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Dr. Adam Derhake, QMG Orthopedics Sports Medicine
United States
เข้าร่วมเมื่อ 1 มิ.ย. 2020
Welcome to My Patient Education Channel
I hope this channel will help you learn more about your diagnosis and possible procedures. Please feel free to share these videos with your friends and family members.
Dr. Adam Derhake
Orthopedic & Sports Medicine Surgeon
Quincy Medical Group
Quincy, IL
quincymedgroup.com/people/adam-derhake/
Dr. Adam Derhake
Orthopedic & Sports Medicine Surgeon
Quincy Medical Group
Quincy, IL
quincymedgroup.com/people/adam-derhake/
มุมมอง: 1 353
วีดีโอ
Superior Capsular Reconstruction of the Shoulder (SCR): Surgical Technique
มุมมอง 4.5K4 ปีที่แล้ว
I'm reviewing the specific steps necessary to perform an arthroscopic superior capsular reconstruction of the shoulder, or an SCR procedure (3:23). I'm also reviewing the anatomy of the shoulder with a massive irreparable rotator cuff tear (:30). This procedure allows for a minimally invasive way to address this problem via small stab incisions in the skin. The procedure is able to be performed...
Superior Capsular Reconstruction (SCR): Post-Op Rehab
มุมมอง 3K4 ปีที่แล้ว
I'm highlighting the main differences between the healing of an SCR graft versus your native rotator cuff tendon (0:39) and how those differences change the rehab program following your surgery. Finally, I discuss the various issues regarding the return to work following an SCR (11:20). Dr. Adam Derhake Orthopedic & Sports Medicine Surgeon Quincy Medical Group, Quincy IL quincymedgroup.com/peop...
Superior Capsular Reconstruction of the Shoulder (SCR): Overview
มุมมอง 2.7K4 ปีที่แล้ว
I'm discussing a unique treatment option available to patients that may have been told that they have a massive, irreparable rotator cuff tear. A superior capsular reconstruction, or an SCR, is an arthroscopic procedure performed on a shoulder whose rotator cuff tear cannot be fixed by traditional repair techniques. I'll review the anatomy and function of the rotator cuff and how that anatomy l...
Meniscus Repair of the Knee: Surgical Technique
มุมมอง 9474 ปีที่แล้ว
I will review the specific surgical steps necessary to perform an arthroscopic meniscal repair. I'll also cover the basic anatomy of the meniscus in the knee (:28). Dr. Adam Derhake Orthopedic & Sports Medicine Surgeon Quincy Medical Group, Quincy IL quincymedgroup.com/people/adam-derhake/
Meniscal Repair of the Knee: Overview
มุมมอง 6884 ปีที่แล้ว
I will review which specific meniscal tears of the knee are more amendable to surgical repair (:50). I'll go over specific tear types, as well as the difference in the postoperative rehab following a meniscal repair versus a meniscectomy, or removal of the tear (6:12). Dr. Adam Derhake Orthopedic & Sports Medicine Surgeon Quincy Medical Group, Quincy IL quincymedgroup.com/people/adam-derhake/
Meniscal Root Repair: Surgical Technique
มุมมอง 8K4 ปีที่แล้ว
I will review the specific surgical steps necessary to perform a meniscal root repair in the knee. I'll also go over the specifics of the anatomy of the meniscus and how a meniscal root repair differs from a common meniscal tear. Dr. Adam Derhake Orthopedic & Sports Medicine Surgeon Quincy Medical Group, Quincy IL quincymedgroup.com/people/adam-derhake/
Meniscus Root Tears of the Knee: Overview
มุมมอง 12K4 ปีที่แล้ว
I'lll review a very specific type of tear of the meniscus in the knee, a meniscal root tear (:50). I'll go over some of the anatomical differences of meniscal root tears versus a common meniscal tear, as well as highlight the difference in the way in which these tears are treated (1:40). Finally, I'll cover the rehab process that is specific to meniscal root repairs (6:48). Dr. Adam Derhake Ort...
Knee Scope with Meniscectomy: Post-Op Rehab
มุมมอง 3.7K4 ปีที่แล้ว
I will review what patients can expect following a knee arthroscopy, or a knee scope, in which they had a portion of their meniscus removed (meniscectomy). I'll also discuss the process of returning to work following a knee scope (5:41). Dr. Adam Derhake Orthopedic & Sports Medicine Surgeon Quincy Medical Group, Quincy IL quincymedgroup.com/people/adam-derhake/
Knee Arthroscopy and Meniscal Tears: Overview
มุมมอง 1.1K4 ปีที่แล้ว
I will review the very common diagnosis of a meniscal tear of the knee. This video provides details of common clinical presentations of meniscal tears, as well as how meniscal tears are diagnosed. I'll also cover the anatomy of the meniscus (2:18), and how a tear of the meniscus causes pain (4:08). Finally, discuss the surgical procedure necessary to remove a torn meniscus (9:19). Dr. Adam Derh...
Biceps Tenodesis in the Shoulder: Surgical Technique
มุมมอง 59K4 ปีที่แล้ว
I will show you the specific steps necessary to perform an arthroscopic biceps tenodesis procedure in the shoulder. I will review the anatomy of the biceps tendon as it relates to the shoulder joint and how that anatomy can lead to shoulder pain. Dr. Adam Derhake Orthopedic & Sports Medicine Surgeon Quincy Medical Group, Quincy IL quincymedgroup.com/people/adam-derhake/
Long Head Tendon of the Biceps in the Shoulder: Treatment Options
มุมมอง 93K4 ปีที่แล้ว
I am reviewing the different surgical treatment options available to patients for pain related to the long head of the biceps tendon in the shoulder. I will discuss the difference in performing a biceps tenotomy procedure versus a biceps tenodesis procedure (7:09), the advantages and disadvantages of each procedure (9:54) and post-op rehabilitation of both (15:04). Dr. Adam Derhake Orthopedic &...
Labral Repair of the Shoulder: Returning to Work
มุมมอง 8K4 ปีที่แล้ว
I'm discussing some of the things that you can expect as you attempt to return to work following a labral repair of your shoulder. I'll also explain the difference in the rehab process between a labral repair done as a result of a shoulder dislocation versus one done as a result of a labral tear alone without an associated shoulder dislocation. Dr. Adam Derhake Orthopedic & Sports Medicine Surg...
Labral Repair of the Shoulder: Surgical Technique
มุมมอง 2.4K4 ปีที่แล้ว
I am reviewing the specific surgical steps necessary to perform an arthroscopic labral repair of the shoulder. Dr. Adam Derhake Orthopedic & Sports Medicine Surgeon Quincy Medical Group, Quincy IL quincymedgroup.com/people/adam-derhake/
Labral Repair of the Shoulder: Post-Op Rehab
มุมมอง 9774 ปีที่แล้ว
I'm reviewing the postoperative rehab process following a labral repair of the shoulder. From the day of the surgery (0:21) to the final return to work (9:26) or sport (9:49), I'll cover everything that you can expect along the way. Dr. Adam Derhake Orthopedic & Sports Medicine Surgeon Quincy Medical Group, Quincy IL quincymedgroup.com/people/adam-derhake/
Shoulder Dislocations and Labral Repair of the Shoulder: Overview
มุมมอง 1.1K4 ปีที่แล้ว
Shoulder Dislocations and Labral Repair of the Shoulder: Overview
Using a Shoulder Sling and Pillow Following Shoulder Surgery
มุมมอง 46K4 ปีที่แล้ว
Using a Shoulder Sling and Pillow Following Shoulder Surgery
Using a Hinged Elbow Brace after Biceps Surgery
มุมมอง 20K4 ปีที่แล้ว
Using a Hinged Elbow Brace after Biceps Surgery
Distal Biceps Tendon Repair: Surgical Technique
มุมมอง 65K4 ปีที่แล้ว
Distal Biceps Tendon Repair: Surgical Technique
Distal Biceps Ruptures at the Elbow: Overview, Post-OP, Returning to Work
มุมมอง 17K4 ปีที่แล้ว
Distal Biceps Ruptures at the Elbow: Overview, Post-OP, Returning to Work
Using a Polar Care Following Knee Surgery
มุมมอง 24K4 ปีที่แล้ว
Using a Polar Care Following Knee Surgery
ACL Reconstruction of the Knee: Post-Op Rehab
มุมมอง 1424 ปีที่แล้ว
ACL Reconstruction of the Knee: Post-Op Rehab
Subscapularis Rotator Cuff Repair: Surgical Technique
มุมมอง 11K4 ปีที่แล้ว
Subscapularis Rotator Cuff Repair: Surgical Technique
Although I had a bicep tender repair, I continued to have somewhat of a Popeye effect bicep, which appears shorter at the connecting area towards the inner elbow area then my other arm. What could be the cause of reason for this?
Although I had a distal bicep repair, I continue to have a somewhat “Popeye” bicep affect. What could be this cause and reason?
Amazingly helpful. I have my firs ever surgery on Friday and you gave me so much confidence. God our Lord, bless you!
Excellent, thank you , very useful explanation
Had surgery on 10/21. My RC surgery took 5.5 hours (was initially thought that would take 2.5) The hospital sent me home with a sling that had no padding at the forearm and no waist belt. Kind of feel like I’m missing out on the better sling and may alter my recovery. Your thoughts?
Excellent!! I sent it to my ortho surgeon who's operating on my Longhead Bicep Tendon tomorrow afternoon 24 October 2024.
Thank you Doctor!
Is it painful?
Thank you, Doctor, for this comprehensive explanation. I’m researching all I can about my root tear and this is extremely helpful.🌻
Super helpful video. I'm having this surgery in a week and a 1/2. The info in particular about why we can't weightbear after compared to the traditional repair. Is that why my doctor told me it'd be 9-12 months before return to sports? (Bjj)
I’m six months and a half post up on a reverse shoulder replacement and just this past week I started having severe pain and a huge bruise on my arm. Well, I seen my orthopedic surgeon and he said that my bicep detached well I’m not very pleased I didn’t go bowling with the 16 pound bar. I did not throw a baseball or football and I didn’t do anything strenuous. Besides rake up some leaves with a plastic rake. I hate communicating it’s not worth attaching, so I’m not for sure how you can swing or lift without your bicep being attached
Is an lcl reconstruction surgery similar? (Except open vs arthroscopic?) I haven't seen many videos on it.
This was super helpful. I have a posterior horn menicus tear and wondered why the knee feels unstable. I didn't know it had been "pulled up from the bone"...that makes more sense though. Thanks for the explanation. Getting this procedure done in 3 wks
The video doesn't show how to remove the brace and put it back on. What's the best way to do those those things?
Many thanks Doctor for this video and explanation. I ruptured my long head 4 weeks ago, and MRI did confirm. My orthopedic surgeon recommended to forgo tenodesis ( I am 57 but ver active). I started PT but I still feel a bit sore and some discomfort and clicking at the shoulder joint. Should I live without my long head and keep pushing through PT? It has been a month anyways and I think it is too late to consider a surgery. I appreciate any feedback
Had this surgery two days ago. Can’t wait to get back to full strength in the coming months. Post op pain has been very manageable.
How many days after surgery are you doing these?
I wonder why my doctor said no surgery and I’m torn all the way through posterior root.
Great explanation and animation. Well done. Just had this done today. Now I fully understand the procedure. Great articulation. If a complex procedure
Does the drill through the bone close and heal, or will there always be that hollow area there?
it will close eventually yes
Thank you Dr.
Thanks for sharing some medical instructions for shoulder replacement surgery, so helpful.
I had my left rotator repaired 3yrs ago, now pending an upcoming MRI on my right shoulder area, I may again need some surgery followed by several weeks of PT. This video, was extremely helpful! Thanks for posting it.
VERY INFORMATIVE I HAD EXACTLY WHAT YOU DESCRIBED THANK YOU
what about the ball?!?
you should just open a university and tech everythi g yourself you afe great at explaining wow!
I have a long head rupture from 3 months ago. Have I waited to long?
thanks
Day 3 after the cast came off 🎉 Quite sore but getting easier by the day
Excellent! Thank you . Getting ready for total shoulder replacement
Best of luck with your rehabilitation!
i’m getting shoulder surgery soon and wanted to know more about the sling and post operation living. this was very helpful!!
Thank You I will have my surgery in January I’m 50 year old and I hope everything thing goes well !
Just had mine repaired. Should the top of the forearm hurt Ike it been brokr?
Excellent overview, DR. I’m saving the video for a reminder. Thank you.
HELLO I'VE GOT THIS PROBLEM & NOBODY IN THE NETHERLAND CAN DO THIS FOR ME IS THIS A HUGHES FINANCIAL PROBLEM CAN YOU INFORM ME PLEASE KIND REGARDS WILLIAM
I tore my long head tendon obviously below the groove and no pain happened 3 weeks ago getting ready to go into physical therapy feels good got some shoulder pain it's about it
Excellent explanation thank you
The nurse didn’t know what she was doing on the sling Thanks so very much.
Would this still apply to someone that had one rt arm Rottercuff surgery for a large tear Nov 22, 2022 then scr surgery same arm June 2023, then another same arm scr surgery April 2024 I have been extra extra gently this time, thought I was before but it failed
biggest problem was getting my Orthopedic Dr., to take the injury seriously. it took two weeks after the injury to get an appointment, then we had to do an xray. another week passed while he argued that studies for individuals over 55 didn't substantiate surgery. Finally got an MRI which showed the tear with a 3.3 cm sparation. surgery was scheduled 34 days after the initial injury, with a different surgeon. I'm two days into recovery now. initial Orthopedic surgeon did my full knee replacement 17 months ago. with the exception of similar scheduling issues, he did a great job and I have no complaints. Seems that HMO's simply don't want to schedule work that you are paying them for, without your having to fight every inch of the way!
@@Theechad21 - I'm one week into recovery after the surgery. Happy with the results so far, but won't start rehab for another week and half. I'm having to force myself to NOT push the recover as I don't want to damage the work that was done.
Hang in there, it gets better and better. I was very skeptical about the surgery (which I had a week and a half after the initial injury, but here I am 9 1/2 weeks post-op and my arm feels great. Just don't over do it, take PT seriously and try to get a good night sleep. I'm 43 and work in a heavy industrial setting, not picking up anything heavy and taking it a day at a time. Don't forget to take your Vitamin D, I also added a multi-vitamin from Costco for any other deficiencies I may have do to diet. I also took this injury to work on my overall health, hitting the treadmill on a hill climb setting; not quite running yet as I don't want the impact to affect anything. Good luck and hope you all pull through.
I had a full knee replacement January 23. Recovery wasn't nearly as hard as it been with tendon repair surgery. With the knee repair, ice and the bicycle were my friends. I was told 12-16 weeks to be released to go back to work, I was released the beginning of my 7th week. With my Bicep/Tendon repair, I'm at 7 weeks now, and I'm still being VERY careful with movement and lifting weights. I can tell it's getting better, however this repair is going to take substantially longer than the complete knee replacement.
What is not true is that you will loose a "considerable amount of strength and function" if not repaired. He is speaking in a matter of fact that you will have difficulty turning a door knob with is simply not true. The risk of nerve damage is 15% and the minimal loss of strength for me wasn't worth the surgery as I enjoy playing the piano and I was perfectly able to do so just a week after my rupture , same goes with turning door knobs and 90% of mobility. Plus the long recovery after the surgery , pain pills and complications I'm perfectly happy with my decision not to have the surgery. People , do your research - a good place to start is with the NIH. www.ncbi.nlm.nih.gov/pmc/articles/PMC5213928/#CR1
This must be outdated ! I had this surgery along with tendonesis surgery and I have been in therapy since 2 weeks after surgery!
Can you still repair it after 6 months?
Yes, but it’s more complicated and it usually requires using a tendon graft either from your own body or from a cadaver.
Fantastic video and great, easy to understand information. Thank you!
My shoulder feels like it’s coming out of the joint, is that a full tear.
I'm around 12 years post surgery. My biceps still will cramp while holding an empty pizza box. Showers are painful range of motion is extremely poor. I wouldn't recommend this surgery to anyone. I now have a large lump under my front deltoid muscle and that muscle is being pulled inward and down towards the upper peck muscle. If you are too old to have it repaired properly, I recommend you either do nothing and treat it with care/caution or just have the tendon clipped. That's my opinion based on my experience. If I could go back in time, I'd not have this procedure done. BTW, I've also lost all of my cartridge since the surgery. Until the lump developed, doctors wouldn't even look at my shoulder. They would look at the X-Ray and say that I have arthritis. I'd say, I know I do, but something else is wrong. I have lots of experience lifting weights with proper form and know how to isolate muscle groups. I as well have some education in exercise and sports science and medical training while in the Army. I know what I feel. I've found that surgeon's, are by far the most arrogant and conceited people I've ever spoken to, with horrible bed side manners. I'm paraphrasing, but my surgeon told me that he is the shoulder expert not me. Again, JMHO!
they can't cut it anymore? did the procedure cause and instability before you developed arthritis?
@@HeyIntegrity not that I noticed. Something would and still does periodically catch but no instability at least not when awake. Can you expound on your statement that "they can't cut it anymore?"
@@TK_Mo I mean after tenodesis they can't remove your biceps tendon by doing a tenotomy(cut)?
My surgeon is suggesting a tendonesis due to my SLAP tear also in addition to my supraspinatus tear. You had this tendonesis done at what age? I'm 52 and in good health and physically active and want to get back to lifting and pulling but stopped due to this condition 2 years ago and it's worsened somw since then.
@@mikeg5325 I was in my mid 40's.
Thank you doctor. Iam post op 4 weeks.
smart guy ... if the biceps supinates the forearm ... I wonder which muscle pronates the forearm? ... this is my problem and it is related to the tennis serve
Pronator teres. But the long head bicep stabilizes or resists pronation eccentrically
I wish someone had shown me how to adjust this thing. I've been dragging the whole thing around my ankle for a month.
Me: “Doc, I’ve got a hangnail on my index finger”. Doctor: “No problem, let’s get rid of that bothersome finger. You’ll still have nine left”.
Yeah, not a fan of cutting things out just because they hurt. We need to keep our original anatomy. There are better methods than what he mentioned.