Meniscus Repair

Related to: Knee, Surgical Procedures, Meniscus Repair

Meniscus tears are a frequent cause of pain in the knee. There is a meniscus of the inside of the knee (medial meniscus) and on the outside of the knee (lateral meniscus). Common complaints associated with meniscus tears are pain, "locking," and "catching" sensations.

Painful meniscus tears are commonly treated with minimally invasive arthroscopic repair. The "repair" can consist of removing the portion of the meniscus that is torn, better described as partial resection . A true "repair" involves securing the torn portion of the meniscus with suture or a device that combines specialized anchors and suture to allow the meniscus to heal. 

Arthroscopic Shoulder SLAP Repair

Related to: Shoulder, Surgical Procedures, Arthroscopic Shoulder SLAP Repair

 Shoulder labral tears that occur in the superior region of the shoulder socket are often referred to as SLAP tears. SLAP stands for Superior Labral Anterior Posterior. This refers to the location of the torn labrum, which is found anterior and posterior to the biceps tendon, which originates just behind the superior portion of the labrum.

Certain SLAP tears are most appropriately treated with physical therapy and other non-operative treatments. These tears are collective referred to as stable SLAP tears. Other tears are unstable and require surgical treatment to repair the superior labral tear.

Arthroscopic Shoulder Labral (Bankart) Repair & Capsular Shift

Related to: Shoulder, Surgical Procedures, Arthroscopic Shoulder Labral (Bankart) Repair & Capsular Shift

 Shoulder labral (Bankart) tears are are frequent cause of pain in the shoulder. These labral tears are typically caused by significant trauma to theshoulder and can lead to instability of the shoulder. Non-operative treatment for tears and instability consists of physical therapy and injections, in certain situations. If a patient's pain and/or instability is not resolved with non-operative treatment, these injuries can be corrected with minimally invasive arthroscopic surgery.

Double-Row Arthroscopic Rotator Cuff Repair

Related to: Shoulder, Surgical Procedures, Double-Row Arthroscopic Rotator Cuff Repair

Double-row arthroscopic rotator cuff repair is a new procedure used to fix full thickness rotator cuff tears.

Rotator Cuff Tears

Related to: Shoulder, Common Diagnoses, Rotator Cuff Tears

The rotator cuff is a series of four muscles that originate from the shoulder blade and attach to the outside portion of the shoulder. When the rotator cuff is torn, patients often have difficulty raising the arm above their head. The function of the rotator cuff, however, is not raise the arm, but to stabilize the ball in the shoulder socket. With the ball stable the larger muscles around the shoulder, such as the deltoid, are then able to help raise the arm.

Hip Arthroscopy for Impingement and Labral Repair

Related to: Hip, Surgical Procedures, Hip Arthroscopy for Impingement & Labral Repair

Recent advances in arthroscopy have been made to allow appropriately trained surgeons to address these same abnormalities, but entirely through the arthroscope. Dr. King treats hip impingement and labral tears through the arthroscope alone. The procedure involves removal of the extra bone on the acetabulum, labral repair with bone anchors and suture, and removal of extra bone on the femoral side. Many surgeons who perform hip arthroscopy choose to remove portions of the labrum that are torn with arthroscopy, followed by an open incision to remove the extra bone on the femoral side of the hip joint. It is Dr. King’s belief, and that of others, that preserving and stabilizing the labrum is very important for the health of the hip joint. Removal of portions of the labrum has been shown to improve patient’s symptoms for a short period of time, but that improvement begins to deteriorate with time. Those who have undergone labral repair have lasting improvement in their symptoms.

Hip Labral Tears

Related to: Hip, Common Diagnoses, Hip Impingement, Labral Tear

Labral tears in the hip are a common source of hip pain. These tears are most frequently seen in the setting of hip impingement, but can occur from a single traumatic event. Tears often cause groin, hip or buttock pain. They can also result in catching, clicking or locking when the hip is moving. The best method to diagnose labral tears is a MRI with contrast injected into the hip, also known as a MRI arthrogram. Symptomatic labral tears can be treated with hip arthroscopy and labral repair.

Platelet Rich Plasma (PRP)

Related to: Platelet Rich Plasma (PRP) & Stem Cells, Platelet Rich Plasma (PRP)

Platelet rich plasma grafts, often referred to as PRP, are currently used to treat a variety of muscle, tendon, ligament and cartilage injures without surgery. PRP refers to a specific portion of ones own blood that can be separated, concentrated and injected back into specific damaged tissues, where it stimulates healing. The concentrated PRP contains special cells and growth factors that are vital to tissue repair. By concentrating these factors, we maximize the bodies healing potential.

Shoulder Anatomy

Related to: Shoulder, Common Diagnoses, Shoulder Anatomy

Hip Anatomy

Related to: Hip, Common Diagnoses, Hip Anatomy

The femoral head is attached to the lower femur by the femoral neck. The transition between the head and neck is often referred to as the head-neck junction. It is important to have a femoral head that is round and much larger than the femoral neck supporting it. This difference in size (diameter) is called the head-neck ratio. The larger the ratio, or difference between the head and neck, the more motion available to the hip before the bone at the head-neck junction contacts the bone at the rim, or edge, of the acetabulum. If excess bone develops at the head-neck junction, the ratio between the head and neck is decreased and contact between the ball and socket occurs much earlier in motion. This early contact is often referred to as hip impingement. Early contact can also occur due to increased bone at the edge of the socket, a deep socket or a poorly positioned socket.