Despite advances in rotator cuff repair instruments and techniques, not all rotator cuff repairs heal. As a result, finding ways to improve rotator cuff healing is critically important. The subacromial bursa, which is tissue that sits on top of the rotator cuff, has been found to be rich in stem cells. These cells are thought to be critically important in healing, but traditional rotator cuff repair techniques involve removing and discarding this subacromial bursa tissue. Dr. Gregory has pioneered a technique to capture the subacromial bursa, and reimplant it on top of the rotator cuff after a repair. He performs this technique routinely, and has seen excellent results. As part of his desire to improve the quality of shoulder care, he has published his technique in the hopes on encouraging other surgeons to find ways to improve rotator cuff healing.
Gymnastics is a sport that puts significant stress on the shoulder and elbow joints. In some patients, this stress can lead to injury. In the recent edition of JBJS Case Connector, Dr. Gregory describes a gymnast who sustained a stress fracture to a bone on the front part of the elbow, called the coronoid. Unfortunately, this stress fracture did not heal, and required surgery. Dr. Gregory pioneered a new minimally invasive arthroscopic elbow technique to fix this fracture, which was successful in allowing the patient to return to gymnastics at a high level. This technique has the potential to improve the care of other gymnasts who sustain similar injuries. For more information, see the research article below.
In a recent article from the Journal of the American Academy of Orthopaedic Surgeons, Dr. Gregory and his team analyzed all the shoulder replacements done in the state of Texas since 2010. They found approximately half of the Texas population does not have access to specialists who perform shoulder replacements, and there may be a huge unmet need in these patients for care of their shoulder problems. Patients are also more willing to travel longer distances to see specialists like Dr. Gregory who perform large numbers of shoulder replacements, which can be done on an outpatient basis in most cases. Please contact Dr. Gregory’s office if you would like more information about traveling to Houston for evaluation or surgical correction of your shoulder condition.
The subacromial bursa is tissue that is found on top of the rotator cuff. When the rotator cuff is torn and needs to be repaired, this tissue is removed so that the surgeon can see the damage. Traditionally, this tissue has been discarded. Recently, Dr. Gregory and others have discovered that this tissue is rich in stem cells, and may play a role in helping the rotator cuff heal. As a result, Dr. Gregory has pioneered a technique to preserve this tissue and reimplant it back into the shoulder after rotator cuff repair. Dr. Gregory performs the subacromial bursa reimplantation routinely, and has seen positive results. The video below highlights Dr. Gregory teaching his technique to other orthopedic surgeons nationwide.
As we get a better handle on the healthcare resources required to treat COVID-19, we are now able to offer selected appointments for patients who need to be seen in person by Dr. Gregory. To help protect the safety of both you and our staff, we will be limiting the number of these appointments, and will be enforcing strict social distancing guidelines during your visit. Of course, for patients who do not need to be seen in person, or who choose to minimize their risk of social exposure, we are happy to schedule a telemedicine visit. If you would like to be seen for your shoulder or elbow condition, either in person or virtually, please contact our office at 713-486-1700.
To help support efforts of local authorities to prevent the spread of the novel coronavirus, Dr. Gregory has established telemedicine visits. Using a smartphone or a computer with a webcam, you will be able to connect with Dr. Gregory virtually instead of coming in to the clinic. Using video, Dr. Gregory will be able to evaluate your shoulder or elbow function, and may be able to diagnose many common conditions. These visits are covered by insurance. They can be a very good option for many patients, including those who live remotely, but would still like to consult with one of Houston's top shoulder and elbow specialists.
If you would like to set up a telemedicine visit, please contact Dr. Gregory’s office at 713-486-1700.