Surgery or Not Surgery - Case Discussion: Nicholas Colyvas, MD

Description

In this engaging presentation, Nicholas Colyvas discusses various cases of knee and shoulder injuries with an emphasis on diagnosis, treatment options, and patient demographics. The session begins with Colyvas expressing gratitude to the event organizers and the audience, setting a lively tone with music and applause.



The first case features a 17-year-old athlete who presents with a knee injury following a tackle. Colyvas describes the importance of taking into account the patient's age, activity level, and the specifics of the meniscus tear observed through clinical examination and MRI results. The audience participates through a response system, indicating their preferences for treatment, with a significant majority favoring surgical intervention for the young athlete with a lateral meniscus tear.



Moving on, Colyvas discusses a 46-year-old patient with history of ACL surgery and degenerative knee issues. He highlights the declining effectiveness of traditional surgical methods in light of studies suggesting conservative treatments, stressing the importance of physical therapy over surgery.



The presentation seamlessly transitions into the management of a 61-year-old patient suffering from a knee injury resulting from a fall. Colyvas reveals the MRI findings and discusses conservative management strategies while mentioning that surgery is reserved for more severe cases.



He also addresses a younger demographic including a 26-year-old with recurrent shoulder dislocations. Through these examples, Colyvas contrasts how older and younger patients may respond similarly yet require different levels of intervention.



Towards the end, he advises on making surgical decisions, noting that while conservative treatment is often preferred, surgery may still be necessary for certain patients. The audience’s involvement and the Q&A format ensure an interactive and informative session, ending with applause and wishes for happy holidays.

DOI: 10.1302/3114-240672

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