“PIANO-KEY SIGN”
My patient fell onto her right wrist in a store over 2 years ago. She has had persistent right wrist pain and “dorsal instability” of her distal radial-ulnar joint, aka the “DRUJ”, shown here.
The “piano-key sign” is a great diagnostic test to identify this type of DRUJ instability on exam, and even more helpful when compared to the normal opposite wrist. For this patient I recommended trying a wrist widget external brace for support, and if this doesn’t provide her enough relief, we will consider a surgical stabilization procedure.
Peter DeNoble, MD
#orthopedics #handsurgery #wristsurgery #elbowsurgery #upperextremity #arthroscopy #shouldersurgery #DRUJinjury #wristinjury #PianoKeySign #orthopedicsurgeon #handsurgeon #handtherapy #occupationaltherapy #slipandfall
MOTORCYCLE RACING + WET TRACK = 4 METACARPALS, RADIAL STYLOID, AND ULNAR STYLOID FRACTURES.
The last couple of nights have been crazy for me with cases going after midnight at The Valley Hospital! Tonight I had a complex 4x metacarpal ORIFs plus a radial styloid pinning. Performing this complex operation was made so much easier because my late night staff are total pros!! Huge shout out to @stephanie_baumann, @danibar_ , @_mydz_ for making my job (and life) way easier! Their amazing energy and attitudes make 1:30 in the AM feel like 1:30 in the afternoon! 💪💪
Peter DeNoble, MD #orthopedicsurgery #orthopedics #emergencysurgery #trauma #orthotrauma #emergencysurgery #elbowsurgery #upperextremity #handsurgery #shouldersurgery #metacarpalfracture #distalradiusfracture #motorcyclecrash
Dr. David Ratliff. Whether prepping for surgery on a COVID patient or in public, #wearamask. #worldmaskweek
Log splitter + hand = FINGER AMP
Peter DeNoble, MD
See uncensored pics at Modern Ortho of NJ - In the OR
Management of a mangled finger injury is always a careful balance between viability/fixability of the tissues AND patient preferences/needs. In these cases I always methodically review the risks, benefits, and alternatives of the various treatment options with my patients before proceeding. Generally the choice is between saving the finger (repair/replant) and a primary amputation - but there are usually unique considerations for each injury and each person.
In this patient’s case, his priority was to return to work ASAP and avoid a protracted course of rehab. Simultaneously, he wanted to keep as much length of his remaining middle finger as possible. Therefore, I obliged and performed a primary amputation, but retained the proximal aspect of the proximal phalanx and used the extra skin for coverage of the bone.
As you can see, the available skin was very damaged and tenuous, and much of it necrosed post-op. Despite this, however, he granulated and epithelialized the entire wound including OVER THE BONE and now, 10wks later, he has full range of motion and has returned to nearly all of his daily activities!
Btw, he went back to work at 1wk post-op😊
#handsurgery #orthopedicsurgery #handtherapy #workerscomp #orthopedicsurgery #orthopedics #emergencysurgery #trauma #orthotrauma #handtrauma
Post-op from previously posted injury. With the syndesmosis torn away from the distal fibular segment, this entire ankle/foot is essentially floating and was very unstable. Plate+tightrope restored stability 👍.
#orthopedicsurgery #orthopedics #emergencysurgery #trauma #orthotrauma #anklefracture #toedislocation #footinjury #carcrash #foottrauma @ Pompton Plains, New Jersey
Car vs wall = NASTY ANKLE FX! One of the hardest parts of our jobs as orthopedists and for our colleagues in emergency medicine is to not get distracted by these obvious injuries in lieu of additional, more subtle ones. Do you see it? Scroll through and see that sneaky “other” injury. Kudos to the ED on this case for Xraying the other part!
**UPDATE EDIT - Post-op pix.
Peter DeNoble, MD
#orthopedicsurgery #orthopedics #emergencysurgery #trauma #orthotrauma #anklefracture #toedislocation #footinjury #carcrash
@ Pompton Plains, New Jersey
Love it when we get to see how happy our patients are!!! #bestsurgeonseveratmodernorthonj
Kallecean Benjamin recommends Peter DeNoble, MD.
October 8 at 3:45 PM ·
he is the best hand specialist great doctor God give him a wonderful wisdom and knowledge very humble he takes time to listen to his patients he as a good staff too I appreciate his works so amazing god bless him and protect his family too in this pandemic amen
he is the best hand specialist great doctor God give him a wonderful wisdom and knowledge very humble he takes time to listen to his patients he as a good staff too I appreciate his works so amazing god bless him and protect his family too in this pandemic amen
I am so blessed and humbled for these kinds words. 🙌🏼 🙏🏼
Kallecean Benjamin recommends Peter DeNoble, MD.
October 8 at 3:45 PM ·
he is the best hand specialist great doctor God give him a wonderful wisdom and knowledge very humble he takes time to listen to his patients he as a good staff too I appreciate his works so amazing god bless him and protect his family too in this pandemic amen
he is the best hand specialist great doctor God give him a wonderful wisdom and knowledge very humble he takes time to listen to his patients he as a good staff too I appreciate his works so amazing god bless him and protect his family too in this pandemic amen
What better way to celebrate #paweek2020 than by adding @big_timetimmy_jim to our #allstarteam at Modern Ortho! Welcome aboard, my man!
#physicianassistant #orthopedics #shouldersurgery #handsurgery #wristsurgery #elbowsurgery #upperextremity #arthroscopy #wristinjury #PianoKeySign #orthopedicsurgeon #shouldersurgeon #handsurgeon #handtherapy #occupationaltherapy
Love being part of our awesome team!
Modern Orthopaedics of New Jersey is at Modern Orthopaedics of New Jersey.
October 2 at 10:15 AM · Wayne ·
Last week we had our Modern Ortho practice dinner at Portobello Restaurant in Oakland.
In just 9 short months we have created a powerhouse team that works amazingly hard for each other and our patients. We are so lucky to have such an awesome staff! They are proof that quality still exists in healthcare!
#privatepracticeisalive #healthcareworkers
#powerhouseteam #orthopedics #shouldersurgery #handsurgery #wristsurgery #elbowsurgery
Last week we had our Modern Ortho practice dinner at Portobello Restaurant in Oakland.
In just 9 short months we have created a powerhouse team that works amazingly hard for each other and our patients. We are so lucky to have such an awesome staff! They are proof that quality still exists in healthcare!
#privatepracticeisalive #healthcareworkers
#powerhouseteam #orthopedics #shouldersurgery #handsurgery #wristsurgery #elbowsurgery
Happy Surgical Tech Week - Grande Finale!!
We are so lucky to work with such dedicated, skilled techs at all of our facilities. Thanks again for the amazing dedication and effort you all put forth to help make our patients’ experiences and results great!
#surgicaltech #surgicalnursing #orthopedicsurgeon #orthopedicsurgery #orthopedics #elbowsurgery #upperextremity #wristsurgery #handsurgery #shouldersurgery
MY SHOULDER SCOPE SETUP
Here’s how I set up most of my shoulder arthroscopy cases. This is a quintessential part of making a shoulder scope efficient and reproducible!
1) Position
2) Drape
3) Markout anatomy
4) Markout portals
(TIMEOUT)
5) Scope!
Peter DeNoble, MD
Modern Ortho of NJ - In the OR
#orthopedics #shouldersurgery #shoulderscope #shoulderarthroscopy #upperextremity #arthroscopy #orthopedicsurgeon #handtherapy #occupationaltherapy #physicianassistant #athletictrainer #orthopedicsurgery #physicaltherapy #minimallyinvasivesurgery
Modern Orthopaedics of New Jersey
October 25 at 5:29 PM ·
Modern Orthopaedics is coming town!!! The town of PARAMUS!!! Follow us here as we build our BRAND NEW space!!!
#modernorthonj
#alsoinwayne
#shouldersurgery
#elbowsurgery
#wristsurgery
#handsurgery
Modern Orthopaedics of New Jersey
October 25 at 5:29 PM ·
Modern Orthopaedics is coming town!!! The town of PARAMUS!!! Follow us here as we build our BRAND NEW space!!!
#modernorthonj
#alsoinwayne
#shouldersurgery
#elbowsurgery
#wristsurgery
#handsurgery
Modern Orthopaedics is coming town!!! The town of PARAMUS!!! Follow us here as we build our BRAND NEW space!!!
#modernorthonj
#alsoinwayne
#shouldersurgery
#elbowsurgery
#wristsurgery
#handsurgery
One of my favorite parts of being a “bone doctor” is treating the kiddos!
They tend to be my most resilient patients, no matter the injury.
This 3-year-old fell off her bed while playing with her brother last weekend, and I reduced and casted her in the ED.
Today I saw her back today for a 1 week follow-up, and she showed up with this perfectly manicured cast!
☑️ Clean 🧼
☑️ Padding intact
☑️ Well-spaced signatures, msgs, and drawings ✍️
☑️ Good color-balance 🌈
☑️ Bones well-aligned 🦴
🙌
Peter DeNoble, MD
#orthopedics #casting #pediatrics #pediatricorthopedics #forearmfracture #bothbonefracture #upperextremity #orthopedicsurgeon #handtherapy #occupationaltherapy
My awesome docs hard at work!!!
Modern Orthopaedics of New Jersey is at Chilton Medical Center.
November 18 at 9:38 PM · Pompton Plains ·
ROTATOR CUFF REPAIR,
ARTHROSCOPIC - Peter DeNoble, MD,
David Ratliff
This patient had a high energy injury to his shoulder, and there was a LOT of damage! 😳
Rotator cuff tear (supraspinatus & infraspinatus)
Superior labrum tear
ALL of these BIG tears fixed through VERY SMALL incisions.
#orthopedics #shouldersurgery #shoulderscope #shoulderarthroscopy #upperextremity #arthroscopy #orthopedicsurgeon #handtherapy #occupationaltherapy #physicianassistant #athletictrainer #minimallyinvasivesurgery
ROTATOR CUFF REPAIR,
ARTHROSCOPIC - Peter DeNoble, MD,
David Ratliff
This patient had a high energy injury to his shoulder, and there was a LOT of damage! 😳
Rotator cuff tear (supraspinatus & infraspinatus)
Superior labrum tear
ALL of these BIG tears fixed through VERY SMALL incisions.
#orthopedics #shouldersurgery #shoulderscope #shoulderarthroscopy #upperextremity #arthroscopy #orthopedicsurgeon #handtherapy #occupationaltherapy #physicianassistant #athletictrainer #minimallyinvasivesurgery
On Call - RADIAL FRACTURE (metadiaphyseal)
A young boy got his arm caught under his friend (his body went over his friend) and he broke the distal end of his radial shaft... ouch!! Notice how the bone is bent at the break site!
This needs to be straightened out to heal properly.
After I numbed up the fracture with marcaine, I reduced it, aka bent the bone back in place to make it straight.
Now the bone is as straight as an arrow, is in a well-conformed splint, and is on its way toward healing perfectly!
Peter DeNoble, MD
#forearmfractures #distalradiusfracture
#orthopedicsurgery #orthopedics #emergencysurgery #orthotrauma #nurse #emergencyroom #armfracture #handsurgery #orthopedicsurgeon
SHOULDER ARTHRITIS.
Pain from shoulder arthritis has such a personalized negative impact on a patient’s life.
If you are affected by it, your life can start to revolve (or devolve) around the pain, as it wraps itself around nearly EVERY overhead or reaching activity you do.
Once the pain starts to wake you up from sleep, it becomes an absolutely unavoidable life dysfunction.
A final cure to the problem can feel so good. Movements and activities that you haven’t done in years are possible again, and without pain.
This patient is an 80-year-old woman who tried to put off surgery for as long as possible, but finally she couldn’t bear the pain. Today I gave her a #totalshoulderreplacement.
Peter DeNoble, MD
#orthopedics #shoulderarthritis #arthritis #shouldersurgery #shoulderarthroplasty #upperextremity #orthopedicsurgeon #physicianassistant #athletictrainer #physicaltherapy #physicaltherapist #pain
Dj Lisi is fully recovered from his shoulder injury & surgery, and is already back on the slopes! Thx for the awesome video, my man!
Nothing is more satisfying than seeing my patients back to doing what they love... and quickly!!
This is the Modern Way.
Peter DeNoble, MD
#happypatients #testimonial #snowboarding #shouldersurgeryrecovery #shouldersurgeon #shouldersurgery #claviclefracture #topdoctor #physicaltherapy #physicianassistant
MODERNORTHONJ.COM
Hand & Shoulder Experts
Eva's Village
December 24, 2020 at 1:59 PM ·
SANTA ‘CRUZ’ DONATES TO EVA’S: Former New York Giants player, Paterson native, and longtime Eva’s Village supporter Victor Cruz made a generous donation to Eva’s Village Thursday at a ceremony with Eva’s staff, and Mayor André Sayegh. ‘It’s an incredible time with the pandemic, and it’s good to give back to Eva’s Village. They do so much for the community and for all the people who need their help. It felt right to give back here. Hopefully, other people will be inspired to give. Just coming back here and seeing all the faces I knew, some of the faces that were around my family, and some familiar faces, and it’s incredible what Eva’s Village has done. The way they rehabilitate people and bring them back from despair. It’s incredible to have Eva’s Village here and all they do for the city of Paterson.” The donation was made from the Victor Cruz Foundation, Advanced Gynecology and Laparoscopy of New Jersey, and Modern Orthopaedics of New Jersey. #seasonofgiving #donating #recovery #shelter #fighthunger
SAFETY TIPS - 4 things you should avoid to prevent injuries as you enjoy the #blizzard2020 !
Peter DeNoble, MD and Dr. David Ratliff collaborating on an arthroscopic Type V SLAP repair today.
#orthopedics #athletictrainer #slaptear #shouldersurgeon #upperextremity #arthroscopy #shouldersurgery #orthopedicsurgeon #physicaltherapy #workmanscomp #minimallyinvasivesurgery
