Dr Bruce E Ellison MD - Orthopedic Surgery Expert Witness - Offices Near Sequoia Hospital

BEACH-CHAIR POSITION Dr. Ellison uses the beach chair position almost exclusively. Beach-chair position provides faster and easier patient positioning, reduces risk of neurapraxias because traction is not used. There is reduced distortion of intraarticular capsular anatomy, improved mobility of the patient's arm, and easier conversion to open surgery since repositioning and repreparation is not required. In the beach-chair position, either general anesthesia or interscalene block can be used. Interscalene block allows the patient to be awake and can assist in controlling the posotion of the head. The knees are flexed to provide counterpressure against the posterior thigh, which will reduce the tendency to slide off the table during surgery. Flexion also decreases tension on the posterior neurovascular structures of the legs. The affected shoulder is brought off the side of the table for access during the procedure. The head is supported in a neurosurgical headrest...

Osteoarthritis of the knee is a degenerative condition affecting millions of Americans. Though often associated with the aging, osteoarthritis involves an overproduction of degradation enzymes which attack and destroyed cartilage. Healthy joints, including the knee, are covered by a layer of articular cartilage. The cartilage acts as a cushion providing for smooth gliding surface during range of motion. The articular cartilage has no nerves, and thus there is no pain with activity. However as anyone who has broken a bone knows, there are abundant nerves and pain receptors at the bone. In the knee with osteoarthritis, the cartilage wears away and becomes roughened. If the wear becomes significant, the rubbing a one rough bony surface on another can result in debilitating pain, with resulting stiffness and swelling. Nonoperative treatment options include behavior modification, drug therapies including hyaluronic acid and steroid injections, braces and electrical stimulation. Oper...

Dr. Bruce E. Ellison, an Orthopaedic Surgeon, performs a diagnostic arthroscopy of shoulders, arthroscopic surgery for rotator cuff tears, instability, recurrent dislocation, and SLAP lesions. Patients can learn about the common shoulder conditions like calcium deposition, rotator cuff tear, frozen shoulder or stiffness, dislocation, shoulder instability, subacromial impingement, SLAP lesion, HAGL lesion, fractures of humerus, clavicle, Acromio clavicular dislocation and arthritis, and Gleno humeral Osteoarthritis by VISITING Dr. Ellison in his office or on his web site at www.bonesdoc.com . Various surgical procedures are performed by Dr. Ellison using arthroscopic methods, and they are described. These are diagnostic arthroscopy, Shoulder stabilisation, arthroscopic subacromial decompression and open subacromial decompression, rotator cuff repair, Bankart repairs, and internal fixation of shoulder fractures. Patients with shoulder pain & problems will find this source of inf...

Osteoarthritis of the knee is a degenerative condition affecting millions of Americans. Though often associated with the aging, osteoarthritis involves an overproduction of degradation enzymes which attack and destroyed cartilage. Healthy joints, including the knee, are covered by a layer of articular cartilage. The cartilage acts as a cushion providing for smooth gliding surface during range of motion. The articular cartilage has no nerves, and thus there is no pain with activity. However as anyone who has broken a bone knows, there are abundant nerves and pain receptors at the bone. In the knee with osteoarthritis, the cartilage wears away and becomes roughened. If the wear becomes significant, the rubbing a one rough bony surface on another can result in debilitating pain, with resulting stiffness and swelling. Nonoperative treatment options include behavior modification, drug therapies including hyaluronic acid and steroid injections, braces and electrical stimulation. Oper...