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Matthew Provencher, MD Knee, Shoulder Specialist
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Dr. Provencher and his team were honored with the Fellow Research Award at the American Orthopaedic Society for Sports Medicine Annual Meeting for their study, “Outcomes of Latarjet versus Distal Tibial Allograft for Anterior Shoulder Instability Repair: A Prospective Matched Cohort Analysis”. This award is given to the best papers in clinical and basic science submitted by a sports medicine fellow.
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The labrum is a c-shaped rim of cartilage found in the shoulder joint surrounding the glenoid (socket). The labrum serves two important functions – an attachment site for the biceps tendon and the glenohumeral ligaments, as well as to deepen the socket so the shoulder remains in place during movement. The labrum may become peeled off the rim of the socket during a shoulder injury, such as a dislocation. When this occurs, the shoulder may experience instability and lead to a partial or complete dislocated shoulder.
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A meniscus tear may cause prolonged knee pain and instability, requiring many patients to undergo a meniscus repair. A meniscus surgery can fail for a number of reasons, including infection, a re-tear of the meniscus, a failed original repair or from a patient not following proper rehabilitation guidelines after the initial surgery. The overall goal of a revision meniscus repair is to treat the re-tear in order to alleviate knee pain, swelling, and loss of function.
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Articular cartilage is considered a critical structure within the knee that allows the bones to glide over each other in a fluid, pain-free motion. The smooth, white substance lining the ends of each bone can break down over time, leaving the bone exposed, from an injury or the natural aging process. When this occurs, patients begin to feel the painful effects of osteoarthritis. Since cartilage cannot heal on its own, certain patients may need to undergo a surgical osteoarthritis knee treatment aimed at joint preservation.
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A malalignment of the lower extremity includes two conditions known as bow legged and knocked knees. These conditions can be caused by a congenital deformity or the result of past injury or meniscus deficiency. While many patients display a certain level of improper alignment, many will not show symptoms such as pain and swelling.
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For the treatment of symptomatic shoulder instability, Dr. Provencher may recommend an arthroscopic shoulder stabilization surgery if damage of the labrum (cup-shaped rim of cartilage) or surrounding ligaments is confirmed.
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Did you know that 50% of ACL injuries occur in combination with an additional injury, such as damage to the meniscus, articular cartilage, or other ligaments? Treatment of an anterior cruciate ligament injury varies based on severity of ligament damage, as well as possible damage to other structures within the knee. The overall goal of treatment is to reduce pain and swelling and to restore stability and full function to the injured joint.
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The overall goal of an arthroscopic AC joint repair is to secure the collarbone back to its normal position. This is accomplished by securement through durable sutures that run through the collarbone and the front of the shoulder blade. If the CC ligaments also sustained damage during the separation, Dr. Provencher will reconstruct the ligaments by looping a donated graft from the front of the shoulder blade to the top of the collarbone.
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Attendees can expect changes to the scientific sessions and instructional courses at the Arthroscopy Association of North America Annual Meeting, being held May 18-20 in Denver. “The papers are some of the best this year,” Dr. Provencher, said. “There are a lot of symposia, case panels and a number of great offerings that continue to be freshened up based on attendees’ needs.”
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