Category: Dr. Mark Wichman

Veterans and Rookies Seek Jobs at Milwaukee Admirals Training Camp

 

Milwaukee Admirals  pic

Milwaukee Admirals
Image: milwaukeeadmirals.com

Dr. Mark Wichman is a board-certified orthopedic surgeon in practice with Aurora Healthcare of Milwaukee, Wisconsin, where he specializes in arthroscopic surgery and Sports Medicine. In addition, Dr. Mark Wichman serves as a team physician for the Milwaukee Admirals of the American Hockey League (AHL). This will be Dr. Wichman’s 15th season with the team as Head team physician.

In preparing for the 2017-2018 season, the Admirals began training camp on September 26 at the Kern Center under the guidance of sixth-year head coach Dean Evanson and drew a mix of familiar and fresh faces. Players competing for permanent roster spots on the team included those who played for the team last year as well as offseason acquisitions by both the Admirals and their National Hockey League (NHL) affiliate, the Nashville Predators.

While the team’s top two scorers from last season, Pontus Aberg and Vladislav Kamenev, were absent from camp, returning players included Trevor Smith, Alex Carrier, and Trevor Murphy. Goaltender Anders Lindback, who played for the team from 2010 to 2012, is back with Milwaukee following a stint in Sweden, while 10-year AHL veteran Pierre-Cedric Labrie and former NHL player Bobby Butler were signed in the offseason. Other roster hopefuls included former Canadian juniors and players from Scandinavian professional leagues.

Advertisements

Addressing Rotator Cuff Tears through Arthroscopic Surgery

Rotator Cuff Tears pic

Rotator Cuff Tears
Image: orthoinfo.aaos.org

An established presence in the Milwaukee medical community, Dr. Mark Wichman practices with Aurora Advanced Healthcare Orthopaedics. Dr. Mark Wichman’s areas of focus include arthroscopic surgery of the shoulder, and he has extensive knowledge of shoulder stabilization and rotator cuff repair techniques.

Complete tears to the rotator cuff typically require reattachment of the tendon to the head of the upper arm bone (humerus). In less serious cases, a debridement, or smoothing and trimming procedure, may be undertaken.

The arthroscopic approach to surgery is less invasive than traditional open incisions, which may still be required in complex and large-tear cases. With arthroscopy, a tiny camera is inserted into the shoulder joint, with the moving images generated utilized in guiding extremely thin instruments that address the problem. This approach requires only small incisions and can usually completed in a day as an outpatient procedure.

Following surgery, a sling is employed to immobilize the arm, with the shoulder typically requiring between four to six weeks of healing to reach a point where normal movement outside of a sling is recommended.

Four Benefits of Woodworking

 

Woodworking pic

Woodworking
Image: theodysseyonline.com

An orthopedic surgeon with over 20 years of experience, Dr. Mark Wichman works with Aurora Advanced Healthcare in Milwaukee, Wisconsin. In his leisure time, Dr. Mark Wichman enjoys a variety of hobbies, including woodworking. Benefits of pursuing woodworking as a hobby include:

1. Improved physical health. Working with wood means constant standing and moving, leading to a less sedentary lifestyle and, by extension, fewer circulatory problems, improved cardiovascular function, and lower blood pressure.

2. A healthy brain. Woodworking is a creative activity that uses the entire brain and has been shown to increase cognitive function. It also can defend against dementia and memory loss.

3. Improved mood. Working with wood increases serotonin production, which can lead to improved happiness and help ward off depression and other mood disorders.

4. Transferable skills. Many abilities used in the woodshop also can be used in the workplace. Math skills, project planning, and time management are some of these skills.

Joints of the Shoulder

 

Management of the Unstable Shoulder: Arthroscopic and Open Repair pic

Management of the Unstable Shoulder: Arthroscopic and Open Repair
Image: amazon.com

As an orthopaedic surgeon with Aurora Advanced Orthopaedics in Milwaukee, Wisconsin, Dr. Mark Wichman draws on particular experience in shoulder stabilization. Dr. Mark Wichman has taught on this subject at the American Academy of Orthopaedic Surgeons’ annual meeting and is a chapter author for the book, Management of the Unstable Shoulder: Arthroscopic and Open Repair.

The shoulder mechanism exists at the intersection of the humerus, the clavicle, and the scapula. The articulation among these three bones, which also connect with the ribs and spine, form the joints of the shoulder.

The glenohumeral joint presents where the head of the humerus, or upper arm bone, fits within a concave depression of the humerus, or shoulder blade. This articulation forms a ball-and-socket interface. This is the main location of a shoulder dislocation, where the ball of the humerus pops out of its articulation with the glenoid socket of the scapula.

There are also smaller joints, with less range of motion, in places where the clavicle articulates with the scapula and sternum. The sternum, or breastbone, meets the clavicle at the sternoclavicular joint, located at the base of the neck. The more distal end of the clavicle, meanwhile, meets a bony projection of the sternum known as the acromion at the acromioclavicular (AC) joint. It is trauma at this joint that is referred to as a shoulder separation.

The fourth joint of the shoulder lies at the back of the body, where the scapula articulates with the ribs. This is known as the scapulothoracic joint and is not always included in the category of shoulder joints, though it does involve the motion of the shoulder blade.

Common Acute Injuries to the Knee

 

Acute Injuries to the Knee pic

Acute Injuries to the Knee
Image: webmd.com

For more than 20 years, Dr. Mark Wichman has served as an orthopaedic surgeon with Aurora Advanced Orthopaedics in Milwaukee, Wisconsin. In that role, Dr. Mark Wichman has treated numerous acute knee injuries.

Acute injuries, which occur as a result of impact or other sudden trauma as opposed to overuse, can damage any number of the soft tissues of the knee. The anterior cruciate ligament (ACL) is subject to tearing upon a poor jump landing or rapid direction change, while the posterior cruciate ligament (PCL) may tear upon impact to the kneecap. Tears in either ligament can interfere with the front-to-back stability of the joint.

The medial collateral ligament (MCL), which runs along the side of the knee, is an even more commonly injured structure. Tears to this ligament occur when an impact to the outside of the knee pushes the joint inward, while a blow that sends the knee outward can injure the lateral cruciate ligament (LCL) on the knee’s interior side.

Other vulnerable structures in the knee include the patellar and quadriceps tendons, which connect the leg bones to the joint. These commonly occur due to falls, improper jump landings, or impact, and are most prevalent among athletes of middle age.

Injuries to the meniscus, a cushion of cartilage inside the knee joint, may also be more likely as the athlete ages. Like the ACL, these tears can occur when the individual twists, turns, or changes direction rapidly, though the kind of sudden movements that cause tearing may be much more subtle in an older individual.

Meniscus Transplant Surgery

Meniscus Transplant Surgery pic

Meniscus Transplant Surgery
Image: verywell.com

Dr. Mark Wichman is a Milwaukee-based orthopedic surgeon with Aurora Advanced Healthcare Orthopedics. With over 20 years of experience, Dr. Mark Wichman applies his expertise to a number of conditions, including injuries and degenerative conditions of the knee, shoulder, ankle, and elbow. Physicians at Aurora Advanced Healthcare Orthopedics performed the first cartilage transplant in 1997.

The meniscus is a C-shaped piece of cartilage that provides cushioning and shock absorption for the knee joint. When that cushioning is damaged or worn, significant paint and arthritis can develop. A patient will often undergo arthroscopic surgery to have the meniscus trimmed or repaired. If the patient meets certain criteria, he or she may be a candidate for a meniscus transplant.

During a meniscus transplant procedure, the damaged tissue is replaced with donor cartilage that has undergone extensive testing. After the surgery, a patient should expect to immobilize his knee for 4-6 weeks. Then, he will undergo several weeks of physical therapy. Normal daily activities can be resumed after two to three months. The risk of complications from a meniscus transplant are very small.

A patient is a candidate for a meniscus transplant if he is missing over half of a meniscus, is under 55 year’s old, healthy, active, and exhibits normal alignment. He must also show evidence of very little arthritis and damage to articular cartilage.

Shoulder Dislocation vs. Separation

 

Shoulder pic

Shoulder
Image: webmd.com

Dr. Mark Wichman, an orthopedic surgeon with Aurora Healthcare, has practiced in his specialty for more than 25 years. Particularly experienced in the treatment of shoulder instability, Dr. Mark Wichman stands out as author of a chapter on interval and posterior plication in the textbook Management of the Unstable Shoulder.

Typically, patients with shoulder instability have either a dislocation of the glenohumeral (GH) joint or a separation of the acromioclavicular (AC) joint. Separation of the AC joint indicates damage to the ligaments connecting the collarbone to the upper scapula. Because these ligaments play a crucial role in suspension of the arm, the humeral bone can then slip out of place and push toward the tip of the shoulder.

A dislocation of the GH joint, by contrast, occurs when the humerus slips out of the cup formed by the glenoid structure of the scapula. It indicates a weakness in the connection between these neighboring structures, most often exacerbated by a traumatic injury. Dislocation typically manifests as an anterior shift of the humeral head, though some patients experience a posterior shift or a universal looseness throughout the joint.

Either condition may potentially be treatable through surgery, though any decisions regarding intervention will depend on the patient’s condition. Areas of consideration include the patient’s age and activity level, as well as the severity and frequency of separation or dislocation.
Dr. Wichman has been team physician for the Milwaukee Admiral’s hockey team for 13 years. Shoulder dislocations and separations are extremely common among professional hockey players. Arthroscopic techniques for repairing dislocated shoulders and separated shoulders have come a long way allowing these techniques to help professional athlete and weekend athletes alike.