Shoulder arthritis? Rotator cuff tear? Dr. Burrus completed a Shoulder Surgery and Sports Medicine fellowship at the University of Michigan and specializes in complex repairs and shoulder replacements.
Email Dr. Burrus directly at tburrus@oactdocs.com or make an appointment at www.drtyrrellburrus.com if you would like to discuss your shoulder or knee problem.
Physical therapy is a powerful tool in orthopedics, and its benefits cannot be overstated.
•
Although there are situations when surgery is the best option, in some cases physical therapy can delay or eliminate the need for surgery. As a non-surgical treatment option, orthopedic surgeons and physical therapists work together to develop individualized plans to help strengthen weak spots and prevent injury. For post-surgical rehabilitation, physical therapy can be a helpful source for pain management and recovery.
•
Even successful surgeries still require physical therapy to maximize movement and mobility and restore joint function. As a surgeon, I have seen the same surgery with completely different outcomes based on how diligently a patient followed a post-surgical PT protocol. It can be the difference between a stiff and non-functioning shoulder versus complete restoration and return to daily activities and sports.
•
In addition to our own in-house therapists at OACT (pictured), we are lucky to have several PT offices in and around Austin that we refer our patients to.
@mondosportspt
@cpptaustin
@resultspt
@atipt
@austinpreferred
@garnerandriley
•
•
•
#orthopedics #orthopedicsurgery #physicaltherapy #OACT #drburrus #austinsportsdoc #bonedoctor #TBurrusMD
Now for the shoulder injury you’ve all been waiting for...the rotator cuff tear.
In addition to bones and joints, the shoulder contains a network of soft tissues including muscles, tendons, and ligaments. The most frequently injured group of muscles and tendons within the shoulder is the rotator cuff. The rotator cuff is a group of four muscles and associated tendons that move the shoulder. It originates at the scapula (shoulder blade) and attaches to the head of the humerus (arm bone). It stabilizes the glenohumeral joint by hugging the rounded humeral head to the concave glenoid cavity.
When one or more of the rotator cuff tendons tear, the tendon no longer fully attaches to the head of the humerus. Tears vary in degree with a full-thickness tear being the most complete separation of tendon from bone.
•
📷:
1️⃣ A full-thickness tear of the supraspinatus, one of the most important rotator cuff tendons. The circle outlines the tear.
2️⃣ Post-surgical repair using the “Speedbridge“ technique. The previously identified hole in the tendon has been eliminated.
3️⃣ Speedbridge diagram (developed by Arthrex, an orthopedic product company) to further illustrate what is being shown in the completed repair image.
•
Full recovery from an arthroscopic rotator cuff repair can take from 6 months to a year, but if successful, results in a dramatic improvement in pain, strength, and overall function. 💪🏻
•
•
•
#shoulder #rotatorcuff #rotatorcuffrepair #shoulderanatomy #shoulderdoc #austinsportsdoc #TBurrusMD #arthrex #speedbridge #OACT #drburrus #orthopedicsurgery #orthodoc
While not the flashiest of shoulder injuries, arthritis affects millions of people in the US and can be a source of severe pain, limited function, joint stiffness, and significant diminishment of quality of life.
•
Cartilage covers the ends of the humerus and scapula and allows them to smoothly glide past one another during movement. Arthritis refers to any condition of the joint in which there is damage to the smooth cartilage covering a moving surface of a joint (called the articular cartilage) leading to cartilage loss.
•
There are several types of shoulder arthritis:
▫️Osteoarthritis: Through wear and tear, cartilage becomes frayed and worn and eventually disappears causing the underlying bones to grind against one another.
▫️Inflammatory Arthritis: Inflammation of the joint and joint lining which leads to cartilage damage.
▫️Cuff Tear Arthropathy: Large tears of the rotator cuff tendon that have been left untreated leading to cartilage damage.
▫️Osteonecrosis: A condition in which the blood supply to the bone forming the ball of the shoulder is interrupted, leading to the collapse of a segment of the bone and cartilage damage.
▫️Post-Traumatic Arthritis: This can result from a fracture of the ball or socket, in which the cartilage surface is damaged as well.
•
Initial treatment of shoulder arthritis is typically focused on minimally invasive treatments including range of motion exercises, physical therapy, lifestyle modifications (losing weight, avoiding activities that aggravate the shoulder joint), and pain management.
In cases where less invasive treatment options are insufficient, there are several surgical options:
▪️Arthroscopy: A small camera (arthroscope) is inserted into the shoulder to guide miniature surgical instruments for debridement of the joint.
▪️Shoulder joint replacement (arthroplasty): Advanced arthritis of the glenohumeral joint can be treated with shoulder replacement surgery, in which the damaged parts of the shoulder are removed and replaced with artificial components.
•
•
•
#shoulderarthritis #shoulderanatomy #austinshoulderdoc #austinsportsdoc #TBurrusMD #OACT #drburrus
DOCTOR.COM
Read Jenni B.'s 5-Star Review of Dr M. Burrus
Friday night lights. 🏈
In Texas, fall = football, and I have the privilege of being the team doctor for several schools in and around Austin. @cedarcreek.highschool
@dvhsyis to name a few.
I would be remiss to not mention that it’s also TX-OU weekend. Hook ‘em from my little longhorn crew.🤘🏻
It's been a minute since I've posted, but we're back!
.
This 50 year old female sustained a .380 gunshot injury to her right thigh and her femur (thighbone) was fractured by the bullet (red arrows). Luckily, she had no
blood vessel or nerve injuries.
.
In the operating room, we used 2 cables (strong wires, blue arrows) to hold the large fragments of the bone together and then inserted a long titanium rod (green
arrows) across the broken pieces to stabilize the bone. Any easily found pieces of the bullet were removed, but the ones left in place do not cause any issues. In general, we remove bullets that are in joints or are in the spine and causing nerve deficits, but bullets sitting in other soft tissues are not removed.
.
.
.
.
#fracturefriday #MTBurrus #austinsportsdoc #TBurrusMD #OACT #traumasurgery #sportsdoc #orthopedicsurgeon
At 4 months post reverse shoulder replacement for a massive rotator cuff tear, this 65 year old gentleman is back up on skis enjoying his retirement. It's always great to see patients doing so well!
•
•
•
•
#shouldersurgeon #sportssurgeon #skiing #austinsportsdoc #orthopedics #TBurrusMD #drburrus #OACT