2731 minH2OrthopedicsUnderstanding Hip Pain: A Beginners GuideHip pain can stem from various sources, such as muscular strains, labral tears, and bursal inflammation. This comprehensive guide explores the different areas of the hip that may be affected and provides insights into the potential causes and treatment options for each condition. From the true hip joint to the trochanteric region and the lower back, understanding the anatomy and localizing the pain can help determine the appropriate course of action. Whether it's through stretching, physical therapy, corticosteroid injections, or surgical intervention, finding relief and restoring functionality is the ultimate goal for those experiencing hip pain.
2023-10-2321 minH2OrthopedicsPersonal Perspective - Rotator Cuff Repair In this podcast episode, Mike Begg, a certified physician assistant and athletic trainer, shares his personal experience with a rotator cuff repair and biceps tenodesis, focusing on the pre-op phase of the process. He discusses the importance of being mentally prepared for surgery and how addressing the emotional component can lead to a smoother recovery. Additionally, Mike highlights the financial aspects of surgery that often go overlooked and being prepared for everyday activities that may be challenging in the post-operative phase. He emphasizes the significance of physical preparation, focusing on maintaining optimal range of motion, strength, and function prior t...
2023-10-1617 minH2OrthopedicsDo I Really Need a Knee Replacement?This summary explores the need for knee replacement surgery and the various treatment options available for arthritis. The host, Mike Begg, provides insights into the diagnosis of arthritis through X-ray findings and the grading scale for severity. He explains the importance of understanding normal anatomy, the progression of arthritis, and the potential causes of knee pain. Conservative management techniques, physical therapy, weight loss, and wearing proper shoes are mentioned as early treatment options. Injections, such as corticosteroids and hyaluronic acid, are discussed for controlling inflammation. The decision to undergo knee replacement surgery is dependent on the severity of arthritis and...
2023-10-1624 minH2OrthopedicsUnderstanding Meniscus Tears: Anatomy and InjuryThis transcript dives into the topic of meniscus tears, discussing the anatomy of the meniscus and how it can be injured. The post touches on the two main types of meniscus tears: acute and degenerative, and explains the symptoms associated with them. It also explores the diagnostic process, including physical examinations, X-rays, and MRI scans. Treatment options for meniscus tears are discussed, including conservative approaches like physical therapy, as well as surgical interventions such as meniscectomy and meniscus repair. The importance of preserving the meniscus, its role in joint stability, and the potential long-term consequences of meniscus removal are...
2023-10-1227 minH2OrthopedicsAchilles Tendon Rupture: Understanding the Injury and RecoveryAchilles tendon rupture can be a career-ending injury for athletes, but understanding its causes, diagnosis, and treatment options can help guide recovery. This episode explores the Achilles tendon, its anatomy, and how it connects to the calf muscles and the foot and ankle. As we age, the Achilles becomes more susceptible to injury, particularly between the ages of 30 and 50. Nonoperative treatment involves immobilization and gradual rehabilitation, while surgical treatment involves surgically attaching the torn tendon edges. Both options have their pros and cons, and factors like age and medical history play a role in selecting the most suitable treatment...
2023-10-1223 minH2OrthopedicsShoulder Instability: Understanding the Anatomy and Treatment OptionsShoulder instability is a common issue, especially among young athletic individuals. This transcript delves into the anatomy of the shoulder joint, discussing the normal structure and the potential injuries that occur during shoulder dislocations. The exam and workup for shoulder dislocations are explained, highlighting the importance of X-rays and potentially CT scans or MRI scans. Treatment options range from conservative care, such as physical therapy and rest, to surgical interventions like Bankart procedures and Latarjet procedures. The recovery process is discussed, emphasizing the need for patience and adherence to rehabilitation protocols. Whether you're a young athlete or an older individual...
2023-10-1235 minH2OrthopedicsUnderstanding H20rthopedics: The How and WhyWelcome to H2Orthopedics, where Mike Begg, Doctor of Medical Science, Certified Physician Assistant, and Certified Athletic Trainer, shares his expertise in Sports Medicine and Orthopedics to help you make sense of your Orthopedic diagnosis or injury. This podcast aims to answer the unanswered questions many people have when it comes to their orthopedic health. By breaking down complex diagnoses and treatment options, you'll gain a deeper understanding of your condition and be better equipped to make informed decisions about your recovery. From exploring normal anatomy to understanding what happens when an injury occurs, the host delves into the i...
2023-10-1203 min