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The
Modern Orthopedics Blog


Inlay vs Stemmed Humeral Components in Reverse Total Shoulder Arthroplasty (RTSA)
Reverse total shoulder arthroplasty (RTSA) has become a highly reliable solution for patients with severe shoulder arthritis, rotator cuff tears, fractures, and failed prior shoulder surgery. As implant designs evolve, patients often ask about newer “stemless” or inlay implants versus traditional stemmed shoulder replacements , and how these choices affect recovery, durability, and long-term outcomes. Inlay vs Onlay Humeral Components: What’s the Difference? A traditional on
Ian Barrett
Jan 193 min read


Revolutionizing Elderly Care With Reverse Total Shoulder Arthroplasty for Proximal Humerus Fractures
Proximal humerus fractures are a common injury in the elderly, often resulting from low-energy falls. Managing these fractures presents unique challenges due to factors like osteoporosis, comorbidities, and limited bone quality. Traditional treatment methods, including conservative management and open reduction internal fixation (ORIF), sometimes fail to restore function or lead to complications. Recently, reverse total shoulder arthroplasty (RTSA) has emerged as a promising
Ian Barrett
Dec 9, 20254 min read


Osteoporosis vs. Osteoarthritis: Understanding the Difference
Many patients are surprised to learn that osteoporosis and osteoarthritis are completely different conditions, even though both affect the bones and become more common with age. Knowing the distinction can help you understand your symptoms, guide your treatment options, and protect your long-term bone and joint health. What Is Osteoporosis? Osteoporosis is a condition where the bones become weak, fragile, and more likely to break . It develops when the body loses bone fast
Ian Barrett
Nov 23, 20252 min read


Orthobiologic Treatments New Frontier: Protein-Folding and "Virtual Cells"
About two weeks ago I discovered two exciting areas of AI research could reshape the future of regenerative orthopedics: AI-based protein modeling and virtual cell simulations. I knew that this technology was on the way but until recently I did no understand how far it had come. In a recent interview on A16Z with Mark Zuckerberg and Priscilla Chan (of Facebook fame) I learned what their Biohub project is working on in collaboration with multiple university research centers
Ian Barrett
Nov 7, 20252 min read


🧬 Peptide Injections and Musculoskeletal Health: An Orthopedic Surgeon’s Perspective
Introduction Over the past decade, peptide therapy has sparked growing interest across sports medicine, regenerative orthopedics, and wellness medicine. Peptides—short chains of amino acids that serve as cellular messengers—are being explored for their potential to promote healing and reduce inflammation in musculoskeletal injuries. As an orthopedic surgeon, I often receive questions about the role of peptide injections in enhancing recovery or supporting joint and soft-tissu
Ian Barrett
Nov 7, 20253 min read


Why Did My Meniscus Tear?
By an orthopedic surgeon who fixes a lot of knees—and spends even more time trying to protect the meniscus you were born with. This is...
Ian Barrett
Sep 26, 20253 min read


Enhancing Healing and Cosmesis: The Impact of Sterile Collagen Dressings on Surgical Wound Management
Whenever I complete a total knee arthroplasty I take a moment to appreciate the beautiful mechanical simplicity before I put my head back...
Ian Barrett
Jan 27, 20254 min read


Management of Medial Meniscus Root Tears
Understanding the Injury The medial meniscus root attaches the meniscus to the tibia, anchoring it within the knee. A tear at this...
Ian Barrett
Nov 12, 20243 min read
Platelet Rich Plasma (PRP) and Partial Rotator Cuff Tears
Partial tears of the rotator cuff are common, especially among active adults and athletes, and often present with pain, reduced range of...
Ian Barrett
Nov 12, 20242 min read
Anatomic Versus Reverse Total Shoulder Arthroplasty
Introduction As a shoulder replacement surgeon, the question that I am asked most frequently prior to surgery is the difference between...
Ian Barrett
Nov 12, 20244 min read


Top 5 Exercises for Men Over 40 to Reduce the Risk of Injury
As men age, maintaining physical fitness becomes not only important for health but also essential for reducing the risk of injuries that...
Ian Barrett
Sep 3, 20242 min read


Sudden Pop in the Calf? The Medial Gastrocnemius Tear AKA Tennis Leg
Understanding Medial Gastrocnemius Tears Tennis Leg: A Treating Orthopedic Surgeon’s Perspective As an orthopedic surgeon, I often...
Ian Barrett
Sep 3, 20243 min read


Frozen Shoulder - Seeking to Understand Orthopedics Most Vexing Problem - Part I
This winter season (or at least as close to winter as we seem to get in California) seems like the perfect time to talk about perhaps the...
Ian Barrett
Jan 2, 20242 min read


Radiofrequency Ablation for Knee Pain? An Orthopedic Surgeon Weighs In.
In recent years, radiofrequency ablation of the genicular nerves has emerged as a promising and minimally invasive technique to manage...
Ian Barrett
Dec 31, 20232 min read


Lower Back Pain - The Upright Ape's Achilles Heel
I am willing to bet that ever since the first Homo Sapien rose up to peer over the swaying grass of the African plains that shortly...
Ian Barrett
Dec 8, 20233 min read


Robotic Assisted Knees: Why I Switched
As an orthopedic surgeon invested in providing the best possible outcomes for my patients, the decision to transition from manual...
Ian Barrett
Dec 3, 20231 min read


Too Much Calcium in my Tendon? Understanding Calcific Tendonitis
Calcific tendonitis, also known as calcific tendinopathy or calcifying tendinitis, is a condition characterized by the formation of...
Ian Barrett
Nov 27, 20232 min read


Cortisone Injections: Understanding the Side Effects
Photo by Mika Baumeister on Unsplash Injectable corticosteroids and oral steroids are both forms of corticosteroid medications, which are...
Ian Barrett
Nov 13, 20232 min read


Adult Distal Radius Fractures: To Fix or Not to Fix
The decision to cast or surgically treat a distal radius fracture is based on several factors. I always take the time to examine each...
Ian Barrett
Nov 13, 20232 min read


Pectoralis Major Rupture - Do you even lift?
Short one today. For all the gymgoers out there. The dreaded pectoralis tear. The management of tendinous and intramuscular tears of the...
Ian Barrett
Nov 5, 20232 min read
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