Dr. Mark Galland

dr mark galland ‏ @drmarkgalland:
Mariano Rivera greatestcloser ever. Derek Rose one of the best in the game. Hoping to see them both back in uniform again soon. Double Bundle ACL reconstruction can make it happen for both. Best wishes.

http://www.orthonc.com/sites/default/files/forms/acl-db-web-page-rev-punched-redo.pdf

To view this as a PDF, click here: Fits Like A Glove

Customization has become de rigueur in almost every facet of modern life. Very few things, today, are “one size fits all.” The same is true for knee replacement (TKA or total knee arthroplasty).

For years manufacturers and surgeons have tried in vain, to personalize the fit and match of joint replacement prosthesis to the exact physiology and mechanics of each individual patient. All too often the end result of these labors represents a triumph of marketing over science—the so-called gender-specific knee is a classic example. Recently much has been made of computer assisted surgery. We have all read about and seen television images of large computers in the operating suite directing a “robot” to make “incisions and cuts.” These purport to improve accuracy and imply better performance and longevity of the implant. Unfortunately, and not surprisingly, the results have yet to meet the expectations of such promising technology. As computer assisted surgery is dependent upon collection of independent patient data obtained in the Operating Room, the results are necessarily limited by the quality of the collection method. The accuracy of the data varies greatly by surgeon and by individual patient– “Garbage in=Garbage out.”

As the data entered into the computer is obtained via relatively inaccurate means, the results are little improved compared to earlier techniques employed by surgeons for decades. Even more, this method requires significantly increased OR time.

“Ok . . . so, computer assisted surgery offers no advantage in performance but adds cost and time. So far, doc, you are not selling me on this concept. What gives?”

It is important to understand that while the results engendered by the implementation of computer assisted surgery have been mixed, at best, the concept is excellent—Personalization of the surgical procedure to meet the exact biomechanical needs of the patient has been the Holy Grail of joint replacement surgeons. Traditionally, TKA is performed utilizing cutting blocks, “jigs,” alignment rods, plumb lines, etc.; not dissimilar from standard cabinetry techniques. These have provided good to excellent results for decades. Unfortunately these methods are limited by individual patient factors (body weight, joint alignment, range of motion) that make it difficult, time consuming, and sometimes impossible to restore the appropriate anatomic alignment for any given patient.

 Dr. Mark Galland is a Board Certified Orthopaedic Surgeon specializing in sports medicine, practicing in Wake Forest and North Raleigh. He serves as team physician and Orthopaedic consultant to the Carolina Mudcats, AA Affiliate of the Cincinnati Reds of Major League Baseball, as well as several area high schools and colleges. Dr. Galland can be reached at (919) 562-9410 or by visiting www.orthonc.com or www.drmarkgalland.com.

Boston Red Sox CF Carl Crawford recently sought a second opinion on his aching elbow.  The diagnosis of a partial tear of the UCL (“tommy john ligament”) was confirmed by Dr James Andrews.  Details surrounding the the onset of the injury are unclear, but reports confirm that an MRI and 2 medical opinions concur on the diagnosis.  Although traditionally, treatment of UCLs has favored surgery over rehab, recently many baseball subspecialists have elected a more conservative approach for partial tears.  Apparently Crawford has been treated with a PRP injection and a course of rehab.  Generally this requires 3 months of activity restriction and rehabilitation.  Long-term results for non-operative treatment are mixed, and PRP is an emerging technology, so Bosox fans will cross their fingers and hope for a speedy return of their Left Fielder.  For more info on PRP injections http://www.orthonc.com/news-updates/what-prp-therapy.

Jacoby Ellsbury, superstar CF for the Boston Red Sox, injured his Right (throwing) Shoulder this week while sliding into 2B.  Reports suggest that he suffered a “subluxation” of the shoulder.  A subluxation is a “partial dislocation.”  This means that the “ball” of the the shoulder partially slid out of the “socket” and quickly back into place.  In comparison to a true dislocation, there is usually minimal, if any permanent damage–but only an MRI can provide the true picture.  Details regarding the MRI results were not made public, except “findings were consistent with a subluxation.”  Pretty vague, but i interpret that as meaning that there was no structural damage.  With appropriate rest and rehab, JE could start swinging the bat as quickly as 3-4 weeks, but the timetable differs for each individual athlete.  JE does not have a history of being a “fast healer,” so sox nation will likely hold its collective breath awaiting his return, and hoping for a continuation of the recently displayed offensive firepower by the remainder of the lineup.

This post can also be found on the Association Executives of North Carolina’s Success By Association blog.

The core of my practice is sports medicine. But it isn’t just athletes that get injured. As we rely more heavily on technology and the average person uses a desktop computer, a smartphone, and an Ipad in a given day, chronic overuse injuries are only going to increase. Ailments like epicondylitis (tennis elbow), carpal tunnel, and tendinitis are generally caused by repetitive use of the forearm, wrist, and hand muscles. These problems are degenerative in nature and can be extremely uncomfortable and activity limiting. Ergonomics, the study of efficiency in the workplace, can offer many solutions and adjustments for reducing the severity and frequency of these problems. Here I’d like to offer my own advice- Take 5 to stretch.
5 minutes in the mid-morning and 5 minutes in the afternoon to do these 3 simple stretches will go a long way to keeping your arms limber and pain free, hopefully for years.

1. Epicondylitis Stretch- Epicondyle is the medical term for the bony area of your elbow where your wrist and forearm muscles attach. You have a medial epicondyle for the muscles that flex your wrist and enable you to pronate (turn your palm toward the floor). You also have a lateral epicondyle for the muscles that extend your wrist and allow you to supinate (turn your palm up). In order to stretch these muscles, you should reach your arm out in front of you with your elbow straight and use your opposite arm to bend the wrist into flexion. Hold 20 seconds. Then, keeping your elbow straight, pull your wrist into extension. Hold 20 seconds. Repeat each way one more time.

2. Wrist Rotation- Keeping your wrist poised while typing all day can cause stiffness, pain, and contribute to carpal tunnel. To give your wrist a break, make a loose fist and rotate your wrists in circles for about 20 seconds. Go on to stretch your hands (exercise 3) then repeat for 20 more seconds.

3. Hand/Finger Stretch- Give your hands a break from typing, emailing, texting, tweeting, blogging, and data entering. For this stretch, you want to spread your hands and fingers out as wide as you can and then make a tight fist. Open your hand and widen your fingers then pull it back into a fist. Repeat about 10 times.

Three exercises. Five minutes. Make it part of your daily routine until it becomes a habit- just like brushing your teeth. I would be happy to see you in the office for any problem any time, but if I can help keep you healthy, that’s even better.

RALEIGH, N.C. – Dr. Mark Galland, a physician at Orthopaedic Specialists of North Carolina (OSNC) (http://www.orthonc.com/galland.html), completed a weekend of examinations and treatment Jan.14-15 with 43 Cincinnati Reds Major League Baseball team prospects in Santo Domingo, Dominican Republic. Galland addressed the health status of the prospects, ranging from ages 16 to 24, and provided treatment recommendations regarding the players’ current injuries.

Galland regularly works with baseball pitchers and position players at all levels of the game. He serves as orthopaedic consultant to the Carolina Mudcats, High-A Affiliate of the Cleveland Indians Major League Baseball team and to several area college and high school athletic programs, treating youth and amateur players around the Triangle.

The Dominican Republic has grown a reputation for producing top-flight baseball talent to the Major Leagues. According to MLB.com, 28 of the 30 Major League baseball teams currently run academies in the country.

QUOTES:

“The Reds organization has a terrific group of young athletes in the Dominican Republic,” Galland said. “These prospects stand to make great contributions to the parent club and farm system, and I am very honored to be entrusted with their care and well-being. I look forward to watching them develop.”

NEW MEDIA CONTENT:

Dr. Mark Galland Blog

http://drmarkgalland.com

Dr. Mark Galland YouTube Channel

http://www.youtube.com/user/DrMarkGalland

ABOUT DR. MARK GALLAND:

Dr. Mark Galland is an orthopaedic surgeon, sports medicine specialist and physician at Orthopaedic Specialists of North Carolina. Galland received his medical degree from Tulane University’s School of Medicine and completed his residency in the university’s Department of Orthopaedic Surgery. He began his career in orthopaedic surgery and sports medicine while serving in the United States Navy at a naval hospital at Camp Lejeune, N.C. There, he served as chief of orthopaedic surgery and was the recipient of numerous awards for both leadership and excellence in treating injuries common to sailors and marines. Since beginning with Orthopaedic Specialists of North Carolina, Galland has continued to treat injured athletes. He currently serves as a team physician and orthopaedic consultant to the Carolina Mudcats, the High-A affiliate of the Cleveland Indians Major League Baseball team, and as medical director and orthopaedic consultant to the Louisburg College athletic program. He also serves as the team physician and orthopaedic consultant to several local high schools, as well as on the board of directors for the Trentini Foundation, a nonprofit scholarship organization. For more information, visit http://www.orthonc.com or http://drmarkgalland.com.

Dr. Mark Galland spoke with Andrew Carter of the Raleigh News & Observer to discuss the scaphoid injury to the wrist of UNC point guard Kendall Marshall. Check out the article here.

News 14 Carolina aired a video segment featuring an interview with Dr. Galland regarding the scaphoid injury.

Check out this article (PDF link) for insight on anterior cruciate ligament (ACL) injuries, and how ACL treatments have evolved.

RALEIGH, N.C. – Dr. Mark Galland, a physician at Orthopaedic Specialists of North Carolina (OSNC) (http://www.orthonc.com/galland.html), will travel to Goodyear, Ariz., to work with the Cleveland Indian’s Major League baseball team’s prospects during its annual spring training camp. While in Arizona, Galland will provide support to the medical and training staff to the benefit of the organizations players.

Galland regularly works with baseball pitchers and position players at all levels of the game. He serves as orthopaedic consultant to the Carolina Mudcats, High-A Affiliate of the Cleveland Indians Major League Baseball team and to several area college and high school athletic programs, treating youth and amateur players around the Triangle.

The Cleveland Indians begin preseason play March 3 against the Cincinnati Reds at Goodyear Ballpark.

QUOTES:

“I am honored with the opportunity to take part in spring training with the Cleveland Indians baseball club this season,” said Galland. “I am both humbled and excited  to once again have this opportunity to serve the organization.”

NEW MEDIA:

Dr. Mark Galland Blog

http://drmarkgalland.com

Dr. Mark Galland YouTube Channel

http://www.youtube.com/user/DrMarkGalland

ABOUT DR. MARK GALLAND:

Dr. Mark Galland is an orthopaedic surgeon, sports medicine specialist and physician at Orthopaedic Specialists of North Carolina. Galland received his medical degree from Tulane University’s School of Medicine and completed his residency in the university’s Department of Orthopaedic Surgery. He began his career in orthopaedic surgery and sports medicine while serving in the United States Navy at a naval hospital at Camp Lejeune, N.C. There, he served as chief of orthopaedic surgery and was the recipient of numerous awards for both leadership and excellence in treating injuries common to sailors and marines. Since beginning with Orthopaedic Specialists of North Carolina, Galland has continued to treat injured athletes. He currently serves as a team physician and orthopaedic consultant to the Carolina Mudcats, the High-A affiliate of the Cleveland Indians Major League Baseball team, and as medical director and orthopaedic consultant to the Louisburg College athletic program. He also serves as the team physician and orthopaedic consultant to several local high schools, as well as on the board of directors for the Trentini Foundation, a nonprofit scholarship organization. For more information, visit http://www.orthonc.com or http://drmarkgalland.com.