Shoulder separations are a relatively common shoulder injury. The shoulder joint is really best described as the ball and socket joint of the gleno-humeral joint. Shoulder separations actually don’t typically involve the ball and socket joint but rather the acromioclavicular joint. This is the joint made up of the outer tip of the clavicle (collar […]
Rotator Cuff (RTC) tear: a common injury of the shoulder While not every tear needs repair, those tears that exist with the symptoms of pain, weakness and sleep disturbance often require surgical repair. The vast majority of the time of the repair involves reattaching the tendon back to the bone. In this day and age […]
What are stem cells? Early in tissue development, basic and undifferentiated cells proliferate and become like appearing and like functioning. Each multiplication of the cell causes that cell to become more specific or less undifferentiated. This proliferation and transformation creates a specific tissue i.e. bone, lung, nerve, heart tissue etc. The earliest undifferentiated cells are […]
There is snow in the Sierra. Ski areas are up and running. As such ski injuries are back in the picture. The late fall and early winter season seem to always bring questions about precaution. When answering that question I tend to think about “The Four E’s”: exercise, equipment, experience, and environment. Exercise With exercise […]
If you have the misfortune of tearing your Anterior Cruciate Ligament (one of the main stabilizers of your knee) and you are active or have instability with day to day activities you are likely a candidate to have your ACL rebuilt or more accurately, reconstructed. There are many graft sources that could be used. The […]
Given the changes in information dissemination, I have been encouraged to blog. The same consultants who have encouraged blogging have also encouraged providing personal information. I’m Dr. James Pappas, M.D. and I have been in private orthopaedic practice for over 20 years. 16 years were spent as a partner in a large group practice and […]
Anterior cruciate ligament attachments are at the central end of the thigh bone (femur) and the central top of the main leg bone (tibia). Ligaments connect bones and provide joint stability. The ACL is one of the main stabilizers of the knee joint. The knee joint motion is primarily a hinge joint. The “hinge” allows […]
Titlest Performance Institute created a certification program to study human anatomy, functional movements of the body, and the components of a successful golf swing. Achieving TPI certification required that I review anatomy, learn and recognize common swing characteristics/faults, and be able to perform a physical screen in order to identify deficits. In obtaining Titlest Performance Institute […]
Through our association with local physical therapists, fitness trainers, and coaches, Active Sports Medicine has embraced this progressive philosophy that focuses on movement patterns. FMS Functional Movement Screen uses a grading system to assign a score to a patient’s pattern of motion. Such a scoring system allows various members of our patients “team” to communicate clearly […]
Northern Nevada Juniors Club Volleyball program has recently invited Active Sports Medicine and Nevada Physical therapy to provide orthopedic and rehabilitation support for their over 200 athletes. Active Sports Medicine is excited to reconnect with Nevada Physical Therapy to once again provide “team coverage” for Northern Nevada Juniors Club Volleyball. Active Sports Medicine is even […]
