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Search took 0.00 seconds; generated 92 minute(s) ago. Search: Posts Made By: mtomaino
Forum: Main Forum 06-26-2011, 09:20 PM
Replies: 1
Views: 89,728
Posted By mtomaino
Why I answer emails

Nearly 3 years ago, I wrote a blog on www.drtomaino.com about accessibility. Click on this link if you'd like to read it: http://www.drtomaino.com/blog.php?a=20

I had just founded Tomaino...
Forum: Main Forum 06-07-2011, 09:57 PM
Replies: 5
Views: 114,311
Posted By mtomaino
Let me know his/her thoughts after your appt....

Let me know his/her thoughts after your appt. Happy to provide my opinion regarding options---both nonoperative and operative.
Forum: Main Forum 05-09-2011, 12:37 PM
Replies: 1
Views: 99,784
Posted By mtomaino
Amber---thank you for your kindness. We are all...

Amber---thank you for your kindness. We are all delighted that you are doing better, and wish you the best!!
Matt
Forum: Main Forum 04-24-2011, 04:07 PM
Replies: 5
Views: 114,311
Posted By mtomaino
If you have gone through PT and your exam is...

If you have gone through PT and your exam is suggestive of "Impingement"---which seems to be the case, then I agree with your plan---including searching out someone who has the expertise to evaluate...
Forum: Main Forum 04-24-2011, 04:03 PM
Replies: 2
Views: 93,782
Posted By mtomaino
If your main problem is pain, and you can raise...

If your main problem is pain, and you can raise your arm above shoulder level, then you may be a cadidate for a hemiarthroplasty with an extended articular surface. See this link:
...
Forum: Main Forum 04-24-2011, 03:05 PM
Replies: 0
Views: 90,129
Posted By mtomaino
Smile Intangibles are Immeasurable

Happy Easter everyone. It has been sometime since I posted a new Blog on drtomaino.com----but yesterday, after reading an article on my plane ride home from a brief vacation, I got to thinking.....
...
Forum: Main Forum 04-23-2011, 08:56 AM
Replies: 5
Views: 114,311
Posted By mtomaino
Thanks for your question. First--visit this link...

Thanks for your question. First--visit this link to read more about treatment of an assymtomatic cuff tear, which is what you are describing:...
Forum: Main Forum 04-18-2011, 07:33 PM
Replies: 1
Views: 95,670
Posted By mtomaino
Thanks for your post. What you are experiencing...

Thanks for your post. What you are experiencing is most likely either a muscle strain or tendonitis. If the pain radiates to either side of the elbow, then it is probably the later. If your therapist...
Forum: Main Forum 04-16-2011, 04:40 PM
Replies: 7
Views: 133,102
Posted By mtomaino
So far so good!! I am very hopeful that you will...

So far so good!! I am very hopeful that you will ultimately enjoy improved function. I will be with you every step of the way towards optimal recovery. I have attached your postoperative x-ray which...
Forum: Main Forum 04-16-2011, 04:32 PM
Replies: 3
Views: 117,398
Posted By mtomaino
Mike In order to "close the loop" on this,...

Mike
In order to "close the loop" on this, another opinion/perspective might be worthwhile, if for no other reason than to reassure you that you might best live with things---or alternatively, that...
Forum: Main Forum 04-13-2011, 06:03 PM
Replies: 3
Views: 117,398
Posted By mtomaino
Michael I am sorry you are having so much...

Michael

I am sorry you are having so much pain---and agree that at 52 the risk of early failure of a total replacement warrants moving ahead with that option with considerable caution.
...
Forum: Main Forum 04-13-2011, 04:53 PM
Replies: 2
Views: 93,201
Posted By mtomaino
The attached x-ray reveals the 1st postoperative...

The attached x-ray reveals the 1st postoperative view of the Allograft-Reverse construct. His pain is much improved already. The addition of the allograft helped provide superb stability. Click on...
Forum: Main Forum 04-13-2011, 04:22 PM
Replies: 1
Views: 119,496
Posted By mtomaino
If you have Ulnar Impaction Syndrome, wrist arthroscopy may be a helpful option

I was stimulated to add this "post" after seeing a patient today who has ulnar wrist pain due to "Ulnar Impaction." He was told that he may benefit from a shortening osteotomy of the ulna---a...
Forum: Main Forum 04-11-2011, 03:49 PM
Replies: 0
Views: 112,091
Posted By mtomaino
Lateral elbow ligamentous injury may be a cause of "instability"

When it comes to elbow instability, most people may be aware of the type of ligament injury that throwing athletes like baseball pitchers get. The MCL (medial collateral ligament) on the inside of...
Forum: Main Forum 04-11-2011, 12:55 PM
Replies: 0
Views: 83,381
Posted By mtomaino
Pegged glenoid Implant may have advantages over Keeled Design

For many years, the weak link in a Total Shoulder Replacement has been the glenoid----concern about glenoid implant loosening has resulted in avoiding a "Total" in younger patients, and in advising...
Forum: Main Forum 04-10-2011, 09:14 PM
Replies: 5
Views: 231,390
Posted By mtomaino
I have attached a link to a video showing early...

I have attached a link to a video showing early outcome with the Tornier Ascend prosthesis (1st x-ray on my initial post). Click on the link:http://www.rearmyourself.com/video/?...%20outcome.flv
...
Forum: Main Forum 04-03-2011, 03:27 PM
Replies: 2
Views: 93,201
Posted By mtomaino
Revision Arthroplasty with a Reverse shoulder- Allograft Composite

When revision shoulder arthroplasty is required, proximal humeral bone loss is a potential variable that necessitates careful preoperative planning. Although bone loss is typically noted ...
Forum: Main Forum 04-02-2011, 02:53 PM
Replies: 0
Views: 84,984
Posted By mtomaino
Patient perspectives following revision shoulder arthroplasty

This past week I was pleased to see 2 patients in whom I previously performed reverse shoulder arthroplasty as a revision for painful hemiarthroplasty.

They were kind enough to share their...
Forum: Main Forum 04-02-2011, 02:10 PM
Replies: 0
Views: 84,606
Posted By mtomaino
Instability after shoulder replacement requires early intervention

This week I received an inquiry regarding shoulder instability which had been ongoing several months after a shoulder replacement. It prompted me to provide a response to the question: "What are the...
Forum: Main Forum 04-02-2011, 10:22 AM
Replies: 2
Views: 109,354
Posted By mtomaino
I have reattached the AP and Lateral x-rays which...

I have reattached the AP and Lateral x-rays which show, as you indicated in your initial post, a distal nondisplaced fracture of the long finger metacarpal, just proximal to the MP joint. The lateral...
Forum: Main Forum 04-02-2011, 10:09 AM
Replies: 3
Views: 147,144
Posted By mtomaino
I think that will be difficult to get a handle...

I think that will be difficult to get a handle on. There are so many varied causes such as trauma, fracture, arthritis, osteochondritis dessicans etc And, the vast majority of people with some...
Forum: Main Forum 03-31-2011, 06:10 PM
Replies: 2
Views: 109,354
Posted By mtomaino
Thanks for your post. First, it's difficult to...

Thanks for your post. First, it's difficult to weigh in on this without seeing the x-ray or knowing how old your nephew is. That having been said, a metacarpal bone should heal within 6 weeks, and in...
Forum: Main Forum 03-30-2011, 06:00 PM
Replies: 1
Views: 96,053
Posted By mtomaino
Joe Thanks for your question. If you watch the...

Joe
Thanks for your question. If you watch the youtube video of the hit that Brett took, you'll can appreciate that the full impact of his fall was on his entire Right arm. ...
Forum: Main Forum 03-30-2011, 09:07 AM
Replies: 3
Views: 147,144
Posted By mtomaino
James In contrast to Total Elbow Replacement,...

James
In contrast to Total Elbow Replacement, the indications for Uni-arthroplasty are much less frequently encountered in practice. In addition, this implant is relatively new, in terms of...
Forum: Main Forum 03-27-2011, 01:29 PM
Replies: 2
Views: 93,782
Posted By mtomaino
Have you been told that you have a Massive Rotator Cuff Tear?

This month I have evaluated 4-5 patients with "massive tears" of their rotator cuff. This typically means a 2-tendon tear (supra- and infraspinatus), but occasionally the subscapularis is torm as...
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