Youth Hockey and the NBA: Sports Injury Update

 

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Steve Kashul and Dr. Brian Cole talk about youth hockey injuries: how to compensate and recover from pain due to knee on knee impact; treatment of  ‘water-on-the-knee’; analysis of the ankle dislocation suffered by Caris LeVert with the Brooklyn Nets.

Sports Medicine Weekly on 670 The Score

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NBA Player Recovery & Performance after Achilles Tendon Injury

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Steve and Dr. Cole talk with Dr. Johnny Lin from Midwest Orthopaedics at Rush about Achilles injuries: how it differs from other injuries and why in many cases the recovery tends to be less than 100%. Dr. Johnny Lin is board certified in orthopedic surgery and specializes exclusively in the treatment of complex foot and ankle disorders.

His interests include the treatment and rehabilitation of work-related injuries, sports-related injuries, deformity correction, arthritis, and fractures of the foot and ankle. He provides comprehensive surgical and nonsurgical approaches to the treatment of foot and ankle problems.dr. johnny lin

When surgery is indicated, he utilizes a full complement of both traditional and newer surgical techniques including cartilage transplant, arthroscopy, ankle replacement, deformity correction and osteotomy sparing bunion surgery.

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A Dance Major’s Return to the Stage

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Megan Chiu, now 19, was a stand-out at the Chicago Multi-Cultural Dance Center and impressed at the Chicago High School for the Arts. When she left for Point Park University in Pittsburgh to pursue a ballet dance major, she was determined to excel. Yet, an ambiguous injury during her junior year of high school left her with nagging pain in her lower leg and foot that only grew more intense as she began dancing at the college level.

Megan continued to practice and compete, but the demands of regular pressure on her toes, feet, and ankles, forced Megan to seek attention from her university’s trainers. They were unable to manage her pain, so Megan consulted sports medical specialists in Pittsburgh. Multiple physicians diagnosed a torn flexor halluces longus (FHL) tendon. The diagnosis required grueling surgery and extended recovery away from the studio. Her mom, Susan, thought they should seek a few more opinions closer to home.

Dr. George Holmes—Foot and Ankle Specialist

On a holiday break from school, Megan asked friends at her old dance studio for advice and recommendations. It was there that she was told about the expert care and treatment offered at Midwest Orthopaedics at Rush and Dr. George B. Holmes, Jr., a foot and ankle specialist.

Dr. Holmes disagreed with the diagnosis of a torn FHL tendon, but determined Megan exhibited an entanglement of the FHL tendon which extends from the calf, around the ankle and under the foot. In other words, the stress from hard work had inflamed and snarled the tendon but hadn’t severed it. The prognosis was more positive and filled Megan and her family with hope that she may be able to get back to performing at the same level sooner than anticipated.

After undergoing surgery with Dr. Holmes last summer, Megan dedicated herself to physical therapy while working as a teaching assistant for children’s dance classes. A few months later, she was back in her university’s studio for her sophomore year and working hard to get back in shape to perform.

Back On Stage

Today, Megan is thriving. In fact, she earned the lead part in cast A of her university’s spring concert. When the lead dancer in cast B suffered a stress fracture, Megan stepped up to perform in all five shows for both casts.

Megan’s mom Susan shared her family’s pride and joy in Megan’s recovery and their trust in Midwest Orthopaedics for future injuries.


“We were so impressed with Dr. Holmes and his work with Megan’s injury that we took our son to him to address a shin injury just last week! He comes highly recommended by our family.”


To schedule an appointment with Dr. George B. Holmes, Jr., call 877-MD-BONES. For more information about keeping your ankles healthy, visit www.anklesforlife.org.

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TISSUE BANK EMPLOYEE REFLECTS ON SECOND CHANCE AT HEALTHY LIFE THANKS TO THE GIFT OF DONATION

SARAH – RECIPIENT OF: JUVENILE CARTILAGE ALLOGRAFT

It was the holidays and Sarah was a young professional excited about her new job in the finance department of a large Denver company. Fun-loving and outgoing, Sarah was happy to offer up her talents for the playful “Stupid Human Tricks” competition at the company’s annual year end party.

Sarah’s trick was a squirm-inducing move she’d been doing since she was a little girl: rising up on her tiptoes, she would rotate her feet until her toes were pointing straight behind her body, with her legs still together. But the trick didn’t go smoothly this time.

“My ankle popped; I thought I broke it,” Sarah said. “The pain was so bad. It was horrible.”

During an initial trip to the doctor, Sarah’s injury was misdiagnosed as a sprain. She went home hoping it would heal on its own. For the next several years Sarah tried to deal with the pain, but her ankle was never the same. The injury began to take a serious toll on her active lifestyle: she could no longer do the things she loved, including skiing and running. She would push herself to play team sports like kickball, but be miserable from the pain for days afterwards.

An eventual trip to an ankle specialist revealed what Sarah already had a suspicion of: her injury was much more serious than a sprain. In fact, the peroneal tendon on the outside of her foot was torn, and worse, a large portion of the cartilage on her ankle joint had torn off. Although her tendon was repaired with a surgery, initial attempts to heal the joint were unsuccessful. Sarah had lost too much cartilage, a tissue the body is incapable of reproducing.

Sarah’s doctor suggested treatment with an autograft, whereby bone and cartilage from her own knee would be transplanted into the injured ankle. As luck would have it, by now Sarah was working for one of the nation’s premier tissue banks, AlloSource. Here she had become aware of the tissue transplantation process. Sarah knew that although frequently used to treat injuries, autografts could lead to other complications: in her case the potential for infection in her healthy knee, a slower recovery from two surgeries and more.

Sarah urged her doctor to consider an allograft transplant, a gift of life from a deceased donor. The decision was made to use one of the newer allografts available thanks to new science: juvenile cartilage.

These grafts, bravely donated by the families of donors just one month to 12 years old, had been found to stimulate new cartilage growth when implanted with stem cells.

Following her tissue transplant, Sarah’s results have been miraculous. After a final surgery in December 2010, her doctors found that cartilage is indeed regenerating in Sarah’s ankle.

“It’s fascinating to see this cartilage regrowing,” Sarah said. And she is able to feel the benefits already.

“I can ski again and it doesn’t hurt. I’ve started to wear high heels again; I haven’t worn high heels for years! It feels really good.”

Her work at a tissue bank has heightened Sarah’s respect for her second chance at a healthy life:

“I have had the opportunity to see it from the perspective that everyone should see it from; I have interacted with donor families and really comprehend that this is a gift of life that somebody else gave to me because they lost their own.”

Sarah also reports a stronger kinship with her colleagues at AlloSource, who work 24/7 to process donated human tissue into allografts used for a host of surgical applications around the country.

“Processing these allografts is tedious and includes a lot of hard work. I’ve been able to thank the techs I work with for what they do every day.”

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