SLAP Tears

slap tear anatomy shoulder

What’s up ? This is THE stephane ANDRE. With my training, I’m interested in biomechanics to avoid injuries. I read « Sport Medicine Media Guide » and I learned some good stuff.

SLAP is an acronym for superior labrum anterior to posterior. The labrum is a rim of tissue that adds depth to the bony socket of the shoulder. The superior or « top » portion or the labrum is important and frequently injured because the biceps attaches to this region.

How

SLAP tears happens because of physical activity with repetitive overhead movements or physical shock. Tears created because of overhead movements are common among athletes as basball pitchers or tennis players. Tears created due to physical shocks are often a fall on a hand stretched with the arm over the head or fall directly on the shoulder.

Diagnosis

slap tear anatomy shoulder

SLAP tears are very difficult to diagnose only with a physical exam because of different shoulder problems. Using a MRI with or without contrast helps a lot.

Treatment

The first step is to do a nonsurgical treatment. While the SLAP tear likely will not heal, a study confirmed that many have improvement of symptoms and function. If nonsurgical treatment (such as physical therapy) isn’t successful, surgery is being considered.

Surgery is usually done arthroscopically and involves reattaching the torn labrum to the top of the cavity. Generally, bone anchors loaded with sutures are inserted into the top of the cavity. The sutures are passed through the torn area of the labrum. The sutures are tied, which brings the torn labrum to the bone.

Prevention

Although it’s difficult to avoir acute SLAP tears, it’s possible to prevent chronic tears, especially with athletes who make overhead movements, maintaining balance in the shoulder.

Exercices that strengthen the muscles around the shoulder blades and exercises that stretch posterior shoulders are recommended to reduce the risk of SLAP chronic tears.

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-Steph

P.S. If you’re in Miami and you like Caribbean food, go to my cousin’s bistro to eat Haitian food, click here .

Shoulder Instability Or Dislocations

shoulder instability anatomy

What’s up ? This is THE stephane ANDRE. With my training, I’m interested in biomechanics to avoid injuries. I read « Sport Medicine Media Guide » and I learned some good stuff.

Shoulder is the most mobile joint of the body. This allows you to lift your arm, rotate your arm and lift your arm over your head. It’s possible to have a greater range of motion with less stability.

How

Shoulder instability

This happens when the humerus head (the upper arm bone) is forced out of the shoulder’s cavity. Usually this happens as a result of a sudden traumatic injury.

Once the shoulder is dislocated, the shoulder is vulnerable to repeat. When the shoulder is loose and slips several times, it’s called a chronic shoulder instability.

The shoulder is made of 3 bones : humerus (upper arm bone), scapula (shoulder blade) and clavicle (collarbone).

Dislocation shoulder

shoulder dislocation anatomy

This may be partial, which means that the arm’s ball partially comes out from the cavity. This is called a subluxation. This can be complete which means that the arm’s ball comes out completely from the cavity.

Symptoms

Symptoms of chronic shoulder instability are :

  • Pain caused by the shoulder injury

  • Repeated shoulder’s dislocation

  • Repeated instance of the shoulder giving out

  • A persistent sensation of the shoulder that is loose, slipping out of the joint or hanging.

Diagnosis

Specific tests help assess shoulder instability (including general relaxation of ligaments). A doctor may prescribe imaging tests such as X-rays, CT Scan or MRI to confirm the diagnosis and identify other problems.

Treatment

First, chronic shoulder instability treated with nonsurgical options. If these options don’t relieve pain and instability, surgery may be needed.

Nonsurgical treatment

shoulder dislocation treatment non surgical

Generally, it often takes several months of nonsurgical treatment before success can be assessed. Nonsurgical treatments includes :

  • Activity modification

  • Non-steroidal anti-inflammatory medication

  • Physical therapy

Surgical treatment

shoulder dislocation treatment surgery bankart repair

Often, surgery is often required to repair torn or stretched ligaments so that they can maintain the shoulder joint in place.

Bankart lesions (tearing of the front labrum from the cavity) can be repaired surgically using suture anchors to reattach the ligaments to the bone.

Arthroscopy => Soft tissues of the shoulder can be repaired using tiny instruments and small incisions. It’s a procedure that is done the same day or outpatient. Arthroscopy is a minimally invasive surgery. The surgeon examines the inside of the shoulder with a small camera and performs the operation with special instruments.

Open surgery => These are patients who require open surgical intervention. This involves making a wider incision on the shoulder and performing the repair under direct visualization.

Rehabilitation

After surgery, the shoulder can be temporarily immobilized with a sling. When the sling is removed, it’s essential to do ligament rehabilitation exercises. These exercises improve the range of motion of the shoulder and avoid scarring during ligament healing. Thereafter, exercises for strengthening the shoulder will be added in the rehabilitation program.

Subscribe to my newsletter and share this article if you think it can help someone you know. Thank you.

-Steph

P.S. If you’re in Miami and you like Caribbean food, go to my cousin’s bistro to eat Haitian food, click here .

Acromioclavicular Joint Injury

acromioclavicular joint injury

What’s up ? This is THE stephane ANDRE. With my training, I’m interested in biomechanics to avoid injuries. I read « Sport Medicine Media Guide » and I learned some good stuff.

Acromioclavicular joint is a joint between the clavicle and the scapula. Acromion is a continuation of the scapular spine and hooks over anteriorly. It articulate with the clavicle (collar bone ) to form the acromioclavicular joint.

Problems types

The most common problems are arthritis, fracture and separation. Arthritis is characterized by a loss of joint’s cartilage. Arthritis of acromioclavicular joint is common with weight lifter, especially with bench press and a little less with shoulder press. When there is a problem with the rotator cuff, it’s possible that there is also acromioclavicular joint’s arthritis.

Acromioclavicular separation

acromioclavicular joint injury type grade

When there is an acromioclavicular joint separation, it means that the ligament that connects the acromion and clavicle is damaged and that the 2 structures don’t align properly. Separation’s state can be weak or severe, that is why there is a system of « grade » according to which ligament is torn and the severity of the tear.

Grade I Injury – This is the weakest damage and the acromioclavicular joint is still aligned.

Grade II Injury – This is an average damage. Ligaments are only stretched but not fully torn. In case of stress (physical effort), the acromioclavicular joint becomes painful and unstable.

Grade III Inury – This is a serious damage. Ligaments are completely torn and the collar bone is no longer attached to the scapula, which creates a visible deformity.

Treatment of acromioclavicular joint arthritis

If the rest, ice, medications and change of the training program (changing the exercises) don’t work, the next step is a shot of cortisone. A shot of cortisone in the joint may have calmed the pain and may be permanently swollen. As each individual is unique, the effects may vary and it’s possible that it doesn’t swell permanently.

If non-surgical methods fail, it’s possible to perform a surgical operation. The pain is localized at the bones end that make contact with each other and the goal of the operation is to remove some of the end of the clavicle. This ambulatory surgery can be done with a small incision of 1 inch (2.5 cm) long or with the arthroscopy technique with 2-3 incisions. The results and recovery of these 2 surgical techniques are about the same. Most patients have a full movement by 6 weeks and can return to do sport by 12 weeks.

Treatment for acromioclavicular separation

Separation can create very painful injuries, so the first thing to do is to decrease the pain. Hold the arm in a sling, put ice and pack the shoulder for 20-30 minutes every 2 hours as needed. Acetaminophen and non-steroidal anti-inflammatory medications can also help calm the pain.

When the pain begins to subside, it’s important to move the fingers, wrists and elbow (and eventually the shoulders) in order to avoid having stiff or « frozen » shoulder. The length of time needed to regain complete movement and function depends on the severity or injury’s grade.

Recovery from Grade I acromioclavicular separation usually takes 10-14 days while Grade III takes 6-8 weeks.

When surgery

Grade I and II separations require very rarely surgery. With a Grade III injury, after surgery, it’s possible to have full body physical activity with some restrictions.

Statistics

  • More males than females suffer acromioclavicular joint injuries

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-Steph

Non Constructive Criticism

non constructive criticism negative comment

I watched an Olivier Roland’s video  and I learned good stuff.

These are comments that published regularly on social media. What is the difference between non-constructive criticism and constructive criticism ? Ask yourself this question : « Does this criticism have the will to help me ? ». If you don’t feel the will to help you, it’s like 95% of critics, it’s someone who criticizes just to criticize. These non-constructive criticisms based on an extremely superficial analysis of your content.

These people read the first 5 lines of an article, listen to the first 2 minutes of a podcast, watch the 2 first minutes of a video or read only the title.

When you publish content on internet, you’ll have people who will afford advice on what you do when they haven’t taken time to really understand, to analyze what you mean. It’s known that in communication there is an huge loss of the message’s meaning between what you mean, what you say, what people hear, what people understand and what people remember.

There is also an important factor is that in all areas, beginners have an opinion on everything and they say it. Does this give them a false sense of competence on topics they don’t master ? Yes, it’s ego on my opinion.

To be honest, it has happend to me to comment on something that I didn’t take time to analyze deeply. I gave my opinion based on an extremely superficial analysis and we all have already do it. Just understand that this is a normal human behavior and that it’s not a problem.

Attention, it’s not necesssary to remove these comments because they will never disappear. The goal is to reach enough people who understand your message and practice your advice.

1000 real fans

1000 fans

To succeed on internet, you only need to have 1000 real fans. It means people who understand what you say, who agree with what you say, who like your content, who share and who buy your products. You can have 1 million people who hate you, if you have 1000 real fans, that’s enough.

Many people are afraid of negative comments and that’s a shame. Imagine yourself in 10 years. You talk to a person and you explain to him/her that 10 years ago, you had a blog, a podcast or a Youtube channel and that you stopped it because of a negative comment that touched you. Think about that, do you realize how ridiculous it is ? So continue to create content on internet.

Share this article if you think it can help someone you know.Thank you.

-Steph

Protect Your Idea

idea

I watched an Olivier Roland’s video  and there is good stuff.

Many people have an idea to create a company but they’re afraid that someone will steal it. They don’t know when and who to talk to test this idea.

Protection

protection

The truth is that to protect an idea, we need to test it on the field as quick as possible. The world is huge and several people in the world have the same idea than you in different countries.

Every great companies that you admire went through this phase. There is several people who had the idea for Facebook, Uber, Airbnb, etc.

I will not to lie you, it’s possible that a person steals your idea. Facebook is a good example. In the movie « The Social Network », Mark Zuckerberg hired by 2 students (2 brothers) from Harvard to code (create) a social network for the university. Mark Zuckerberg found the idea great and created his own social network without speaking to 2 brothers.

After Mark Zuckerberg’s social network became a world success, the 2 brothers had about $60 millions damages and interest. The 2 brothers tried to have more because compare to the Facebook’s value, this isn’t huge. But the judge told them that they had to be satisfied with $60 millions they had because nothing proves that the 2 brother social network would have had the same success as Facebook, it was just an idea.

Risks exist, on other hand, have an idea on paper for 3 years and suddenly see a person execute this idea with customers is extremely frustrating.

The good method is to seek how test this idea as quick as possible on the field. It’s obligatory that somebody in the world has the same idea as you. Those who make the difference, the winners are the people who have the fastest and most relevant performance.

Legal

legal

There are several legal protections and the most use by startups is Non-Disclosure Agreements (NDA). Before to share your idea with someone, you have him/her sign this document where he promises not to share your idea for several months. It’s a document you can use.

NDA doesn’t guarantee everything so the safest way to protect your idea is to test it on the field and adjust it.

What idea you got on paper and you saw another person make this idea a business ?

-Steph

3 Things To Be More Productive

more productive

I watched an Olivier Roland’s video  and there is good stuff.

There 3 things to boost your productivity

Mirror

mirror

Have a mirror on your desk. Some scientific studies show when we have a mirror next to us, we have a greater probability to take good decisions to reach our goals. For exemple, if you want to lose weights, you will eat healthy foods rather than junk foods when you have a mirror in front of you.

In fact, we don’t know why it works but there is a theory like what we have more conscious of ourselves and we have more guilt and shame when we didn’t resist to a bad temptation.

Have a productivity system

productivity sytem

Like in every domains, there is methods more efficient than others to be more productive. It’s better to have a productivity system than noting, really. A productivity system is a way of organizing.

The most famous method is « Getting things done ». This book is a little bit complex but there is good stuff inside.

It’s possible to make a mix of serveral books about productivity system like « Zen to done ». This book is a simplifiction of « Getting things done ».

The concept is to have a Word files or another word processor with your goals of the week. These goals must be done this week. Then you set your most important tasks of the day, max. 3 per day. These tasks must be done at the end of the day. It means that if it’s 19h or 7pm and all tasks haven’t been done, I stay at work to do it. I stay because it’s the most important tasks of the day and these tasks help me to reach my goals of the week.

Have a Word file or a word processor file help you to see what are your priorities. When you determine your most important tasks of the day (the day before or in the morning), they must help you to reach your goals of the week. When everydays you do some tasks that help you to reach your goals of the week, it’s really really cool.

Once you have done your most important tasks of the day, you do the rest by trying to group them.

Take breaks

take a break

It’s useless to work 4 hours non-stop without take a break. This decrease your productivity. The ideal is to have a method like the « Pomodoro », it means tomato in italian. This called « Pomodoro » because it’s a kitchen timer. For 25 minutes of work, you have 5 minutes of break or for 50 minutes of work, you have 10 minutes of break.

All 4 « Pomodoro », around 2 hours, you will take a break of 20-30 minutes. During this break do a meditation or play a musical instrument or walk in the nature to get your head out of the work. Don’t use this moment to make phone call or check your emails. Do something really different of your work to back to work more productive on current tasks.

Do you have some tips to be more productive ?

-Steph