Dr. Mark Galland Discusses Arthroscopic Rotator Cuff Repair

Written by admin on August 12, 2013 – 11:18 am -

RALEIGH, N.C. – Dr. Mark Galland, M.D., a physician at Orthopaedic Specialists of North Carolina (www.orthonc.com), has announced the release of a podcast in which he discusses the differences between arthroscopic rotator cuff repair and traditional rotator cuff repair. In the podcast, Dr. Galland describes the size of incision that is required for arthroscopic rotator cuff repair as well as its advantages compared to traditional rotator cuff repair.

Traditionally, surgeons have performed open rotator cuff repair when a patient suffers from a tear that requires surgery. In this procedure, an incision is made over the outside of the shoulder, usually about 6-10 centimeters in length, and the muscle beneath the skin is separated to expose the rotator cuff, which is then inspected and repaired.

To prevent significant pain and leave a much smaller incision, orthopaedic surgeons have begun performing arthroscopic rotator cuff repair, which leaves a much smaller incision through the use of small instruments to perform the procedure.

To listen to the podcast, visit: http://drmarkgalland.com/arthroscopic-rotator-cuff-repair-vs-traditional-rotator-cuff-repair/.

“Arthroscopic rotator cuff repair is performed through multiple small incisions, usually a centimeter in size,” said Galland. “It is an outpatient procedure, so patients can expect to return home to the comforts of their own surroundings and sleep in their own bed the very same day of the procedure.”

Mark Galland, M.D. is an orthopaedic surgeon, sports medicine specialist and physician at Orthopaedic Specialists of North Carolina. Dr. 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, 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.

Jordan Smith
MMI Public Relations
(919) 233-6600




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Sports & Health: Guidelines for Young Pitchers

Written by admin on April 15, 2013 – 7:54 am -

Cary, NC – It’s that “Field of Dreams” time of year and many young baseball players dream of throwing a perfect game and becoming the team “Ace.” The path to greatness begins much earlier and requires learning proper mechanics and maintaining pitching fitness.

Work Before Play – Strength & Conditioning

All young athletes should perform off-season strengthening and conditioning. Even If your youngster has become a one-sport athlete, focusing solely on baseball, he should not actually play year round.

Year-round play (11-12 months straight) has been associated with increased incidences of both minor and severe injuries. Even minor injuries can derail training and development, and put your athlete behind other players once practices and games begin.

Work with your athlete’s coach to determine what training and strengthening drills should be done, and strictly follow that program.

Pitchers Need 3 Months Off

Young pitchers need a three-month rest period from baseball each year. This means three months without any games, drills and practices; however, athletes should continue to follow their off-season training program.

Because adolescent players are still growing and developing, they must be careful to avoid over-training. Taking time off, while it can be disappointing, is critical to the long-term health and success of any athlete.

Lower the Pitch Count

Younger pitchers should have lower pitch counts. Pitchers as young as seven and eight years old should pitch no more than 50 pitches each game, with the number of maximum pitches per game increasing until players are 17 or 18, when pitches are capped at 105 per game.

A pitcher might think he feels up to pitching more than the recommended number of pitches during a game, but by failing to follow the guidelines he will likely find himself injured or overly sore.

Mechanics Prevent Injury

Pay strict attention to the proper mechanics of pitching. This will involve working with your athlete’s coach, and more specifically, his pitching coach, to ensure that he is using proper form and techniques.

It is critical to learn how to perform each pitch properly. Developing proper habits early can prevent future injury.

Age- Specific Pitches

Learning different pitches is age-specific. Fastballs and change-ups are to be learned and used exclusively early in a pitcher’s career.

As tempting as it might be for an elementary school-aged pitcher, the curveball should not be used earlier than age 12. A slider should not be attempted until age 16.

It is important to consult your athlete’s coach and trainer before serious training begins, so that they can also be involved. Your child’s physician can also be a valuable resource in helping you know when learning new pitches and skills is appropriate.

Play Ball!

For a long-lasting baseball career, these are important guidelines to follow and will make a critical difference in young athletes’ health and ability to excel in the sport.

Story by Dr. Mark Galland, a Board Certified Orthopaedic Surgeon specializing in sports medicine, practicing at Orthopaedic Specialists of North Carolina in Wake Forest and North Raleigh. Photo by Greg Westfall.

The above article was published on April 11, 2013 in Cary Citizen.

Posted in Elbow, Shoulder, Sports Medicine | No Comments »

Rotator Cuff Tears

Written by admin on January 22, 2013 – 8:24 am -

Your shoulder hurts, but you cannot remember an injury. You are unsure of exactly when and how it began. It wakes you every night and may hurt with many routine daily activities. Sports are no longer possible. Huh?! What happened?

If you’re over the age of 40, your rotator cuff may be beginning to fail, causing discomfort and diminished function. The incidence of rotator cuff tears increases with age, and a specific injury is not required. The rotator cuff is comprised of four small muscles, the supraspinatus, infraspinatus, subscapularis and teres minor. These muscles are responsible for proper motion and stability of the shoulder joint.

Aging and repetitive use often results in weakening of the tendon which detaches from insertion point on the humerus. The process occurs in much in the same way as a blanket becomes threadbare or a rope begins to fray. Over head athletes and those of us with jobs requiring repetitive overhead motion are more susceptible to rotator cuff pathologies.

Symptoms of rotator cuff insufficiency include: achy pain at rest and particularly at night, pain with over head motion or reaching behind the body. Progressively worsening and more frequent pain is also a typical progression of rotator cuff pathology. An orthopedic surgeon specializing in shoulder conditions can help accurately diagnose a rotator cuff tear and initiate appropriate treatment. On occasion more extensive testing such as ultrasound or MRI may be required to better evaluate the condition of the rotator cuff tendons. Results of these examinations will help to determine the most appropriate treatment.

Recommendations may include activity modification (avoid activities that cause pain), physical therapy with elastic bands to strengthen the muscles, oral or topical anti-inflammatory medication, and steroid injections in the shoulder. This treatment will not necessarily reverse the damage, but rather will improve function of the muscles to lessen the daily wear on the remaining tendons, if successful, some healing of the damaged tendons may occur.

If symptoms persist after six weeks of diligent rehab and compliance with conservative treatment plan, more aggressive treatment, such as surgery, may be required. The surgical technique is intended to remove any damaged tendon that lacks adequate blood supply (and thus, is unable to heal) and to repair the viable, healthy tendon attaching it back to the bone. The procedure is arthroscopic (2-4 small incisions), outpatient, and usually performed without the need for general anesthesia. Return to daily living activities usually requires 2-6 weeks. Full recovery can be long and arduous, but excellent results are achieved more than 80% of the time.

Shoulder pain is never something to ignore, and should be evaluated by an orthopedic shoulder specialist to insure the proper course of treatment.

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, 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 you can follow him on twitter: @drmarkgalland.

Kate Anderson, LAT, ATC is a post-graduate fellow at GOSM, Galland Orthopaedic and Sports Medicine. Follow her on twitter @kattethegreatt.

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Posted in Arthroscopy, Platelet-Rich Plasma Therapy (PRP), Shoulder, Sports Medicine | No Comments »

Rotator Cuff Injury Pain vs. Biceps Tendonitis: Comparison

Written by admin on December 1, 2012 – 10:35 am -

How might you be able to distinguish Rotator Cuff Injury Pain vs. Biceps Tendonitis

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Boston’s Ellsbury likely to Miss Significant Time With Shoulder Injury

Written by admin on April 15, 2012 – 4:29 am -

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.

Posted in Arthroscopy, Shoulder, Sports Medicine | No Comments »