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Shoulder Resources

Shoulder Resources: Dr. Rudzki’s great love and focus within sports medicine is the shoulder. This is demonstrated by his research, teaching, publications and presentations on partial rotator cuff tears, rotator cuff vascular supply and it’s role in rotator cuff disease, clavicle fractures, and suture anchors. Dr. Rudzki has the honor and privilege of being a member of the American Shoulder & Elbow Surgeons. This highly selective academic society is “made up of leading national and international Orthopaedic surgeons who specialize in surgery of the shoulder and elbow.”

Several case studies, patient testimonials, and blog posts can be found through this portion of our site to help educate patients about common shoulder problems, treatment options, and rehabilitation considerations. Additional information may be gained from visiting links to our YouTube Site, Lectures & Presentations, Research & Publications, and External Sources.

International Fracture Patient with Complex Humeral Nonunion

Chief Complaint/Injury of International Fracture Patient

41 yr-old, Right-Hand Dominant male presents from Africa with a right humeral non-union approximately 15 years after initial motorcycle injury with 3 prior surgeries (Open Reduction Internal Fixation with a plate; then 2 subsequent hardware removals for infection) and a radial nerve injury.

Workup/Images of Complex Humeral Nonunion

X-rays reveal a nonunion of the right humeral mid-shaft with resorption and remodeling as well as old screw holes from prior plate fixation which failed with infection. Physical exam reveals gross instability at the fracture site which gives him a “double-elbow” and prevents him from having any significant functional use of his dominant right upper extremity.

Surgery

As a team approach with our hand, wrist, and nerve specialist, Dr. Richard Barth, the patient’s radial nerve is dissected free and the fracture debrided. Bone graft is take from his pelvis to augment the biology and healing potential of the fracture nonunion and stable fixation is obtained with a humeral locking plate.

Result

The fracture goes on to union and the patient is able to return to his life in Africa with a regained ability to participate in desired activities of daily living to support his family.

Dr. Rudzki sees several international patients each month from across the globe. These include diplomats, family members of foreign dignitaries, Peace Corps volunteers, Catholic Charities patients, and soldiers from several nations. Many of these patients come for consultations and surgical treatment of complex orthopaedic issues. For further information, please contact [javascript protected email address]

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