Sean E. Sitton, MD

Husband, Father, and Board Certified Orthopaedic Sports Medicine Surgeon @AndrewsSportMed @AlabamaFTBL @IowaOrthoRes @BCMHouston @BYU

[Sean E. Sitton, MD @SSittonMD]

@LenMacPT I typically do “ROM as tolerated” for peripheral MMT and for Medial Roots and LMT (root, radial, bucket, LMORT, large peripheral, hypermobile) limit 0-90° for first 2-4 weeks. Wouldn’t limit ROM beyond 4 weeks for any tear.

[Sean E. Sitton, MD @SSittonMD]

@SSittonMD Correct. We know that from Thompson 1991 study but does that mean a peripheral repair cannot withstand that motion of ~11 mm? Some motion is often ok and needed

[Sean E. Sitton, MD @SSittonMD]

@kevinfarmermd 😳

[Sean E. Sitton, MD @SSittonMD]

CASE STUDY

ACL-QT 9 months out. About to be a college freshman athlete, highly motivated, weight room junkie BUT:

55% LSI on isometric strength testing at 90 deg and pain at QT, so sent him for an Isokinetic test

Still showed ~55% LSI but less pain.

We’ve done BFR, ice, vibration, hip extended knee extensions, NMES with extensions, squats, RFESS, and much more.

What do you do now?

[Sean E. Sitton, MD @SSittonMD]

@LenMacPT I feel like listening to feedback from my PTs makes me a better surgeon and helps us take better care of patients. Even tho large majority of my ACLs are BTB auto, I also value my PT’s initial impressions during pre-hab which can often influence/change my surgical strategy.

[Sean E. Sitton, MD @SSittonMD]

@txsportsdoc @robgraymd @CE_HandSurg @NuelleSportsMD @H2O_SportsMD Baby Hohmann on ulnar side, Army/Navy on Radial side and distally.

[Sean E. Sitton, MD @SSittonMD]

@txsportsdoc @drchrisahmad Very possible. 💪