Dr Matthew Tomaino

Orthopaedic Shoulder, Hand, and Elbow Specialist by training. My greatest gift is inspiring hopeful optimism- an “ I can do this” attitude and self-belief

[Dr Matthew Tomaino @mtomaino]

https://t.co/8TS6fKu9mJ

[Dr Matthew Tomaino @mtomaino]

@nicholastomaino Wonderful article Nicholas

[Nicholas Tomaino @nicholastomaino]

On preparing for Lent—and embracing the flip phone—in today's Wall Street Journal: https://t.co/xmbljl9fg7

[Dr Matthew Tomaino @mtomaino]

@nicholastomaino Inspirational story. Thank you for sharing this

[Nicholas Tomaino @nicholastomaino]

A little reflection on Our Lady, the rosary, and the Church of St. Vincent Ferrer in today’s Wall Street Journal: https://t.co/hEM190QrTz

[Nicholas Tomaino @nicholastomaino]

I spoke with Paul Clement about the court’s term. Out now and in tomorrow’s paper: https://t.co/Ltg25TaUDp

[Dr Matthew Tomaino @mtomaino]

Historically the biceps was felt to be important to stability. This paper echos my clinical experience. Gone are the days of mandatory SLAP repair in overhead athletes.

[American Shoulder and Elbow Surgeons @ASESmembers]

Shoulder SLAP tears in overhead athletes can be a difficult condition to treat. Surgical biceps tenodesis continues to gain popularity, and this study demonstrated a high rate of return to play and functional outcomes in overhead athletes specifically. https://t.co/5mQEXDrHjR

[American Shoulder and Elbow Surgeons @ASESmembers]

Shoulder SLAP tears in overhead athletes can be a difficult condition to treat. Surgical biceps tenodesis continues to gain popularity, and this study demonstrated a high rate of return to play and functional outcomes in overhead athletes specifically. https://t.co/5mQEXDrHjR

[Dr Matthew Tomaino @mtomaino]

Scan these various QR codes for information about common conditions that I provide care for—- courtesy of The American Society for Surgery of the Hand (ASSH)

[Dr Matthew Tomaino @mtomaino]

This podcast emphasizes the potential for synergy when therapist and surgeon work collaboratively— when they are on the same page. Outcomes are better. It’s why I routinely communicate with the Therapists I send my patients to. They become “our patients!!” https://t.co/3RZE6eIE7w

[American Shoulder and Elbow Surgeons @ASESmembers]

What are the current options for non-arthroplasty options in irreparable cuff tears. Check out the following article for current treatment options. https://t.co/s3gin39Tvl

[American Shoulder and Elbow Surgeons @ASESmembers]

After a patient undergoes a surgical procedure on one shoulder, should they expect a similar outcome on a contralateral shoulder surgery? This article helps answer that question. https://t.co/xXxFwY9wGi

[Dr Matthew Tomaino @mtomaino]

@ekniffin Lovely. Thx for sharing

[American Shoulder and Elbow Surgeons @ASESmembers]

Many of us have adopted the use of placing vancomycin powder in the surgical incision at the end of our shoulder replacement surgeries. There is limited evidence for this, but a recent study lends support to the practice. https://t.co/vPUqcsg2bV

[Dr Matthew Tomaino @mtomaino]

The Doctor’s Office Becomes an Assembly Line https://t.co/OitoXJx4Rj The last sentence of this article is what inspires me and my Team at Tomaino Orthopaedic Care. We look forward to helping our patients in the New Year!

[Dr Matthew Tomaino @mtomaino]

November 2021 J Sh&Elbow incl’d 2 articles relevant to tr’ment of rotator cuff tears. 1.Pts with small atraumatic tears may do as well with therapy alone…surgery is not a fait de complet. 2. By contrast, outcomes for Traumatic tears are best when surgery is performed within 3 wk

[Dr Matthew Tomaino @mtomaino]

Sept 2021 JSES provided 2 relevant articles regarding SCR. In a nutshell:1. Dermal allograft/intact subscap restores GH & Subacr forces & increases Acr-humeral space. 2.There’s a 62% failure rate but Pt reported outcomes improved.
So- perhaps it’s a tuberoplasty-spacer effect!?

[Dr Matthew Tomaino @mtomaino]

slides and passive rotation with the elbow at the side may be permissible. This is food for thought, to say the least. But, we know that pain and strength are better when tendon to bone healing occurs, so “a no sling protocol” may not be “worth it” in the final analysis.

[Dr Matthew Tomaino @mtomaino]

Wearing a sling for 6 weeks after rotator cuff repair is nearly “axiomatic”—to avoid tendon-bone interface failure. So too have rehab protocols evolved to “no motion” for 6 weeks. This 2019 level 2 study suggests that shoulder outcomes&pain level are less at 6 months in the no

[Dr Matthew Tomaino @mtomaino]

Sling Gp. But—- such a plan ( no sling and passive motion only) requires strict compliance. Balancing the risk of early retear with no difference in motion by 6 months....it seems risky to me except under special circumstances. The study certainly intimates that passive table top