CONDITIONS & CARE
“Dr. Strasburger was empathetic and incredibly sincere in his delivery of my results.”
– Shari P.
Strasburger Orthopaedics provides comprehensive care in the subspecialty area of sports medicine. That doesn’t mean you have to be a competitive athlete to come to our practice – while we do treat athletes of all ages and skill levels, we also treat anyone who may encounter a condition or injury from daily activities or recreational sports.
We focus on muscle, bone, joint and tendon injuries of the shoulder, knee and hip. Dr Strasburger specializes in complex rotator cuff surgeries, but he and his team will also care for sprains and strains, and have a wide range of non-surgical, minimally invasive, and complete surgical solutions as well as leading edge technological options for faster healing and less pain during recovery.
Some of the more common orthopaedic conditions and injuries we treat include, but not limited, to are:
- Rotator Cuff Tears: A tear in the rotator cuff is the separation of the tendons in the joint from the bone. It is not an uncommon injury and occurs in people of all ages. However, it usually occurs in individuals over 40 who engage in repeated overhead movements from sports, work or daily life activities.
- Shoulder Instability: The shoulder is one of the most commonly dislocated joints. Instability means that the shoulder can dislocate (be pulled out of joint) or experience subluxation (move more than it should).
- Shoulder Dislocation: A dislocated shoulder occurs when the ball of the upper arm bone comes out of the shoulder socket. This disables the shoulder joint causing a considerable amount of pain. It is usual for the joint to dislocate forwards and downwards, but sometimes it may dislocate backwards.
- Shoulder Arthroplasty (Shoulder Replacement): Total shoulder arthroplasty (TSA), often called a total shoulder replacement, is a surgical procedure in which part or all of the shoulder joint is replaced. Such joint replacement surgery generally is conducted to relieve arthritis pain or fix severe physical joint damage.
- Shoulder Impingement: Impingement syndrome is a common condition affecting the shoulder often seen in aging adults. This condition is closely related to shoulder bursitis and rotator cuff tendonitis. These conditions may occur alone or in combination.
- Shoulder Bursitis: Bursitis is inflammation of the bursa, a small sac of fluid that sits under the highest point of your shoulder to cushion the joint and help it move easily. You can get bursitis by overusing your shoulder, which can happen with activities such as lifting, pitching a ball, or painting.
- Shoulder Tendonitis: Shoulder tendonitis is the inflammation of the tendons around the shoulder”s rotator cuff and upper bicep area. Shoulder tendonitis is usually developed by sports and activities that require you to lift your hands above your head repeatedly. A common activity that can lead to shoulder tendonitis is strength training.
- Clavicle Fracture (Broken Collarbone): Clavicle fracture or broken collarbone is a the most commonly fractured bone in the human body. It is associated with high energy sports such as rugby, martial arts, cycling and motorbike riding. A direct blow over the shoulder or fall on an outstretched arm may also cause the clavicle bone to break.
- Frozen Shoulder: Frozen shoulder is also called adhesive capsulitis. It typically affects patients between the ages of 40 to 60 years old, and occurs in approximately 2% of the population; however, it is more common in patients with other medical conditions such as diabetes, thyroid disease and cardiac problems.
- Bankart Lesion (Torn Labrum): A labrum tear is a common shoulder injury which can result from athletic activity, overuse, or the aging process. Labrum repair surgery is typically prescribed when non-surgical methods are ineffective for treating this condition.
- Biceps Tendon Rupture: The bicep muscle plays a crucial role in the ability to help lift, rotate and move your upper arm. Located on the front of the upper arm just under the shoulder, the muscles are attached to the elbow and shoulder with bicep tendons, Sports injuries, overuse, falls, or wear and tear can cause a tendon rupture.
- Shoulder Separation: An acromioclavicular joint separation (AC separation), or shoulder separation, is a very frequent injury among active people, especially football or hockey players, and cyclists who fall over their handlebars. This injury occurs when the collarbone (clavicle) separates from the shoulder blade.
- SLAP Lesion Tears: SLAP lesion (Superior Labral Anterior to Posterior tear) can occur from trauma, such as falling on your arm, bracing your arm in an accident, arm tackling in football or any large sudden force applied to the arm, causing a rip in the ligaments from front to back.
- Sprains & Strains: The terms “sprain” and “strain” are often used interchangeably, but they actually refer to two different injuries. A strain refers to a stretching or tearing of a tendon or muscle, while a sprain is a stretching or tearing of a ligament. Most shoulder injuries are sprains.
- Anterior Cruciate Ligament Injury (ACL Injury/Tear): Anterior Cruciate Ligament injury or ‘ACL injuries’ are common in contact sports and especially those that are combined with a sudden change of direction such as soccer or football. ACL tears rarely occur in isolation and are in most cases are associated with damage to other structures within the knee
- Meniscal Tear: Meniscal tears may occur suddenly during sports where players may bend and twist the knee at the same time causing a tear. Meniscus tears and injuries are very common during the sports activities.
- Knee Arthroplasty (Total Knee Replacement): Total knee arthroplasty (TKA), or total knee replacement (TKR), is an orthopaedic procedure during which the three articular surfaces of the knee (femoral, tibial, and patellar) are replaced with prosthetic components.
- Cartilage Injuries: Articular cartilage can be damaged through accidents, such as a tear to the anterior cruciate ligament (ACL), or degenerate slowly over time, eventually leading to osteoarthritis. Poor alignment of the joint, excessive weight, excessive activity, overuse, or injury can all cause cartilage to wear away.
- Loose Bodies/Spurs in the Knee: Small outgrowths of bone called bone spurs can grow inside the knee, and break off, becoming “loose bodies”, which float in the knee and cause pain and more damage. This can happen after one serious injury to the knee or after repeated minor injuries.
- Lateral Collateral Ligament Injury (LCL Injury): LCL injuries normally occur when the knee is forced into an excessive ‘bow-legged’ position. This may happen when the inside of the knee is struck or when the foot is fixed and the knee is forced out sideways.
- Medial Collateral Ligament Injury (MCL Injury): The medial collateral ligament (MCL) is the most commonly damaged ligament in the knee. The MCL can be sprained or torn as a result of a blow to the outer side of the knee, by twisting the knee, or by quickly changing directions while walking or running.
- Posterior Cruciate Ligament Injury (PCL Injury): he PCL most often is sprained when the front of the knee hits the dashboard during an automobile accident. During sports activities, the PCL also can tear when an athlete falls forward and lands hard on a bent knee, which is common in football and soccer.
- Sprains & Strains: Knee pain is often caused by ligament sprains, muscle strains, or irritated/damaged cartilage. These can be a result of a traumatic injury or stress over time. Trauma, falls, or sports injuries can produce forces that tear, over stretch or compress the joint or the soft tissue.
- Hip Arthroplasty (Hip Replacement): Hip replacement, also called total hip arthroplasty, is a surgical procedure to replace a worn out or damaged hip joint with a prosthesis (an artificial joint). This surgery may be an option after a hip fracture or for severe pain due to arthritis.
- Labral Tear (Hip Arthroscopy): Labral tears in the hip may cause painful clicking or locking of the hip, reduced range of motion, and disruption to sports and daily activities. Hip arthroscopy, a minimally invasive hip surgery, can be used to treat labral tears.
- Athletic Pubalgia (Sports Hernia): Sports activities that involve a sudden change of direction and intense twisting movements can cause a tear in the soft tissue of the lower abdomen or groin called a sports hernia. Without treatment, this injury can result in chronic pain that prevents the athlete from recovering and returning to sports activities.
- Muscle Strains: The hip flexors are a group of muscles toward the front of the hip, providing flexibility, stability, and range of motion. A hip flexor strain occurs when one or more of the hip flexor muscles becomes stretched or torn.
Foot and Ankle
- Ankle Ligament Reconstruction: Ligaments connect the bones in your ankle to each other making it a strong and stable joint. If you twist or sprain your ankle the inflexible ligaments can become torn, broken or stretched, requiring surgery to repair them.
- Ankle Arthroscopy: Ankle arthroscopy is technique that utilizes the technology of fiberoptics, magnifying lenses, and digital video monitors to allow the inside of an ankle to be viewed during minimally invasive ankle surgical treatments.
- Repair of Torn Achilles Tendon: Achilles tendon rupture most commonly occurs in the middle-aged male athlete during recreational sports that require bursts of jumping, pivoting, and running, such as tennis, racquetball, or basketball. Surgery is often the solution.
- Ankle & Foot Fractures: These injuries are most common in athletes, especially athletes of sports that involve running and jumping. People with osteoporosis can also develop hairline fractures. Surgery may or may not be required, depending on severity.
- Ankle & Foot Sprains & Strains: The areas of the body most at risk for a sprain depend on the specific activities involved. For example, basketball, volleyball, soccer, and other jumping sports share a risk for foot, leg, and ankle sprains. Soccer, football, hockey, boxing, wrestling, and other contact sports put athletes at risk for strains.
Dr. Strasburger can evaluate your injury, offer a second opinion if needed, and present you with various treatment options, often including both non-surgical and surgical course of treatment.