In this article, we describe the unique presentation of an 83-year-old, right-hand dominant male with severe right arm dysfunction secondary to a humeral shaft non-union in the setting of ipsilateral CTA. The case highlights the options for, and difficulty in, managing these concomitant pathologies in a medically frail individual who has lost meaningful upper extremity function and independence because of this injury.
Carpal tunnel syndrome involves the compression of the median nerve in the wrist, which can cause pain and numbness in the hand. Certain hand exercises can help relieve pressure on the median nerve and alleviate symptoms.
A shoulder separation is an injury to the acromioclavicular joint on the top of the shoulder. The shoulder joint is formed at the junction of three bones: the collarbone (clavicle), the shoulder blade (scapula), and the arm bone (humerus). A shoulder separation occurs where the clavicle and the scapula come together.
Collapsed femoral heads caused by osteonecrosis—otherwise known as avascular necrosis— unfortunately represent the root cause for approximately 10% of all hip replacements nationwide. Daniel Wiznia, MD, is utilizing a stem cell treatment at Yale School of Medicine and integrating new techniques along with 3D imaging technology as part of a joint-preservation procedure.
Osteoarthritis is a condition in which the cartilage, or cushion, that surrounds and protects the ends of the bones in the joint wears out. When non-operative interventions, such as non-steroidal anti-inflammatory drugs like ibuprofen, no longer work, many elect for total hip replacement surgery.