H2Orthopedics

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 importanc...

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 rei...

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 i...

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...

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...

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 au...

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...

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 ea...

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 shoul...

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...

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 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...

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.

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 emphasize...

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...

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 w...

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 inj...

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 exte...

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 ty...

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 hist...

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 retr...

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 pai...

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 managemen...

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,...

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 treatme...