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Dr. Shelden Martin

Phoenix Orthopedic Surgeon Speaks About Rotator Cuff Disease

Dr. Shelden Martin spoke to Sun Lakes, Arizona residents about rotator cuff disease on Nov. 1.

The Phoenix orthopedic surgeon, who treats patients in Chandler, spoke to a group of active adults at the Cottonwood Country Club at Sun Lakes.

Phoenix Orthopedic Surgeon Dr. Shelden Martin

In addition to discussing rotator cuff disease, the orthopedic surgeon also discussed the reverse total shoulder replacement he performs.

The team physician for the Arizona Rattlers, Dr. Martin will speaking throughout the Valley during the fall and winter months.

Dr. Martin’s office is located on the southeast corner of Loop 101 and Warner Road at 2905 W. Warner Road, Suite 23 in Chandler, AZ 85224.

To schedule an appointment, call (480) 685-2850.

Chandler Orthopedic Surgeon Announces November Saturday Clinic

Chandler orthopedic surgeon Dr. Shelden Martin, part of one of the Valley’s leading orthopedic practices, OrthoArizona – Arizona Orthopaedic Associates, has announced his Saturday clinic hours for November.

Dr. Martin, who is fellowship trained in sports medicine and shoulder/elbow surgery, will perform physician duties on those who find themselves in a Phoenix orthopedic emergency on November 16.

According to Dr. Martin, who also serves as team physician for the Arena Football League World Champion Arizona Rattlers, one in six trips to the emergency room on the weekend results from a sports-related injury.

Dr. Martin’s office is located on the southeast corner of Loop 101 and Warner Road at 2905 W. Warner Road, Suite 23 in Chandler, AZ 85224.

Instead of incurring the high cost of weekend ER bills and trips to the emergency room, schedule an appointment by calling (480) 685-2850.

Understanding Reverse Total Shoulder Replacement

In certain patients with shoulder arthritis, a total shoulder replacement does not suffice. Conventional total shoulder replacements are adequate for patients with shoulder arthritis, but in cases where patients have shoulder arthritis with large rotator cuff tears, known as rotator cuff tear arthropathy, a reverse total shoulder replacement is necessary.

A reverse total shoulder replacement is a revolutionary new technology that was initially developed in Europe and FDA approved in the U.S. in 2004.  This device essentially switches the  internal components of a traditional shoulder replacement, which consists of a metal ball attached to a metal stem that is inserted into the humerus and a plastic liner implanted into the scapula which forms the socket of the shoulder ball and socket joint.  The rotator cuff tendons balance the ball against the socket during arm motion.

In patients that have large rotator cuff tears and therefore dysfunctional rotator cuff tendons, a standard shoulder replacement cannot be utilized.  The reverse shoulder replacement consists of a plastic liner on top of the metal stem in the humerus, and a metal hemisphere screwed to the socket.  This device relies on the deltoid muscle to compress the humerus against the hemispherical glenosphere, which acts as a fulcrum to provide arm motion.

Ideal candidates for this procedure are elderly patients who have had untreated rotator cuff tears or previous failed rotator cuff surgeries and developed arthritis, previous failed shoulder replacement surgeries, or patients that sustain severe shoulder fractures.

With appropriate postoperative physical therapy, the surgery successfully increases mobility and decreases pain.

Dr. Martin uses the latest nonoperative and surgical treatments for a wide range of shoulder, elbow, knee and sports related injuries. With the most advanced treatments, Dr. Martin is able to get you back to activity as soon as possible.

Schedule a visit with Dr. Shelden Martin today by calling (480) 685-2850.

Phoenix Orthopedic Surgeon Dr. Martin Featured on Debut “Health 2 Fit” TV Show

Phoenix Orthopedic Surgeon Dr. Shelden Martin was a guest on the debut episode of “Health 2 Fit” on AZTV on Oct. 5. If you missed it, here’s a chance to see it again.

 

Dr. Martin Announces October Saturday Clinic Hours

Dr. Shelden Martin, an orthopedic surgeon with one of the Valley’s leading orthopedic practices, OrthoArizona – Arizona Orthopaedic Associates, has announced his Saturday clinic hours for October, with his next Saturday clinic scheduled for Oct. 12.

Dr. Martin, who is fellowship trained in sports medicine and shoulder/elbow surgery, will perform physician duties on those who find themselves in an orthopedic emergency on specific Saturdays.

His office is conveniently located on the southeast corner of Loop 101 and Warner Road at 2905 W. Warner Road, Suite 23 in Chandler, AZ 85224.

“We want to help keep people from paying the high cost of weekend ER bills, and give them the specialized care they need and deserve,” Dr. Martin said. “One in six visits to the ER is for a sports or exercise related injury.”

To schedule an appointment, please call (480) 685-2850.

Rotator Cuff Injuries and Orthopedic Surgery

rotator cuff injury_phoenix orthopedic surgery

One of the most common orthopedic injuries that we operate on here in Phoenix is directly related to the rotator cuff in the shoulder. Phoenix orthopedic surgeons are  very familiar with rotator cuff repair, surgery and recovery, and Dr. Martin is highly trained to not only treat related injuries, but diagnose them properly as well.

Rotator Cuff Injuries

The rotator cuff consists of the muscles and tendons that make up your shoulder. This region is not only intricate, it is extremely important in shoulder movement, range of motion, and strength. The rotator cuff quite literally is the cuff of ligaments holding the ball of your upper arm bone in your shoulder socket.

Injury to this area is quite common among athletes, specifically those in repetitive motion sports like tennis, and weekend warriors. Rotator cuff tears can be from a bad fall, lifting, or repetitive activities. Pitchers are quite often seen by Phoenix orthopedic surgeons for rotator cuff injuries due to the repetitiveness of that position.

In many cases, nearly 50% of all rotator cuff injuries, treatment involves some good, old R and R. However, there are instances with a Phoenix orthopedic surgeon is needed to repair a tendon or muscle tear.

Rotator Cuff Repairs

Conditions such as tendinitis and/or bursitis, left untreated, can lead to necessary orthopedic surgery, but in most cases you will need to see a Phoenix orthopedic surgeon for tears in the rotator cuff.

Orthopedic surgery on a rotator cuff involves either making more room for the irritated tendons and muscles or sewing torn edges of a ligament tear. Your Phoenix orthopedic surgeon will make an incision 2 inches to 3 inches in the shoulder. Any lose fragments of tendon will be removed and shaving or removing bone spurs might be executed, depending on the condition or injury.

Your Phoenix orthopedic surgeon will sew any torn tendons, repairing the injury.

Recovery involves a short stay in the hospital, followed by immobilization of the arm for a defined period of time to allow for healing. Many times, physical therapy is needed for a full recovery, especially for athletes. 

If you are suffering from chronic shoulder pain, Dr. Martin can help. If you’ve just experienced a recent injury to the shoulder, give Dr. Martin a call today to have the injury and shoulder examined by the best orthopedic surgeon in Arizona. Waiting to have pain in the shoulder properly examined can lead to greater complications and more pain down the road.

What is the Recovery Time for a Torn ACL?

arizona orthopedic surgeon

With the NBA playoffs in full swing, many in the Arizona sports medicine world are wondering where Derrick Rose is. Why isn’t Derrick Rose back on the court yet? How bad was his ACL injury, and what is taking his ACL surgery recovery so long? In sports medicine, one of our main focuses in Arizona is prevention, however treatment and recovery are also a large part of what we do. And in the recovery phase, it’s most often the patient’s body that dictates the length of time.

Derrick Rose and ACL Surgery

In April of 2012, Derrick Rose, a Chicago Bulls strong forward with amazing skills that led him to a Most Valuable Player award, tore his Anterior Cruciate Ligament (ACL) and underwent surgery. Surgery went as planned, physical therapy ensued and his sports medicine doctors cleared him to play. So, why isn’t he playing?

Rose told ESPN that “he didn’t have the muscle memory and was still thinking instead of reacting.” Could it be that, although his physicians have cleared him to play, his muscles are not ready? Just this week, the Chicago Bulls lost their final game in the NBA Playoffs, and many fans are left to question if the return of Rose could have prevented this playoff elimination.

Torn ACL Surgery Recovery Time

Speaking as an Arizona orthopedic surgeon, a torn anterior cruciate ligament is a common sports injury occurring within the knee quite often from a sudden stop or change in direction. The torn ACL will immediately swell, feel unstable and become awfully painful. Many times you’ll see NBA players fall to the floor in agony after suffering a torn ACL.

Depending on the severity of the torn ACL, the Arizona athlete could require invasive treatment, surgery, physical therapy, and can expect a long recovery. It is expected that nearly 200,000 people will suffer from an ACL injury in 2013 alone.

Orthopedic surgery on a torn ACL in Arizona could mean a tendon graft to replace the torn pieces of tendon. New techniques such as anteromedial drilling can replace torn tendon in a far more efficient manner, allowing the knee to move more naturally and thus limiting the risks for a torn ACL in the future.

Arizona rehabilitation and physical therapy will include range-of-motion exercises and muscle-strengthening and stability exercises. After an Arizona orthopedic surgeon attaches the ligaments and tendons, you can expect a 4 to 6 month recovery time.

So why isn’t Derrick Rose back in the game? As an Arizona orthopedic surgeon, I see many reasons why Rose has not made it back onto the court, many of which are due to continued physical ailments. While many fans see Rose’s refusal to hit the court a mental thing fueled by fear, however as an Arizona orthopedic surgeon we know that a variety of physical ailments might still be plaguing him.

After ACL surgery, problems related to the affected area can still occur, including limited range of motion, numbness and pain, grating of the kneecap, muscle loss, muscle stiffness, and a higher risk for repeat ACL tear. In the case of a professional NBA player, this physical ailments, though they might not affect a non-athlete, can greatly affect things like Rose’s shot, his ability to move on the court, his rebound abilities, even his reaction time.

As an Arizona orthopedic surgeon who has surgically treated many ACL tears, it’s understandable that Rose did not make it back onto the court. With so many factors playing into his decision, it’s time to respect his choice.

Floyd Mayweather’s Injured Hand – Dr. Martin’s Comments

mayweather hand injury

Did you happen to catch the ‘Money’ Mayweather vs ‘The Ghost’ Guerrero fight over the weekend? If so, you might have noticed how the fight stalled a bit towards the final rounds – many blaming Mayweather for watching the clock and protecting his obvious victory. But others, particularly those in the Phoenix orthopedic surgery industry, noticed a holding back from Mayweather, indicating a possible injury sustained in the prize fight. And if you’ve kept an eye on boxing news today, you’ll notice that Mayweather did indeed sustain a hand injury sometime during the middle rounds. 

As an Arizona orthopedic surgeon, it wasn’t difficult to ascertain the extent of the injury based on the final rounds of the fight, but let’s dive into hand injuries that boxer’s most often endure, and how the injury might affect Mayweather’s September fight.

Floyd ‘Money’ Mayweather’s Hand Injury

Floyd Mayweather is a beast of a fighter. With a record of 44-0, this young man has successfully established himself as one of the best, holding titles in five weight classes. And while his fight over the weekend may not have been one of the most exciting or entertaining for any orthopedic surgeons watching, it was a lesson in boxing that many found compelling. And, later in the evening, when we found out that Mayweather was boxing with an injured right hand, it became even more apparent how remarkable this boxer is.

According to Bryan Armen Graham of Sports Illustrated, Money said that he hurt his hand somewhere in the middle stages of the fight and felt the injury is what prevented the undefeated champion from knocking Guerrero out.

After a visit to the hospital after the fight, Mayweather’s camp is telling the press that his hand is fine, no factures, simply soreness, dispelling fears regarding Mayweather’s September fight. From a Phoenix orthopedic surgeon’s perspective, the injury is most likely soft tissue contusion from multiple traumatic impacts. Something that you might expect after a boxing match that lasted as long as this one did.

Dr. Martin, Phoenix’s best orthopedic surgeon, suggests simple symptomatic treatment including rest, ice, NSAIDS (nonsteroidal anti-inflammatory drugs) and progressive return to boxing as symptoms allow.

While the extent of the injury is still unknown, as an Arizona orthopedic surgeon I can tell you the most common boxing injuries and what Mayweather could possibly be facing.

Common Boxing Hand Injuries

Boxing wreaks havoc on the body, from the spine to the knees to the neck, head, arms, shoulders, elbows, and hands. In this instance, where Mayweather experienced ‘soreness’ during and after the recent fight, we’re taking a look at common boxing hand injuries that can cause pain such as Mayweather’s, many of which Phoenix orthopedic surgeons see quite often.

Boxer’s Fracture – A Boxer’s Fracture occurs when the clenched fist is collided with a skull or hard, immovable surface. The great impact results in compression of the knuckles, which snaps the metacarpal bone. This fracture can lead to orthopedic surgery to realign the fractured metacarpal bone, casting, and rehab. In the mildest cases of Boxer’s Fracture, recovery time can be up to 3 months.

Boxer’s Knuckle – This is an injury to the prominent metacarpophalangeal joints of the hand, also known as the knuckles. Because the knuckles are highly vulnerable, this is a quite comment injury and as an Arizona orthopedic surgeon it is something that I’ve often treated. 

Finger Fractures – These types of fractures are also very common among boxers, especially those just starting out because they most often occur when a punch lands wrong. This type of injury could require treatment from an Arizona orthopedic surgeon, as well as physical therapy.

Bruising and Sprains – Boxing bruises and sprains are also very common, but as an Arizona orthopedic surgeon I have seen these simple injuries become something far worse if not treated properly. While these injuries are not considered emergencies, they can lead to a fracture or major break if left untreated.

Prevention

As Dr. Shelden Martin always promotes – prevention is truly the best medicine for boxing injuries, or any injuries related to the hand, for that matter. Hand injuries can interrupt every single aspect of your life, and as an Arizona orthopedic surgeon who has operated on many hand fractures and hand injuries, Dr. Martin suggests treating any hand injury immediately. From the smallest scrap to the most painful fracture, seeking proper treatment immediately will reduce recovery time and get you back into the ring, or on the playing field, must faster.

Call today for an appointment with the best orthopedic surgeon in Arizona! 480.685.2850

Arizona Orthopedic Surgeon’s Take On Kobe Bryant’s Achilles Tendon Rupture

achilles xray

If you watch basketball, or perhaps like to tune in to ESPN during your afternoon workouts, you’ve not doubt heard about Kobe Bryant’s Achilles injury. While it might not be big news in your household, sports enthusiasts all across Arizona are weighing in on Bryant’s future in basketball, his teams’ future without him, and what it’s going to take to heel a torn Achilles tendon. It’s a good thing that we have Dr. Shelden Martin, Arizona Rattlers Team Doctor, to clear some things up for us!

According to Dr. Martin, Achilles tendon ruptures are commonly seen in older athletes, most notably over 30 years of age and weekend warriors. Kobe Bryant is definitely not a weekend warrior, although he does cross the age threshold at 34 years old.

Eccentric Contraction 

In clinical terms, the mechanism of Bryant’s injury is an eccentric contraction, where the ankle and knee are bent so the gastrocnemius and Achilles tendon are maximally stretched and then forced to lengthen resulting in the rupture of the tendon. If you happened to catch the Lakers vs Warriors game back on April 5th you might have seen Bryant crumble to the floor after making a move to the basket. It was in this moment that you can see the Achilles tendon stretched in the seconds before he hit the ground.

Achilles Tendon Rupture Treatment 

Initially after the injury, Kobe Bryant received nearly immediate surgery to repair the torn tendon. According to Dr. Martin, who has seen this injury many times treating Arizona weekend warriors, treatment options for such Achilles damage can range from non-operative to surgical repair to reconstruction using patients own donor tendon grafts to cadaveric grafts to biological graft substitutes to “bridge the gap” and reinforce the repair when the injury is chronic and long standing. As you can see, there are a variety of options for Achilles tendon rupture, many of them non-operative in the cases of our weekend warriors. 

Surgical repair is usually recommended for the more active individuals, especially high-level athletes such as Kobe Bryant, says Dr. Martin.

And, in Bryant’s case, depending on the location of the tear, surgery would have involved an orthopedic surgeon sewing the two ends of the tendon together with high tensile permanent sutures or reinserting into the calcaneious bone tendinous insertion site using various techniques, usually suture anchors or sewing the tendons through bone tunnels.

For the most innovative techniques, Dr. Martin says that biologic stimulants have more recently been used to augment repairs and aid in healing in hopes of stimulating faster and more complete healing with the hope of promoting a faster, more complete and reliable return to the sport, especially for high-demand athletes like Bryant.

Recovery

Dr. Martin goes on to say that in instances like Kobe Bryant’s injury, recover time no matter what the procedure or treatment method typically requires six to nine months and involves extensive physical therapy. 

However, with that said it is not impossible for Bryant to return sooner than that, although it is highly unlikely. Whether or not he returns before six to nine months, he will return. Many high-profile professional athletes like Bryant who have ad similar injuries have returned, Dr. Martin points out.

For example, Elton Brand, Dominique Wilkins and Chauncy Billups are just a few professional athletes who ruptured their Achilles tendon and returned successfully the sport they love.

Who Can See A Sports Medicine Specialist?

sports medicine phoenix az

What is sports medicine? How is it really any different than any other kind of medicine? If I’m not an athlete, can I still see a sports medicine specialist in Phoenix?

Dr. Shelden Martin at OrthoArizona in Phoenix seems to hear these types of questions quite often, and it’s understandable. Sports medicine is a specialty that can be confusing to some simply because of one keyword: sports. In Arizona, Dr. Martin treats patients will all kinds of injuries, both sports-related and unrelated to sports altogether. But for the purpose of medical certifications and training, sports medicine and orthopedic surgery is his specialty.

Sports medicine is “the study and practice of medical principles related to the science of sports, particularly in the areas of sports injury diagnosis and treatment, sports injury prevention, sports training and athletic performance including exercises and workouts, sports nutrition and sports psychology,” according to About.com.

As the Team Doctor for the Arizona Rattlers, as well as an award-winning Phoenix orthopedic surgeon, Dr. Martin focuses on all medical, therapeutic, even psychological aspects of sports and physical activity. So, if you’re not an athlete but you do participate at the gym, perhaps you embark upon some running or maybe you play tennis once in a while, Dr. Martin can help you out with injuries and prevention of injuries.

Because Dr. Martin is a specialist, he received special, additional training after his medical school training at Georgetown University School of Medicine in Washington, DC. Dr. Martin underwent a General Surgery Internship at Loyola University Medical Center in Chicago, and then through Residency in Orthopedic Surgery at that same school.

However, in addition to his specialty and expert knowledge in orthopedic sugary, Dr. Martin pursued furthering his career specifically in sports medicine, which brought him to Charlotte, NC, and a Fellowship in Sports Medicine and Should, Elbow Surgery.

Dr. Martin’s Goal in Phoenix

While many Phoenix residents can easily become confused with the term “sports medicine,” assuming that Dr. Martin deals with athletes only, his goal here in Arizona is to help everyone, from professional athletes like those at the Arizona Rattlers, to weekend warriors and busy moms prevent injuries and optimize a healthy lifestyle through diet and exercise. If an injury does occur, whether from a hit on the football field during a professional game, or a twisted ankle from running errands, Dr. Martin’s sport medicine background means that you receive the best care in Phoenix with laser focus on a complete and quick recovery. It also means that if you do play sports, Dr. Martin can get you back into the game with little to no loss of performance.

Call Dr. Shelden Martin today for more information on his orthopedic surgery background, and his sport medicine background.

Dr. Shelden Martin
OrthoArizona

Arizona Orthopaedic Associates
2905 W. Warner Road Suite 23
Chandler, AZ 85224

P: 480.685.2850
F: 480.685.2860