Dr. Jalba Bogdan-Alexandru

26/01/2025

Leziunile Ligamentului încrucișat anterior (LIAE) pot apărea la oricine, în special la sportivii care își folosesc constant genunchii în schimbarea direcției. Dacă LIAE este rupt, genunchii vor fi slăbiți și nu vor putea funcționa normal. De asemenea, poate crea leziuni în alte părți ale genunchiului, cm ar fi rupturi de menisc și leziuni ale cartilajului articular, ducând la degenerarea prematură a genunchiului. Prin urmare, reconstrucția LIAE este o necesitate, mai ales pentru sportivi.
În unele cazuri, chirurgul poate recomanda o intervenție chirurgicală combinată de reconstrucție a LIAE cu o procedură laterală extra-articulară, cm ar fi tenodeza laterală extra-articulară (fascia lata) sau reconstrucția ligamentului anterolateral (ALL), pentru a reduce leziuni ulterioare ale LIAE la sportivi.

# sports surgery
# fast recovery
# surgery well done
# cruciate ligament reconstruction
# Professor Dr. Dimitrie Gerota Emergency Hospital

11/01/2025

Attending the 4th Experts SNACE Summit – thrilled to be part of such an inspiring event!
Robotic-assised surgeries, latest advancements in UKA, TKA, RTKA and THA

# robotic-assisted surgeries
# knee arthroplasty
# hip arthroplasty

12/10/2024

Advanced Center of Excellence (SNACE) - knee arthroscopy - Warsaw 2024

ACL reconstruction, Meniscus Root and Ramp repair!

Tehnici noi, moderne de reconstrucție a ligamentului încrucișat anterior al genunchiului și de reparare a meniscului.

11/04/2023

Echipa noastră se mărește. Suntem încântați să vi-l prezentăm pe noul membru: dr Jalba Bogdan, medic primar ortopedie traumatologie. Dacă vrei să beneficiezi de abordări inovatoare în medicina personalizată, te așteptăm pentru programări la 📲 031 9693.

📍Barbu Văcărescu, nr 102
📍Bd.Mircea Eliade, nr 18 (Floreasca)
📍 Bd.Iuliu Maniu, nr 15G (Militari)

26/06/2021

Snapping hip is a condition in which you feel a snapping sensation or hear a popping sound in your hip when you walk, get up from a chair, or swing your leg around. Although the condition is usually painless, the sensation can be annoying. Learn more on . https://bit.ly/2U9obQ7

23/06/2021

Toronto Raptors star Pascal Siakam underwent successful surgery earlier this month to repair a torn labrum in his left shoulder.

The glenoid labrum is a ring of fibrous tissue attached to the rim of the glenoid to deepen the cavity. The glenoid cavity is part of the scapula, and it is here where the head of the humerus articulates to form the glenohumeral joint.

The glenoid labrum is the primary attachment for the shoulder capsule and glenohumeral ligaments. The superior aspect of the glenoid labrum proves an attachment point for the tendon of the long head of the biceps muscle.

Shoulder labral tears occur from several mechanisms and most commonly occur in overhead athletes. One example is forceful eccentric traction exerted on the biceps tendon. This can occur when someone falls back onto an outstretched arm and tries to prevent their fall by grabbing hold of an object or suddenly tries to lift a heavy object. Another example is forceful abduction and external rotation during the cocking phase when pitching.

SLAP tears stand for superior labrum anterior to posterior and can be divided into 4 types. Type II tears are the most prevalent and represent detachment of the superior labrum and biceps from the glenoid rim.

In the case of Pascal Siakam, surgical treatment was completed since nonoperative management likely failed to reduce his pain and improve shoulder function.
Biceps tenodesis is a procedure that involves moving the biceps tendon insertion from the glenoid to the humerus. According to a review published in the American Journal of Sports Medicine, biceps tenodesis or debridement provides a reasonable alternative to arthroscopic repair.

Reports state that Pascal Siakam is expected to be out for approximately 5 months, and will therefore miss the first weeks of the 21-22 season. One review determined that athletes on average return to sport within 9 months postoperatively. This review reported that 69.6% of individuals undergoing arthroscopic SLAP repair return to sport and SLAP repair in pitchers has significantly decreased return to sport in comparison with non-pitching athletes.

Prayers up for a safe recovery.

09/06/2021

Canadian tennis star Eugenie Bouchard announced that she has undergone arthroscopic surgery for her right shoulder. Eugenie tore her right subscapularis muscle in the first-round match in Guadalajara last March. She says that she tried all conservative management and had no success.

The subscapularis is one of four rotator cuff muscles and is primarily responsible for internal rotation of the shoulder. The muscle originates from the subscapular fossa and inserts into the lesser tubercle of the humerus.

Despite the subscapularis being the largest and strongest muscle of the rotator cuff, tears of this muscle are often described as “hidden lesions”, since the incidence of subscapularis tears is less than that of other rotator cuff tendons. Based on its muscle cross-section, the subscapularis represents 53% of rotator cuff muscle mass, more than all 3 other muscles combined.

Acute injuries to the subscapularis occur when the humerus is hyperextended and externally rotated. This reflects the case of Genie Bouchard as this mechanism can occur with a tennis swing. As with other rotator cuff injuries, subscapularis tendon injury is commonly torn as a degenerative process related to aging. However, older patients could also present with subscapularis tears secondary to anterior dislocation of the glenohumeral joint. Injury to the biceps tendon is frequently reported in individuals with confirmed subscapularis tears.

Pfirrmann et al used MRI to differentiate tears based on their location:

Grade 1 - lesion involving 25% of the diameter, but no complete detachment.
Grade 3 - complete tendon detachment

Additionally, the Lafosse classification is useful to establish a treatment strategy for arthroscopic repair of a subscapularis tear.

A thorough history combined with specific physical examination maneuvers (including the bear hug, lift-off, and belly-press tests) is critical for accurate diagnosis.

In a study of 106 consecutive patients, of whom 32 had subscapularis tears identified by arthroscopy, the bear hug test was most sensitive.

Prayers up for a safe recovery!

28/05/2021

12/09/2020

Pantoful cu toc. Avantaje și dezavantaje.
# vreau sa fiu sănătos

27/05/2020