The patient A neonate was born with a prenatally diagnosed myelomeningocele, the most severe type of spina bifida, and severe associated myelokyphosis. Due to the extent of the bony deformity, prenatal surgery was deemed too high risk. At birth, the patient presented with a large open neural tube defect with exposed spinal cord and abnormal…
The patient An 81-year-old male presented to the hand surgery clinic reporting a sudden onset of weakness in his right hand’s ability to extend the middle, ring and small fingers. The index and thumb also were affected, to a lesser extent. There was no history of trauma; the symptoms began following a session of pushups…
A standardized primary care approach to knee and shoulder conditions — X-rays, a couple months of physical therapy followed by possible MRI and maybe referral to orthopedics — can prevent chronic disability as well as unnecessary imaging and referrals, according to Nyagon G. Duany, M.D., an orthopedic surgeon and sports medicine specialist with Norton Orthopedic…
The patient A 13-year-old female presented with bilateral shin pain that began after she increased her gymnastics training from nine to 21 hours per week around nine months prior. Her right leg pain was worse than left. She was seen by an outside sports medicine specialist clinic in August of 2024 and treated with rest…
Pediatric board-certified orthopedic surgeon Jennifer M. Brey, M.D., brings nationally recognized expertise in youth anterior cruciate ligament (ACL) injury management to Norton Children’s Orthopedics of Louisville, affiliated with the UofL School of Medicine. Specializing in physeal-sparing and physeal-respecting ACL reconstruction, Dr. Brey offers referring providers a trusted partner for managing complex sports injuries in skeletally…
New robotic technology has arrived at Norton Brownsboro Hospital. Justin M. Givens, M.D., orthopedic surgeon with Norton Orthopedic Institute, is among the first five surgeons in the country — and the first in Kentucky — to perform a new groundbreaking, robotic-arm assisted reverse shoulder replacement surgery with Mako SmartRobotics. This procedure hopes to offer a higher degree…
The patient A 12-year-old male initially was seen for significant bowing of the right tibia, causing knee pain — and his mom noted increasing deformity as he was growing older. There was concern for continued bowing of the leg, causing long-term issues with the right knee. He was having mild to moderate knee pain, which…
The patient A 45-year-old man with bilateral thumb carpometacarpal joint arthritis for several years (Figures 1 and 2): He tried bracing and steroid injections, which eventually provided diminishing relief. He works as a mechanic for UPS but was having an increasingly difficult time at work due to pain and loss of pinch and grip strength….
The goal of total knee replacement surgery has not changed in the 50 years since the procedure’s inception, but new technology available to surgeons allows for more precision and customization than traditional knee replacement. Advances in technology and surgical technique, along with enhanced perioperative pain control, also have driven a shift to outpatient total knee…
As more children are participating in organized sports at younger ages, often specializing in a single sport with high levels of competition, overuse injuries have become increasingly common among young athletes. It is important for providers to recognize common overuse injuries and their accompanying symptoms for proper diagnosis and management. Some common pediatric sports overuse…
Zain Z. Rahman, M.D., is a nonsurgical orthopedist specializing in sports medicine and practicing at Norton Orthopedic Institute offices in Jeffersonville, New Albany and Scottsburg in Southern Indiana. Dr. Rahman, team physician for Indiana University Southeast in New Albany and athletic teams at Floyd Central High School in Floyds Knobs, Indiana, and New Albany High…
Nonsurgical management can be effective for many patients with chronic knee pain. Physical therapy combined with oral analgesics can be used to treat typical causes of chronic knee pain in adults, including knee osteoarthritis, patellofemoral pain syndrome, and meniscal, tendon and ligament injuries, according to the American Academy of Family Physicians (AAFP). The AAFP also…