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Search: Posts Made By: mtomaino
Forum: Main Forum 06-27-2010, 09:08 PM
Replies: 1
Views: 104,519
Posted By mtomaino
Historically, ignoring this injury was the norm,...

Historically, ignoring this injury was the norm, and for the most part functional outcomes were reported to be reasonable. As surgical techniques and newer fixation techniques have developed, early...
Forum: Main Forum 06-18-2010, 12:34 PM
Replies: 5
Views: 110,883
Posted By mtomaino
Agree with all of Mike's comments!

Agree with all of Mike's comments!
Forum: Main Forum 06-12-2010, 10:29 AM
Replies: 5
Views: 110,883
Posted By mtomaino
If you have good motion and pain-----it may be...

If you have good motion and pain-----it may be worth an arthroscopic evaluation. Indeed, a tendon transfer is probably not the ideal option in this case. The objective of an arthroscopic procedure...
Forum: Main Forum 06-05-2010, 01:28 PM
Replies: 5
Views: 110,883
Posted By mtomaino
The role of latissimus transfer for irreparable rotator cuff tears

Thanks for your question. Patient selection for this option is important--and typically the best results correlate with "better" preoperative function.In that light, it's really important to...
Forum: Main Forum 05-21-2010, 06:20 PM
Replies: 1
Views: 126,529
Posted By mtomaino
Most Trigger Digits are not caused by Diabetes

Thank you for your question. In short, absent other issues that might make you worry about having diabetes such as: frequent urination, excessive thirst, extreme hunger,unusual weight loss, increased...
Forum: Main Forum 05-17-2010, 12:53 PM
Replies: 3
Views: 113,532
Posted By mtomaino
Your Shoulder. Your Choice.

When you are referred to a Specialist, it usually reflects a referral pattern based on a number of factors. These might relate to competency--specialized expertise, focus, and experience, or more...
Forum: Main Forum 05-09-2010, 03:09 PM
Replies: 1
Views: 102,555
Posted By mtomaino
The Latarjet procedure may be an option

This procedure is mainly performed when there is some bone loss from the front of the glenoid (as a result of repeated dislocations wearing away the front of the glenoid). However, it is also an...
Forum: Main Forum 05-02-2010, 12:08 PM
Replies: 2
Views: 118,237
Posted By mtomaino
"Tomaino Care": What does this mean?

Science and technology are undeniably critical ingredients to improving the quality of healthcare and the delivery thereof, today. Add to that a role for “standardization”—treatment pathways and...
Forum: Main Forum 04-03-2010, 10:59 AM
Replies: 0
Views: 88,185
Posted By mtomaino
Irreparable Rotator Cuff? There may be a minimally invasive solution

Many "older" patients with poor overhead motion and pain, but a well centered humeral head in the socket may have unfixable tears of their rotator cuff. Although reverse shoulder replacement may be...
Forum: Main Forum 04-01-2010, 06:54 PM
Replies: 2
Views: 106,940
Posted By mtomaino
Pitchers are at risk for this injury because of...

Pitchers are at risk for this injury because of the high loads experienced by the shoulder during the pitching motion----windup through follow through. Because of extraordinary "external rotation," ...
Forum: Main Forum 03-29-2010, 05:14 PM
Replies: 0
Views: 87,782
Posted By mtomaino
Shoulder Arthritis:Treatments That Work

I will be giving this very lecture for the Arthritis Foundation at 6:30 pm on April 12th, 2010 at the Brighton Public Library, 2300 Elmwood Ave, behind the Town Hall. The presentation is free and...
Forum: Main Forum 03-28-2010, 12:22 PM
Replies: 1
Views: 92,952
Posted By mtomaino
Understanding why PT may help "bursitis" resolve...

Understanding why PT may help "bursitis" resolve requires understanding the nature of the problem. I encourage you to view the videos on the Shoulder Section of this website, entitiled "Shoulder...
Forum: Main Forum 03-24-2010, 06:53 PM
Replies: 3
Views: 120,829
Posted By mtomaino
Mario There is no way to predict longevity....

Mario
There is no way to predict longevity. While it could last, it may not. However, this implant does not excessively remove bone, and would not overly complicate a subsequent fusion. Good luck.
Forum: Main Forum 03-21-2010, 10:42 AM
Replies: 1
Views: 658,471
Posted By mtomaino
Take Vitamin C if you break your wrist

If one surveys the literature regarding the complications after sustaining a broken wrist ("fracture of the distal radius"), there is a reported risk as high as 25% of developing some degree of ...
Forum: Main Forum 03-20-2010, 12:55 PM
Replies: 1
Views: 99,597
Posted By mtomaino
Revision Arthroscopic Rotator Cuff Repair: Repair Integrity and Clinical Outcome

The fundamental question you raise has to do with how best to regain painfree function. Is it a second attempt at tendon repair, a tendon transfer--if the tear has become irreparable, or is it some...
Forum: Main Forum 03-19-2010, 03:33 PM
Replies: 3
Views: 120,829
Posted By mtomaino
PIP joint implant arthroplasty versus fusion?

First, the fact that you have good motion is great, but for the index finger, the functional issue is your pain and instability. And, the functional imperative is pain relief and stability. Second,...
Forum: Main Forum 03-15-2010, 12:33 PM
Replies: 1
Views: 90,894
Posted By mtomaino
Forums attract "SPAM"

I would like to apologize for the more than occasional "SPAM" posts to this Forum. As this is an "Open Forum," there is no way to block these entries. However, as I "administer" the forum regularly,...
Forum: Main Forum 03-14-2010, 12:33 PM
Replies: 0
Views: 82,508
Posted By mtomaino
The "Ritz" brand of "customer service" ought to be a model for Health Care Providers

I was invited to give a lecture on the treatment of thumb pain after unsuccessful "basal joint" surgery at the American Society for Surgery of the Hand "Specialty Day" yesterday--March 13--in New...
Forum: Main Forum 03-04-2010, 12:28 PM
Replies: 1
Views: 90,894
Posted By mtomaino
Welcome to the Patient Forum section

I am excited to provide a dynamic platform for your questions to be answered regarding arm pain. Obviously, my responses do not substitute for an in person assessment, thus I will be limited in terms...
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