Shoulder Conditions
There are many conditions that affect shoulder. Some problems develop chronically over time, while others occur as a result of an injury or accident. Dr. Franky Davis has advanced training in the evaluation and management of both common and complex problems in the shoulder.
The biceps tendon can tear at its insertion in the shoulder. Many times, this injury is also associated with a tear of the rotator cuff – since the two tendons are right next to each other in the shoulder. While a biceps tendon tear rarely needs surgery to fix it, a traumatic tear of the rotator cuff usually does need surgical treatment. The biceps tendon can also tear at its insertion at the elbow, and this problem usually needs surgical fixation. Any injury of the biceps tendon at the shoulder or the elbow should be evaluated thoroughly by a specialist such as Dr. Franky Davis.
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Fractures of the ankle are common injuries sustained in sports, recreation, and accidental falls. Most people cannot walk on a broken ankle. Ankle fractures often involve a break of both bones of the ankle – the smaller fibula on the outer side of the ankle, as well as the larger tibia on the inner side of the joint. A broken fibula usually requires treatment with a plate and screws. A broken tip of the tibia usually requires treatment with screws. Sometimes a cast will suffice for treatment of an ankle fracture. Dr. Franky Davis has treated ankle fractures in all kinds of situations – from simple missteps to major injuries from skydiving and rodeo accidents.
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Hip fractures are extremely common in the elderly population, and they usually occur as a result of a fall. A hip fracture can be devastating to a person’s lifestyle, as these fractures have very high rates of complications if not treated with surgery. Hip fracture prevention is thus critically important for older patients.
Several common patterns of hip fracture exist, and the geometry of the fracture determines the type of treatment. Fractures involving the femoral neck (the “ball” of the thigh bone) often require either a partial or total hip replacement. A partial hip replacement, or hemiarthroplasty, is the most common method of treating a femoral neck fracture. If the bones are not significantly separated or displaced, a femoral neck fracture may be treated with screws, or percutaneous pinning. Fractures may also involve the intertrochanteric region, or the upper part of the thigh bone below the ball area. Fractures in this part of the bone are often treated with intramedullary nailing, or placement of a rod and screw into the bone.
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Falls onto an outstretched hand can result in a fracture of the wrist. Usually, the distal radius, or the end of the large forearm bone, is the most common site of the fracture. These injuries occur in all age groups, but tend to be more common in children and in older patients. In children, a cast will usually suffice as the mainstay of treatment – although a closed reduction, or “setting” of the break, may be necessary. In older patients, casts are also common – but surgical treatment may be recommended depending on the pattern and severity of the fracture. Dr. Franky Davis has extensive experience with the treatment of wrist fractures, and has published several articles about this topic in the international literature.
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Fractures around the knee can involve the thigh bone (femur), the kneecap (patella), or the shin bone (tibia) – or a combination of these bones. Knee fractures sometimes do not require anything more than a brace or a cast and a few weeks on crutches. Many times, however, fractures of the knee bones can be very serious injuries that require major surgery to repair. Dr. Franky Davis has extensive experience with the treatment of knee fractures.
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Fractures of the shoulder are an increasingly common problem, especially in older patients with osteopenia or osteoporosis – conditions which result in weakened bones. Sometimes these fractures will heal on their own without any intervention, but sometimes the fracture is bad enough to warrant fixation or replacement. Dr. Franky Davis has extensive experience in shoulder fracture management, and he has presented numerous lectures about shoulder fractures at the national level.
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Shoulder Fractures and Dislocations
Common Shoulder Injuries
Shoulder Blade Fractures