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12
Jun
2017

“Can You Get Me Back on the Court, Doc?”

  • Yevgeny Shuhatovich
  • 489 Views
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  • ACL . Arthroscopy . Center . Cuff . Dr. Dushi . Fernando . Houston . Invasive . Knee . LCL . levaro . Ligament . Marcos . masson . MCL . Minimally . orthopedic . pain . parameswaran . PCL . Plastic . Reconstruction . Reconstructive . Rotator . Rupture . shuhatovich . Sprain . Surgery . Tear . Texas . Yevgeny .

ACL reconstruction and Meniscus Repair. A very energetic 21 year-old patient was playing basketball one day. He went up for a rebound, and when he came down, he felt a pop in his right knee. He immediately knew something was wrong. He suffered extreme right knee pain, swelling and had difficulty walking on his right leg. His grandmother had been…

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12
Jun
2017

The Slip and Fall Wrist Injury by Dr. Amit Patel

  • Yevgeny Shuhatovich
  • 490 Views
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  • Amit . Bone . Broken . Compensation . Distal . Dr. . Emergency . fixation . Fracture . Immediate . Injury . internal . Longshore . Marcos . masson . nerve . open . orthopedic . Patel . Plastic . Radius . reduction . shuhatovich . Splint . Sprain . Status . Strain . Surgery . Urgent . Work . Workers . Workmans . Wrist . Yevgeny .

A fall from a standing height can result in a break of the wrist bone called the Distal Radius. This break of the wrist (fracture) is the most common break of the human body. These fractures can result from falls or car accidents. In the elderly, they typically result after a simple fall on an outstretched hand. A 71-year old…

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01
Jun
2017

When Your Fingers and Wrist Go Limp – by Dr. Yevgeny Shuhatovich

  • Yevgeny Shuhatovich
  • 559 Views
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  • Arm . Carpal . Cubital . Drop . Dushi . Fernando . Forearm . hand . Injury . levaro . Limp . Marcos . masson . nerve . Night . Numbness . Palsy . parameswaran . Pronator . Radial . Saturday . Shoulder . shuhatovich . Tingling . Tunnel . Weakness . Wrist . Yevgeny .

Everybody today knows of Carpal Tunnel. It has become this mythical scary disease that “afflicts avid typists”. It is a disease that strikes the median nerve in the wrist. But what about the other important nerves? About 1/3 of the patients with hand pain come in worried and thinking they have carpal tunnel syndrome and they need surgery. This is,…

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24
May
2017

Scaphoid, the Achilles heel by Dr. Yevgeny Shuhatovich

  • Yevgeny Shuhatovich
  • 616 Views
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The Scaphoid bone has a funny name, because it derives it from the Greek word Scaphoides. This means boat shaped, corresponding to the shape of the bone. The function of this boat-shaped bone is to couple the motion of several other bones in the wrist. The reason, that this bone gets so much attention is because of its healing properties.…

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23
May
2017

Can We Sew A Thumb Back On?

  • Yevgeny Shuhatovich
  • 635 Views
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  • Bone . Carpal . Compensation . Distal . Dushi . Fernando . Fracture . hand . Injury . levaro . Ligament . Marcos . masson . Microscope . Microsurgery . nerve . parameswaran . Radius . Replantation . shuhatovich . Surgery . tendon . Thumb . Tunnel . Work . Workers . Workmans . Yevgeny .

The thumb contributes approximately 50 % of the function of the hand. This is because the thumb is a strong and adaptable digit that opposes the rest of the fingers in the hand. The thumb can perform fine manipulation to grab small objects, for example pinch. It also rotates when you need to grip a heavy object. It is the thumb’s functional…

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16
May
2017

Don’t Loose Hope – Lives Shattered by Table Saws – by Dr. Shuhatovich

  • Yevgeny Shuhatovich
  • 668 Views
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  • Blood . Carpal . Dislocation . Dushi . Emergency . Fernando . Fracture . hand . Laceration . levaro . Marcos . masson . nerve . orthopedic . parameswaran . Plastic . Reconstructive . Saw . shuhatovich . Surgeon . Table . Tunnel . Work . Yevgeny .

There are very few instances when a Hand Surgeon cannot anticipate severity of injury en-route. Two of the most devastating injuries are explosions and table saws. Both wreak havoc of a patient’s hand with devastating consequences. A myriad of injuries are possible. These usually include a combination of all; tendon, nerve blood vessel, bone and ligament injury. One such patient…

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15
May
2017

Rotator Cuff Tear. When they tell you “it cannot be fixed” seek another opinion – by Dr. Marcos Masson

  • Yevgeny Shuhatovich
  • 690 Views
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  • Arthroscopy . Cuff . Difficult . Dushi . Fernando . levaro . Marcos . masson . parameswaran . Rotator . Shoulder . shuhatovich . Surgery . Yevgeny .

Shoulder injuries can result in rotator cuff tears of various sizes, which influence the operative result. The time from injury to presentation to a shoulder surgeon is fate determining in influencing final outcome. An acute tear, presenting to the shoulder surgeon within 6-8 weeks, has a much better outcome that one presenting thereafter. At ROC, we treat nearly all rotator…

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01
May
2017

Don’t Use Your Fist As A Hammer – by Dr. Yevgeny Shuhatovich

  • Yevgeny Shuhatovich
  • 787 Views
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  • Carpal . Center . Compensation . Disability . Dr. . Dushi . Fernando . Fractures . Hammer . Hypothenar . levaro . Marcos . masson . orthopedic . pain . parameswaran . Reconstructive . shuhatovich . Syndrome . Tunnel . Workers . Yevgeny .

At the ROC, we feel very privileged when other surgeons ask us for help with a patient. One such patient was scheduled with Dr. Yevgeny Shuhatovich. Upon his arrival, the patient immediately started his story of frustration, pain and complete disability. He could not use his dominant hand for 1 year. The patient was going from specialist to specialist, ending…

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24
Apr
2017

The Art of Physical Examination – Not an MRI Diagnosis by Dr. Yevgeny Shuhatovich

  • Yevgeny Shuhatovich
  • 831 Views
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  • Dr. Dushi Parameswaran . Dr. Fernando Levaro . Dr. Yevgeny Shuhatovich Dr. Marcos Masson . Function . hand . Laceration . Missed . MRI . orthopedic . pain . Restore . Surgery . tendon . Transfer . Wrist .

A very pleasant 24-year-old patient presented to me a month and a half ago. Despite his utter frustration and displeasure with his current medical condition, he methodically explained to me, that he had a cut to his wrist 2 months prior and has been unable to grip anything and his wrist was painfully popping anytime he tried to move it.…

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20
Apr
2017

Hand to Hammer is Always Better Than Hammer to Hand by Dr. Yevgeny Shuhatovich

  • Yevgeny Shuhatovich
  • 861 Views
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  • artery . Bennett's . Bone . day . Dushi . Fernando . hand . injured . levaro . Marcos . masson . nerve . orthopedics . parameswaran . Rolando's . same . shuhatovich . Surgery . tendon . vein . worker . Yevgeny .

A thumb contributes 50% to a person’s hand function. A thumb injury can potentially irreversibly damage the patient’s hand and therefore permanently affect life and ability to work. 1 week ago at ROC our schedulers got a call that a severely injured patient was coming. He was using a hammer and accidentally missed, impacting the tool into this thumb. Dr.…

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