Hello ASMI, could I please get a referral for the SF Bay Area (north bay is even better)?
My son is a 14yo who is being looked at by Kaiser docs who are saying he presents like he has a labrum tear and/or a Hill-Sacks lesion, based on physical exams by a sports doc and an orthopedic surgeon, and on one MRI and x-rays. He's going in for another MRI (with ink this time) and I have a feeling that whatever the final diagnosis and treatment recommendation may be that we should try to get an opinion from somebody outside of Kaiser with baseball-specific experience.
We may see Dr. Akiziki for a second opinion, but if surgery is required, we will probably need to have it done by a Kaiser doctor, unless we're willing to blow the kid's college fund. (he's a good ballplayer, but probably not that good).
Google did help me find a Kaiser orthopedic surgeon in San Jose who has an ASMI fellowship on his resume. His name is Mark Davies.
There are also 2 other surgeons, Scott Crow and Peter Matthews, in San Jose who did fellowships or residencies at the Kerlan Job clinic.
I am curious to know if ASMI has observed many baseball players with Hill-Sachs lesions? We got results on my 14yo's latest round of imaging today, and they are still seeing what is described as "a good sized defect in the head of the humerus, with no obvious labral injury." The kid has never had a shoulder dislocation, or even an abrupt onset of pain, and he has not pitched significant innings during the time that this has been an issue, so it's kind of an odd situation. My son's orthopedist seems surprised by it too, so I'm wondering if people who see a whole lot of baseball players have seen many of these injuries.
I am posting a follow up in case anyone finds this thread while looking for info on this kind of injury.
My son was seen by Dr. Mark Davies, who said that he had never seen shoulder present this way. (Hill-Sachs lesion with no dislocation and no tear to labrum) After consulting with doctors at ASMI, who said that they had seen only a few similar cases, and none involving such a young player, Dr. Davies said that my son's injury was the result of bone-on-bone contact between the humeral head and glenoid as he reached back to throw. He recommended that my son should only continue playing baseball if he can modify his throwing motion, either by dropping to side-arm or short-arming, or both, so that he can throw without feeling any shoulder pain. A regime to strengthen the rotator cuff was recommended, though Dr. Davies didn't say that this would help prevent further throwing injury. Surgery was not required at the current level of injury, and if it ever was indicated, would end my son's ability to throw.
As to whether my son will be able to continue playing baseball, we'll see. He just started throwing last week, and so far the result is ok. With more work I feel he'll be able to play 2B or 1B at the HS level adequately. LF or CF maybe. 3B, SS, RF - no way. Fortunately he's willing to work hard. And he can hit pretty well.
Dr. Davies feels that my son can play his other sport, basketball, without any more risk of shoulder injury than the average player.
Last Edit: Dec 31, 2013 15:46:47 GMT -6 by socodad
I looked up this thread today to check info for a friend. After re-reading it I've decided to post an update.
My son did play 4 years of varsity baseball in high school, as well as 4 years of varsity basketball. He did quite well in both, and now plays for a high academic division 3 college. He modified his throwing motion to side-arm and kind of short-arms the ball. That keeps him at 2b, though his natural position is SS.