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Dr Ray Payne, Orthopaedic Surgeon, Joint Replacement Surgeon, Virginia Beach, VA / Blog

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  • Treatment of neurogenic scapular winging: a systematic review on outcomes after non-surgical management and tendon transfer surgery.

    Posted on: 08 January, 2023

    Scapular winging is a rare condition of the shoulder girdle which presents challenging treatment decisions for clinicians. To inform clinical practice, clinicians need guidance on what the best treatment decision is for their patients and such recommendations should be based on the total evidence available. Therefore, the purpose of this review was to systematically review the evidence regarding non-surgical management and tendon transfer surgery of patients with neurologic scapular winging due to serratus anterior (SA) or trapezius (TP) palsy.

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  • Exercise can modify fat tissue in ways that improve health—even without weight loss

    Posted on: 08 January, 2023

    Exercise is one of the first strategies used to treat obesity-related health problems like type 2 diabetes and other cardiovascular disease, but scientists don't understand exactly how it works to improve metabolic health. To that end, University of Michigan researchers examined the effects of three months of exercise on people with obesity, and found that exercise can favorably modify abdominal subcutaneous adipose tissue, the fat tissue just beneath the skin, in ways that can improve metabolic health—even without weight loss.

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  • Females more likely to develop adhesive capsulitis

    Posted on: 25 October, 2022

    Data showed that women develop adhesive capsulitis at a faster rate than men and that there are risk factors unique to women. Female athletes are also more likely to experience traumatic shoulder instability than male athletes.

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  • New Technology May Help Stop Surgical Implant Infections

    Posted on: 25 October, 2022

    Experimental technology could transform the surface of implants so bacteria won’t grow and cause infections in procedures such as knee and hip replacements

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  • The Importance of Timing for Total Hip Arthroplasty and Spinal Fusion

    Posted on: 15 March, 2021

    Managing a patient with degenerative disease in both the hip and the lumber spine – the hip-spine syndrome – presents a challenge: Which procedure should be done first? Should the surgeon start with a total hip arthroplasty (THA), or should the patient be referred to a spine surgeon for spinal fusion before THA?

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