Dr Abhijit More-Best Orthopedic,Shoulder,Knee Surgeon in Pune

29/03/2026

14/06/2025

A **rotator cuff injury** is a common condition that affects the shoulder, particularly among athletes, laborers, and older adults. The **rotator cuff** is a group of four muscles and their associated tendons that stabilize the shoulder joint and enable a wide range of arm movements, including lifting, rotating, and reaching.

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# # # **Anatomy of the Rotator Cuff**

The rotator cuff consists of four muscles:

1. **Supraspinatus**
2. **Infraspinatus**
3. **Teres minor**
4. **Subscapularis**

These muscles originate from the scapula (shoulder blade) and attach to the humerus (upper arm bone), forming a “cuff” around the shoulder joint.

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# # # **Types of Rotator Cuff Injuries**

Rotator cuff injuries can range from mild inflammation to complete tendon tears:

* **Tendinitis**: Inflammation of the tendons, often due to overuse.
* **Bursitis**: Inflammation of the bursa (a fluid-filled sac) near the cuff.
* **Partial Tear**: The tendon is damaged but not completely severed.
* **Complete Tear**: The tendon is completely torn and may pull away from the bone.

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# # # **Causes and Risk Factors**

* **Repetitive Overhead Movements**: Common in sports (e.g., baseball, tennis) or jobs (e.g., painting, carpentry).
* **Trauma**: Falls or lifting heavy objects suddenly.
* **Age-Related Degeneration**: Wear and tear over time, especially after age 40.
* **Poor Posture**: Can contribute to shoulder strain.

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# # # **Symptoms**

* Pain when lifting or rotating the arm
* Weakness in the shoulder
* Difficulty sleeping on the affected side
* Cracking or popping sensations
* Limited range of motion

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# # # **Diagnosis**

Doctors typically use:

* **Physical examination** (checking range of motion and strength)
* **Imaging tests** like **X-rays**, **MRI**, or **ultrasound** to assess tendon damage.

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# # # **Treatment Options**

Treatment depends on severity:

# # # # *Non-Surgical*:

* **Rest and Ice**
* **Physical Therapy**
* **Anti-inflammatory Medications**
* **Corticosteroid Injections**

# # # # *Surgical* (if conservative measures fail or in severe tears):

* **Arthroscopic Tendon Repair**
* **Open Surgery**
* **Tendon Transfer or Shoulder Replacement** (in chronic or massive tears)

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# # # **Rehabilitation and Recovery**

Recovery time varies:

* Minor injuries: several weeks
* Surgery: 4–6 months or longer with physical therapy

Strengthening the shoulder, avoiding re-injury, and maintaining proper mechanics are essential parts of rehabilitation.

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# # # **Prevention Tips**

* Warm up before activities
* Strengthen shoulder and upper back muscles
* Use proper technique in sports or lifting
* Avoid repetitive overhead motions when possible

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If you're experiencing persistent shoulder pain or weakness, it’s important to seek medical evaluation early—early intervention often leads to better outcomes. For more info visit us at http://www.drabhijitmore.com/latest-update/weakness/27?utm_source=facebookpage

13/06/2025

ACL Injury and ACL Reconstruction Surgery

Introduction

The Anterior Cruciate Ligament (ACL) is one of the key ligaments that help stabilize the knee joint. It connects the femur (thigh bone) to the tibia (shin bone) and prevents excessive forward movement of the tibia relative to the femur. ACL injuries are among the most common knee injuries, particularly in athletes engaged in sports that involve sudden stops, pivoting, or jumping—such as soccer, basketball, and skiing.

ACL Injury

Causes
An ACL injury typically occurs due to:

Sudden changes in direction or pivoting with the foot planted
Incorrect landing from a jump
Direct collision or blow to the knee (e.g., during a tackle)
Symptoms
A “popping” sound or sensation in the knee at the time of injury
Severe pain and inability to continue activity
Rapid swelling
Loss of range of motion
Feeling of instability or “giving way” when bearing weight
Diagnosis
Diagnosis involves:

Clinical Examination: Special tests such as Lachman test, Anterior Drawer test, and Pivot Shift test
Imaging:
MRI to confirm the diagnosis and assess damage to other structures (meniscus, cartilage, etc.)
X-rays to rule out associated fractures
Treatment Options

Non-Surgical Management
Non-operative treatment may be considered for:

Partial ACL tears
Patients with low physical demands
Those willing to modify their activity level
It includes:

Physical therapy
Bracing
Activity modification
Surgical Management: ACL Reconstruction
In active individuals and athletes, or those with a complete ACL tear and instability, ACL reconstruction surgery is usually recommended.

ACL Reconstruction Surgery

Objective
To restore the stability and function of the knee by reconstructing the torn ACL using a graft.

Types of Grafts
Autograft (from patient’s own body)
Patellar tendon
Hamstring tendon
Quadriceps tendon
Allograft (from a donor)
Used in older or less active patients
Surgical Procedure
Performed arthroscopically (minimally invasive)
The torn ACL is removed
A tunnel is drilled into the femur and tibia
The graft is inserted and fixed using screws or other fixation devices
The graft eventually integrates and functions as a new ligament
Postoperative Rehabilitation
Crucial for successful outcomes
Structured physical therapy over several months
Phases include:
Reducing swelling and restoring range of motion
Strengthening muscles around the knee
Gradual return to sports and high-impact activities (typically after 6–9 months)
Risks and Complications

Graft failure
Knee stiffness or loss of motion
Infection
Blood clots
Persistent instability
Reinjury, especially in young athletes
Prognosis

With proper surgical technique and rehabilitation:

Most patients return to pre-injury activity levels
Reinjury is possible, especially in high-risk sports
Prevention programs focusing on strength and neuromuscular control can reduce future injury risk
Conclusion

ACL injuries are serious and potentially career-altering, especially for athletes. While non-surgical treatment may suffice in select cases, ACL reconstruction surgery remains the gold standard for restoring knee stability and function in active individuals. With advances in surgical techniques and rehabilitation protocols, outcomes are generally favorable, allowing patients to return to their desired level of activity. For more info visit us at http://www.drabhijitmore.com/latest-update/acl-injury-and-acl-reconstruction-surgery-introdu/26?utm_source=facebookpage

10/06/2025

# # # **Recurrent Shoulder Dislocation**

# # # # **Definition:**

Recurrent shoulder dislocation refers to repeated episodes of dislocation of the **glenohumeral joint** (the ball-and-socket joint of the shoulder), usually after an initial traumatic dislocation. This condition often involves structural damage to the stabilizing structures of the shoulder.

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# # # **Causes:**

* **Initial traumatic dislocation** (common in sports injuries)
* **Capsular laxity** (loosened joint capsule)
* **Bankart lesion** (tear of the labrum)
* **Hill-Sachs lesion** (dent in the humeral head)
* **Hyperlaxity disorders** (e.g., Ehlers-Danlos syndrome)

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# # # **Types of Instability:**

1. **Anterior** (most common – arm externally rotated and abducted)
2. **Posterior**
3. **Multidirectional**

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# # # **Symptoms:**

* Repeated episodes of shoulder dislocation or subluxation
* Sensation of the shoulder "slipping out"
* Pain and weakness
* Limited range of motion
* Avoidance of certain arm positions

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# # # **Diagnosis:**

* **History & physical exam**
* **Imaging**:

* X-ray (to see bone damage)
* MRI (to detect labral tears and soft tissue injuries)
* CT scan (for detailed bone assessment)

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# # # **Treatment:**

# # # # **Non-surgical:**

* Physiotherapy for muscle strengthening
* Activity modification
* Bracing (in select cases)

# # # # **Surgical:**

* **Arthroscopic Bankart repair**
* **Latarjet procedure** (bone transfer to prevent dislocation)
* **Capsular shift** (tightens the capsule)
* Surgery is more common in young athlete. For more info visit us at http://www.drabhijitmore.com/latest-update/-recurrent-shoulder-dislocation-/25?utm_source=facebookpage

01/04/2025

Posterior cruciate ligament injury is comparatively uncommon injury (Acl more common) but lead to restrictions for activities if left untreated
We as sports medicine consultants treat PCL injury with arthroscopic reconstruction helpful for early recovery and full return to pre injury levels . For more info visit us at http://www.drabhijitmore.com/latest-update/posterior-cruciate-ligament-injury-is-comparativel/23?utm_source=facebookpage

19/09/2024

patient suffered from ACL tear while playing kabbadi due to twisting injury operated with ACL reconstruction now playing again doing all physical activity. For more info visit us at http://www.drabhijitmore.com/latest-update/patient-suffered-fro/16?utm_source=facebookpage

19/09/2024

patient suffered 1 yaer back with multiple SHOULDER DISLOCATIONS in past 7-8 times on left side after investigations found to have bone loss with BANKART'S lesion got operated with LATERJET procedure now able to to all routine activities and farming activities lifting heavy weights . For more info visit us at http://www.drabhijitmore.com/latest-update/weights/15?utm_source=facebookpage

07/09/2024

Best Orthopedic Surgeon in Pimple Saudagar | Best Orthopedic Surgeon in Sanghvi |

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Orthopedic surgery is a medical specialty that focuses on the diagnosis, prevention, and treatment of injuries and diseases that affect the musculoskeletal system. This includes the bones, joints, muscles, ligaments, tendons, and nerves.. For more info visit us at http://www.drabhijitmore.com/latest-update/best-orthopedic-surg/14?utm_source=facebookpage