James M. Paci, MD Orthopaedic and Sports Medicine Board Certified and Fellowship Trained

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Orthopaedic & Sports Medicine

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  • 8 Types of Shoulder Surgeries

    Shoulder surgery is often necessary for many common shoulder problems. Procedures can range from minimally invasive arthroscopic procedures to more traditional ​open surgeries using a scalpel and sutures.1 Arthroscopic surgery is a type of surgery where instruments are inserted through keyhole-sized incisions in your shoulder.

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  • Everything You Need to Know About Brachial Plexus Injuries

    Your brachial plexus is a network of nerves in your shoulder that branches into five major nerves in each arm. It carries signals from your spinal cord to your arms and hands, allowing you to move your arm, hands, and wrists. Sensory skin nerves are also part of the brachial plexus and allow you to feel temperature and other sensations. There are several types of brachial plexus injuries, with many different causes. They also vary in severity, with some people healing completely on their own and others having permanent damage.

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  • Tennis Elbow: Symptoms, Causes, and Treatment

    Tennis elbow (lateral epicondylitis) is swelling, inflammation, and subsequent tearing of the tendons in your forearm.These tissues, which attach muscle to bone, can become overtaxed with repetitive use, causing an aching or burning pain that gets worse when you grip or lift something.

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  • A workout for cartilage implants

    Whether arising from being felled on the soccer pitch or a seemingly harmless collision with a coffee table, a minor injury to the cartilage in your knee can have major consequences. In the worst case, the weak spot gives rise to severe arthritis and an artificial knee is the only hope. However, if the problem is caught early, further deterioration could be prevented by a patch repair.

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  • Exercise can modify fat tissue in ways that improve health even without weight loss

    Exercise is one of the first strategies used to treat obesity-related health problems like type 2 diabetes and other cardiovascular disease, but scientists don't understand exactly how it works to improve metabolic health. To that end, University of Michigan researchers examined the effects of three months of exercise on people with obesity, and found that exercise can favorably modify abdominal subcutaneous adipose tissue, the fat tissue just beneath the skin, in ways that can improve metabolic health—even without weight loss.

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  • What Is a Torn Shoulder Labrum?

    To compensate for the shallow shoulder socket, the joint has a cuff of cartilage called a labrum that forms a cup for the end of the arm bone. When a patient sustains a shoulder injury, it is possible that the patient has a labral tear. The labrum also becomes more brittle with age and can fray and tear as part of the aging process.

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  • Females more likely to develop adhesive capsulitis

    Data showed that women develop adhesive capsulitis at a faster rate than men and that there are risk factors unique to women. Female athletes are also more likely to experience traumatic shoulder instability than male athletes.

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  • ACL Knee Repair Sometimes Leads to Better Outcomes Than Reconstruction

    Researchers say people who have knee repair surgery tend to have better outcomes than those who undergo knee reconstruction surgery. Experts, however, say the choice between the two operations isn’t always a simple one and sometimes the more intensive reconstruction surgery is necessary.

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  • Mayo Clinic Q and A: Help with sports injuries

    Young athletes get plenty of bumps and bruises, but how can they avoid injuries? Any advice on how long they should sit out before getting back on the field or in the game?

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  • Everything You Should Know About Swimmer's Shoulder

    According to the Cleveland Clinic, people who frequently swim are at risk of shoulder issues from overuse. In fact, 65% of swimmers experience a shoulder injury during their lifetime, but they are not the only ones.

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