ficou boa esse ponto aí muito legal a minha pegava três 🪡 ponto 😅
@fredt37274 ай бұрын
"LCL is the least injured ligament of the knee" 4th time watching this video in 18 months, 4th reoccurence of the injury 🙄🤡🤡🤡
@fredt37274 ай бұрын
If your ACL is not functioning properly or gone, your LCL/FCL will be more prone to tearing as it has to work a lot harder to stop tibia and femur from moving too much appart (varus forces). Had an ACL injury 2 years ago which i only rehabed, so muscles and other ligaments are compensating. No longer able to play football as the LCL/FCL keeps popping out constantly when i break, twist and change direction towards the outside of my knee.
@laurenjohnson84995 ай бұрын
I've never seen it done this wrong
@TheDoctor122515 күн бұрын
Let's see. PA demonstrating a procedure that can easily be verified in numerous other medical videos vs. some random nobody on the internet claiming it's done totally wrong with no evidence, no other statement other than "this is wrong." Yeah. Guess we all know who to listen to. Here's a hint - it's not you.
@batman-sr2px9 ай бұрын
Does the sulcus have to be under the lateral acromion or it can also be under the anterior acromion/clavicle?
@deaddogcomedy11 ай бұрын
How common is it to approach 200k as a PA? Does this require a lot of experience? Additionally, can a PA butyinto a surgical center?
@basicsofortho735111 ай бұрын
Depending on the geographic area that one is working, and willingness for taking extra call and hours, it is possible to approach 200 K. Most do not make 200,000 though. My experience, PAs are rarely able to buy into surgery centers or practices. I have heard of a handful of practices throughout the country, though. PAs, owning or buying into practices, is more common in primary care.
@deaddogcomedy11 ай бұрын
How big is the commitment difference between a PA school and training in med school and residency to be a ortho surgeon? I feel I’d love orthopedics but concerned about the time commitment of DO/MD. Is podiatry good?
@basicsofortho735111 ай бұрын
All PA programs train for general medical practice. Orthopedic training can be done through on job training, which is how most do it, or through a 6 month or 1 year ortho residency program. Orthopedic surgeons go through 4 years of medical school, then 4 years or ortho residency, and most do a one to two year sub-specialty fellowship training. I am not all that familiar with podiatry training. I believe that they do four or five years after undergraduate university.
@marvynluna3637 Жыл бұрын
Thank you sir for the breakdown. Looking forward to watching this channel. Currently just finished my doctorate in OT and want to move into PA ortho (hands specific) in 3.5 yrs4 yrs.
@Coggdaddy Жыл бұрын
Glad you found it helpful. All the best in your journey!
@karenlee6649 Жыл бұрын
Can you recommend a good reference or references for a “NEW” Med Surg Orthopedic unit nurse?
@basicsofortho7351 Жыл бұрын
I can’t say that I have any specific recommendations for orthopedic nurses. Get familiar with the surgeons preferences that you work with. Every surgeon will have their own little quirks. Try to get their specific protocols in written format and ask about what things they’d like to be notified. Hope this helps.
@karenlee6649 Жыл бұрын
Thank you
@Nnn-j4j Жыл бұрын
Thank you dr, very helpful video 🫶🏻
@basicsofortho7351 Жыл бұрын
My pleasure 😊
@Naturellebooks Жыл бұрын
Great video!!
@basicsofortho7351 Жыл бұрын
Thanks!
@leroyschlabach3697 Жыл бұрын
MRI shows that my PCL is torn. Don't know what to do about it. Surgery or PT and ride it out. Doc says pry more apt to arthritus and knee replacent if not corrected. I am 35 years old. Would love to hear your thoughts.
@hollyb848 Жыл бұрын
My dream job
@basicsofortho7351 Жыл бұрын
Go for it!
@MRInNate Жыл бұрын
Love these videos. Are all these tests learned in PA school, clinicals, or on the job? Thanks!
@basicsofortho7351 Жыл бұрын
Thank you for viewing. I am glad you are finding the videos helpful. To answer you question- it depends. I learned a lot of the exams as a certified athletic trainer prior to going to PA school. I also teach them in the orthopedic physical exam lab at my alma mater. Even then, most don’t become comfortable with them until use in actual practice.
@kevinzhang6623 Жыл бұрын
What do they do? "Get paid high salaries comparable to some physicians" Lol
@basicsofortho7351 Жыл бұрын
PAs in orthopedics do not generally earn as much as the surgeons, but they can potentially earn equal or more than some non-surgical physicians, such as primary care, pediatrics.
@firechick561 Жыл бұрын
I was injured years ago doing ladder drills with our Vol Fire Company. It happened when practicing stepping up/down with all weight plus gear & hose on one leg while wrapping the other leg in & through one ring. I felt the lateral ligament give way. Never had it examined or x-rayed, just wrapped & to allow it to heal. And the turn-out gear was stiff and acted as a support to that ligament when having to kneel. But now, 20 years later, I re-injured it.... Just wanted to explain the scenario since it did not occur from typical tramaor sports injury, only excessive weight.
@godsfollower489 Жыл бұрын
Nice explanation doctor, very nice. Understandable demonstration, thank you.
@basicsofortho7351 Жыл бұрын
Thanks!
@Haynesdoessports Жыл бұрын
Amazing detail
@Aceland12 жыл бұрын
Thanks for a very nice and informative video. Struggling with a partial tear and this helped me understand what's actually happened. Thanks again!
@basicsofortho73512 жыл бұрын
Wish you a speedy recovery! Thanks for viewing and commenting. Glad you found it helpful.
@itsWantedd Жыл бұрын
I got Knee bar’d at a jiu jitsu competition and heard a click in the lcl. Now my knee just buckles randomly .
@CameronQuaid2 жыл бұрын
Very informative video! I recently tore my lcl and received the following information post MRI IMPRESSION: There is a partial-thickness tear through the lateral collateral ligament. There is increased signal seen in the anterior fibers of the biceps femoris tendon at the insertion on the fibular head partial-thickness tearing. My question is: is it possible for a partial thickness tear to heal without surgical intervention? As an avid surfer, knee stabilization is paramount. Thanks again for the great video!
@basicsofortho73512 жыл бұрын
Wish you a speedy recovery! Thanks for viewing and commenting. Glad you found it helpful.
@xrpnick68282 жыл бұрын
Thanks for the breakdown 👍
@fftn36982 жыл бұрын
I'm an active 68 year old. I twisted my leg in a bike accident - hit a pothole. The bike fell to the left and with my left foot planted, my left hip twisted when my torso turned towards the left. Massive swelling without bruising. No pain when palpated. 30cc fluid removed from the knee with a steroid injection initially and another at 4 months. LCL and IT band both stretched and twisted it seems. That was 8 months ago. PT and quad strengthening have helped. Compression intermittently helpful. I walk without gait disturbance but ascending and descending stairs is difficult when alternating legs. No MRI. It seems like something else could help but I can't find an answer or a practitioner to help me. Suggestions?
@basicsofortho73512 жыл бұрын
Ouch! Sorry to hear about your injuries. I certainly would recommend follow-up evaluation and treatment recommendations by a qualified, local medical provider. Best wishes for speedy healing.
@fftn36982 жыл бұрын
UPDATE: While seeing a chiro for a diff problem, he examined my knee. He suggested deep massage of the lateral quad of the effected knee. It has helped so much. Stairs are only a minimal challenge now.
@maheshchowdhary33542 жыл бұрын
Dear dr my mri report says - small sized pockets of fluid collection under the LCL and fibular collateral ligament with diffuse increased signal intensity of LCL seen however fibre continuity is maintained - s/o grade II injury..........what should be my recovery routine? Thank you.
@hankthetank162 жыл бұрын
Thoughts on "orthopedics for physician assistants" by rynders?
@basicsofortho73512 жыл бұрын
Thanks for commenting Hank R.. I am not familiar with that publication and do not have a copy available to review. Just looking at what samples of the text that I can find online, it looks like a pretty concise and thorough text. I'll have to dive more into that one. Thanks, again!
@Bioacon2 жыл бұрын
Wow
@LaBestia132 жыл бұрын
Is it normal to hear a pop sound after the elbow valgus and/or varus stress test? Athlete has been prescribed to shut down for 2 months with a sprained UCL and have recently started to do PT, no other previous tests have experienced with such pop sound.
@basicsofortho73512 жыл бұрын
I should preface my answer by noting that the videos I create are for educational and informational purposes only, and not intended to diagnose or treat any specific individuals medical condition. Any suspected condition should be evaluated and treated by a trained and licensed medical provider. To answer the question in general terms...There are many reasons that any joint can have a mechanical click or pop. In the absence of injury or pain, they generally do not indicate significant pain. If the mechanical symptom is associated with injury or pain, it is more concerning and would warrant close monitoring or further work-up.
@TheBIKEDEALZ2 жыл бұрын
Great video. Even a MRI and varus stress test aren’t enough for knowing the LCL injury (partial for example). The best option is using dynamic ultrasound OR better, DMX. I don’t agree with the term of mm opening for determining the structural damage as most are for the general population but does not take in account lax people. Apart from that, it’s great documentary explanation. -- Edit: NASIDs are the worst thing a caregiver can offer as it stops the natural healing process (e.g. - natural healing of the ligament)
@basicsofortho73512 жыл бұрын
Thanks for viewing, commenting, and providing more clinically helpful information for other viewers!
@stephenreid34802 жыл бұрын
PA in the 82nd Airborne Division here. Completed the Interservice Physician Assistant Program. 6 weeks required in Orthopedics given exposure to MSK injuries experienced as a military provider. Cannot wait to become an Ortho PA after service.
@basicsofortho73512 жыл бұрын
Thank you for your service and best wishes for your career goals!
@Monikomalworld2 жыл бұрын
Wow wow wow
@nickbroyles65842 жыл бұрын
Thanks for the informative video! I am curious though, can an orthopedic PA slightly adjust their own hours (like mon-thurs) or is it pretty standard to work mon-fri? Also, you said I think that 56% of PA's are on call but is this a choice; do you have the option to not be on call?
@basicsofortho73512 жыл бұрын
Thanks for viewing and your questions, Nick. As far as one’s individual schedule goes, that is ultimately up to the employer. Some are very rigid and there is no flexibility. You would work when they say you work. Others may be more flexible and work with you to set a schedule that’s more accommodating to an individual employee’s needs. There are all different kinds of positions out there. Currently, I work three 12 hr shifts a week, including every other Saturday. My group also has solely weekend positions (F,Sa,Su) too. The percentage of PAs taking call was from that year’s PAOS (Physician Assistants in Orthopaedic Surgery) annual salary report survey. Whether or not a particular job requires call, that is something that the employer determines, and is usually not negotiable. Some employers pay extra for call and some include it in the salary. A PA searching for a position in Orthopaedics should inquire with all potential employers about the flexibility of scheduling and call responsibilities before coming to any agreement. And, always make sure that any agreements are included in the employment contract. It also never hurts to have an attorney review the agreement before signing.
@chavitoracing2 жыл бұрын
Well explained
@basicsofortho73512 жыл бұрын
So glad that you found the video informative. Thank you for viewing and commenting!
@daidong12 жыл бұрын
Very helpful. Thank you sir.
@basicsofortho73512 жыл бұрын
Glad you found it helpful. Thanks for viewing!
@henrywolfbauer29272 жыл бұрын
Best doctor handwriting of all time
@jamiewalcheski59522 жыл бұрын
Can you dive deeper into the angulations.
@basicsofortho73512 жыл бұрын
I will definitely keep that in mind for future discussions. Thanks!
@monicamolloy51052 жыл бұрын
Nice job. I suspect a grade 1 LCL injury left knee- no fall but “stepped off” a high stool onto left foot ( had ACL complete tear & repair rt knee in1987; since then have considered my left leg the “stronger one.” Trying conservative rx first, if still problematic in ~6 weeks will see my orthopod. R/ monica
@basicsofortho73512 жыл бұрын
Thank you for viewing and commenting. Wishing you the best for speedy recovery.
@PaulKev2 жыл бұрын
best explanation ever . better than my medschool teachers . you saved my life doctor . thank you
@basicsofortho73512 жыл бұрын
Glad that you found it helpful. Thanks for viewing!
@ajij_hunii3 жыл бұрын
Sir mpt in ortho books name
@basicsofortho73513 жыл бұрын
Hi Aryan. Thank you for viewing and commenting. I would love to address any question that you have, but I am unsure of exactly what you are asking. If it is relation to the orthopaedic physical exam text in the video, it is "Orthopedic Physical Assessment" by David Magee, who is a physical therapist. If that does not address your comment, please clarify, and I'd be happy to answer.
@ajij_hunii3 жыл бұрын
Sir abhi me 11th medical std me hoo. My dream is physiotherapy dr.
@ronniecalumpad24933 жыл бұрын
Hi sir .. I'm Ronnie Calumpad from tanauan Batangas from Philippines I'm suffering from injury of LCL injury hitting 4wheel vehicle .. I have MRI result..can you explain me sir...and how can I send u my MRI. Please help me sir
@basicsofortho73513 жыл бұрын
While I appreciate you viewing and commenting, the intention of this video, and the mission of Basics of Ortho, is strictly informational and educational. It is not within the scope of that mission to comment on individuals medical conditions. If there is personal concern or advice needed regarding a medical condition, please seek the counsel of a qualified local medical provider. Best of luck and wishes for a speedy recovery.
@chaivatk3 жыл бұрын
Very useful for me. Thank you very much.
@basicsofortho73513 жыл бұрын
I appreciate you viewing the channel and am glad that you find it useful! Best wishes.
@viva_am8393 жыл бұрын
I injured both of my legs for running 13.5 miles smh.. Never again!! Recovered 95% in 4months. Self diagnosed and self treated. However, I need to see a Doc cause I have pain in the cold weather.
@basicsofortho73513 жыл бұрын
Thanks for viewing! I hope you find a provider that can properly diagnose your injuries and get you on the road to recovery, quickly. Best wishes for speedy healing!
@husseinelhajj13 жыл бұрын
Thank you soo much, this video is really helpful!!
@basicsofortho73513 жыл бұрын
Thank you for viewing the channel! I am glad that you found it helpful.
@gebrilahmed65033 жыл бұрын
thank you
@basicsofortho73513 жыл бұрын
You are welcome!
@Winston-Hsieh3 жыл бұрын
USC has a mandatory ortho clinical rotation, can't wait!
@basicsofortho73513 жыл бұрын
That’s fantastic! A good foundation in MSK medicine is such an asset to PAs in so many settings.
@ishwantsingh52913 жыл бұрын
Hi doctor , I’ve got hit by a stone at the outerpart of my left knee i have swelling around my knee , I’ve visited ortho he said try icing for a week as in xray no bone injury sign but i feel tear i am not sure whether lcl is teared and he has asked to perform exercise one is leg raise and other is toes inward and outward
@basicsofortho73513 жыл бұрын
While I appreciate you viewing and commenting, the intention of this video, and the mission of Basics of Ortho, is strictly informational and educational. It is not within the scope of that mission to provide individualized medical advice. If there is personal concern or advice needed regarding an injury or medical condition, please seek the counsel of a qualified local medical provider. Best of luck.
@ishwantsingh52913 жыл бұрын
@@basicsofortho7351 i understand your point doc , but I don’t have any greater or better POC for this nearby that’s why I’m too nervous about this hoping it’s not serious
@faithalexandria33 жыл бұрын
Great video! I know this is over a year later but just wanted to comment that I am currently in the PA program at the University of Arkansas for Medical Sciences and we have a required Ortho rotation for clinicals. I'm excited for it!
@basicsofortho73513 жыл бұрын
That’s fantastic! I’m glad to hear that Ortho is still a required rotation at the University of Arkansas, and the fact that you are excited for it. Thank you for that information, for checking out the video, and subscribing. Let me know if I can be of assistance.
@farahfarahin1973 жыл бұрын
Hi!! thank you for the info n very great video!. may i ask, is it the hx is the same with the pathopysiology? Thank you in advance!!
@basicsofortho73513 жыл бұрын
Hi Farah. When I use the term pathophysiology I’m referring to the general mechanical forces or physiological response to those forces. In the instance of lateral collateral ligament injuries, pathophysiology would be a virus force or load to the knee that exceeds the strength of the lateral collateral ligament. When I refer to history, it is more of a specific mechanism or example of the pathophysiology, such as a soccer player that was tackled and struck from the inside of the knee. I hope that explanation clears things up. Please, let me know if you have further questions. Thanks for watching the video!