March 2014 Dr. William Murrell shares experience with colleagues on the recent advancements in sports shoulder surgery at the Osteopathic Health Centre in Al Wasl Rd, Umm Suqueim 2. Dubai Sports Medicine
Thanks to the Osteopathic Health Centre team Peter Zacopkan, Moira Macdonald, Anil Prasad, Dominique Jordan, Saiqa Rizwani, Victoria Roper, Lauren Whalan, and Renata Von Kouh for the warm welcome and the great discussions of experiences. Dubai Sports Medicine-Sports Shoulder Surgery is committed to engagement of all providers in the region to help elevate and raise the clinical acumen of all those involved. Case based discussions of commonly encountered sports shoulder surgery problems like shoulder dislocations, cartilage tears, rotator cuff tears, clavicle fractures, calcium deposits, arthritis of the shoulder, frozen shoulder, and shoulder separations are very helpful to review the epidemiology, classifications, diagnostic criteria, pertinent imaging and laboratory needs. Additionally, conservative treatments that may consist of ultrasound guided injections, use of biologics such as PRP and Stem Cells, exercise regimes, rehabilitation protocols, and in the end surgery. Discussions highlighted the evidence based literature and the great successes seen with well thought out programs like the MOON program for rotator cuff problems. It was recognized that much work in the future is needed to better investigate the needs of the region, through the initiation of injury prevention programs, preparticipation exams, injury monitoring and reporting systems. Focus for future programs will be more on imaging and specific rehab protocols. In addition discussions of other conservative modalites like radial shockwave, pilates, manual therapy, aqua therapy, Osteopathy, sports therapy, and message therapy are reserved for the future as these are some of the pillars of the Osteopathic Health Centre’s clinical offering.
Case 1 was a case of SICK Scapula Syndrome with Posterior Labral Tear
Case 2 was Massive Rotator Cuff Tear in Semi-Professional Ice Hockey Player with neurologic symptoms
Case 3 was Adhesive Capsulitis or Frozen shoulder in active weekend warrior
Case 4 was Acromioclavicular Joint Dislocation in active male.
Future cases will discuss additional sports shoulder surgery and also the use of biologics like PRP and Stem Cells in the Advancing field of Biologic Orthopaedic Sports Medicine/Surgery