Dr. Biplab Dolui

01/03/2018

24/02/2018

Acromioclavicular joint (AC) injuries

Acromioclavicular (AC) joint injury is a term used to describe an injury to the top of the shoulder, where the front of the shoulder blade (acromion) attaches to the collarbone (clavicle). It can be caused by a traumatic event, such as a fall directly on the outside of the shoulder, or by repetitive overuse. AC joint injuries are most common in individuals younger than 35 years of age, with males sustaining 5 times more traumatic AC joint injuries than females. Because younger athletes are most likely to participate in high-risk and collision activities, such as football, biking, snow sports, hockey, and rugby traumatic AC joint injuries occur most often in this population. AC joint injuries can be identified and effectively treated by a physical therapist, often avoiding the need for surgery.

What Are Acromicioclavicular (AC) Joint Injuries?

There are 4 ligaments holding the 2 bones of the AC joint (the acromion and the clavicle) together. When an AC joint injury occurs, these ligaments are stressed, resulting in some degree of joint separation. There are 2 types of injuries that can occur at the AC joint: traumatic and overuse injuries.

A traumatic AC joint injury occurs when there is a disruption of the joint due to damaged ligaments holding the 2 bones of the joint together. This injury is called a shoulder separation (in contrast to a shoulder dislocation, it involves the ball-and-socket joint of the shoulder).

Traumatic AC joint injuries are most common in individuals who sustain a fall and land on the outside of the shoulder or onto a hand (eg, a football player who is tackled, a bicyclist who crashes, or a manual laborer who falls off a ladder.

How Does it Feel?

With an AC joint injury, you may experience:

General shoulder pain and swelling
Swelling and tenderness over the AC joint
Loss of shoulder strength
A visible bump above the shoulder
Pain when lying on the involved side
Loss of shoulder motion
A popping sound or catching sensation with movement of the shoulder
Discomfort with daily activities that stress the AC joint, like lifting objects overhead, reaching across your body, or carrying heavy objects at your side


How Is It Diagnosed?

Diagnosis of an AC joint injury starts with a thorough review of the patient’s medical history, including specific questions regarding when the pain began, and what aggravates and relieves the pain.

Your physical therapist will examine your shoulder and assess different measures, such as sensation, motion, strength, flexibility, tenderness, and swelling. Your physical therapist will perform several tests specific to the shoulder joint to examine the structures located there. The therapist may also ask you to briefly demonstrate the activities or positions that cause your pain. Other nearby areas, such as your neck and upper back will also be examined to determine whether they, too, might be contributing to your shoulder condition.

While an AC joint injury can usually be identified through a shoulder examination, diagnostic imaging, such as ultrasound, x-ray, or MRI is often used to confirm the diagnosis and determine the severity of the injury.

23/02/2018

A profile of Dr. Biplab Dolui :

A specialist in shoulder and knee surgery, He was trained in this field by several eminent surgeons of our own country & abroad. He is working in shoulder & knee surgery for last 10 yrs. He has brought some world class arthroscopic & replacement surger to our city ,Our young athletes & geriatric pat...

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1. What is joint replacement? Part of the arthritic and damaged joint is removed2. What is done in this surgery? Ends of the long bone are replaced with metallic components3. Who needs joint replacement surgery ? Patients who are suffering from long standing joint pain & disability. Joint replacemen...

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Common Injury Types in Cricket :

1. Rotator cuff injuries

Both batters and fielders are at risk of rotator cuff injuries which occur when any of the four rotator cuff muscles in the shoulder tear. These muscles help to stabilise the shoulder joint, so any damage is likely to make batting and bowling painful. A lack of flexibility can cause the injury, but you can improve this through exercises such as pilates which is also great for balance, posture and circulation. If you are unlucky enough to experience this injury, one of the treatment options is to undergo rotator cuff surgery.

2. Medial meniscus tear

The medial meniscus is a C-shaped area of cartilage located at the top of the tibia bone in your lower leg. It helps to protect the knee joint from the stress of running, walking and bending, so it is no wonder a torn medial meniscus is a common cricketing injury. It can happen as you turn quickly to run, making it an acute injury, but may also occur slowly over time as a chronic issue. The injury is often accompanied by a pain on the inside of the knee, discomfort when squatting or bending, and sometimes swelling3. A knee arthroscopy (keyhole surgery) may be needed to diagnose the injury and decide the right treatment.

3. Ankle sprain

Like the knees, the ankles are put under a lot of strain during cricket as the lower body bears the brunt of quick changes in direction, sprinting and jumping. A sprained ankle refers to damaged ligaments and soft tissue which often happen when the ankle twists inwards4. Wearing an ankle brace can help to reduce the injury and the need for ankle surgery in severe cases.

4. Contusions

Contusions are caused by a direct impact to the muscle, mostly likely from being struck by a ball. Swelling or bruising can be expected when this happens, as well as some loss of movement in the muscle depending on how severe the damage is. Contusions are classed depending on how serious they are, starting at Grade 1 and going up to Grade 35. Grade 3 contusions are the most severe and of you suffer this form of injury you might need physiotherapy sessions before you can return to the pitch.
5. Thrower’s elbow

Thrower’s elbow (which is the same condition as golfer’s elbow) is known as medial epicondylitis to medical professionals. Pain is felt on the inside of the elbow as gradual overuse damages the tendon of the wrist flexor muscles. Ice can help to ease acute pain that may be felt during a match, and heat may be more beneficial when the injury becomes chronic. Orthopaedic surgery may even be necessary if the issue persists after less invasive treatment.

6. Swimmer’s shoulder

Swimmer’s shoulder, or shoulder impingement syndrome, is an injury caused by the tendons of the rotary cuff ‘catching’ in the shoulder8. Pain is felt when the tendons becomes trapped in the space at the top of the shoulder and repeatedly scrape against the bone when the arm is raised. It’s a common injury among bowlers who repeat this action often in a match and during training. You should apply ice or cold therapy should be applied when you feel pain, and rest is also important to allow the area to heal fully9. This condition can be complex to diagnose, so you may be recommended for a shoulder arthroscopy to get a clear picture of what is happening in the joint.

7. Lower back pain

General lower back pain is another common cricketing injury but it can be difficult to diagnose as there are so many structures and tissues in this area. Chronic lower back pain is often the result of pain at the sacroiliac joints which are located at the bottom and either side of the back. A slipped disc can also lead to discomfort here, which your osteopath can diagnose.

Consult Dr. Biplab Dolui for any Sports Injuries.

13/01/2018

ROTATOR CUFF TEAR

A rotator cuff tear is a common injury, especially in sports like cricket or tennis, or in jobs like painting or cleaning windows. It usually happens over time from normal wear and tear, or if you repeat the same arm motion over and over. But it also can happen suddenly if you fall on your arm or lift something heavy.

Your rotator cuff is a group of four muscles and tendons that stabilize your shoulder joint and let you lift and rotate your arms.

Symptoms

You can’t always feel a torn rotator cuff. But in some cases, you might:
• Have trouble raising your arm
• Feel pain when you move your arm in certain ways or lie
on it
• Have weakness in your shoulder
• Be unable to lift things like you normally do
• Hear clicking or popping when you move your arm

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Dr Biplab Dolui

MS (Orthopaedics), AFTS Fellow (Paris)

Shoulder & Knee Surgeon
Arthroscopic Surgeon
Joint Replacement Surgeon
Sports Injury Specialist.

Dr Dolui can be contacted at:

1)Desun Hospital
Monday to Saturday
1pm to 3pm

2) Kothari Hospital
Monday & Friday
9am to 11am

3) Personal Chamber
106 Kalikapur Santoshpur Link Road

4) AMRI Mukundapur
Tuesday/Friday
5-6 pm

Call for Appointment : 9051886243

11/01/2018

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