{"id":1080,"date":"2019-05-18T09:47:04","date_gmt":"2019-05-18T04:17:04","guid":{"rendered":"http:\/\/yza.ec2.mytemp.website\/blog\/?p=1080"},"modified":"2019-05-18T09:47:04","modified_gmt":"2019-05-18T04:17:04","slug":"knee-shoulder-surgery-how-do-you-ensure-the-best-outcome","status":"publish","type":"post","link":"https:\/\/starimagingindia.com\/blog\/knee-shoulder-surgery-how-do-you-ensure-the-best-outcome\/","title":{"rendered":"Knee\/shoulder surgery \u2013 How do you ensure the best outcome?"},"content":{"rendered":"

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You\u2019re probably first asking yourself \u2013 do you even need invasive treatment? If you\u2019ve been recommended to undergo knee\/shoulder surgery, your immediate (logical) reaction would be to get a second opinion from another doctor, and rightly so. Some tell-tale symptoms – like pain that lasts months despite medication, physiotherapy and other treatments, pain\/unsteadiness that prevents you from carrying out daily activities \u2013 could indicate the need for corrective surgery. However, while getting a second opinion from a doctor is common knowledge, where they often make a mistake is in underestimating the importance of the imaging scan (X-ray\/MRI\/CT) done before the surgery. In fact, the quality of the scan dramatically impacts the diagnosis and the outcome of the surgery. In this blog, we caught up with Dr. Shailendra Walunj, Star Imaging\u2019s radiologist, to understand why this often-overlooked component plays such a decisive role.<\/p>\n

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How does a hi-resolution scan help \u2013 can you give us an example?<\/h4>\n<\/div>\n<\/div><\/div><\/div><\/div><\/section>
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Dr. Walunj: \u201cA hi-resolution image, like the one produced by our advanced 3 Tesla MRI, helps outline bone, ligament and other soft tissue structures more clearly, enabling radiologists and doctors to pinpoint the problem better. To give you an example, imagine if someone suffers an Anterior Crucial Ligament (ACL) tear in their knee – one of the most common knee injuries amongst sports people. In this case, most scans will diagnose the problem correctly as an ACL tear \u2013 however, that may not always be enough. Helping the surgeon understand which component of ACL (antero medial band or posterolateral band) is torn, the grade of the tear, and which attachment is torn, can ensure much better surgical decision and outcomes, with a more lasting treatment. This is where the 3T MRI and other hi-resolution scans play a differentiating role \u2013 the quality and clarity of these scans can help us understand where the problem lies exactly.\u201d<\/p>\n

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But it\u2019s not just the machine \u2013 the radiologists too play a crucial role, right?<\/h4>\n<\/div>\n<\/div><\/div><\/div><\/div><\/section>
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Dr. Walunj: \u201cYes, absolutely! Let\u2019s again take the above example as a case in point \u2013 Most often, when the ACL is injured, there would be some trauma to the postero-lateral corner structures. If there is, and the surgery doesn\u2019t stabilize this section because the scan failed to highlight it, or the radiologist failed to address this piece of information, the person would have an unsteady knee even after corrective surgery. The result? A huge loss of time, energy and effort, not to mention the sheer frustration, pain and agony the patient is put through. Picking up on every tiny detail, like small but critical stabilising structures, is part of the radiologist\u2019s responsibilities. However, we\u2019ve observed that it takes a radiologist specialized in MSK (musculoskeletal) to accurately identify and interpret this section. This is one of the reasons we focus on hiring specialized, trained radiologists at Star Imaging. Our MSK imaging specialists always report these often-overlooked details, like postero lateral structures, calling them out even if they are normal. In fact, only an MSK radiologist with considerable experience can report a pattern-based injury. This provides the surgeon with a clear, detailed view of the scope and root of the problem, enabling a more successful operation. With new advances in radiology and imaging, treatment options now focus on minimally invasive or non-invasive treatment options.<\/p>\n

Think of it like the difference between painting over a water stain on the wall, only to have it come back again \u2013 and actually digging deeper to understand the real cause and extent of the problem, and then taking lasting, corrective measures. Smart patients will always choose the latter!\u201d<\/p>\n

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About Star Imaging<\/h2>
Star Imaging is the preferred diagnostic centre for eminent sportspeople across the country. We house the most advanced 3T MRI scanners with ambient experience, which minimize claustrophobia, 128 slice CT scanners which maximize clarity and minimize radiation, 2D & 3D Ultrasound and Color Doppler machines, Digital X-rays, an advanced 3D mammography scanner, etc. as well as super-specialized radiologists, including MSK radiologists, who are experts in interpreting scan images. Call us at 020 4132 2222 for more information \u2013 we\u2019re located it Deccan, Bund Garden Road, Akluj, with a new centre coming up in Wakad in May 2019.<\/div><\/div>
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