Dr. Mark Galland Discusses “New” Knee Ligament

Written by admin on January 7, 2014 – 1:54 pm -

There has been much consternation, if not outright titillation, recently regarding the “discovery” of a new knee ligament. Multiple news outlets breathlessly report that doctors in Belgium have “discovered” a new ligament. Reader’s comments in these online articles range from excitement to incredulity and borderline outrage “that doctors could miss such an obvious thing.”

Is this possible? Is it likely that there is an anatomical structure that has gone undiscovered despite centuries of patient, methodical, laborious anatomical research by thousands of surgeons, anatomists and students?

Certainly, anything is possible (that’s the premise behind lottery tickets, right)? Is it possible that this ligament can go unnoticed by the literally millions of MRI that have been performed over the past 30 years? Maybe a little less possible than the previous example, but for the sake of argument, let’s say “Yes, it’s possible.” Except that it’s not. You see, this ligament was first described in 1879–the same year the light bulb was invented! The ligament has never had one single name that we could all agree upon (previous monikers include: mid-third lateral capsular ligament, capsulo-osseous layer of the iliotibial band (What a mouthful!) and even the current ‘anterolateral ligament’ have been used in the past). Though, until recently, no clear anatomical description had been provided, surgeons have long been aware of it. Most Orthopaedic surgeons (particularly those specializing in sports injuries) have been aware of its significance, abeit indirectly,for decades. The Segond fracture caused when this ligament sometimes avulses a fragment of bone from the tibia when an ACL is torn, bears the name, not coincidentally, of the first physician to “discover” the ligament (he called it simply a “pearly fibrous band”). To emphasize this point, the authors of the paper that initiated this furor, do not claim “discovery” they merely proffer a standardized name for this ligament and
postulate its significance in knee stability.

Why the delay? If it was first noted in 1879, why are we only now: 1. giving it a name and 2. postulating its function? To answer, one must first understand the structure of a joint. Every joint is surrounded by a capsule. The capsule is like a balloon that surrounds and attaches to the bones that comprise a joint. Certain parts of the capsule are thin and others are thick and well defined. those parts that are well-defined and thick usually merit a name and are considered “ligaments” examples are the MCL (medial collateral ligament) and LCL (lateral collateral ligament). Some areas are slightly thicker than the rest of the capsule but not nearly as much as the named ligaments. Sometimes these get a name, sometimes not, and sometimes doctors argue over what name, if any, should be assigned to this “thickened area.” as you can imagine, doctor-scientist cocktail parties can get pretty rowdy! These in-between ligaments typically have arcane names like posterior oblique ligament and popliteo- fibular ligament–names like these can only result as the brain-chlild of the aforementioned post-party delirium–scientists! still it’s better than listening to them argue these points at a medical conference.

Additionally, with the advent and popularity of minimally invasive and arthroscopic surgery, these ligaments are no longer exposed in surgical procedures, unless the procedure is intended to specifically address an injury to one of these ligaments.

Arthroscopic surgery occurs within the joint, these “capsule ligaments” are by definition outside the confines of the joint and are not seen during routine arthroscopic surgery. anyone want to trade the 2 tiny incisions typical of any “scope” surgery for a 10’‘incision (and all the extra rehab and lost work-time attendant to such incisions) so that we can have the satisfaction of looking at all the knee ligaments? No? I didn’t think so.

What about MRI? “Why has no one mentioned this ligament before now, if we can, in fact evaluate it with MRI?” good question. the answer is simple. radiologists may see the ligament/capsular area on every scan, but until we name it and tell them that it is important, they view it not unlike like the skin and fat and gristle also well-visualized on every mri but are not worthy of mention.

Far from the discovery of a new ligament, these distinguished Belgian surgeons have provided us valuable insight into the importance of a known but previously disregarded structure, and have suggested its importance merits a standardized name upon which we can all agree. While not as earth shattering as a truly unique discovery, it is exciting to learn that we may have new insight into the inner-workings of the human knee. Now it is time for those of us who care for those with such injuries to begin developing and utilizing techniques to repair it when injured. Truly exciting news, indeed!

Dr. Mark Galland is a Board Certified Orthopaedic Surgeon and adjunct Clinical Professor, specializing in sports medicine, practicing in Wake Forest and Raleigh. He serves as team physician and Orthopaedic consultant to the Carolina Mudcats, High-A Affiliate of the Cleveland Indians 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, or on twitter @drmarkgalland.


Posted in Knee, News Releases | No Comments »

Orthopaedic Specialists Of North Carolina Partners With St. Mary’s School Athletic Program

Written by admin on October 27, 2013 – 12:27 pm -

“Dr. Mark Galland, lead physician at Orthopaedic Specialists of North Carolina (OSNC), has announced that the practice has partnered with St. Mary’s School in Raleigh to provide on-site care and treatment to student-athletes at school sporting events. OSNC personnel will be present for the school’s sporting events and will be responsible for treatment to athletic injuries.”

http://www.ncheadlines.com/releases/orthopaedic-specialists-of-north-carolina-partners-with-st-marys-school-athletic-program

http://www.carolinabusinessconnection.com/cbc/article.html?id=26069

http://www.mmipublicrelations.com/news/entry/orthopaedic-specialists-of-north-carolina-partners-with-st.-marys-school-at/


Posted in News Releases, Sports Medicine | No Comments »

Dr. Mark Galland Discusses Youth Pitching, Use of the Curve Ball and Matt Harvey

Written by admin on August 27, 2013 – 8:36 pm -

Dr Mark Galland – Youth Pitching

ABOUT DR. MARK GALLAND:
Mark Galland, M.D. is an orthopaedic surgeon, sports medicine specialist and physician at Orthopaedic Specialists of North Carolina. He currently serves as a team physician and orthopaedic consultant to the Carolina Mudcats, the advanced A affiliate of the Cleveland Indians, medical director and orthopaedic consultant to the Louisburg College Athletic Program, medical director of the Barton College athletic program, adjunct clinical professor at Marietta College and team physician and Orthopaedic consultant to several area high schools.


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Posted in Elbow, Injury Prevention, News Releases, Podcast | No Comments »

Dr. Mark Galland Speaks To News 14 About Injury Prevention For Student-Athletes

Written by admin on August 14, 2013 – 8:43 am -

Dr. Galland spoke with Marti Skold from News 14 on Friday to discuss how student athletes can prevent injury as they return to their fall sports. As athletes begin training in the hot summer sun, it is very important for athletes to understand safety precautions that will help ensure a safe practice. To view the segment, visit http://triangle.news14.com/content/news/in_depth/698264/in-depth–orthopedic-surgeon-dr–mark-galland .


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Posted in Around the office, Health and Fitness, Injury Prevention, News Releases, Sports Medicine | No Comments »

Dr. Mark Galland Named Team Physician And Medical Director Of Rolesville High School Athletics

Written by admin on July 3, 2013 – 9:31 am -

RALEIGH, N.C. – Dr. Mark Galland, orthopaedic surgeon and sports medicine specialist at Orthopaedic Specialists of North Carolina (OSNC) (http://www.orthonc.com), has been named team physician and medical director of Rolesville High School’s athletic teams. In this position, Galland will be responsible for leading and coordinating the medical staff and medical services for all of the school’s sports teams and student-athletes.

Rolesville High School will open in August 2013 with an anticipated enrollment of 600 to 700 students, with a maximum capacity of approximately 2,300 students. The school will offer football, volleyball, soccer, basketball, softball, baseball, track, tennis, golf, swimming, wrestling, cheerleading and lacrosse programs.

Since joining Orthopaedic Specialists of North Carolina, Galland has continued his commitment and dedication to the treatment of injured athletes. He currently serves as team physician and Orthopaedic consultant to the Carolina Mudcats, the Advanced A affiliate of the Cleveland Indians Major League Baseball team; medical director and orthopaedic consultant to the Louisburg College Athletic Program, medical director of the Barton College athletic program, adjunct clinical professor at Marietta College and team physician and Orthopaedic consultant to several area high schools.

QUOTES:
“I am honored to be named team physician and medical director of Rolesville High School,” said Galland. “I look forward to providing orthopaedic care to the school’s student athletes to ensure they are able to compete to the best of their ability and enjoy a safe and healthy sports season.”

NEW MEDIA:
Dr. Mark Galland Blog

http://drmarkgalland.com

Dr. Mark Galland Twitter

https://www.twitter.com/drmarkgalland

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.

Jordan Smith
MMI Public Relations
(919) 233-6600
jordan@mmipublicrelations.com

http://www.mmipublicrelations.com

http://twitter.com/MMIPR

(end)


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Dr. Mark Galland To Discuss Injury Prevention And Treatment On WRAL News’ Rex On Call Segment

Written by admin on June 19, 2013 – 9:28 am -

RALEIGH, N.C. – Dr. Mark Galland, orthopaedic surgeon and sports medicine specialist at Orthopaedic Specialists of North Carolina (OSNC) (http://www.orthonc.com/galland.html), has announced that he will appear on WRAL News’ Rex On Call segment on Monday, June 17 at 1:00 p.m.

The Rex On Call segment is a monthly half-hour program airing and streaming live the third Monday of every month on WRAL-TV and WRAL.COM, and features Rex Health Care physicians who answer questions from the general public. On Monday, Galland will discuss orthopaedic injury prevention and treatment for people of all ages. For more information or to submit a question for Galland, visit http://www.wral.com/rex-on-call/10230666/?navkeyword=rex+on+call.

QUOTES:
“Whether on the course, court, field or back yard, you should not let an injury slow you down,” said Galland. “I am excited to share my expertise and knowledge with the program’s viewers and to answer any questions that they have.”

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.

Jordan Smith
MMI Public Relations
(919) 233-6600
jordan@mmipublicrelations.com

http://www.twitter.com/MMIPR

http://www.mmipublicrelations.com

(end)


Posted in Around the office, News Releases | No Comments »

Dr. Mark Galland Named Adjunct Clinical Professor at Marietta College

Written by admin on May 14, 2013 – 7:42 pm -

RALEIGH, N.C. – Dr. Mark Galland, a physician at Orthopaedic Specialists of North Carolina (OSNC) (www.orthonc.com), has been appointed as an adjunct clinical professor at Marietta College. In this position, Galland will be responsible for clinical instruction in orthopaedic surgery and sports medicine for the school and teaching their students at OSNC’s state-of-the-art orthopaedic sports medicine facility.

Marietta College is a private, coeducational, nonsectarian, undergraduate, residential, contemporary liberal arts school, which was founded in 1835. Located in Marietta, Ohio, the school boasts a student population of just more than 1,400 students. The Marietta College athletic program consists of 18 men’s and women’s teams including baseball, basketball, football, crew, cross country, soccer, softball, tennis, track, and volleyball, with nearly 400 student athletes.

Since joining Orthopaedic Specialists of North Carolina, Galland has focused on treating injured athletes. In addition to his role as adjunct clinical professor at Marietta College, he serves as a team physician and orthopaedic consultant to the Carolina Mudcats, the advanced A affiliate of the Cleveland Indians, as medical director of the Barton College athletic program, 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.

QUOTES:

“I am honored to be named adjunct clinical professor at Marietta College,” said Galland. “I am looking forward to working with the students and athletes at the school, helping them begin their path to careers within orthopaedics and sports medicine.”

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 advanced A affiliate of the Cleveland Indians, as medical director of the Barton College athletic program, 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.


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Around the office, News Releases | No Comments »

Dr. Mark Galland Named Top Orthopaedic Surgeon In North Carolina By HealthTap

Written by admin on April 25, 2013 – 11:54 am -

RALEIGH, N.C. – Dr. Mark Galland, a physician at Orthopaedic Specialists of North Carolina (OSNC) (http://www.orthonc.com/galland.html), has been named the top Orthopaedic Surgeon in North Carolina by HealthTap, an online interactive health network. The award represents the highest recognition for orthopaedic surgeons in the network.

QUOTES:
“I am honored to be recognized as the Top Orthopedic Surgeon in the great state of North Carolina. It is even more special to know that my contributions, which I have never considered extraordinary, are recognized as noteworthy and special by my patients, their families and friends,” said Galland. “I truly enjoy serving my wonderful patients, and if anything I do can be considered special or worthy of praise, it is only because my patients are so. This award is a recognition and reflection of them.”

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.

Jordan Smith
MMI Public Relations
(919) 233-6600
jordan@mmipublicrelations.com

http://twitter.com/mmipr

http://www.mmipublicrelations.com

(end)


Posted in Around the office, News Releases | No Comments »

Dr. Mark Galland Named Medical Director Of Barton College Athletic Training Education Program

Written by admin on October 16, 2012 – 5:43 pm -

RALEIGH, N.C. – Dr. Mark Galland, a physician at Orthopaedic Specialists of North Carolina (www.orthonc.com/galland.html), has been named medical director of the Barton College Athletic Training Education Program, a Commission on Accreditation of Athletic Training Education (CAATE) accredited program. As medical director, Galland serves as a resource to the program’s students and faculty for questions, topics, lectures and courses related to musculoskeletal medicine. By partnering with Barton College, Galland’s wealth of knowledge and experience in orthopaedic surgery and sports medicine will be available to the program’s aspiring athletic trainers and future health care providers.

Barton College is a private liberal arts college in Wilson, N.C., with a student population of approximately 1,130. Its athletic training education program is a four-year curriculum and is nationally accredited by CAATE. Accredited programs prepare students with an interest in sports medicine to work in the growing allied health profession of athletic training, which focuses on prevention, emergency care, evaluation, treatment, and rehabilitation of injuries and conditions in physically active persons (not just athletes). Graduates of Barton’s program are qualified to sit for the national certification exam and must pass before being able to practice as an ATC (certified athletic trainer). You can find athletic trainers working on the sidelines of high school, college, recreational and professional sporting events, as well as teaching at all levels, researching, and working in the military, performing arts, industrial settings, hospitals, therapy clinics and doctors’ offices.

The Barton College Athletic Education Training Program has two components, a didactic portion, which is classroom-based, and a clinical education portion. The laboratory classes allow for hands-on practice of the theories learned in lecture classes where students utilize cognitive, psychomotor skill recognition. Faculty and staff ATCs serve as Approved Clinical Instructors (ACI’s) and supervise students during rotations. Students have the opportunity to work on clinical skills with an ACI during their clinical experience and are involved in the daily operation of athletic training in various settings during the field experience portion of their clinical rotations.

For more information, visit http://www.barton.edu/academics/ATEP/.

“I am honored to be named medical director of Barton College’s Athletic Training Education Program,” said Galland. “Students enrolled in the program have a strong passion for athletic training and are eager to learn how to be successful in the field. I am excited to share my expertise in orthopaedic surgery and sports medicine with the Barton College students.”


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Sports Medicine Specialist Partners With Local Pop Warner Youth Football Program: Dr. Mark Galland Named Medical Director And Orthopaedic Consultant Of The Wake Forest Titans

Written by admin on September 18, 2012 – 9:36 am -

RALEIGH, N.C. – Dr. Mark Galland, a physician at Orthopaedic Specialists of North Carolina (www.orthonc.com/galland.html), has been named medical director and orthopaedic consultant for the Wake Forest Titans, a Pop Warner program that offers flag football for ages 5-7, tackle football for ages 6-15 and cheerleading for ages 5-15. In this position, OSNC staff will be on site for games and events to provide medical care to all football players and cheerleaders in the program.

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, the Advanced A affiliate of the Cleveland Indians Major League Baseball team, medical director and orthopaedic consultant to the Louisburg College athletic program and team physician and orthopaedic consultant to several area high schools and colleges. Dr. Galland has authored book chapters and papers in sports medicine.

The Wake Forest Titans Pop Warner Association is part of the Pop Warner Little Scholars organization. There are no tryouts and participants are accepted on a first come, first served basis, as space is available. Tackle football eligibility is based on age and weight combinations set by Pop Warner Little Scholars. The Wake Forest Titans provide a safe and fun environment for teaching the fundamentals of football and cheerleading and for preparing participants for competition. In the past few years, Wake Forest Pop Warner Association has sent cheer squads to regional and national competitions, and football teams to post-season bowl games.

For more information, visit http://www.wakeforesttitans.com/index.html.

QUOTES:
“I am honored to be selected as medical director and orthopaedic consultant for the Wake Forest Titans Youth Football Association,” said Dr. Galland. “Player safety in youth sports is a concern for all parents and I am happy to offer my services to the Wake Forest Titans program. I look forward to working closely with such a great community of young athletes and coaches.”

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 Advanced 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. For more information, visit http://www.orthonc.com or http://drmarkgalland.com.


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Posted in News Releases, Sports Medicine | No Comments »