This summary provides an in-depth exploration of tibial spine avulsion, a knee injury commonly seen in skeletally immature patients. The episode discusses the anatomy of the tibial spine, the causes of avulsion in young athletes, and the potential long-term complications associated with this injury. Treatment options, both surgical and non-operative, are also covered, with a focus on the importance of proper rehabilitation and monitoring for postoperative complications ..read more

Orthobiologics, including PRP and stem cell injections, have gained popularity in orthopedic surgery as potential treatments for a variety of conditions. While these injections hold promise, there is still much debate and uncertainty surrounding their effectiveness and appropriate use. PRP injections involve drawing blood from the patient and separating the plasma and platelets, which are then reinjected into the target tissues. Stem cell injections, on the other hand, utilize bone marrow or adipose tissue-derived cells with the potential to differentiate into different types of tissues. Despi ..read more

Tibial plateau fractures, a common occurrence in winter sports like skiing, can significantly impact an athlete's performance and overall knee joint health. This podcast episode of h2 Orthopedics explores the mechanism of tibial plateau fractures and the factors that influence the decision between surgical and non-surgical treatment options. The fractures typically occur when the femoral condyle impacts the top of the shin bone with enough force to cause a fracture. The severity and location of the fracture determine the necessary treatment approach, with the Schatzker classification providing ..read more

ACL revision surgery is a procedure performed when a patient's anterior cruciate ligament (ACL) reconstruction has failed. This transcript delves into the reasons for ACL revision and the considerations to be taken prior to the surgery. The episode discusses various factors that can contribute to the failure of an ACL graft, such as improper tunnel positioning and size, alignment issues, meniscus tears, and ligament instability. It highlights the importance of preoperative planning and the need to assess the patient's unique situation before proceeding with a revision. The episode also explore ..read more

Back pain is a common and often debilitating condition that affects a large portion of the population. In this comprehensive guide,  Doctor of Medical Science, Physician Assistant, and Athletic Trainer Mike Begg discusses the different causes of back pain and offers insights into managing and treating the condition. He explains that, in most cases, back pain is muscular in nature, and can be attributed to an imbalance in core muscles. Begg emphasizes the importance of rest, stretching, and physical therapy in treating muscular back pain, along with the judicious use of over-the-counter an ..read more

This podcast episode delves into the complex and intriguing process of surgery, providing a comprehensive overview from the decision to undergo a surgical procedure to the post-operative recovery. The host, Mike Begg, shares his extensive experience in sports medicine and orthopedics, shedding light on the many steps involved in getting a patient from point A to point Z. From obtaining surgical authorization to scheduling the procedure, reviewing medications and past surgical history, to the actual operating room experience and post-operative care, Mike highlights the crucial role played by va ..read more

This episode looks into various foot and ankle issues, providing insight into their complexity and offering guidance on understanding and managing these problems. With over 30 years of experience in sports medicine and orthopedics, Mike Begg, a certified physician assistant, sheds light on normal foot anatomy, common injuries like ankle sprains, tendon problems, fractures, and more. Begg emphasizes the importance of seeking medical attention for persistent foot and ankle discomfort and explains the significance of proper diagnosis and treatment. Whether it's addressing flat feet, fractures, or ..read more

In this episode of H2Orthopedics, the focus is on the treatment options for ACL injuries, with a particular emphasis on surgical methods. While non-operative treatment is a viable option for some patients, it comes with its own risks, such as increased chances of meniscus tears and arthritis development. Surgical treatment, on the other hand, offers better stability and reduces these risks. The types of surgical options include ACL repair, where the ligament is sewn back onto the bone; ACL reconstruction with autografts from the patient's own tissue; and ACL reconstruction with allografts from ..read more

Radial head fractures can occur when individuals slip and fall, landing on an outstretched arm. While not the most common fracture, they can cause significant pain and lead to other complications. In this episode of H2Orthopedics, Mike Begg explores the anatomy and mechanics of radial head fractures, as well as the different types and treatments. He emphasizes the importance of not ignoring elbow pain and seeking medical evaluation to ensure that potential additional injuries, such as distal radial ulnar joint instability, are properly addressed. From non-operative management to surgical inter ..read more

The episode discusses hamstring injuries, focusing on both hamstring strains and hamstring tendon ruptures. Exploring the mechanics of hamstring muscles, which play a vital role in knee flexion and hip extension, the episode explains how injuries occur. Hamstring strains often happen during activities involving sudden acceleration or deceleration, resulting in overstretching of the muscle. On the other hand, hamstring tendon ruptures typically occur when the tendon detaches from the bone. The podcast delves into the diagnostic process for differentiating between the two and emphasizes the impo ..read more