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Stuart B. Kahn Rachel Yinfei Xu Editors Musculoskeletal Sports and Spine Disorders A Comprehensive Guide 123 Musculoskeletal Sports and Spine Disorders Stuart B. Kahn • Rachel Yinfei Xu Editors Musculoskeletal Sports and Spine Disorders A Comprehensive Guide Editors Stuart B. Kahn Rachel Yinfei Xu Department of Orthopedics Department of Anesthesiology Mount Sinai School of Medicine Univ. of Texas Health Sci. Ctr. New York, NY San Antonio, Texas USA USA ISBN 978-3-319-50510-7 ISBN 978-3-319-50512-1 (eBook) DOI 10.1007/978-3-319-50512-1 Library of Congress Control Number: 2017943042 © Springer International Publishing AG 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland Preface With this textbook, it is the goal of this author to provide a tool that can help its readers better diagnose and manage a multitude of musculoskeletal disorders and sports injuries. The pro- posed audience of primary care physicians, physiatrists practicing musculoskeletal medicine, first-line providers to musculoskeletal practices, and physical therapists and trainers will have access to this basic and intermediate-level resource for common pain conditions plaguing the human musculoskeletal system. As a long-term practitioner in interventional spine, pain medicine, and musculoskeletal medicine at an academic institution, I found there was a lack of simple, organized texts that combined easy-to-use differential diagnostic workups that recommended gold standard evalu- ations to lead to a simple and accurate diagnosis, followed by first-line treatment options. To make the text more user-friendly, I have organized it by body regions covering as many condi- tions as seemed necessary from head to toe, to make it a complete reference. This text can be used as a primary learning tool or a quick reference left in the clinic to refer to between patients. As with all potential real-life clinical settings, there are always issues that can cause practi- tioners greater concern or lead a clinician to require clinical assistance. These “red flag” situa- tions are addressed in each chapter. Recommendations for immediate emergent intervention and/or further consultation are included in the teachings of the subject matter. Hopefully, by utilizing this text, the readers will have an enjoyable learning experience that leads to a clinical knowledge base that is useful and helpful for their patients. It is my goal to have this book become a common resource for those practicing musculo- skeletal medicine. New York, NY, USA Stuart B. Kahn v Contents Part I Head and Neck 1 Headaches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Ann H. Lichtenstein and Kirk Lercher 2 Concussions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Elizabeth Adamov and Heidi N. Fusco 3 Occipital Neuralgia and Suboccipital Pain Syndromes . . . . . . . . . . . . . . . . . . . . . 15 Elizabeth Adamov and Heidi N. Fusco 4 Trigeminal Neuralgia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Elizabeth Adamov and Heidi N. Fusco 5 Temporomandibular Joint Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Arpit A. Patel and Chandani Patel 6 Acute Torticollis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Justin Thottam and Ajendra Sohal 7 Cervical Strain and Myofascial Pain Syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Atira H. Kaplan and Jennifer Halstead-Kenny Part II Upper Extremity 8 Acute Brachial Radiculitis (Parsonage- Turner Syndrome) . . . . . . . . . . . . . . . . . 41 Mike Mizrahi and David A. Spinner 9 Stingers and Burners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Adam Lewno and Matthew Maxwell 10 Subacromial Bursitis and Impingement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 Rakhi Garg Sutaria and Ravi B. Sutaria 11 Rotator Cuff Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 Abir Naguib Abdallah and Se Won Lee 12 Adhesive Capsulitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 Elizabeth Adamov and Svetlana Ilizarov 13 Glenohumeral Instability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 Daniel Grabarek 14 Labral Tears . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69 Anish Mirchandani and Jaspal Ricky Singh 15 Glenohumeral Joint Osteoarthritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 Mona Mirchandani and Shailaja Kalva vii viii Contents 16 Acromioclavicular Joint Pathology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79 Rakhi Garg Sutaria 17 Biceps Tendinitis (Proximal and Distal) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83 Matthew T. Drakeley and Eric R. Helm 18 Lateral Epicondylitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89 Thomas Riolo and Aleksandr Levchenko 19 Medial Epicondylitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93 Lauren Mary Terranova 20 Olecranon Bursitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97 Archana Chand and Thomas Pobre 21 Ulnar Nerve Entrapment at the Elbow (Cubital Tunnel Syndrome) . . . . . . . . . 101 Ashley Zakhary and Lyn Weiss 22 Ulnar Nerve Entrapment at the Wrist (Guyon’s Canal) . . . . . . . . . . . . . . . . . . . 105 Pegah Dehghan and Farshad Adib 23 Traumatic Wrist Sprain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109 Niña Carmela R. Tamayo and Natalie Hyppolite 24 Triangular Fibrocartilage Complex Injury . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113 Eric Yuan 25 De Quervain’s Tenosynovitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117 Laurentiu I. Dinescu, Mohammad Aalai, and Xiaoli Wang 26 Carpal Tunnel Syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121 Robert Andrews, Adam Isaacson, and Daniel Kanzer 27 Carpometacarpal Joint Osteoarthritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125 Jeanette R. Stitik, Jay M. Shah, Todd P. Stitik, and Kishan A. Sitapara 28 Scaphoid Fracture and Avascular Necrosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129 Trishla Reddy Kanthala, Anup H. Patel, and Lyn Weiss 29 Kienböck’s Disease (Lunate Fracture) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135 Lincy Thadathil 30 Ulnar Collateral Ligament Injury . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139 Lisanne C. Cruz and Joseph Herrera 31 Trigger Finger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145 Yousaf Chowdhry, Asif Chowdhry, and Thomas Pobre 32 Mallet Finger and Jersey Finger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149 Fairen Walker-McCarter and Jeffery Fine 33 Boutonniere Deformity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153 Alfred Castillo and Alex Moroz Part III Chest, Abdomen and Pelvis 34 Pectoralis Major and Minor Strains and Tears . . . . . . . . . . . . . . . . . . . . . . . . . . 159 Andrea J. Cordova, Hana F. Azizi, and Stephanie Rand 35 Sternoclavicular Joint Injuries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167 Anokhi Mehta and Svetlana Ilizarov Contents ix 36 Costochondritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171 Arlene Lazaro and Mohamed S. Ahmed 37 Musculoskeletal Chest Pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175 Haresh Sampathkumar, Chris Thomas, and Eduardo Lopez 38 Ilioinguinal, Iliohypogastric, and Genitofemoral Nerve Pain Syndromes . . . . . 179 Ashish Kumar and Mohammad Zaidi 39 Inguinal Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185 Ravi B. Sutaria 40 Femoral Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189 Bo Cui and Ajendra Sohal 41 Sports Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191 Vince Si and Alex Moroz 42 Blunt Abdominal Trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197 Haresh Sampathkumar and Eduardo Lopez 43 Myofascial Chronic Pelvic Pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201 Roshni Durgam, Phuong Uyen Le, and Abhilash Durgam Part IV Lower Extremity 44 Hip Osteoarthritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 207 Gavriil Ilizarov and Svetlana Ilizarov 45 Hip Avascular Necrosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211 Joseph Riley and Wayne Stokes 46 Labral Tear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 213 Gavriil Ilizarov and Svetlana Ilizarov 47 Greater Trochanteric Pain Syndrome (Greater Trochanteric Bursitis) . . . . . . 217 Kevin H. Trinh 48 Gluteal Tendinopathy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221 Wendy Luo and Ajendra Sohal 49 Ischial Tuberosity Bursitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225 Fairen Walker-McCarter and Jeffery Fine 50 Hamstring Tear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227 Ajax Yang 51 Piriformis Syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231 Mikiko Murakami and Jonathan Kirschner 52 Adductor Strain (Groin Strain) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 237 Roshni Durgam 53 Mononeuritis Multiplex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239 Ravi B. Sutaria 54 Meralgia Paresthetica . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 243 Shervin Najafi and Santhosh A. Thomas 55 Iliotibial Band Syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247 Jacob Peacock x Contents 56 Knee Osteoarthritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251 Cynthia Hung and Mohamed S. Ahmed 57 Knee Instability and Dislocations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 257 Fergie Ross Montero-Cruz and Natalie Hyppolite 58 Medial and Lateral Meniscal Tears . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 261 Ashley Zakhary and Lyn Weiss 59 Anterior Cruciate Ligament and Posterior Cruciate Ligament Tears . . . . . . . 265 Idris Amin and Alex Moroz 60 Prepatellar and Pes Anserine Bursitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 269 Stephen Erosa, Samantha C. Erosa, and Kevin Sperber 61 Patella and Quadriceps Tendinopathy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 273 Abir Naguib Abdallah and Se Won Lee 62 Quadriceps Tears and Tendon Ruptures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 277 Ann H. Lichtenstein and Jeffery Fine 63 Medial Tibial Stress Syndrome (Shin Splints) . . . . . . . . . . . . . . . . . . . . . . . . . . . 281 Idris Amin and Alex Moroz 64 Compartment Syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 283 Alfred Castillo, Jahnna Levy, and Wayne Stokes 65 Ankle Sprain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 287 Brian Lee, Junghoon Choi, and Francis Lopez 66 Achilles Tendinopathy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 291 Ajax Yang 67 Achilles Tear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 295 Vince Si and Alex Moroz 68 Plantar Fasciitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 299 Elizabeth Adamov and Jeffery Fine 69 Metatarsalgia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 305 Katherine Power and Stephanie Rand 70 Morton’s Neuroma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 307 Katherine Power and Stephanie Rand 71 Acute Gout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 311 Stella Ferker and Adam Isaacson 72 Pes Planus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 315 Niña Carmela R. Tamayo and Natalie Hyppolite 73 Pes Cavus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 319 Hana F. Azizi, Andrea Cordova, and Stephanie Rand 74 Bunions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 323 Brian Lee, Junghoon Choi, and Francis Lopez 75 Osteoarthritis of the First CMC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 327 Sarabjeet Arneja Contents xi Part V Spine 76 Whiplash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 333 Amir Mahajer and Ronald B. Tolchin 77 Facet-Mediated Pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 341 Ryan R. Ramsook and Thomas N. Bryce 78 Spondylosis with Generalized Degenerative Disk, Uncovertebral, and Facet Pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 345 Jay M. Shah, Sayed Emal Wahezi, and Kyle Silva 79 Zygapophyseal (Facet) Pain Syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 349 David E . Gutierrez and Sayed Emal Wahezi 80 Cervical Radiculopathy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 353 Kevin Bernard and Salvador E. Portugal 81 Cervical Myelopathy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 357 Christopher V. Boudakian, Gregory P. Burkard Jr., and Jung H. Ahn 82 Cervical Instability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 361 Ann H . Lichtenstein, Yakov Gologorsky, and Miguel X. Escalon 83 Thoracic Muscle Strain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 365 Stephen Erosa, Samantha C. Erosa, and Kevin Sperber 84 Costovertebral Pain Syndromes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 369 Stephen Erosa, Samantha C. Erosa, and Kevin Sperber 85 Intercostal Pain Syndromes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 373 Sunil Thomas and Francis Lopez 86 Thoracic Radiculopathy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 375 Dimir Abrar, Justen Elbayar, Daniel Kao, and Fahad Khan 87 Spondylosis and Spondylolisthesis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 379 Sunil Thomas and Francis Lopez 88 Acute Pars Fracture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 383 Steven Ross, Kevin Bernard, and Charles Kim 89 Compression Fracture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 387 Joseph Riley and Wayne Stokes 90 Thoracic Myelopathy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 391 Gregory P. Burkard Jr., Christopher V. Boudakian, and Jung H. Ahn 91 Lumbosacral Muscle Strain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 395 Nicholas R. Beatty and James F. Wyss 92 Ligamentous Injury: Sacroiliac Joint and Iliolumbar Pain . . . . . . . . . . . . . . . . 405 Thomas P. Lione and Steve M. Aydin 93 Acute Facet Pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 411 Adam J. Susmarski and Eric R. Helm 94 Chronic Facet Pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415 Akshay S. Garg, Ravi S. Vaswani, and Yury Khelemsky

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