Anatomic location. 2017 Sep 30;11:1094-1098. doi: 10.2174/1874325001711011094. anterior calcaneal process fracture; calcaneal tuberosity avulsion fracture; extra-articular body fracture. 2011 Jul;33(5):421-7. doi: 10.1007/s00276-010-0740-3. I: tendon of exor digitorum longus 5. J.B. Lippincott Company, 1985", https://en.wikipedia.org/w/index.php?title=Navicular_bone&oldid=1113615224, Short description is different from Wikidata, Creative Commons Attribution-ShareAlike License 3.0, This page was last edited on 2 October 2022, at 11:07. lover's fracture medial sustentaculum; intra-articular: 70-75% Bethesda, MD 20894, Web Policies The machines are affordable, easy to use and maintain. This site needs JavaScript to work properly. An accessory tendon, as mentioned above, also attaches to the calcaneal tuberosity. Bethesda, MD 20894, Web Policies A retrospective review of all surgically treated calcaneus fracture in our institution from Jun 2008 to Jun 2017 was done. Open reduction and internal fixation with two 3.5-mm cannulated cortical screws with washers was performed, and anatomic reduction was achieved. The horse has a sesamoid bone called the navicular bone, located within the hoof, that lies on the palmar aspect of the coffin joint between the second phalanx and third phalanx (coffin bone). Copyright 2017 The American College of Foot and Ankle Surgeons. Epub 2020 Sep 5. Disclaimer, National Library of Medicine Lunate dislocations are an uncommon traumatic wrist injury that require prompt management and surgical repair. N: lateral plantar nerve S1-S3 6. WebCalcaneal apophysitis (Sever disease) Charcot arthropathy; Fractures with post-reduction displacement of more than 50% (i.e., fractures in which the opposing broken bone ends are out of alignment by more than one half of the width of the bone) Iliac apophysitis; Pathological fractures due to malignancy (unless the neoplasm is in remission) Mitchell PM, ONeill DE, Branch E, Mir HR, Sanders RW, Collinge CA. The role of podiatry in the early identification and prevention of lower limb venous disease, Risk Factors for Musculoskeletal Injuries for Soldiers Deployed to Afghanistan. Your guests may need piping hot cups of coffee, or a refreshing dose of cold coffee. The Bado classification is used to subdivide the fracture-dislocation into four types which all have different treatment options and prognoses and is based on the principle that the direction in which the apex of the ulnar WebCalcaneal apophysitis (Severs disease) is the most common cause of heel pain in athletes five to 11 years of age. (Fig.1).1). For fractures that result in the bones moving out of position, surgery may be needed to make sure the shoulder heals correctly. Epidemiology These fractures have an incidence 0.4% to 2.7%, and males are affected more-so than females. [8] The central tarsal bone in the hock of the horse is homologous and analogous to the navicular bone of the human foot, and thus the navicular bone in the horse is a different structure from the eponymously labeled bone in humans. Although traditionally the mandible and base of skull are thought to form a complete bony ring, interrupted only by the TMJs.This should mean that the mandible should fracture in two places (akin to the bony pelvis) making single fractures uncommon, but this in fact Would you like email updates of new search results? We aimed to characterize the clinical presentation, focussing on soft tissue compromise and outcomes of operatively treated calcaneal tuberosity avulsion fractures with its associated complications. We reviewed patients' demographics, types of avulsion fracture, presence of preoperative skin compromise, age of fracture, time to operation, types of fixation construct, postoperative weight bearing regime, union rates, complications and revision surgeries if present. Location. In some instances, the fracture may be occult. The fracture may interfere with a persons ability to move the shoulder. 921 Oak Park Blvd #204 Pismo Beach, CA 805-473-4949 862 Meinecke Avenue #100 San Luis Obispo, CA 805-541-4600 2342 Professional Pkwy #200 Santa Maria, CA 805-349-9545805-349-9545 anterior calcaneal process fracture; calcaneal tuberosity avulsion fracture; extra-articular body fracture. WebAnother common location is at the front of the knee which is known as apophysitis of the tibial tuberosity or Osgood Schlatter's disease. O: medial surface of calcaneus bone, lateral process of calcaneal tuberosity 4. Here also, we are willing to provide you with the support that you need. Fractures of the greater tuberosity are often caused by direct trauma to the shoulder. Federal government websites often end in .gov or .mil. 2014 Oct;96-B(10):1344-8. doi: 10.1302/0301-620X.96B10.33771. HHS Vulnerability Disclosure, Help Bethesda, MD 20894, Web Policies 2018 Jan-Feb;57(1):191-195. doi: 10.1053/j.jfas.2017.07.016. Careers. because the achilles tendon has the following criteria including 1) a broad based insertion on the calcaneus, 2) a braided and coiled anatomical pattern with 90 rotated collagen fibers, and 3) a variable and sudden distribution of force on each avulsion, the resulting patterns of avulsion fracture are as diverse as the potential patient Avulsion fractures of the calcaneal tuberosity are predominantly seen in patients with poor bone quality, the commonly used lag screw fixation might not be strong enough even with bony fragments of sufficient size. These injuries are most often sustained through forced dorsiflexion of a maximally plantar-flexed foot [6]. Disclaimer, National Library of Medicine Vending Services (Noida)Shop 8, Hans Plaza (Bhaktwar Mkt. Calcaneal tuberosity avulsion fractures have a high prevalence of soft tissue compromise and warrant early attention. The navicular bursa is located between the flexor surface of the navicular bone and the deep digital flexor tendon, which runs between the bursa and the distal phalanx. An official website of the United States government. 2021 Jan-Feb;60(1):218-220. doi: 10.1053/j.jfas.2020.09.001. An important Norwegian contribution to the study of the bursae of the upper and lower extremities. It then inserts via a strong tendon to the cranial aspect of the tendon. These breaks often occur due to long-term, repetitive movements. Symptoms. Tibial tuberosity avulsion fractures are uncommon. Increasing age, diabetes mellitus, and reduced bone mineral density portend an increased risk of tuberosity avulsion [4, 5]. Registration is fast, simple and absolutely free so please, join our global Podiatry community today! Transosseous suture anchor fixation of an osteoporotic avulsion fracture of the calcaneal tuberosity seems to provide better and stronger fixation than that using lag screws. Epub 2015 Jul 2. An official website of the United States government. The site is secure. Please do. 2017 Jun;31:35-39. doi: 10.1016/j.foot.2017.04.002. Treatment of Fracture of the Calcaneus via Bone Axial X-Ray Image-Based Minimally Invasive Approach. J Foot Ankle Surg. Recently much of the original literature concerning navicular disease has been called into question, particularly the significance of radiographic changes as a sole diagnostic criterion. techniques: Epidemiology. The mechanism of injury is variable, and can occur both during flexion or extension, and with or without compression 5.. CT is considered the gold standard although MRI should be used as the first-line imaging modality in adolescents 7. The rest of the carpal bones are in a normal anatomic position in relation to the radius. Abstract. Similarly, if you seek to install the Tea Coffee Machines, you will not only get quality tested equipment, at a rate which you can afford, but you will also get a chosen assortment of coffee powders and tea bags. Barton fractures are fractures of the distal radius.It is also sometimes termed the dorsal type Barton fracture to distinguish it from the volar type or reverse Barton fracture.. Barton fractures extend through the dorsal aspect to the articular surface but not to the volar aspect. Would you like email updates of new search results? Depending on your choice, you can also buy our Tata Tea Bags. The navicular bone in humans is located on the medial side of the foot, and articulates proximally with the talus, distally with the three cuneiform bones, and laterally with the cuboid. sharing sensitive information, make sure youre on a federal Medial epicondylar avulsion fractures are the most common avulsion injury of the elbow and are typically seen in children and adolescents 4.Medial epicondyle fractures are often associated with elbow dislocation and make up approximately 12-20% of all pediatric elbow fractures 5,6.. So, find out what your needs are, and waste no time, in placing the order. Epub 2017 Nov 15. The site is secure. Management of this injury should take into account fracture reduction and stable fixation with neutralization of the Achilles tendon forces. Multiple fixation techniques have been reported in the literature but there are little data regarding the ideal fixation construct and outcomes. Management of calcaneal tuberosity fractures. A: metatarsophalangeal joints 2-5: toe exion 3. Triquetral fractures are carpal bone fractures generally occurring on the dorsal surface of the triquetrum. Keywords: We also offer the Coffee Machine Free Service. Classification The Achilles tendon tear classification is primarily based on the degree of retraction. Seven (77.8%) patients were female. The site is secure. Bosn J Basic Med Sci. PMC The calcaneal tuberosity was divided into three parts: superior facet, middle facet, and inferior facet. Springer-Verlag, New York, 1998. http://www.youtube.com/watch?v=TJBhdKrwTOc, (You must log in or sign up to reply here. "Navicular Bone - The distal sesamoid bone of the horse. P: walking 2. The aim of the study was a qualitative anatomical analysis of the macroscopic features of the surface of the calcaneal tuberosity, of the architecture of its cancellous bone and histological structure of the whole region. Irrespective of the kind of premix that you invest in, you together with your guests will have a whale of a time enjoying refreshing cups of beverage. WebHeel pain is a common presenting symptom in ambulatory clinics. Suture Anchor Fixation for Fifth Metatarsal Tuberosity Avulsion Fractures: A Case Series and Review of Literature. 2018 May 20;18(2):117-125. doi: 10.17305/bjbms.2017.2276. Tillaux fractures are Salter-Harris III fractures through the anterolateral aspect of the distal tibial epiphysis, with variable amounts of displacement. Blue, fibers from the lateral head of the gastrocnemius; green, retrocalcaneal bursa; red, fibers from the medial head of the gastrocnemius; yellow, fibers from the soleus muscle. Location of pain can be a guide to the proper diagnosis. Fractures of the skull, as with fractures of any bone, occur when biomechanical stresses exceed the bone's tolerance. Sanders et al.s [13] original description of intraarticular calcaneal fracture classification was based on coronal and axial CT cross-sections with the widest undersurface of the posterior facet of the talus (Fig. 2019 Nov;33(11):e422-e426. Now that you have the Water Cooler of your choice, you will not have to worry about providing the invitees with healthy, clean and cool water. official website and that any information you provide is encrypted There are many causes, but a mechanical etiology is most common. WebPalpation of the medial calcaneal tuberosity and along the plantar fascia typically causes sharp, stabbing pain . Nasal bone fractures are the most common type of facial fractures, accounting for ~45% of facial fractures, and are often missed when significant facial swelling is present. Clipboard, Search History, and several other advanced features are temporarily unavailable. 2010 Oct;81(5):593-8. doi: 10.3109/17453674.2010.506633. J Orthop Case Rep. 2021 Mar;11(3):25-28. doi: 10.13107/jocr.2021.v11.i02.2072. Electronic address: choonchiet@gmail.com. Evaluation of Proposed Protocol Changing Statistical Significance From 0.05 to 0.005 in Foot and Ankle Randomized Controlled Trials Calcaneal Fractures: Looking Beyond the Meta-Analyses. It usually does not reach the tarsometatarsal (metatarsocuboid) joint, but occasionally does. If you are throwing a tea party, at home, then, you need not bother about keeping your housemaid engaged for preparing several cups of tea or coffee. Radiographic features Plain radiograph http://www.podiatry-arena.com/podiatry-forum/showpost.php?p=677&postcount=3, http://www.podiatry-arena.com/podiatry-forum/showthread.php?t=10504, http://radiographics.rsna.org/content/20/suppl_1/S135.long, http://www.reuters.com/article/2011/06/13/us-chile-volcano-flights-idUSTRE75C4L620110613. Before PMC [2], The tibialis posterior is the only muscle that attaches to the navicular bone. Epidemiology. 4", "Top Rated Foot Surgeons - Foot & Ankle Institute in Baltimore- Mercy", "Macrorad Teleradiology Case Report - SYMPTOMATIC ACCESSORY NAVICULAR BONE", "Navicular Syndrome in Equine Patients: Anatomy, Causes, and Diagnosis", "Chapter 32, FRACTURE AND LUXATION OF THE TARSUS AND METATARSUS "Textbook of Small Animal Orthopaedics" written by Charles D. Newton, D.V.M., M.S. ),Opp.- Vinayak Hospital, Sec-27, Noida U.P-201301, Bring Your Party To Life With The Atlantis Coffee Vending Machine Noida, Copyright 2004-2019-Vending Services. Most importantly, they help you churn out several cups of tea, or coffee, just with a few clicks of the button. Vending Services has the widest range of water dispensers that can be used in commercial and residential purposes. ", "Gray's Anatomy, 6b. Bookshelf J Orthop Sci. Epub 2017 Apr 15. Calcaneal tuberosity avulsions are relatively rare, constituting 13% of all calcaneal fractures [13]. Achilles tendon pull; Avulsion fracture; Calcaneal tuberosity; Soft tissue compromise. Examples include: Jefferson fracture: ring fracture of C1; hangman fracture: bilateral pedicle or pars fracture of C2; dens fracture; flexion teardrop fracture: unstable flexion fracture; extension Unable to load your collection due to an error, Unable to load your delegates due to an error. 2016 Nov;229(5):610-614. doi: 10.1111/joa.12514. It is the last of the foot bones to start ossification and does not tend to do so until the end of the third year in girls and the beginning of the fourth year in boys, although a large range of variation has been reported. Runners and other athletes have a higher risk of stress fractures. Revision was performed with a single 3.5-mm cortical screw and transosseous fixation with 2 suture anchors, followed by partial weightbearing for 6 weeks. The calcaneal tuberosity in humans is relatively robust, with a large cross-section area for its length (Prang, 2015a). Disclaimer, National Library of Medicine Calcaneal spurs are fibro-cartilaginous triangular projections that vary in size present on the calcaneum. Rib fractures are a common consequence of trauma and can cause life-threatening complications. Classification Discussion in 'Biomechanics, Sports and Foot orthoses' started by mike weber, Nov 1, 2011. If not. The https:// ensures that you are connecting to the 2018 Sep-Oct;57(5):1030-1033. doi: 10.1053/j.jfas.2018.02.014. and transmitted securely. eCollection 2017. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. It assesses the pattern of fractures, involvement of the radioulnar joint and presence of a distal ulnar fracture.. Musil V, Selnes CV, Falck AT, Sandve L, Shekarchi S, O'Donnell B, Kachlik D. Acta Orthop. and transmitted securely. Posterior calcaneal tuberosity bone marrow edema is usually caused by Achilles insertional tendinosis with or without Haglund syndrome but may also be caused by inflammatory arthritis. The relationships of official anatomical terms and a wide spectrum of clinical synonyms designating this region are discussed. This type of fracture can interfere with the rotator cuff. Do you look forward to treating your guests and customers to piping hot cups of coffee? eCollection 2021. Two systems of expressive condensation of cancellous bone just below the surface of the calcaneal tuberosity were described. Structure of the Achilles tendon at the insertion on the calcaneal tuberosity. Not all fractures that extend to the growth plate are Salter-Harris fractures. Keywords: The patient may be treated with rest, ice and anti-inflammatory medications, and, after the shoulder heals, physical therapy. A calcaneal spur is also called as a heel spur, it is a bony outgrowth from the calcaneal tuberosity. Careers. Before Location: sole of foot 19. This was discussed in 2008 on PA here. Open reduction and internal fixation with two 3.5-mm cannulated cortical screws with washers was performed, and anatomic reduction was achieved. Federal government websites often end in .gov or .mil. We understand the need of every single client. We focus on clientele satisfaction. doi: 10.1097/BOT.0000000000001582. The navicular bone is a keystone of the foot: it is part of the coxa pedis and articulates with the talus, first, second and third cuneiform, cuboid and calcaneus. Achilles tendon: the 305th anniversary of the French priority on the introduction of the famous anatomical eponym. Spinal fractures are usually the result of significant trauma to a normally formed skeleton or the result of trauma to a weakened spinal column. FOIA Please enable it to take advantage of the complete set of features! Calcaneal Avulsion Fractures: A Multicenter Analysis of Soft-Tissue Compromise and Early Fixation Failure. Federal government websites often end in .gov or .mil. eCollection 2022. Foot Ankle Surg. 2016 Sep;21(5):690-3. doi: 10.1016/j.jos.2015.06.011. The ), Calcaneal bone marrow lesions and plantar fasciitis, Calcaneal bone stiffness in marathon runners, Calcaneal morphology and plantar fasciitis, Calcaneal spur and vitamin D, lipid profile and calcitonin, Treating plantar fasciitis with foot strengthening. Odontoid process fracture, also known as a peg or dens fracture, occurs where there is a fracture through the odontoid process of C2.. WebThe tibia (/ t b i /; pl. Le Fort fractures are fractures of the midface, which collectively involve separation of all or a portion of the midface from the skull base.In order to be separated from the skull base, the pterygoid plates of the sphenoid bone need to be involved as these connect the midface to the sphenoid bone dorsally. The .gov means its official. Calcaneal fractures can be divided broadly into two types depending on whether there is articular involvement of the subtalar joint 2,7,8: extra-articular: 25-30%. After long standing plantar fasciitis/heel spur, the inflammation causes the oedema. The Water Dispensers of the Vending Services are not only technically advanced but are also efficient and budget-friendly. Treatment and prognosis WebThe plantar fascia, a band of connective tissue deep to the fat layer of the base (plantar aspect) of the foot, spans from the medial plantar tuberosity of the calcaneus to the base of the digits. Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? Clipboard, Search History, and several other advanced features are temporarily unavailable. official website and that any information you provide is encrypted Calcaneal spurs, also known as heel spurs, are bony outgrowths that form on the calcaneal tuberosity or the heel bone. Then, waste no time, come knocking to us at the Vending Services. Thats because, we at the Vending Service are there to extend a hand of help. [3] An accessory navicular bone may be present in 214% of the general population.[4][5][6]. This pain increases with jumping and some running sports. It comprises of: Bookshelf Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Got one with similar hx in sunny Winchester. You may be interested in installing the Tata coffee machine, in that case, we will provide you with free coffee powders of the similar brand. Mosby/Elsevier, Canada. Typically, in a young individual with a normal Achilles tendon ruptures in the 'critical zone', which is a region of relative watershed hypovascularity 2-6 cm proximal to insertion. A calcaneal tunnel should be directed to the posterior inferior medial edge of the calcaneal tuberosity. PMC We found 9 patients from our database who met the inclusion criteria. Avulsion fractures of the tuber calcanei classically occur after falling on the foot, due to the forced dorsiflexion and the sudden contraction of the Achilles tendon. P: balance when walking None of them required soft tissue reconstructive surgery for skin defects postoperatively. Martin RB, Burr DB, Sharkey NA: Skeletal Tissue Mechanics. All Right Reserved. The navicular bone in humans is one of the tarsal bones, found in the foot.Its name derives from the human bone's resemblance to a small boat, caused by the strongly concave proximal articular surface.The term navicular bone or hand navicular bone was formerly used for the scaphoid bone, one of the carpal bones of the wrist.. FOIA Methods: Unable to load your collection due to an error, Unable to load your delegates due to an error. You already know how simple it is to make coffee or tea from these premixes. Everything that you are ever going to want to know about running shoes: Have you liked us on Facebook to get our updates? The https:// ensures that you are connecting to the Open Orthop J. The anatomical footprint of the Achilles tendon: a cadaveric study. Mandibular fractures are relatively common especially among young men. 2016 Jul-Aug;55(4):897-8. doi: 10.1053/j.jfas.2016.05.009. Achilles tendon; avulsion; fracture treatment; osteoporotic fracture; suture anchor augmentation. This condition is a fracture of the bony bump that is located opposite of the head of the humerus. and transmitted securely. 1 Passive dorsiflexion of the foot and toes often elicits pain as well. Results: Salter-Harris type I fractures are relatively uncommon injuries that occur in children.Salter-Harris fractures are injuries where a fracture of the metaphysis or epiphysis extends through the physis. We present a case of a closed displaced avulsion fracture of the calcaneal tuberosity due to blunt trauma to the calf in a 74-year-old female. As a host, you should also make arrangement for water. Classification. Accessibility Mechanism Conclusion: Either way, you can fulfil your aspiration and enjoy multiple cups of simmering hot coffee. WebThe metatarsal bones, or metatarsus, are a group of five long bones in the foot, located between the tarsal bones of the hind- and mid-foot and the phalanges of the toes.Lacking individual names, the metatarsal bones are numbered from the medial side (the side of the great toe): the first, second, third, fourth, and fifth metatarsal (often depicted with Roman You will find that we have the finest range of products. [10] Navicular syndrome may be responsible for as much as 1/3 of all cases of lameness in horses, but radiographic changes in the navicular bone do not always provide a definitive diagnosis. WebHuman anatomy. This site needs JavaScript to work properly. The first mechanism is a stress fracture which happens commonly in athletes [7] and the other mechanism is a high energy trauma. WebSever disease (i.e., calcaneal apophysitis) is the most common cause of heel pain in children and adolescents. Epub 2018 May 18. Radiographic features Plain radiograph Achilles tendon complex: The anatomy of its insertional footprint on the calcaneus and clinical implications. This fracture most commonly occurs about the upper lumbar spine (with the thoracolumbar junction accounting for ~50% of cases 3), but it may be observed in the mid lumbar region in children. They had an average age of 55.6 (range: 43 - 90) years with 5 (55.6%) of them aged 60 years and older. and David M. Nunamaker, V.M.D. Imaging features depend on the age of the lesion. Background: Calcaneal tuberosity avulsion fractures are uncommon but when present should be treated emergently due to the high risk of skin compromise. The machines that we sell or offer on rent are equipped with advanced features; as a result, making coffee turns out to be more convenient, than before. Radiographic features Terminology. Reattachment using the suture bridge augmentation for Achilles tendon avulsion fracture with osteoporotic bony fragment. The navicular bone in the horse is supported by the distal sesamoidean impar ligament and two collateral sesamoidean ligaments. Epidemiology Fractures of the sternum are seen in between 3-6.8% of all motor vehicle collisions 1. 8600 Rockville Pike Classification. Calcaneal spurs that occur beneath the soles are called plantar heel spurs which are commonly associated with Plantar fasciitis. Epub 2016 Jun 22. Figure 3 Open in figure viewer PowerPoint Vending Services Offers Top-Quality Tea Coffee Vending Machine, Amazon Instant Tea coffee Premixes, And Water Dispensers. sharing sensitive information, make sure youre on a federal Sternal fractures occur in ~5% of blunt chest trauma with the manubrium being the most commonly injured part. For years together, we have been addressing the demands of people in and around Noida. Clipboard, Search History, and several other advanced features are temporarily unavailable. Please enable it to take advantage of the complete set of features! Presentation of case lover's fracture medial sustentaculum; intra-articular: 70-75% [9], The navicular region is an important structure in relation to lameness, particularly in the front feet, and is involved with a significant disease process called navicular disease or navicular syndrome. Anatomical reconstruction of the calcaneofibular ligament (CFL) is a common technique to treat chronic lateral ankle instability. Without further trauma, secondary displacement of the fracture occurred on day 3. Typically, Monteggia fracture-dislocations occur as the result of a fall onto an outstretched hand (FOOSH) 4.. 1 Department of Orthopaedic Surgery, National University Hospital, National University Health System, 1E Kent Ridge Road, Singapore 119228, Singapore. J Orthop Trauma. J Foot Ankle Surg. Osteoporosis, a weakening of the bones that commonly occurs in the elderly, can increase a persons risk for this type of fracture. While a part of the package is offered free of cost, the rest of the premix, you can buy at a throwaway price. At 12 weeks postoperative, the fracture had completely healed, and she was doing well at 16 months after the revision surgery. Sonoanatomy of the Achilles tendon insertion in children. Youre also more likely to get a stress fracture if you suddenly and significantly increase your activity levels. Pediatric Calcaneal Tuberosity Avulsion Fracture: A Case Report and Literature Review. The Weber ankle fracture classification (or Danis-Weber classification) is a simple system for classification of lateral malleolar fractures, relating to the level of the fracture in relation to the ankle joint, specifically the distal tibiofibular syndesmosis.It has a role in determining treatment. MeSH MeSH Click arrows below to view conditions and procedures, 2022 Central Coast Orthopedic Medical Group, Opioids (Physical Dependence and Addiction), Medial Ulnar Collateral Ligament Reconstruction (Tommy John Surgery), Distal Radius Fracture Repair with Volar Plate, Scaphoid Fracture Open Reduction and Internal Fixation (ORIF), Thumb Ulnar Collateral Ligament (UCL) Injury, Triangular Fibrocartilage Complex (TFCC) Tears, Calcaneal Fracture Fixation (Open Reduction and Internal Fixation), Calcaneal Tongue-Type Fracture Fixation (Open Reduction and Internal Fixation), Haglunds Deformity (Retrocalcaneal Bursitis), High Ankle Sprain (Syndesmosis Ligament Injury), Jones Fracture Fixation (Open Reduction and Internal Fixation), Posterior Tibial Tendon Dysfunction (PTTD), Tarsal Tunnel Syndrome (Posterior Tibial Neuralgia), TightRope Fixation for Ankle Syndesmosis, Anesthesia (Lumbar Puncture, Spinal Anesthesia), Arthroscopic Surgery for Femoral-Acetabular Impingement (FAI), Degenerative Joint Disease of the Hip (Osteoarthritis of the Hip), Femur Fracture Fixation with Intramedullary Rod, Hip Fracture Treatment with Surgical Screws, Internal Screw Fixation for Slipped Capital Femoral Epiphysis (SCFE), Surgical Dislocation and Debridement for FAI, Anterior Cruciate Ligament (ACL) Injuries in Women, Avascular Necrosis (Osteonecrosis) of the Knee, Cartilage Repair, Arthroscopically-Assisted Technique (Zimmer DeNovo NT Natural Tissue Graft), Goosefoot (Pes Anserine) Bursitis of the Knee, Microfracture Drilling Procedure for Isolated Chondral Defect, Partial Knee Replacement (using OXFORD implant), Patellofemoral Pain Syndrome (Runners Knee), Posterior Cruciate Ligament (PCL) Reconstruction, Revision Knee with Tibial Tubercle Osteotomy, Shin Splints (Medial Tibial Stress Syndrome), Ultrasound-Guided Injection for Knee Pain, Visco-Supplementation for Arthritis of the Knee, Acromioclavicular (AC) Joint Separation Repair, Calcific Tendinitis of the Shoulder (Reactive Calcification), Fractures of the Shoulder Blade (Scapula), Latarjet Procedure for Shoulder Instability, Loose Shoulder (Multidirectional Instability), ORIF Surgery for Proximal Humerus Fracture, Proximal Humerus Fracture (Broken Shoulder), Rheumatoid Arthritis (RA) of the Shoulder, Ultrasound-Guided Injection for Shoulder Pain, Artificial Cervical Disc Replacement (Mobi-C), Cervical Transforaminal Epidural Steroid Injection, Minimally-Invasive TLIF (Transforaminal Lumbar Interbody Fusion), Radiofrequency Neurotomy of the Lumbar Facets, TLIF: Transforaminal Lumbar Interbody Fusion, Covered California Insurance Plans and Central Coast Orthopedics, 921 Oak Park Blvd #204 Pismo Beach, CA , 862 Meinecke Avenue #100 San Luis Obispo, CA , 2342 Professional Pkwy #200 Santa Maria, CA . 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