Biceps / Tendons Tear

The biceps, as its name implies, is a two-headed muscle with origins around the shoulder that insert in the forearm just below the elbow. In this location, the biceps can function as one the key flexors of the elbow and rotators of the forearm. Disorders of the biceps can affect the muscle belly itself of… Read More »

The Shoulder and Elbow in the Young Athlete

Introduction Shoulder and elbow injuries are, unfortunately, common in young athletes. In part this is due to the repetitive nature of many overhand sports, such as baseball, tennis and swimming which subjet the shoulder and elbow to repetitive loads over extended periods of time. Athletes who play these sports often develop chronic overuse type injuries.… Read More »

Dr. Dines has been featured on Fox News!

Dr. Dines was recently featured by Fox News discussing overdoing exercising and the danger it represents. Experts: Overdoing Exercise Leads to Injury MyFoxNY—December 16, 2014 Most of us want to look good and be healthy and there are plenty of workout programs to accomplish that. But at what point are we going overboard? Dr. Josh… Read More »

Posterior Cruciate Ligament Tears

Even though the anterior cruciate ligament (ACL) gets most of the attention in sports, injuries to the posterior cruciate ligament (PCL) can also affect athletes and their seasons. Although less commonly injured than the ACL, the PCL can be strained or torn from direct blows to the shinbone (“tibia”) or from a fall on a… Read More »

Sports After Shoulder Replacement Surgery

Arthritis affects the shoulder less frequently than the hip or knee, but it still results in more than 10,000 shoulder replacements being done per year in the United States. The most common type of arthritis in the shoulder, Osteoarthritis, is a degenerative condition that destroys the cartilage on the humerus (ball) and glenoid (socket). It… Read More »

AC Joint in Baseball Players

Shoulder problems in pitchers are usually related to the rotator cuff muscles or the labrum. These are soft tissue structures that help stabilize the shoulder during the throwing motion. For Mariano Rivera, the shoulder pain that he had a few seasons before his retirement was related to his acromioclavicular joint (or AC joint). The AC… Read More »


Cartilage injuries in the knee are not uncommon in collegiate and professional athletes of all sports, although contact and high-impact activities are particularly high-risk. Unlike most tissues in the body, however, the articular cartilage that lines the surfaces of our joints has no inherent ability to regenerate. We are born with what we have and… Read More »

Rotator Cuff Tears in Pitchers

The rotator cuff consists of four muscles that act together to stabilize and move the shoulder joint. Due to the function of these muscles, sports which require demanding overhead activities, such as tennis, baseball, or swimming, put the rotator cuff muscles under an undue amount of stress. A rotator cuff tear indicates a defect in… Read More »

Tommy John Surgery …will they get back to the majors?

Hundreds of professional baseball players have undergone elbow medial collateral ligament reconstruction (MCL; ulnar collateral ligament reconstruction UCL; tommy john surgery) The UCL is one of the main stabilizers of the elbow during the throwing motion. It is located on the inside (or medial aspect) of the elbow. Throwing a baseball places a tremendous amount… Read More »

Dead Arm Syndrome

Pain during the throwing motion that results in decreased velocity is commonly referred to as “Dead Arm Syndrome.” It can be related to any of the bones or soft tissues in the shoulder joint, but it usually involves the rotator cuff tendons or the labrum. The rotator cuff is a group of 4 muscles but… Read More »