Opening night of the 2017 NBA season was marred by a gruesome left ankle injury to Boston Celtics’ forward Gordon Hayward only five minutes into the game. While jumping for an alley-oop, the 27 year old star player landed awkwardly on his left leg, suffering an ankle fracture-dislocation. The ankle was re-set on the court, splinted, and surgically stabilized the next day at New England Baptist Hospital. With a dedicated team of surgeons, physical therapists, and trainers, Gordon Hayward will face a long and challenging road to recovery. Along the way he will achieve milestones by re-learning to walk, run, and – hopefully – returning to play in the NBA.
Horrific ankle injuries like this are not limited to elite professional athletes and actually occur frequently to regular people performing routine daily activities like descending stairs, mowing the lawn, climbing ladders, or simply taking a misstep around the house. A displaced ankle fracture like to Gordon Hayward’s will require surgery to re-align the bones and to fix them, typically using small plates and screws to ensure that the fracture heals in proper position. Ensuring that the bones are fixed as close to normal as possible is the most important variable affecting outcome that physicians can control. Following surgery, a progressive therapy program is critical to ensuring maximal restoration of function. Even so, rehabilitation from an injury like this can take up to a year. We wish Mr. Hayward luck as he begins the long road to recovery.
Dr. Randall Marx is a board certified orthopedic surgeon, fellowship trained in conditions of the foot, ankle, and lower leg. He treats patients of all ages and is currently accepting new patients at five San Antonio area clinic locations. To schedule an appointment with Dr. Marx, please call (210) 281-9595 or visit his webpage.
When sports injuries happen, TSAOG’s sports medicine specialists routinely get the call to weigh in on the type of injury, how it is fixed, and what it could mean to the athlete in terms of rehab and recovery. With the Spurs reporting that Tony Parker has suffered a ruptured left quadriceps tendon, everyone wants to know what to expect and we actually had a few of our specialists interviewed yesterday by local media.
Dr. Josh Bell had an in depth discussion with ESPN San Antonio radio and also spoke with the Express-News to give a doctor’s view of the injury.
Dr. Lane Naugher spoke with 1200 WOAI Radio and said that, “This is a very bad injury” and that he expected it would be “at least six months before he is back to any type of basketball activities, maybe even nine months to a year before he would be cleared to play at any kind of elite level, like the NBA.” Read the full interview with Dr. Naugher here.
Please note: Our physicians are speaking only to the general nature of Tony Parker’s reported injury, not to his specific case.
Dr. DeBerardino is an orthopedic surgeon, fellowship trained in sports medicine. He is a retired U.S. Army Veteran specializing in arthroscopic surgery of the knee, shoulder, and hip and reconstructive procedures of the knee and shoulder.
Rotator cuff tears, including arthroscopic treatment of massive tears and revisions / repairs
Throwing Problems and Pain in the Shoulder and Elbow
Ulnar Collateral Ligament Injuries, Tommy John Procedure
Hip arthroscopy for management of hip conditions including FAI (femoroacetabular impingement), labral tears, trochanteric bursitis, ilitiotibial band syndrome, gluteal tendon, and proximal hamstring tendon tears
Knee Instability and Multiligament knee reconstructions
ACL , PCL Injuries and Arthroscopic Reconstruction
Meniscal Repairs and Transplantation
Cartilage preservation and restoration procedures of shoulder, elbow, hip and knee
Joint Replacement and Preservation:
Joint preservation arthroscopic procedures for shoulder, elbow, hip, and knee arthritis
Total and Reverse Shoulder Replacement
Total Hip Replacement
Partial and Total Knee Replacement
Trauma and Fracture Care:
Upper and lower extremity fractures and dislocations
Unfortunately, TSAOG must bid a fond farewell to sports medicine specialist Dr. Philip Jacobs. Dr. Jacobs has accepted an academic position at the University of Texas Health Science Center and will be leaving The San Antonio Orthopaedic Group effective September 30, 2016.
Current patients of Dr. Jacobs will have the option of transferring their care to another TSAOG physician or any other physician of their choice. If you are a current patient with Dr. Jacobs and have any questions about your medical records or continued care, please call our main office at (210) 804-5400.
Dr. Jacobs will be missed and we wish him the best of luck in his future endeavors.
Injured On the Field Friday Night? Walk Right In Saturday Morning!
Beginning Saturday, August 29th and running through football season, The Sports Institute at The San Antonio Orthopaedic Group will hold a Saturday Sports Injury Clinic every Saturday morning from 8-10am.
This walk-in clinic will allow athletes to be treated by one of The Sports Institute’s board certified orthopedic surgeons, all of whom have completed specialty training in sports medicine. X-ray, CT, and MRI imaging as well as casting services are available onsite to ensure there’s no need to make a second stop.
Best of all, a visit to the Saturday Sports Injury Clinic will bill to your health insurance as a specialty office visit, not an emergency room or urgent care visit, to keep your costs reasonable.
Dr. Balldin gave a lecture on “Popliteus and Posterior Oblique Ligament Tears: Anatomic Treatment and Outcomes.” He also performed a live surgical demonstration of a posterolateral corner (PLC) reconstruction and taught multiple procedures to the attendees on cadaver specimens during wet lab sessions. VICKS 2015 was an anatomic-based symposium, focused on the reconstruction of many of the the ligament, mensiscus, and malalignment issues that can occur around the knee as well as the latest techniques in knee arthroscopy.
Dr. Christian Balldin is an orthopedic surgeon, fellowship trained in sports medicine, with The San Antonio Orthopaedic Group. He treats patients aged 3 years and older for any sports-related injury as well as conditions of the shoulder, hip, and knee. He has a special interest in mutiligamentous knee reconstruction. To schedule an appointment with Dr. Balldin, please call 210.281.9595.
According to Dr. Michael Gerardi, president of the American College of Emergency Physicians,”The reliance on emergency care remains stronger than ever. It’s the only place that’s open 24/7, and we never turn anyone away.“
More people getting access to necessary medical care is a good thing, but seventy percent of physicians surveyed are concerned that their emergency departments are ill-equipped to handle this increased patient volume. Over a third of those surveyed even reported that they’d considered leaving the profession.
According to Dr. Balldin, part of the problem is “lack of information on the patient’s part that they shouldn’t go to the emergency room for routine medical care.” People who have never had medical insurance before may not realize that the ER is by far the most expensive place to seek care and 24/7 availability should not be the reason to choose to be seen there. WebMD explains how to tell when to go to the ER.
Another issue is timely access to care. Patients on Medicaid or exchange health plans may have difficulty finding physicians and specialists who will accept their insurance. With very limited networks, even if an in-network doctor is found, there may be a long wait to get an appointment.
If you need to seek medical care, consider the best place to seek that care. True emergencies should be handled by the ER, but other issues could wait for a doctor’s appointment or be treated after hours by an urgent care center, minor emergency clinic, or a specialty walk-in clinic like the OrthoNow Injury Clinic. If in-network coverage is an issue, consider asking facilities about cash rates for out-of-network patients, which sometimes can be less expensive than in-network rates, especially if you have a high deductible health insurance plan.
It’s National Athletic Training Month and a perfect time to acknowledge the contributions of athletic trainers as an important part of the sports medicine healthcare team.
TSAOG would like to give a special shout out to our fantastic athletic trainers, Bryan Meyenberg, MA, ATC, LAT and Dallas Rainer, BS, ATC, LAT. These talented ATs work in conjunction with our sports medicine specialty trained orthopedic surgeons to provide coverage and support for athletic organizations in and around San Antonio, from middle school sports to community events up to the San Antonio Scorpions.
According to Dr. Brad Tolin, one of TSAOG’s sports medicine specialists, “Athletic trainers are an essential part of a Sports Medicine team. They are typically the first to evaluate an injured athlete on the field. Their skill, knowledge, and close working relationship with an Orthopaedic surgeon are integral elements to successfully caring for the athlete. At TSAOG, we are fortunate to work closely with outstanding athletic trainers at the professional, collegiate, and high school levels.”
Athletic trainers are healthcare professionals who specialize in the prevention, evaluation, treatment, and rehabilitation of athletic injuries. To learn more about athletic trainers and what they do, visit the National Athletic Trainer’s Association webpage.
Sports medicine specialist and team physician for the San Antonio Scorpions Dr. Christian Balldin appeared on Great Day SA yesterday to discuss soccer safety and things players and parents can do to prevent common injuries. Watch the full interview below:
~Video Courtesy Great Day SA~
Interest in soccer has been growing in the US in recent years. It’s a sport where you don’t need a lot of equipment to play, just a ball and some shin guards to protect your shin bones (tibias) from injury.
However, one of the most common injuries in soccer is not a contact injury at all, but an injury that occurs to the knee when pivoting or changing direction. These are called Anterior Cruciate Ligament (ACL) tears. Learn more about ACL injuries and how to prevent them.
In the video above, Stephanie Nino, lead physical therapist at TSAOG’s Medical Center office and team physical therapist for the San Antonio Scorpions, demonstrates exercises that you can perform to give your body better motion control for knee movements, which can reduce your risk of ACL tears and other knee injuries.
Educating our community on how to prevent common injuries (as well as treating them when they occur) is one more way TSAOG makes your health our mission.