James M. Paci, MD Orthopaedic and Sports Medicine Board Certified and Fellowship Trained

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Orthopedic & Sports Medicine

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  • How ACL and PCL Injuries DifferHow ACL and PCL Injuries Differ

    The anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) are two major ligaments in the knee that work together to provide stability. They are also common sites of serious tears, particularly in athletes. Although ACL and PCL injuries may initially appear to have similar symptoms, such as knee instability and pain, the ligament injuries have unique characteristics that make them differ in terms of who is affected, extent of injury, and treatment guidelines.

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  • Q&A: How lunges, squats and holds can build stronger tendons and ligaments

    UC Davis Health molecular exercise physiologist Keith Baar specializes in sports medicine. He studies the effects of exercise on bone, muscle and tendon health. In this Q&A, he discusses how intensive exercising after injury or when overweight can cause damage to ligaments and tendons. He also talks about the importance of integrating isometric or static exercises into our fitness routines.

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  • UCL repair with internal bracing may yield faster return to sport vs. Tommy John surgery

    UCL repair with internal bracing yielded faster return to practice and faster return to competition vs. UCL reconstruction. Both UCL repair and reconstruction had high rates of return to sport.
    UCL repair with internal bracing yielded faster return to practice and faster return to competition vs. UCL reconstruction. Both UCL repair and reconstruction had high rates of return to sport.

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  • How do you treat rotator-cuff tears?

    Shoulder symptoms led to an average of 9.6 million physician visits in 2015 and 2016 in the United States. The most common cause of those shoulder symptoms? Rotator-cuff disorders. Nonoperative treatment, such as physical therapy, is the typical approach to treating rotator-cuff tears. However, surgery is considered in certain patients whose rotator-cuff tears don't resolve with nonoperative treatments.

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  • Understanding Tennis Elbow and Golfer’s Elbow

    With spring on its way, you may be pulling out your golf clubs or tennis racket. If you try to mimic the perfect swing of golf pros or tennis champs without taking into account the limitations of your own body, you may be setting yourself up for injury. It's important to be aware of two inflammatory conditions: tennis elbow and golf elbow. Despite their names, these conditions can be diagnosed in anyone who engages in constant arm movements. They develop slowly over time from overuse.

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  • ACL Tear and MCL Tear: Key Differences and Treatment Options for Individual and Combined Injuries

    The ACL is in the middle of the knee joint and is an intra-articular ligament. This is important to understand because, in general, extra-articular ligaments (MCL) can heal sometimes on their own without surgery, while intra-articular ligaments (ACL) cannot.

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  • 11 Knee Pain Dos and Don’ts

    You can do many things to help knee pain, whether it's due to a recent injury or arthritisyou've had for years. Follow these 11 dos and don’ts to help your knees feel their best.

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  • Labrum SLAP Tear

    Your labrum is soft tissue that connects the socket part of the scapula (called the glenoid) with the head of the humerus. A tear in the labrum results in insufficient cushioning between those bones.

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  • Preventing Shoulder Pain After Vaccine Injection (SIRVA)

    Shoulder pain is a common side effect of a vaccine. Usually, it gets better fairly quickly and causes no long-term problems. However, some people develop a rare problem called shoulder injury related to vaccine administration (SIRVA).

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  • Knee problems tend to flare up as you age—an orthopedic specialist explains available treatment options

    Knee injuries are common in athletes, accounting for 41% of all athletic injuries. But knee injuries aren't limited to competitive athletes. In our everyday lives, an accident or a quick movement in the wrong direction can injure the knee and require medical treatment. A quarter of the adult population worldwide experiences knee pain each year

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