knee doctor Archives | Jeremy M. Burnham, MD

Bone & Joint Clinic of Baton Rouge | Sports Medicine


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All Posts Tagged: knee doctor

Sports Medicine Coverage at The Church Academy – Baton Rouge, LA

Bone & Joint’s sports medicine team providing sideline coverage for The Church Academy’s football team in Baton Rouge, LA. Pictured from left to right: Olivia Wishman ATC, Jerrica Watson PA-C, Jonathan Kearney DPT (Peak Performance), and Lui Mancera MD (Baton Rouge General).

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Baton Rouge Knee Doctor

Dr. Burnham is a fellowship-trained sports medicine surgeon and knee doctor who has a special focus on knee injuries, ligament tears, and cartilage repair. His clinical and research focus has centered around ACL tears, meniscus tears, knee dislocation, and other knee ligament injuries. He trained under world-renowned knee doctors and surgeons at the UPMC in Pittsburgh, PA and UK in Lexington, KY. He currently practices in Baton Rouge, LA at the Bone & Joint Clinic and has privileges at several major hospitals in the area. Knee injuries treated by Dr. Burnham include:

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Official Orthopedic Partners of the 2018 Louisiana Marathon

Bone & Joint Clinic is proud to be the official orthopaedic partner of the 2018 Louisiana Marathon. We will have a tent by the finish line both Saturday and Sunday. Please come by and visit us either day!

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Click to Enlarge – Booths 23 & 24

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Pediatric & Adolescent Tibial Eminence Fracture

Background

Fractures of the tibial eminence, or tibial spines, are a type of knee injury often treatment by a sports medicine knee doctor. Tibial eminence fractures are bony avulsions of the anterior cruciate ligament (ACL) from its attachment to the tibia. Tibial eminence fractures are fairly rare and account for about 2-5% of pediatric knee injuries. These fractures occur most commonly in children between ages 8-14, although they occasionally occur in adults. These fractures often occur from hyperextension or rapid deceleration of the knee, similar to many ACL injuries. It is the traction on the ACL that leads to the avulsion injury. This is often seen with soccer, rugby, football, skiing, and other sports.

tibial spine tibial eminence pediatric knee doctor anterior cruciate ligament adolescent acl tear acl

Sapre V, Dwidmuthe SC, Bagaria V, Yadav S. Functional outcome in tibial spine fracture treated with arthroscopic pull through suture technique. J Orthop Traumatol Rehabil 2015;8:6-10

Classification

Tibial spine fractures are classified by the degree of displacement. Type I fractures are non- or minimally-displaced. This means the fracture is in great alignment and has not pulled away from the bone. Type II fractures show some lifting of 1/3 to 1/2 of the tibial eminence. The posterior “hinge” remains in place. Type III fractures are completely displaced. Type IIIA fractures have no malrotation, while Type IIIB fractures are rotated so the cartilage surface now faces the bony fracture site. Type IV fractures are displaced and comminuted.

tibial spine tibial eminence pediatric knee doctor anterior cruciate ligament adolescent acl tear acl

Speed-Bridge arthroscopic reinsertion of tibial eminence fracture; Orthopaedics & Traumatology: Surgery & Research, Volume 103, Issue 1, Pages 129-132
A. Hardy, L. Casabianca, O. Grimaud, A. Meyer

Treatment

Treatment is usually dictated by the degree of displacement. Type I fractures can be treated without surgery. This involves casting or bracing with the knee in full extension, or near full extension, for 3-6 weeks. Occasionally the knee is aspirated to remove the hemarthrosis (bloody swelling in the knee), which can help with symptoms. Isometric quad exercises are started immediately. Repeat x-rays are obtained through the course of treatment to make sure the fracture does not displaced (especially noticeable on the lateral x-ray). After adequate time for healing (4-6 weeks), more aggressive physical therapy is started to restore range of motion and strength.

Treatment of Type II fractures is somewhat controversial, although most Type III fractures are treated with surgeries. Some Type II fractures can be treated successfully with out surgery. Occasionally a closed reduction of the knee and casting is successful. The risk of treating a Type II fracture non-operatively is that meniscus or cartilage may become entrapped in the fracture site and prevent healing. Multiple fixation techniques have been described when surgery is needed. Many times, fixation can be done arthroscopically (through small incisions with assistance of an arthroscope).

Postoperative & Rehabilitation

Postoperative protocols can vary. In general, the knee is immobilized in near extension for 2-3 weeks. At that point, range of motion exercises are initiated. The main challenge after surgery is to prevent arthrofibrosis (stiffness of the knee) while allowing the repair to heal. Physical therapy is usually initiated at 2-3 weeks after surgery, and focuses on restoring range of motion and improving muscle strength.

References

Gans I, Ganley TJ. Tibial Eminence Fractures: A Review and Algorithm for Treatment. University of Pennsylvania Orthopaedic Journal.

May J, Levy B, Guse D, Shah J, Stuart M, Dahm D. ACL Tibial Spine Avulsion: Mid-term Outcomes and Rehabilitation. ORTHOPEDICS. 1; 34: 89. doi: 10.3928/01477447-20101221-10

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New Book Chapter on Stem Cells, PRP, and Emerging Biologic Treatments

Dr. Burnham co-authored a book chapter that detailed the role of stem cells, platelet-rich plasma (PRP), and other biologic treatments for sports medicine and orthopaedic injuries. The chapter was entitled “Current State for Clinical Use of Stem Cells and PRP” and is in the book entitled “Bio-orthopaedics: A New Approach.”

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After Hours Sports Injury Clinic on Friday and Saturday

The Bone & Joint Clinic and Lake After Hours have teamed up to hold an after hours sports clinic on Friday nights and Saturday morning during football season. There are two locations open until 11 p.m. on Friday nights with sports medicine doctors on call, and Dr. Mazoch and Dr. Burnham have training room at the Lake After Hours on Drusilla on Saturday mornings from 9-10:30 a.m. or until the last patient is seen.

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Publications

Peer-Reviewed Publications
  1. Burnham JM, Bradley JP. (2018) MRI Findings Are Only One Part of the Equation in National Football League Athletes: Shoulder Instability in Contact Athletes. Arthroscopy. doi: 10.1016/j.arthro.2017.07/026. PMID: 29304983.
  2. Unger RZ, Burnham JM, Gammon L, Malempati CS, Jacobs CA, Makhni EC. (2018) The Responsiveness of Patient-Reported Outcome Tools in Shoulder Surgery is Dependent of the Underlying Pathological Condition. Am J Sports Med. doi: 10.1177/0363546517749213. PMID: 29323925.
  3. Shin J, Burnham JM, Pauyo T, Moreau C. (2017). Refractory Pain Following Hip Arthroscopy: Evaluation and Management. Accepted, Journal of Hip Preservation Surgery, March 2017. Manuscript No. JHPS-2017-021.
  4. Pfeiffer TR, Burnham JM, Hughes J, Kanakamedala AC, Herbst E, Popchak A, Irrgang J, Debski RE, Musahl V. (2017). A Tomahawk Shaped Femur is a Risk Factor for Anterior Cruciate Ligament Injury. Accepted, JBJS, June 2017.
  5. Burnham JM, Wright V. (2017) Update on ACL Rupture and Treatment in the Female Athlete. Orthopaedic Clinics of North America, March 2017. doi: 10.1016/j.csm.2017.05.004. PMID: 28886823.
  6. Pfeiffer TR, Kanakamedala AC, Herbst E, Nagai K, Murphy C, Burnham JM, Popchak A, Debski RE, Musahl V. (2017). Female Gender Predicts Greater Rotatory Knee Laxity in Collegiate Athletes. KSSTA. doi: 10.1007/s00167-017-4684-6. PMID: 28823037.
  7. Musahl V, Herbst E, Burnham JM, Fu FH. (2017) A Review of the Anterolateral Complex and Anterolateral Ligament of the Knee. Accepted, July 2017, Journal of the American Academy of Orthopaedic Surgeons. Manuscript No. JAAOS-D-16-00758.
  8. McQuerry JL, Burnham JM, Ireland ML, Wright RD. (2017) Delayed Presentation of Thigh Compartment Syndrome in a Previously Undiagnosed Factor VII Deficient High School Football Athlete. Accepted, JBJS Case Connector, July 2017.
  9. Burnham JM, Fu FH. The importance of individualized, anatomic anterior cruciate ligament (ACL) reconstruction. Annals of Joint, July 2017. doi: 10.21037/aoj.2017.07.07
  10. Wilson BR, Roberson K, Burnham JM, Yonz MC, Ireland ML, Noehren B. (2017) Relationship Between Hip Strength and the Y-Balance Test Composite Score. Journal of Sport Rehabilitation, July 2017. doi: 10.1123/jsr.2016-0187 PMID: 28714790.
  11. Jacobs CA, Burnham JM, Jochimsen KN, Hunt ER, Malempati CS, Molina D, Hamilton DA, Abt JP, Lattermann C, Duncan ST. (2017) Preoperative Symptoms in Femoroacetabular Impingement Patients Are More Related to Mental Health Scores than the Severity of Labral Tear or Chondral Lesion. Accepted, Journal of Arthroplasty, June 2017. doi: 10.1016/j.arth.2017.06.053 PMID: 28739309.
  12. Burnham JM, Makhni EC, Meta F, Lizzio V, Bozic K. (2017) Technology Assessment and Cost-Effectiveness in Orthopaedics: How to Measure Outcomes and Deliver Value in a Constantly Changing Healthcare Environment. Current Reviews in Musculoskeletal Medicine. doi: 10.1007/s12178-017-9407-6. PMID: 28421386.
  13. Burnham JM, Pfeiffer T, Shin J, Herbst E, Fu FH. (2017) Bony Morphologic Factors Affecting Injury Risk, Rotatory Stability, Functional Outcomes, and Re-tear Rate after ACL Reconstruction. Annals of Joint, June 2017.
  14. Herbst E, Albers M, Burnham JM, Fu FH, Musahl V. (2017) Anatomy of the Anterolateral Complex of the Knee. Accepted, Orthopaedic Journal of Sports Medicine, July 2017.
  15. Massey P, Perry KJ, Berken D, James J, Nelson BG, Burnham JM, Hollister A. (2017) Delayed Diagnosis of Pediatric Osseous Blastomycosis of the Hand: A Brief Report. Hand & Microsurgery. doi: 10.5455/handmicrosurg/262225.
  16. Burnham JM, Malempati C, Carpiaux A, Ireland ML, Johnson DL. (2017) Anatomic Femoral and Tibial Tunnel Placement During Anterior Cruciate Ligament Reconstruction: Anteromedial Portal All-Inside and Outside-In Techniques. Arthroscopy Techniques, March 2017. doi: 10.1016/j.eats.2016.09.035. PMID: 28580242.
  17. Kline P, Burnham JM, Yonz MC, Johnson DL, Ireland ML, Noehren B. (2017) Hip External Rotation Strength Predicts Hop Performance After Anterior Cruciate Ligament Reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy, April 2017. April 2017. doi: 10.1007/s00167-017-4534-6. PMID: 28378137.
  18. Burnham JM, Albers M, Herbst E, Fu FH. (2017) Individualized, Anatomic Anterior Cruciate Ligament (ACL) Reconstruction. World Clinics in Orthopedics, Accepted
  19. Arner JW, Herbst E, Burnham JM, Rahnemai-Azar AA, Soni A, Naendrup J, Popchak A, Fu FH, Musahl V. (2017) MRI Can Accurately Detect Meniscal Ramp Lesions of the Knee. Knee Surgery, Sports Traumatology, Arthroscopy, doi: 10.1007/s00167-017-4523-9. PMID: 28343325.
  20. Herbst E, Albers M, Burnham JM, Shaikh HS, Naendrup J, Fu FH, Musahl V. (2017) The Anterolateral Complex of the Knee: A Pictorial Essay. Knee Surgery, Sports Traumatology, Arthroscopy, doi: 10.1007/s00167-017-4449-2. PMID: 28233023.
  21. Musahl V, Getgood A, Neyret P, Claes S, Burnham JM, Batailler C, Sonnerty-Cottet B, Williams A, Amis A, Zaffagnini S, Karlsson, J. (2017) Contributions of the Anterolateral Complex (ALC) and the Anterolateral Ligament (ALL) to Rotatory Knee Stability in the Setting of ACL Injury: A Roundtable Discussion. Accepted, Knee Surgery, Sports Traumatology, Arthroscopy, April 2017. doi: 10.1007/s00167-017-4436-7. PMID: 28286916.
  22. Herbst E, Burnham JM, Albers M, Musahl V, Fu FH. (2017) Layer-by-Layer Anatomy of the Anterolateral Complex of the Knee. Operative Techniques in Orthopaedics, doi: 10.1053/j.oto.2017.02.002.
  23.  Rahnemai-Azar AA, Zlotnicki J, Burnham JM, Guenther D, Soni A, Debski RE, Musahl V. (2017) Secondary Stabilizers of the ACL Deficient Knee. Operative Techniques in Orthopaedic Surgery, doi: 10.1053/j.oto.2017.02.005.
  24. Burnham JM, Herbst E, Pauyo T, Johnson DL, Fu FH, Musahl V. (2016) Technical Considerations in Revision ACL Surgery. Accepted, Operative Techniques in Orthopaedics, October 2016. http://dx.doi.org/10.1053/j.oto.2017.01.012.
  25. Jacobs CA, Burnham JM, Malempati C, Makhni EC, Swart E, Johnson DL. (2016). Allograft Augmentation of Hamstring Autografts for Young Patients Undergoing ACL Reconstruction: Clinical and Cost-Effectiveness Analyses. American Journal of Sports Medicine. Doi: 10.1177/0363546516676079. PMID: 28298052.
  26. Burnham JM, Herbst E, Albers M, Pauyo T, Fu FH. (2016) The Anterolateral Complex of the Knee: A Comprehensive Review of Its Structure and Function. Journal of Clinical Orthopaedics, October 2016. doi: 10.13107/jcorth.2454-5473.141.
  27. Goldberg J, Burnham JM, Dhawan V. (2016) Subcutaneous Ulnar Nerve Transposition Using Osborne's Ligament as a Ligamentodermal or Ligamentofascial Sling. Accepted, American Journal of Orthopedics. Manuscript No. AMJORTHOP-D-15-00220.
  28. Burnham JM, Yonz MC, Robertson K, McKinley R, Wilson BR, Johnson DL, Ireland ML, Noehren B. (2016) Correlation of Hip and Trunk Dysfunction with Single Leg Step-Down Performance. PTIS doi: 10.1016/j.ptsp.2016.05.007 PMID: 27592407
  29. Burnham JM, Kim D, Kamineni S. (2016) Midshaft Clavicle Fractures: A Critical Review. Orthopedics 39(5). PMID: 27220117.
  30. Burnham JM, Howard J, Lattermann CL. (2015) Medial Patellofemoral Ligament Reconstruction with Concomitant Tibial Tubercle Transfer: A Systematic Review of Outcomes and Complications. Arthroscopy. doi: 10.1016/j.arthro.2015.11.039. PMID: 26882966.
  31. Duncan ST, Khazzam MS, Burnham JM, Spindler KP, Dunn WR, Wright RW. (2015). Sensitivity of Standing Radiographs to Detect Knee Arthritis: A Systematic Review of Level I Studies. Arthroscopy, 31(2),321-328. doi: 10.1016/j.arthro.2014.08.023. PMID: 25312767.
  32. Burnham JM, Broussard M, Milbrandt TA. (2014). Bilateral Pulmonary Embolism in an Adolescent with Sickle Cell Disease and a Recent Total Hip Arthroplasty. The Iowa Orthopaedic Journal, 34, 107-110. PMID: 25328468.
  33. Burnham J, Hollister A, Rush D, Avallone T, Shi R, Jordan J. (2011). Technique for and an Anatomic Guide to Forearm Tendon Repair. Techniques in Hand & Upper Extremity Surgery, 15(2), 125-132. doi: 10.1097/BTH.0b013e318201ba07. PMID: 21606787.
  34. Cardenas RJ, Javalkar V, Ezer H,Burnham J, Nanda A. (2011). Occipital Interhemispheric Transtentorial Approach to the Superior Cerebellum. J Clin Neurosci, 18(1), 128-130. doi: 10.1016/j.jocn.2010.04.053. PMID: 20947356.
Books & Book Chapters
  1. Burnham JM, Murr K, & Kamineni S. (2016). Arthroscopy of the Elbow: The Basics. In G. S. Kulkami (Ed.), Textbook of Orthopaedics and Trauma (3rd ed., Vol. 3, pp. 2008-2014): Jaypee Brothers
News, Media, & Non-Peer Reviewed Publications
  1. Burnham JM, Frank R. Sports Medicine Research at the 2016 Annual Meeting: Part 2 – Upper Extremity and Return-to-Play. AAOS Now. May, 2016.
  1. Burnham JM, Frank R. Sports Medicine Research at the 2016 Annual Meeting: Part 1 – Basic Science, Lower Extremity, and Cost-Effectiveness. AAOS Now. April, 2016.
  1. Burnham JM. The AAOS Resident Assembly: A Look Back on the Inaugural Year. AAOS Now. April, 2016.
  1. Erickson B, Burnham JM. Effect of Work Hour Restrictions on Orthopaedic Residency. AAOS Now. January, 2016.
  1. Harwood JL, Burnham JM. Leadership in Orthopaedics: A Personal Journey. AAOS Now. September, 2015
  1. Burnham JM, Harwood JH. Wearable Technology: Implications for Orthopaedic Surgery. AAOS Now. August, 2015.
  1. Erickson B, Burnham JM, Harwood JL, Frank R. What are the Essential Reads for Orthopaedic Residents? A Call for a National Orthopaedic Surgery Reading List. AAOS Now. August, 2015.
  1. Midley, Connie. Daily Exercise Improves Overall Health. Vim & Vigor. December, 2015.
  1. Burnham, JM. Importance of Core Strength in Overall Health. Lexington Herald-Leader. October 26, 2014.
Submitted Publications
  1. Jacobs CA, Burnham JM, Malempati C, Makhni EC, Swart E, Johnson DL. (2016). Allograft Augmentation of Hamstring Autografts for Young Patients Undergoing ACL Reconstruction: Clinical and Cost-Effectiveness Analyses. Submitted, American Journal of Sports Medicine, May 2016.
  1. Wilson BR, Roberson K, Burnham JM, Yonz MC, Ireland ML, Noehren B. (2016) Relationship Between Hip Strength and the Y-Balance Test Composite Score. Submitted, International Journal of Sports Medicine, May 2016. Manuscript No. IJSM-05-2016-5634-ob.
  1. McQuerry JL, Burnham JM, Ireland ML, Wright RD. (2016) Delayed Presentation of Thigh Compartment Syndrome in a Previously Undiagnosed Factor VII Deficient High School Football Athlete. Submitted, JBJS Case Connector, May 2016.
  1. Burnham JM, Willis CB, Ireland ML. (2016) Can Femoral Tunnel Reaming Method in ACL Reconstruction Be Determined from Plain Radiographs Alone? Submitted, KSSTA, March 2016. Manuscript No. KSST-D-16-00393.
  1. Goldberg J, Burnham JM, Dhawan V. (2016) Subcutaneous Ulnar Nerve Transposition Using Osborne's Ligament as a Ligamentodermal or Ligamentofascial Sling. Revisions Submitted, American Journal of Orthopedics, January 2016. Manuscript No. AMJORTHOP-D-15-00220.
  1. Eads R, Burnham JM, Hennig, P, Ireland ML. (2016) Candidal Septic Arthritis Masquerading as a Twisting Injury of the Knee. Submitted, Iowa Orthopaedic Journal, January 2016.
  1. James J, Massey P, Heaton JM, Berken D, Burnham JM, Hollister AM. (2015) Blastomycosis Osteomyelitis of a Pediatric Hand: Case Report and Literature Review. Submitted, Clinical Orthopaedics and Related Research, June 2015.
  1. Yonz MC, Burnham JM, Noehren B, Ireland ML. (2015) Relationship Between Trunk, Hip, and Knee Extension Strength to Hop Test Performance. Submitted, Medical Science in Sports and Exercise, June 2015.
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ACL Reconstruction Surgery

Overview

Anterior cruciate ligament (ACL) injuries are one of the most common sports injuries in the United States. The ACL is one of the most important ligaments in the body, and is crucial to providing stability of the knee joint. Unfortunately, the ACL has poor healing potential, and ACL surgery is required to reconstruct the torn ligament in most cases. In some cases, however, the ACL can be repaired in a way that it will heal. Most of the time, repair is not possible and a reconstruction is needed. ACL reconstruction surgery is done by taking a tendon from somewhere else in the body (or from a donor) and using it to replace the torn ACL. 

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Home

Patient-Centered, State of the Art Care

Fellowship Trained Surgeon

We utilize cutting edge techniques developed by sports medicine experts around the world, including minimally invasive surgical techniques, arthroscopic surgery, biologics and stem cell use, and ultrasound imaging.

Individualized Treatment

No two patients are exactly the same. We use new technology and sound principles to individualize each patient's treatment according to their own anatomy and physiology.

Get Back in the Game

Our goal is to optimize and restore your health so that you can return to the field, court, baseball diamond, performance stage, track, road, or trail as quickly and safely as possible, using operative and nonoperative treatments.

Sports Medicine Experience

We have treated and performed surgery on athletes from the recreational level to the highest levels of competition, including professional and collegiate athletes. All patients are treated with the same attention to detail and the same standard of care.

Expert Analysis

Dr. Burnham has authored and co-authored over 50 scientific publications and book chapters, and has presented research and instructional lectures at national and international meetings. 

Team Coverage

Dr. Burnham has served as a team physician for professional, collegiate and high school sports teams, including football, baseball, basketball, gymnastics, wrestling, track & field, equestrian sports, and swimming & diving.

Athletes Treated

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  • sports medicine orthopedic meniscus tear meniscus repair knee surgeon knee doctor hip surgeon hip impingement baton rouge acl repair acl reconstruction acl
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Schedule your sports medicine evaluation today.

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