Conditions we treat

Hip

Acetabular fracture

Fracture of the socket side of the hip joint, usually from high-energy trauma.

Avascular necrosis of the hip

Loss of blood supply to the femoral head that leads to bone collapse.

Developmental dysplasia

A hip socket that formed too shallow, causing instability or early arthritis.

Femoral neck fracture

A break just below the ball of the hip joint.

Hip impingement (FAI)

Extra bone at the hip causes pinching during bending and pivoting.

Hip bursitis (greater trochanteric)

Inflammation of the bursa on the outside of the hip.

Hip dislocation

The ball of the hip joint comes out of its socket.

Hip flexor strain

Pull or tear of the muscles that lift the thigh.

Hip labral tear

Tear of the cartilage ring that deepens the hip socket.

Hip osteoarthritis

Wear-and-tear loss of cartilage in the hip joint.

Iliotibial band syndrome

Irritation of the thick band on the outside of the thigh.

Intertrochanteric fracture

A common hip fracture below the ball and above the shaft.

Pelvic ring fracture

Fracture of the pelvic bones, usually from high-energy trauma.

Snapping hip

A snapping sensation as a tendon slides over a bony ridge.

Knee

ACL tear

Rupture of the anterior cruciate ligament, a common sports injury.

Distal femur fracture

Break of the thighbone just above the knee.

Knee osteoarthritis

Wear-and-tear loss of cartilage in the knee.

Lateral meniscus tear

Tear of the outer meniscus cartilage in the knee.

LCL sprain

Sprain of the ligament on the outside of the knee.

MCL sprain

Sprain of the ligament on the inside of the knee.

Medial meniscus tear

Tear of the inner meniscus cartilage in the knee.

Osteochondritis dissecans

A fragment of bone and cartilage loosens inside the knee.

Patellar instability & dislocation

The kneecap slips out of its groove.

Patellar tendinopathy

Painful degeneration of the tendon just below the kneecap.

Patellar tendon rupture

Complete tear of the tendon below the kneecap.

Kneecap pain (patellofemoral)

Aching pain at the front of the knee around the kneecap.

PCL tear

Tear of the posterior cruciate ligament in the knee.

Prepatellar bursitis

Swelling of the bursa in front of the kneecap.

Quadriceps tendinopathy

Painful degeneration of the quadriceps tendon above the kneecap.

Quadriceps tendon rupture

Complete tear of the tendon above the kneecap.

Tibial plateau fracture

Break of the upper shinbone joint surface.

Shoulder

AC joint arthritis

Wear of the small joint on top of the shoulder.

AC joint separation

Sprain or tear of the ligaments that hold the collarbone to the shoulder blade.

Frozen shoulder (adhesive capsulitis)

Painful stiffening of the shoulder capsule that limits motion.

Anterior shoulder instability

The shoulder repeatedly slips out the front.

Bankart lesion

Tear of the front labrum after a shoulder dislocation.

Biceps tendinopathy

Painful irritation of the long head of the biceps at the shoulder.

Biceps tendon rupture

A torn biceps tendon at the shoulder or elbow.

Humeral shaft fracture

Break of the main part of the upper arm bone.

Posterior shoulder instability

The shoulder slips out the back, often with pushing activities.

Proximal humerus fracture

Break of the upper arm bone at the shoulder.

Rotator cuff tear

Tear of one of the tendons that move and stabilize the shoulder.

Rotator cuff tendinopathy

Painful irritation of the rotator cuff tendons without a full tear.

Scapula fracture

Break of the shoulder blade, usually from high-energy trauma.

Shoulder dislocation

The ball of the shoulder comes fully out of its socket.

Shoulder osteoarthritis

Wear-and-tear loss of cartilage in the shoulder joint.

SLAP tear

Tear of the top of the shoulder labrum where the biceps attaches.

Sternoclavicular injury

Sprain or dislocation where the collarbone meets the breastbone.

Subacromial impingement

Pinching of the rotator cuff beneath the bony shelf of the shoulder.

Elbow

Coronoid fracture

Fracture of a key bony stabilizer at the elbow.

Cubital tunnel (elbow nerve)

Compression of the ulnar nerve at the inside of the elbow.

Distal biceps tendon rupture

Tear of the biceps tendon where it attaches at the elbow.

Distal humerus fracture

Break of the upper arm bone at the elbow.

Distal triceps tendon rupture

Tear of the triceps tendon where it attaches at the elbow.

Tennis elbow (lateral epicondylitis)

Painful degeneration of the tendons on the outside of the elbow.

Golfer’s elbow (medial epicondylitis)

Painful degeneration of the tendons on the inside of the elbow.

Elbow bursitis (olecranon)

Swelling of the bursa at the tip of the elbow.

Osteochondritis dissecans of the capitellum

A fragment of bone and cartilage loosens inside the elbow.

Radial head fracture

Break of the forearm bone at the elbow joint surface.

Radial tunnel syndrome

Compression of the radial nerve in the forearm.

Terrible triad injury

A combined elbow dislocation with two associated fractures.

UCL injury

Sprain or tear of the inner elbow ligament, common in throwers.

Hand & Wrist

Carpal tunnel syndrome

Compression of the median nerve at the wrist.

De Quervain’s (thumb tendon pain)

Painful irritation of the thumb-side wrist tendons.

Dupuytren's contracture

Thickening of tissue in the palm that bends the fingers inward.

Ganglion cyst

A fluid-filled cyst on the wrist or hand.

Guyon's canal syndrome

Compression of the ulnar nerve at the wrist.

Jersey finger

Tear of the tendon that bends the fingertip.

Kienbock's disease

Loss of blood supply to a small wrist bone.

Mallet finger

Tear of the tendon that straightens the fingertip.

Metacarpal (Boxer's) fracture

Break of one of the long bones in the palm.

Mucous cyst

A small cyst near the fingertip, often from nearby arthritis.

Nail-bed injury

A crush or cut involving the nail and the tissue beneath it.

Phalangeal fracture

Break of one of the small bones in the fingers.

Scaphoid fracture

Break of a small but important wrist bone, easy to miss.

Scapholunate ligament injury

Sprain or tear of a key stabilizing ligament in the wrist.

Skier's (Gamekeeper's) thumb

Tear of the ligament on the inner side of the thumb.

TFCC tear

Tear of the cartilage complex on the small-finger side of the wrist.

Thumb CMC osteoarthritis

Wear of the joint at the base of the thumb.

Trigger finger

A finger that catches or locks as it bends.

Spine

We evaluate spine conditions and coordinate non-operative care (injections, therapy, bracing) in the clinic. When an operation is warranted, we refer to a trusted spine surgeon — see the Spine page for more.

Cervical disc herniation

A bulging disc in the neck pressing on nearby nerves.

Cervical radiculopathy

Pinched nerve in the neck causing arm pain or numbness.

Cervical stenosis

Narrowing of the spinal canal in the neck.

Coccydynia

Pain at the tailbone, often from a fall or prolonged sitting.

Facet joint arthropathy

Wear of the small stabilizing joints along the back of the spine.

Lumbar disc herniation

A bulging disc in the low back pressing on nearby nerves.

Lumbar spondylolisthesis

One vertebra slips forward on the one below it.

Lumbar stenosis

Narrowing of the spinal canal in the low back.

Mechanical low back pain

Common low back pain from muscles, joints, and discs without nerve involvement.

Sacroiliac (SI) joint dysfunction

Pain at the joint between the pelvis and the base of the spine.

Sciatica

Leg pain, numbness, or weakness from an irritated spinal nerve.

Spondylolysis

A stress fracture of a small bony bridge in the spine.

Thoracic compression fracture

Collapse of a vertebra in the middle of the back, often from osteoporosis.

Whiplash

Neck strain from a sudden back-and-forth motion.

Foot & Ankle

Achilles rupture

Complete tear of the Achilles tendon at the back of the ankle.

Achilles tendinopathy

Painful degeneration of the Achilles tendon.

Ankle fracture

Break of one or more of the bones that form the ankle joint.

Ankle osteoarthritis

Wear-and-tear loss of cartilage in the ankle.

Calcaneus fracture

Break of the heel bone, usually from a fall from height.

Chronic ankle instability

Repeated ankle sprains and a feeling that the ankle gives way.

Fifth metatarsal (Jones) fracture

Break at the base of the small-toe-side foot bone.

Big toe arthritis (hallux rigidus)

Wear of the joint at the base of the big toe.

Bunion (hallux valgus)

A bony bump where the big toe angles toward the other toes.

Hammer toe & claw toe

Toes that bend abnormally at the middle or end joints.

High (syndesmotic) ankle sprain

Sprain of the ligaments just above the ankle joint.

Lateral ankle sprain

The most common ankle sprain, on the outside of the ankle.

Lisfranc injury

Sprain or fracture-dislocation of the midfoot.

Metatarsal stress fracture

A hairline break of a long bone in the forefoot from overuse.

Metatarsalgia

Pain under the ball of the foot.

Morton's neuroma

Irritation of a small nerve between the toes.

Navicular stress fracture

A hairline break of a midfoot bone from overuse.

Peroneal tendon tear

Tear of a tendon along the outside of the ankle.

Pilon fracture

A high-energy break of the lower shinbone into the ankle joint.

Plantar fasciitis

Painful irritation of the tissue on the bottom of the foot.

Plantar plate tear

Tear of the ligament plate beneath a toe joint.

Posterior tibial tendon dysfunction

Wear or tear of the tendon that supports the arch of the foot.

Sever's disease

Growth-plate heel pain in active children.

Talus fracture

Break of a key bone inside the ankle joint.

Tarsal tunnel syndrome

Compression of a nerve on the inside of the ankle.

Trauma

Most fractures and trauma reach OSI through the emergency room. Our surgeons take overnight call at Christus Santa Rosa Hospital and Resolute Health Hospital in New Braunfels, and Dr. Twitero covers Guadalupe Regional Medical Center in Seguin. Fracture management and recovery continue with our team after you leave the hospital.