The TEAM to TRUST.
Patients deserve the best, which is why Drs. Peter DeNoble, MD, David Ratliff, MD, and Lorraine Stern, MD created Modern Orthopaedics of New Jersey. Each of our doctors is a recognized board-certified expert in orthopaedic surgery and believes that a strong doctor-patient relationship is the foundation of excellent care.
In other words, we treat the whole person, not just the condition.
As a patient, it’s hard to know who to trust with your care. That’s why at Modern Orthopaedics of New Jersey, from your first phone call until your last visit, our staff and physicians will explain everything and make your experience as easy as possible.
Our patients are family, and we always go the extra mile!
When your kids pop into the office after a long day of patients! 🤣
Btw, what’s “Flamin Hot”??
@peterdenoblemd
#orthopedicsurgery #whiteboard #kids
“Avocado Hand”!
Cooking and food prep is a little different when looked at from a hand surgeon’s perspective. We see a lot of different hand injuries and one common hand laceration is the dreaded “avocado hand”. This sends thousands of people to the ER every year. Cutting an avocado in the palm of your hand puts vital structures at risk. Always try to avoid cutting towards your hand and fingers. See the repair of a digital nerve from this injury at @modernorthointheor.
#avocadohand #fingerlaceration
@davidratliffmd
Today’s Lesson:
ULNOCARPAL IMPACTION SYNDROME
I had the opportunity after office hours today to teach our awesome PAs, @big_timetimmy_jim and Nicole Garey, about ulnocarpal impaction syndrome of the wrist.
Ulnocarpal impaction is one of the largest underlying reasons for why people have ulnar-sided wrist pain, and it is a very common complaint from patients who come to us for evaluation.
Ulnocarpal impaction happens when the ulna bone is relatively longer than the radius bone in the forearm. This can be as a result of a normal anatomic variant, or as a result of prior trauma.
This relative difference causes the longer ulna to start to “abut” into the carpal bones, most commonly the lunate. This “impaction” can also eventually cause TFCC tears, cartilage injuries, and even arthritis.
Bottom line - ulnocarpal impaction can be very painful and dysfunctional.
Fortunately there are some great ways to treat this, both conservatively and operatively.
In fact, you can check out one of my recent surgeries for this problem at @modernorthointheor
🖐 @peterdenoblemd
#orthopedics #handsurgery #wristsurgery #ulnarsidedwristpain #upperextremity #arthroscopy #DRUJinjury #wristinjury #orthopedicsurgeon #handsurgeon #handtherapy #occupationaltherapy #physicaltherapy #teaching
@djlisi is fully recovered from his shoulder injury & surgery, and is already back on the slopes! Thx for the awesome video, my man!
Nothing is more satisfying than seeing my patients back to doing what they love... and quickly!!
This is the Modern Way.
@peterdenoblemd @modernorthointheor
#happypatients #testimonial #snowboarding #shouldersurgeryrecovery #shouldersurgeon #shouldersurgery #claviclefracture #topdoctor #physicaltherapy #physicianassistant
Finally had a chance to mount the office white board! Time to teach!
#orthopedics #shouldersurgery #wristsurgery #handsurgery #shoulderscope #sleepwell #shoulderarthroscopy #upperextremity #arthroscopy #orthopedicsurgeon #handtherapy #occupationaltherapy #physicaltherapy #orthopedicsurgeryresidency #physicianassistant #athletictrainer
@peterdenoblemd and @davidratliffmd collaborating on an arthroscopic Type V SLAP repair today.
#orthopedics #athletictrainer #slaptear #shouldersurgeon #upperextremity #arthroscopy #shouldersurgery #orthopedicsurgeon #physicaltherapy #workmanscomp #minimallyinvasive
COVID-19 cases are climbing all over New Jersey.
Our team here at @modernorthonj are taking ALL of the safety precautions necessary to ensure we can treat your #shoulderpain , #elbowpain , and #handpain in as safe an environment possible.
We also use #telehealth when we can, for things like X-ray or MRI reviews, or routine post-op check-ups.
Here are a few of the things we are doing here in the office to protect our patients and staff:
✅ Universal masking (staff all wear N95s).
✅ Social Distancing - patients wait in car prior to coming into exam rooms.
✅ Room cleaning in between EVERY patient - we have hired a dedicated staff member to exclusively focus on terminal cleaning after each and every patient visit.
✅ UV / HEPA filtration - We have installed a dedicated UV filter to kill airborne virus, and HEPA filters to capture and clean the air.
#powerhouseteam #orthopedics #shouldersurgery #handsurgery #wristsurgery #elbowsurgery
So thankful to get to do what I love and for everyone in Modern Orthopaedics. Wishing safety and health to everyone and your family, friends, and loved ones. Happy Thanksgiving! @davidratliffmd
Reverse shoulder arthroplasty
Most proximal humerus fractures heal. This fracture in a 70+ yo woman didn’t make any progress with healing for many months. With persistent pain and limited functioning, this was greatly impacting her life. The constant pain that she had preop quickly went away after surgery.
#shouldersurgery #shoulderreplacement #orthopedics #upperextremity
@modernorthointheor
@davidratliffmd
One of my favorite parts of being a “bone doctor” is treating the kiddos!
They tend to be my most resilient patients, no matter the injury.
This 3-year-old fell off her bed while playing with her brother last weekend, and I reduced and casted her in the ED.
Today I saw her back today for a 1 week follow-up, and she showed up with this perfectly manicured cast!
☑️ Clean 🧼
☑️ Padding intact
☑️ Well-spaced signatures, msgs, and drawings ✍️
☑️ Good color-balance 🌈
☑️ Bones well-aligned 🦴
🙌
@peterdenoblemd
#orthopedics #casting #pediatrics #pediatricorthopedics #forearmfracture #bothbonefracture #upperextremity #orthopedicsurgeon #handtherapy #occupationaltherapy
ROTATOR CUFF REPAIR,
ARTHROSCOPIC @peterdenoblemd
@davidratliffmd
This patient had a high energy injury to his shoulder, and there was a LOT of damage! 😳
Rotator cuff tear (supraspinatus & infraspinatus)
Superior labrum tear
ALL of these BIG tears fixed through VERY SMALL incisions.
#orthopedics #shouldersurgery #shoulderscope #shoulderarthroscopy #upperextremity #arthroscopy #orthopedicsurgeon #handtherapy #occupationaltherapy #physicianassistant #athletictrainer #minimallyinvasivesurgery
On Call - RADIAL FRACTURE (metadiaphyseal)
This young boy got his arm caught under his friend (his body went over his friend) and he broke the distal end of his radial shaft... ouch!! Notice how the bone is bent at the break site!
This needs to be straightened out to heal properly.
After I numbed up the fracture with marcaine, I reduced it, aka bent the bone back in place to make it straight.
Now the bone is as straight as an arrow, is in a well-conformed splint, and is on its way toward healing perfectly!
@peterdenoblemd
#forearmfractures #distalradiusfracture
#orthopedicsurgery #orthopedics #emergencysurgery #orthotrauma #nurse #emergencyroom #armfracture #handsurgery #orthopedicsurgeon
SHOULDER ARTHRITIS.
Pain from shoulder arthritis has such a personalized negative impact on a patient’s life.
If you are affected by it, your life can start to revolve (or devolve) around the pain, as it wraps itself around nearly EVERY overhead or reaching activity you do.
Once the pain starts to wake you up from sleep, it becomes an absolutely unavoidable life dysfunction.
A final cure to the problem can feel so good. Movements and activities that you haven’t done in years are possible again, and without pain.
This patient is an 80-year-old woman who tried to put off surgery for as long as possible, but finally she couldn’t bear the pain. Today I gave her a #totalshoulderreplacement.
@peterdenoblemd
#orthopedics #shoulderarthritis #arthritis #shouldersurgery #shoulderarthroplasty #upperextremity #orthopedicsurgeon #physicianassistant #athletictrainer #physicaltherapy #physicaltherapist #pain
MY SHOULDER SCOPE SETUP
Here’s how I set up most of my shoulder arthroscopy cases. This is a quintessential part of making a shoulder scope efficient and reproducible!
1) Position
2) Drape
3) Markout anatomy
4) Markout portals
(TIMEOUT)
5) Scope!
@peterdenoblemd
@modernorthointheor
#orthopedics #shouldersurgery #shoulderscope #shoulderarthroscopy #upperextremity #arthroscopy #orthopedicsurgeon #handtherapy #occupationaltherapy #physicianassistant #athletictrainer #orthopedicsurgery #physicaltherapy #minimallyinvasivesurgery
What better way to celebrate #paweek2020 than by adding @big_timetimmy_jim to our #allstarteam at Modern Ortho! Welcome aboard, my man!
#physicianassistant #orthopedics #shouldersurgery #handsurgery #wristsurgery #elbowsurgery #upperextremity #arthroscopy #wristinjury #orthopedicsurgeon #shouldersurgeon #handsurgeon #handtherapy #occupationaltherapy
Fun day doing a microsurgery lab with the residents. Teaching and practice with the operative microscope is time well-spent!
#residenteducation #microsurgery #microsurgerytraining @davidratliffmd
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Modern Orthopaedics of New Jersey is a team of top orthopaedic surgeons specializing in the treatment of upper extremity conditions of the hand, wrist, elbow and shoulder.
