本期节目邀请了骨科医生Alton Barron，他专门研究肩、肘和手部疾病。他详细解释了上肢的解剖结构，并讨论了该区域最常见的损伤。他详细介绍了如何检查肩、肘和手部以找出疼痛的根源，并列出了非手术和手术治疗方案以及决定是否进行手术的因素。此外，Alton 还描述了手术程序，这些程序如果操作得当，可以极大地减轻疼痛并改善功能。

👨‍⚕️ **上肢解剖学和常见损伤:** 本期节目深入探讨了上肢的解剖结构，包括肩、肘和手的结构和功能。Alton Barron 详细解释了每个部位的解剖特点，以及与之相关的常见损伤，例如肩袖撕裂、肩关节脱位、肱骨外上髁炎（网球肘）、肱骨内上髁炎（高尔夫球肘）、腕管综合征等。他以通俗易懂的方式解释了这些损伤的病因、症状和治疗方法，并强调了早期诊断和治疗的重要性。

🩺 **肩部疾病的诊断和治疗:** 节目中重点讨论了肩部疾病的诊断和治疗。Alton Barron 介绍了肩部疼痛的常见原因，包括肩袖撕裂、肩关节脱位、肩峰撞击综合征、肩周炎等。他解释了如何通过体检、影像学检查（如 X 光片、MRI 等）来诊断肩部疾病，并详细介绍了不同的治疗方法，包括保守治疗（药物、物理治疗等）和手术治疗。他强调了根据患者的具体情况选择合适的治疗方案，并强调了手术治疗的适应症和风险。

🦴 **手部疾病的诊断和治疗:** 节目中也涵盖了手部疾病的诊断和治疗。Alton Barron 介绍了手部疼痛的常见原因，包括腕管综合征、屈指肌腱腱鞘炎（扳机指）、手部关节炎等。他解释了如何通过体检、影像学检查（如 X 光片、MRI 等）来诊断手部疾病，并详细介绍了不同的治疗方法，包括保守治疗（药物、物理治疗等）和手术治疗。他强调了根据患者的具体情况选择合适的治疗方案，并强调了手术治疗的适应症和风险。

💪 **运动损伤的防治:** Alton Barron 强调了预防运动损伤的重要性，并分享了一些预防运动损伤的建议，例如运动前热身、运动中注意姿势、运动后放松等。他还介绍了一些针对不同运动项目的防治措施，例如针对网球运动员的网球肘预防措施、针对高尔夫球运动员的高尔夫球肘预防措施等。

👨‍🔬 **最新进展:** Alton Barron 还介绍了一些近年来骨科领域的最新进展，例如微创手术、生物材料的应用、再生医学等。他认为，这些新技术的应用将进一步提高骨科疾病的治疗效果。

👨‍🏫 **其他:** 节目中还涉及了其他一些与肩、肘和手部疾病相关的议题，例如运动员的损伤、老年人的骨质疏松、心理因素对疼痛的影响等。Alton Barron 以丰富的临床经验和专业知识，为听众提供了许多有益的信息和建议。

View the Show Notes Page for This Episode

Become a Member to Receive Exclusive Content

Sign Up to Receive Peter’s Weekly Newsletter

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.

Connect With Peter on Twitter, Instagram, Facebook and YouTube