Why do up to 21% of rotator cuff repairs fail? In this episode, we're joined by orthopedic surgeon Dr. Hoberman, a fellowship-trained expert from the Nicholas Institute of Sports Medicine, to dissect the complexities of rotator cuff re-injury and poor surgical outcomes.
Dr. Hoberman provides a surgeon's insight into the critical risk factors that every physical therapist and athletic trainer must understand, including age, smoking, diabetes, and the crucial role of fatty infiltration. We explore the clinical decision-making process, from initial evaluation and special tests to determining if a tear is truly "repairable."
In This Episode, You Will Learn:
(03:17) Key Risk Factors for Rotator Cuff Repair Failure
(05:00) Understanding Fatty Infiltration and Its Irreversible Impact
(10:10) Dr. Hoberman's Clinical Exam Protocol for Suspected Tears
(16:37) Modern Classification of Tears & When to Augment a Repair
(24:55) The Surgeon's Algorithm: When to Choose a Repair, Balloon, SCR, or Reverse Total Shoulder
(39:23) Rehab Considerations for Different Repair Types (e.g., Subscapularis vs. Supraspinatus)
Connect with Dr. Hoberman:
Website: https://east.optum.com/providers/alexander-hoberman/
Practice: Katonah, NY
Fellowship: Nicholas Institute of Sports Medicine and Athletic Trauma
Disclaimer: This podcast is for educational purposes only and does not constitute medical advice. Please consult a qualified healthcare professional for personal health concerns.
Are you seeing patients with persistent groin pain after a hip scope? The number one complication following hip arthroscopy is iliopsoas tendinosis, but why does it happen and how can it be avoided?
In this episode, Tim Tyler sits down with orthopedic surgeon Dr. Scott Levin of Somers Orthopedics to discuss the critical nuances of hip arthroscopy. They explore the most common complications following procedures for labral tears and femoroacetabular impingement (FAI), starting with the most crucial step: proper patient selection.
Dr. Levin shares his comprehensive evaluation process, discusses the art and science of FAI bone resection, and reveals the intraoperative techniques he uses to prevent nerve issues and other setbacks. Tim and Rob also weigh in on evidence-based rehab protocols, challenging traditional thinking on weight-bearing, bracing, and range of motion to accelerate a safe return to sport.
Key Topics Discussed:
Guest Information: Dr. Scott Levin is an orthopedic surgeon specializing in sports medicine at Somers Orthopedics. He serves patients throughout Westchester, the Hudson Valley, and Connecticut.
Website: scottlevinmd.com
Practice Phone: (845) 278-8400
Resources Mentioned:
Susan Y Kwiecien, Milan P Mueller, John J Grossi, Timothy F Tyler, Malachy P McHugh, Gregory J Galano, Accelerated rehabilitation and return to sport after hip arthroscopy for femoroacetabular impingement syndrome is safe and effective, Journal of Hip Preservation Surgery, Volume 12, Issue 1, January 2025, Pages 33–39, https://doi.org/10.1093/jhps/hnae044
Disclaimer: This podcast is for educational purposes only and does not constitute medical advice. Please consult a qualified healthcare professional for any health concerns.
Should athletes with Grade III AC separations go under the knife or trust structured rehab. Tim Tyler and Dr Steven Lee break down the research and turn it into practical decisions for the clinic and training room.
🚨 Surgery or Rehab for Grade-III Shoulder Separations? Here’s the 20-Year Data 🚨
In this episode of The Sports Medicine Research Rundown, host Tim Tyler, PT, ATC, grills orthopedic surgeon Steven Lee, MD, on:
====================
⏱️ TIMESTAMPS
0:00 Intro & guest bio
2:30 Rockwood refresher + imaging pearls
7:45 Is the weighted film dead?
15:00 20-year outcome data on Grade-III injuries
24:30 Step-by-step of Dr Lee’s CC fixation
32:00 Complication deep dive
40:15 Rehab milestones & RTP criteria
48:00 Live Q&A
55:00 Key takeaways
====================
🎯 TOP TAKEAWAYS
📚 FURTHER READING
– Moatshe et al., Clin Orthop Relat Res 2024
– Cleary et al., Am J Sports Med 2024
– Shaw et al., J SES 2018
– Kovács et al., Arthroscopy 2025
– Gawel et al., Sports Health 2021
🔔 SUBSCRIBE for evidence-based deep dives
🎧 Listen on the go: Apple Podcasts • Spotify • Google Podcasts
#SportsMedicine #ACJoint #ShoulderInjury #PhysicalTherapy #OrthopedicSurgery
In this month's "Sports Medicine Research Rundown," we welcome Dr. Kristin Hopkins, Team Physician for Stony Brook University athletics. Dr. Hopkins, an acclaimed orthopedic surgeon, shares insights on cutting-edge ACL reconstruction techniques, specifically the Lateral Extra-Articular Tenodesis (LET) procedures. Learn why these "LEAPs" are becoming crucial for preventing re-tears in high-risk patients, especially adolescent athletes. We break down the science, discuss surgical considerations, and explore rehabilitation expectations.
Topics Covered:
Guest Bio:
Dr. Kristin Hopkins is a Team Physician for Stony Brook University athletics, specializing in contact sports like lacrosse and football. She is a sports medicine fellow graduate of the Nicholas Institute of Sports Medicine and Athletic Trauma.
Disclaimer:This podcast is for educational purposes only and is not a substitute for professional medical advice. Always consult with a qualified healthcare provider for any health concerns or before making any decisions related to your health or treatment.
Join us on The Sports Medicine Research Rundown for a deep dive into the world of complex patellofemoral pain and instability. Host Tim and Rob are joined by Dr. Alexander Golant, an NYU orthopedic sports medicine surgeon, who shares his expert approach to diagnosing and treating these challenging anterior knee conditions. This episode explores key topics including:
Identifying patellofemoral maltracking and using special tests like the J sign and lateral tilt.
The role of specific imaging views (like lateral X-rays) in assessing trochlear dysplasia.
Understanding the rationale behind combined surgical procedures (Tibial Tubercle Osteotomy (TTO), MPFL reconstruction, Trochleoplasty, lateral release) using an "a la carte" philosophy.
Navigating post-operative expectations, including managing arthrofibrosis and achieving full range of motion.
Expert guidance on return to sport protocols after complex patellofemoral surgery.
Whether you're a physical therapist, athletic trainer, or orthopedic professional, this episode provides invaluable insights into optimizing care for complex patellofemoral patients.
#SportsMedicine #Orthopedics #KneePain #Patellofemoral #KneeInstability #PatellarTracking #KneeSurgery #TTO #MPFL #Trochleoplasty #PhysicalTherapy #Rehab #SportsRehab #AthleticTraining #ReturnToSport #Arthrofibrosis #MedicalPodcast #SportsMedResearch
In this episode of the Sports Medicine Research Rundown, join hosts Tim Tyler and Rob Shapiro as they delve into the complexities of meniscus and meniscus root tears with renowned orthopedic surgeon, Dr. Nick Sgaglione from Northwell Health.
Dr. Sgaglione, a leading expert with 36 years of experience, provides invaluable insights into:
This episode is a must-listen for anyone interested in sports medicine, knee injuries, and the latest advancements in orthopedic care. Tune in to gain expert knowledge and practical insights on managing meniscus and root tears.
Key Topics: Meniscus Tear, Root Tear, Knee Injury, Orthopedic Surgery, Sports Medicine, Dr. Nick Sgaglione, MD
#sportsmedicine #kneepain #meniscustear #roottear #orthopedics #podcast #healthcare #orthopedicsurgery
Is joint pain holding your patients back? Dive into the world of sports medicine research with Dr. Kenneth Zaslav, Director of the Center for Regenerative Orthopedic Medicine at Lenox Hill Hospital, in this essential episode of the "Sports Medicine research rundown podcast." We break down cartilage damage, from basic cartilage defect classifications and common causes like sports injuries and overuse, to symptoms and diagnosis using MRI. Explore non-operative treatments and surgical options before we spotlight the innovative Agili-C implant: a cutting-edge solution for cartilage restoration. Dr. Zaslav, a pioneer in the field, explains how this affordable implant works, its rehab process, and promising future applications. Learn about knee pain relief, joint preservation, and the latest advancements in regenerative orthopedic medicine to get you back in the game.
#SportsMedicine, #Orthopedics, #CartilageRepair, #KneePain, #AgiliC, #RegenerativeMedicine, #Podcast #professionalseminars
Welcome to Episode 8 of The Sports Medicine Research Rundown! In this episode, we explore the tightrope procedure for syndesmotic ankle sprains. Our expert team delves into the latest research, discusses the surgical approach, and provides insights into recovery and rehabilitation. Whether you're an athlete, a coach, or just interested in sports medicine, this episode is packed with valuable information.
Key Points:
Understanding syndesmotic ankle sprains
Overview of the tightrope procedure
Recovery and rehabilitation tips
#podcast #podcasts #sportsmedicine #AnkleSprain #InjuryPrevention #AthleteHealth #Surgery #PhysicalTherapy #SportsInjury #ResearchRundown #ProfessionalSeminars #HealthTips #thesportsmedicineresearchrundown
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In this episode, we dive into the world of clavicle fractures, a common injury among athletes, especially those in contact sports like hockey, football, and wrestling. Our guest, Dr. Kier Ross, a renowned orthopedic surgeon, shares his expertise on the causes, diagnosis, treatment options, and rehabilitation of clavicle fractures.
We discuss:
#claviclefracture #orthopedicsurgery #sportsmedicine #injuryrecovery #hockey #football #wrestling #health #fitness #podcast #healthcaremarketing
Join us for an insightful discussion with Dr. Kenneth Montgomery, Chairman of the Medical Department and Head Team Physician for the New York Jets, as he explores the evolution and comparison of ACL graft choices. Dr. Montgomery shares his extensive experience with quad tendon grafts versus bone-patellar tendon-bone (BTB) grafts, offering valuable insights for both surgeons and physical therapists. From his international work with Ortho Nations to his perspective on emerging techniques like the Bridge-Enhanced ACL Repair (BEAR), this episode delivers essential knowledge for sports medicine professionals.
==========================
*SHOW NOTES:*
==========================
Guest: Dr. Kenneth Montgomery
Chairman of Medical Department and Head Team Physician, New York Jets
Previously at Nicholas Institute of Sports Medicine and Athletic Trauma
Currently at Tri-County Orthopedics
*Key Topics Discussed:*
Comparison of ACL graft choices
-Quad tendon vs. Bone-Patellar Tendon-Bone (BTB)
-Discussion of outcomes and complications
International work with Ortho Nations
-Experiences in Vietnam and Nepal
-Differences in graft availability and choices globally
Research Review
-Analysis of study comparing outcomes in female soccer players
-Discussion of limitations and significance
Clinical Pearls:
Timing of surgery post-injury
-Considerations for graft choice in female athletes
-Management of combined ACL/MCL injuries
Bridge-Enhanced ACL Repair (BEAR) Procedure
-Current perspective and limitations
-Comparison to traditional reconstruction techniques
*Time Stamps:*
0:04 - Introduction of Dr. Montgomery
1:41 - Discussion of international work
27:57 - Analysis of research article
42:50 - Discussion of study results
50:52 - Q&A session
*Notable Quotes:*
"I want the therapist to be able to work on getting that full extension. That's how people feel normal." - Dr. Montgomery
*Resources Mentioned:*
2019 AJSM article comparing quad tendon and BTB outcomes
Meta-analyses from 2015-2022 comparing graft choices
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In this episode of the The Sports Medicine Research Rundown, host Tim Tyler welcomes special guest Dr. Greg Galano from Lenox Hill Hospital and Northwell Health. Dr. Galano, a distinguished Sports Medicine fellow from the Hospital for Special Surgery, shares his expertise on hip arthroscopy and the treatment of athletic hip injuries.
Key topics discussed include:
Dr. Galano also discusses a recent research article on the long-term follow-up of hip arthroscopy patients, providing insights into the durability of surgical outcomes and return to sport rates.
Whether you're a healthcare professional, athlete, or simply interested in sports medicine, this episode offers valuable information on the latest advancements in hip preservation and arthroscopy. Don't miss this in-depth discussion on one of the most rapidly evolving areas of sports medicine!
#sportsmedicine #HipArthroscopy #LabralTear #FAI #ReturnToSport #Orthopedics #AthleticInjuries #HipPreservation #PhysicalTherapy #Rehabilitation #OrthopedicSurgery #SportsInjury #HipPain #AthleticHip #SportsPerformance #InjuryRecovery #SportsScience #OrthopedicResearch #HipSurgery
In this episode of The Sports Medicine Research Rundown, hosts Tim Tyler and Robert Shapiro welcome orthopedic surgeon Dr. Benjamin Bedford to provide an in-depth look at the evolving treatment and rehabilitation of Achilles tendon ruptures. They explore the historical management approaches, the emergence of minimally invasive "pars repair" techniques, and the considerations around operative versus non-operative care. The conversation delves into critical rehabilitation principles, potential complications, and return to play timelines, particularly for elite athletes. This comprehensive discussion offers valuable insights for physical therapists and clinicians managing this common, yet challenging, sports medicine injury.
Show Notes:
This in-depth discussion provides physical therapists and clinicians essential knowledge to optimize outcomes for patients suffering from Achilles tendon ruptures.
#AchillesTendonRupture #AchillesRepair #SportsRehabilitation #OrthopedicSurgery #MinimallyInvasiveSurgery #PhysicalTherapy #SportsInjuries #AthleteRecovery #ReturnToPlay #RehabProtocols #ComplicationsManagement #PatientEducation
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*THE SPORTS MEDICINE RESEARCH RUNDOWN*
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Dr. Zoland's Book - Deciphering Groin and Pelvic Pain: https://amzn.to/3KE3CnX Join us in this episode of The Sports Medicine Research Rundown, where we explore the complex world of Athletic Pubalgia, commonly known as Sports Hernia, with the esteemed Dr. Mark Zoland. With his extensive background in general surgery and specialization in sports-related injuries, Dr. Zoland delves into the history, diagnosis, and treatment of this condition that plagues athletes across various sports. From the pioneering work of Otis J. Gilmore to the latest surgical techniques and rehabilitation protocols, this episode is packed with insights for medical professionals, athletes, and anyone interested in sports medicine. Tune in to unravel the mystery behind groin pain and the innovative approaches to healing and recovery. Don’t miss this comprehensive session that sheds light on a condition that’s as perplexing as it is common among competitive athletes. Listen now and gain a new perspective on Athletic Pubalgia. 🎧✨ ======================================== Timestamps: ======================================== [00:00:05] Introduction to Dr. Mark Zoland [00:01:08] The first encounter with Sports Hernia [00:02:37] Historical perspective on Athletic Pubalgia [00:06:01] MRI technology and injury diagnosis [00:19:01] Rehabilitation and load dispersion post-surgery [00:37:00] Gender differences in Athletic Pubalgia incidence [00:49:20] Case study: A professional athlete’s recovery journey ========================================== GET SOCIAL WITH US ========================================== *Facebook* ➡︎ https://www.facebook.com/Professional... *Instagram* ➡︎ https://www.instagram.com/professiona... *YouTube* ➡︎ https://www.youtube.com/channel/UCXs1... *LinkedIn* ➡︎ https://www.linkedin.com/showcase/pro... *Pinterest* ➡︎ https://www.pinterest.com/Professiona... *Tik Tok* ➡︎ https://www.tiktok.com/@professionals... *X.com (Twitter)* ➡︎ https://twitter.com/ProSeminarsLTD ========================================= USEFUL LINKS ========================================= *Dr. Zoland's Book* ➡︎ https://amzn.to/3KE3CnX *Website* ➡︎ https://www.professionalseminars.com/ *Courses* ➡︎ https://www.professionalseminars.com/... *Blog* ➡︎ https://www.professionalseminars.com/... ======================================== CHECK OUT OUR PODCASTS ======================================== *IN THE MIND OF PODCAST* *Website* ➡︎ https://www.professionalseminars.com/... *YouTube* ➡︎ https://youtube.com/playlist?list=PL_... *Apple* ➡︎ https://podcasts.apple.com/us/podcast... *Spotify* ➡︎ https://open.spotify.com/show/5maXs80... . . . . *THE SPORTS MEDICINE RESEARCH RUNDOWN* *YouTube* ➡︎ https://www.youtube.com/playlist?list... *Spotify* ➡︎ https://podcasters.spotify.com/pod/sh... ======================================= DISCLAIMER ======================================= **These Videos are provided for informational and educational purposes only and should not be used as a replacement for appropriate medical treatment. Please consult your doctor or licensed physical therapist for an appropriate course of treatment**
Episode 2 - UCL Reconstructions, Past, Present and Future
Join us in this enlightening episode of The Sports Medicine Research Rundown as we delve into the intricate world of UCL (Ulnar Collateral Ligament) reconstructions. Our hosts, Tim Tyler and Rob Shapiro, team up with Dr. James Paci to explore the evolution of UCL surgery, its impact on athletes, and the promising future of sports medicine.
Past to Present: Discover the historical advancements in UCL surgery, from the pioneering Tommy John procedure to the modern techniques that have revolutionized athlete recovery.
Youth Athlete Focus: Learn about the alarming rise in UCL injuries among young athletes and the crucial role of early specialization and overuse in this trend.
Innovative Techniques: Gain insights into the cutting-edge internal brace procedure that’s reducing recovery times and helping athletes return to play faster than ever.
Preventive Measures: Understand the importance of comprehensive care, including shoulder maintenance and core strengthening, to prevent UCL injuries and ensure long-term athletic performance.
Don’t miss this deep dive into the past, present, and future of UCL reconstructions with expert insights from renowned specialists in the field. Subscribe, like, and share to stay updated with the latest in sports medicine research!
#SportsMedicine #UCLReconstruction #TommyJohnSurgery #PitcherInjuries #BaseballMedicine #OrthopedicResearch #YouthAthleteCare #ThrowingInjuries #SportsRehab #AthleticTraining #podcast
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Episode 1 - ACL Reconstruction: Past, Present and Future In this inaugural episode, Dr. Stephen Nicholas from The Nicholas Institute of Sports Medicine and Athletic Trauma joins host Tim Tyler to provide a comprehensive overview of anterior cruciate ligament (ACL) reconstruction surgery. Dr. Nicholas shares his unique perspective as the son of pioneering orthopedic surgeon Dr. James A. Nicholas, walking through the evolution of ACL procedures from the extra-articular techniques of the past to today's anatomic, arthroscopic reconstructions using autografts like bone-tendon-bone and hamstring tendons. Key topics discussed include: - Historical context of early ACL repair attempts - Graft selection criteria (bone-tendon-bone, hamstring, quadriceps) - Surgical techniques for graft harvesting, drilling sockets, graft fixation - Graft tensioning protocols - Rehabilitation considerations like bracing, weightbearing, prehab - Preventing and managing common complications - The role of allografts and revision ACL surgeries - Emerging technologies on the horizon like biologics Whether you're a sports medicine physician, physiotherapist or athletic trainer, this in-depth episode provides invaluable insights into optimizing ACL reconstruction outcomes from one of the world's foremost experts in the field. #physicaltherapy #knee #acl #podcast #nismatyt ========================================== GET SOCIAL WITH US: ========================================== ➡︎Facebook - https://www.facebook.com/ProfessionalSeminarsLTD/ ➡︎Instagram - https://www.instagram.com/professionalseminars/ ➡︎YouTube - https://www.youtube.com/channel/UCXs1zBnFGEXEHa7KASPtSMQ ➡︎LinkedIn - https://www.linkedin.com/showcase/professional-seminars/ ➡︎Pinterest - https://www.pinterest.com/ProfessionalSeminars/ ➡︎Tik Tok - https://www.tiktok.com/@professionalseminars ➡︎X.com (Twitter) - https://twitter.com/ProSeminarsLTD ========================================= USEFUL LINKS: ========================================= Website ➡︎ https://www.professionalseminars.com/ Courses ➡︎ https://www.professionalseminars.com/schedule Blog ➡︎ https://www.professionalseminars.com/blog