Keeping You Body Wise - Separated Shoulder

by admin June 30, 2010
I separated my shoulder. Is that a fracture?

No, a shoulder separation is actually a soft tissue injury. This injury frequently occurs from falls directly onto the shoulder. This injury involves the AC (acromioclavicular) joint which is a small joint on the “top” of the shoulder. Often the injury is revealed by a perceptible displacement of the joint and pain. It is classified as a sprain—grade I-III, where a grade I injury is nondisplaced; a grade III injury is 100% displaced and a grade II injury is somewhere in between. For the most part, these injuries are treated nonoperatively, but occasionally, surgery may be appropriate.

Andrew Rocca, M.D.
Board Certified – Orthopaedic Surgery



The Orthopaedic Institute Launches School Supply Drive

by BHulslander June 25, 2010

School Supply Dive LogoThe Orthopaedic Institute (TOI) is proud to kick off the month-long TOI School Supplies Drive, an initiative benefiting the school districts of Alachua, Marion and Columbia Counties. New and gently used items will be accepted June 25th through July 23rd , 2010.  All items collected will be distributed to public school teachers in an effort to alleviate the financial strain educators face when preparing for the new school year.


A recent study reported that teachers spend an average of $623 of their own money on supplies for their students each year. Kelly Brill, Assistant Principle at Fort Clarke Middle School understands the challenges faced by area educators. Brill states, “Unfortunately there are many families that are on free or reduced lunch and are unable to purchase the necessary school supplies for their children. Without hesitation teachers, guidance counselors, administrators and school staff purchase materials so no student will go without.”


Donations will be accepted through July 23rd in The Orthopaedic Institute’s 4 North Florida locations: Gainesville, Ocala, Lake City, and Alachua. All supplies collected in Gainesville and Alachua will be donated to Tools for Schools, Alachua County’s reusable resource center where public school teachers can shop for learning materials at no cost. Contributions in Ocala will be directed to Tools 4 Teaching and materials collected in Lake City will benefit the Columbia County School District. Traditional supplies are welcome, like paper, crayons and pencils, but gently used business or household items can also make wonderful educational tools.


“The TOI School Supplies Drive is a wonderful initiative that will provide school supplies to all students in need in Gainesville and the surrounding communities. The additional support is greatly appreciated,” adds Brill.


Below is a list of supplies often requested by teachers. Although all new or gently used educational supplies are welcome, donations of these items are always appreciated.





















non-traditional learning tools

production overruns

interestingly shaped trims

obsolete inventory/logo items

factory seconds or rejects

clean, colorful punch outs

packing products


Keeping You Body Wise - Torn Rotator Cuff

by admin June 24, 2010
My rotator cuff is torn. Do I need surgery?

This, in part, depends on the extent of the tear as well as your symptoms. There are four muscles and tendons that make up the rotator cuff. Any portion of the tendons, up to all four, can be torn. The tear may be only partial thickness as well. This is best assessed by MRI. Additionally the symptoms you are having will in part dictate the recommended treatment and is best discussed with your individual surgeon.

Andrew Rocca, M.D.
Board Certified – Orthopaedic Surgery



Summertime Health Tips

by kbrill June 21, 2010
Technically, today is the first day of summer! The United States and the rest of the northern hemisphere observe June 21st as the Summer Solstice. This means the Sun is the farthest north, which really means it makes it really, really hot outside, as we have all experienced these past few weeks.

The Orthopaedic Institute would like to provide you with some Summertime Health Tips to ensure you and your families have an active, fun, safe summer!

Summertime health tips.pdf


A common overuse injury in Sports Medicine

by rwilkerson June 16, 2010
Written by James W. Berk M.D.

The number of musculoskeletal injuries is on the rise in the last decade partly due to the increased participation in recreational exercises. Our society has become much more aware of the benefits of routine exercise in the prevention of common diseases such as coronary artery disease, hypertension, hypercholesterolemia, arthritis and a number of cancers. The majority of these injuries occur because of improper technique or training. One such common injury is called rotator cuff tendonitis/impingement syndrome:

The shoulder is truly an amazing joint in the fact that it is a highly mobile joint capable of significant power, speed and precision. It allows a person to be able to serve a tennis ball or throw a baseball at speeds greater than 100 miles an hour. The anatomy of the shoulder is complex and sometimes makes a diagnosis of specific injuries difficult. Briefly, the shoulder is composed of three joints (glenohumeral, acromioclavicular and sternoclavicular), 2 sets of muscle groups superficial (deltoid, biceps, pectorialis major and trapezoid) and a deep rotator cuff (supraspinatus, infraspinatus, teres minor and subscapularis) and 3 ligaments (glenonumeral, coroclavicular and corocoacromnal). As you can see there are many soft tissue constraints to the shoulder joint movement. This is the reason why the shoulder is often injured. The muscle and ligaments have the "work" of keeping the arm in socket while allowing significant mobility.

Impingement Syndrome" is the term we use to describe pain in the shoulder when the soft tissues (rotator cuff, bursa) are being "pinched" by the shoulder blade (acromion). It is very common in anyone who does a lot of overhead activities (tennis, baseball, volleyball, weightlifting). In the older population it may be associated with arthritis and degenerative "bone spurs". Your physician is often able to diagnosis this with simple x¬rays and physical exam. Initial treatment in patients with this disorder is aimed at strengthening the rotator cuff muscles and improving glenohumeral flexibility. A course of physical therapy is often prescribed. Drugs called non-steroidal anti-inflammatories (nsaids) such as Advil or Aleve are often used for pain control. Patients with continued symptoms may need an injection into the shoulder of a steroid to help relieve pain and inflammation. The severe case of impingement, which is often associated with rotator cuff tears, will need surgery to remove part of the shoulder blade and repair the rotator cuff.


Pain | Shoulder

Welcome to TOI's Blog!

TOI's Blog is dedicated to patient education with topics addressing current issues in health and medicine. We will also blog about some of our other favorite things, like community events, our wonderful employees, helping the environment and whatever else comes to our minds! We hope the information contained in our blog is fun to read, assists you in making educated decisions regarding your health, and supports your decision to select TOI when you are in need of quality musculoskeletal care.


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