本期节目邀请骨科医生Alton Barron，详细讲解了上肢的解剖结构和常见损伤。节目深入探讨了肩、肘、手的检查方法，以及非手术和手术治疗方案。Alton医生还介绍了手术的适用标准和相关流程，并分享了手术对减轻疼痛和改善功能的积极作用。此外，节目还涵盖了诸如肩袖损伤、肩关节脱位、肱二头肌损伤、盂唇撕裂、腕管综合征等多种上肢疾病，以及相关治疗方法和康复策略。通过详细的讲解，帮助听众更好地了解上肢健康，并为相关疾病的治疗提供参考。

💪 Alton医生首先介绍了其成为骨科医生的职业道路，并概述了骨科领域的发展和最新进展，为听众提供了行业背景。

🦴 随后，节目详细讲解了上肢的解剖结构，为理解后续的损伤和治疗奠定了基础。这包括肩、肘、手各部分的骨骼、肌肉、韧带等。

🤕 节目深入探讨了多种上肢常见损伤，包括肩袖损伤、肩关节脱位、肱二头肌损伤、盂唇撕裂等。针对每种损伤，节目都解释了其发生机制、症状以及可能的治疗方案。

🩺 节目详细介绍了肩部疼痛的评估方法，包括MRI检查和体格检查，以及何时需要手术。还讨论了不同手术治疗方案，例如盂唇撕裂的手术修复、肩袖的修复、AC关节分离的修复以及全肩关节置换等。

🖐️ 节目还涵盖了肘部、手部和腕部的常见损伤，例如腕管综合征、扳机指等。对于这些损伤，节目同样提供了详细的解说和治疗建议，涵盖了手术和非手术治疗方法。

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Alton Barron is an orthopedic surgeon specializing in the shoulder, elbow, and hand. In this episode, Alton breaks down the anatomy of the upper extremities and discusses the most common injuries associated with this area of the body. He explains in detail how he examines the shoulder, elbow, and hand to find the source of the pain and lays out the non-surgical and surgical treatment options as well as the factors that determine whether surgery is appropriate. Additionally, Alton describes the surgical procedures that, when done appropriately, can lead to tremendous reduction of pain and improvement in function.

We discuss:

Alton’s path to orthopedic surgery [3:45]; Evolution of orthopedics and recent advances [8:45]; Anatomy of the upper extremities [13:30]; Rotator cuff injuries, shoulder joint dislocation, and more [21:15]; Peter’s shoulder problems [31:30]; The structure of the biceps and common injuries [35:30]; Labrum tears in the shoulder and natural loss of cartilage with usage and time [38:15]; Shoulder evaluation with MRI vs. physical exam, diagnosing pain, and when to have surgery [41:30]; How anatomical variation can predispose one to injury and how screening may help [50:30]; Pain generators in the shoulder, and the important nuance of the physical exam [56:00]; Frozen shoulder [1:05:15]; Shoulder pain that originates in the neck [1:11:15]; Surgical treatments for a labral tear, and factors that determine whether surgery is appropriate [1:16:00]; Repairing the rotator cuff [1:29:15]; Are platelet-rich plasma (PRP) injections or stem cells beneficial for healing tears? [1:38:15]; Repair of an AC joint separation [1:45:15]; Total shoulder replacement [1:55:45]; The elbow: anatomy, pain points, common injuries, treatments, and more [2:05:30]; How Tommy John surgery revolutionized Major League Baseball [2:17:15]; History of hand surgery and the most significant advancements [2:22:15]; The hand: anatomy, common injuries, and surgeries of the hand and wrist [2:29:30]; Carpal tunnel syndrome [2:40:00]; Other common injuries of the hand and forearm [2:47:15]; Grip strength [2:55:15]; Arthritis in the hands [2:59:30]; Trigger finger [3:07:45]; Nerve pain, numbness, and weakness in the upper limbs [3:14:00]; The Musician Treatment Foundation [3:22:00]; Gratitude and rucking [3:34:15]; and More.

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