This 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.
Apr 01, 2024•23 min
Orthobiologics, 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 adi...
Mar 18, 2024•30 min
Tibial 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 ...
Mar 11, 2024•23 min
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 ...
Feb 26, 2024•23 min
Back 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 physic...
Feb 12, 2024•25 min
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 act...
Feb 05, 2024•28 min
In 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 neura...
Jan 22, 2024•18 min
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 c...
Jan 15, 2024•32 min
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 p...
Jan 08, 2024•22 min
Radial 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 rad...
Jan 01, 2024•19 min
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 fo...
Dec 25, 2023•24 min
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 po...
Dec 18, 2023•21 min
This 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.
Dec 11, 2023•26 min
This 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 ...
Dec 04, 2023•27 min
Frozen 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 con...
Nov 27, 2023•24 min
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 su...
Nov 20, 2023•24 min
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...
Nov 13, 2023•23 min
Patella 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 surgica...
Nov 06, 2023•23 min
In 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 recon...
Oct 30, 2023•28 min•Ep. 8
ACL 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 AC...
Oct 30, 2023•26 min•Ep. 7
This 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 scan...
Oct 27, 2023•32 min
Hip 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 the...
Oct 23, 2023•22 min•Ep. 6
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 treatme...
Oct 16, 2023•25 min•Ep. 5
This 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 ...
Oct 12, 2023•28 min•Ep. 4
Achilles 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 ...
Oct 12, 2023•24 min•Season 1Ep. 3
Shoulder 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 ...
Oct 12, 2023•35 min•Season 1Ep. 2
Welcome 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...
Oct 12, 2023•4 min•Season 1Ep. 1
