Tyler Collins, M.D.
Arthroscopic and Reconstructive Surgery of the Shoulder, Hip, Knee, and Elbow
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Dr. Tyler Collins is a board certified and fellowship-trained orthopedic surgeon specializing in arthroscopic and reconstructive surgery of the shoulder, hip, knee, and elbow.
Dr. Collins completed a fellowship in sports medicine at the world renowned Steadman Clinic in Vail, CO. There he learned advanced techniques in hip arthroscopy, complex knee ligament and cartilage reconstruction, and all aspects of shoulder and elbow surgery, including total and reverse shoulder replacement. During his fellowship, he cared for professional athletes from the NFL, NBA, NHL, Olympics, and Major League Baseball. Dr. Collins completed his residency at the University of Southern California where he received extensive training in trauma and fracture care at the LAC+USC Medical Center, one of the busiest Level I trauma centers in the country. He also attended medical school at USC, where he graduated as a Deans Scholar. Prior to pursuing medicine, he graduated with high honors from the University of Virginia where he played NCAA Division I baseball and was Academic All-ACC.
Dr. Collins is very active in orthopedic research and has published and presented papers on shoulder fracture treatment, and treatment of young patients with shoulder arthritis. He is a member of the American Academy of Orthopedic Surgeons (AAOS) and The American Orthopedic Society for Sports Medicine (AOSSM).
Dr. Collins likes to create a professional but relaxed clinical atmosphere where everyone feels comfortable and able to ask questions freely. He wants you to leave each visit confident and encouraged and believes that clear communication, patient education, and patient participation are vital to the success of any treatment. As a former college athlete, Dr. Collins recognizes the impact an orthopedic injury can have on your life, and is committed to returning you to an active lifestyle.
Click to view/download Dr. Collins newest bio collateral!
Dr. Collins serves these TOCA locations:
Stress Fracture Symptoms and Treatment Tips from TOCA’s Orthopedic Experts
“You have a stress fracture” is a diagnosis shared all too often by orthopedic specialists, especially when treating athletes. Athletes are most at risk due to repetitive activity and overuse of their feet and legs. Overuse causes the lower extremities to continually absorb these forces and potentially causing tiny cracks in the bones.
If athletic activity is too frequent, it diminishes the body’s ability to repair and replace bone. And the likelihood of sustaining a stress fracture increases. That’s why runners, dancers, soccer players, and basketball players are particularly vulnerable to stress fractures.
And, according to The Orthopedic Clinic Association (TOCA) orthopedic and sports medicine care expert, Dr. Gerald Yacobucci, MD, “If they are already experiencing consistent pain, the more these athletes train and compete, the more they may be placing themselves at greater risk for injury – and time away – from the sport or activity they enjoy.”
Here’s what Dr. Yacobucci and the TOCA team want ALL athletes, parents, and coaches to know in order to recognize stress fracture symptoms, help prevent stress fractures from occurring, and remain injury-free.
Stress Fracture Symptoms
What are some of the signs of stress fracture to watch out for? Rather than the sharp pain resulting from an acute fracture, stress fractures are typically accompanied by a dull pain that increases gradually. Often, the pain subsides during rest and intensifies during activity. Swelling around the site may be present as well as some tenderness and bruising. As mentioned above, stress fractures can be caused by overuse of lower extremities, common in athletes, but they can also arise from a sudden upsurge in physical activity. Osteoporosis can also increase the chance of a stress fracture.
It’s important to remember that, if dull pain persists, it’s time to seek help from an orthopedic specialist!
Treatment of Stress Fractures
Immediately after injury or stress fracture symptoms occur, patients are encouraged to follow the RICE (Rest, Ice, Compression, Elevation) method. Once you consult with you orthopedic specialist, he/she will examine the “pain point” and X-rays will likely be taken. If the stress fracture is not visible via X-ray, but your doctor still suspects that you have a stress fracture, he/she may recommend that you get an MRI.
Nonsurgical treatment options for stress fractures include keeping weight off of the area (perhaps wearing a boot or using crutches), and modified activity for a period of up to 8 weeks. In some, more severe, cases, surgery may be necessary to allow the stress fracture to heal properly. This typically entails using a pin, screw, or plate to “fasten” the bones together in order to promote healing. The key to recovery is to allow ample time for rest, healing, and rehabilitation. Taking time off ensures that you can eventually get back to the activities you enjoy safely and without placing yourself at risk for additional injury.
Stress Fracture Prevention
According to Dr. Yacobucci, “One of the most important pieces of advice I share with patients, especially athletes, is to monitor and be mindful of your activity and pain level. If you find that you’re consistently experiencing pain during training or workouts, then it’s time to listen to your body’s signals. Refrain from activity until you seek further treatment from an orthopedic expert.”
Additional stress fracture prevention tips from Dr. Yacobucci and TOCA experts include:
- Wearing footwear with good support.
- Strength training and cross-training to avoid overuse of certain muscle sets and strain on bones.
- Good nutrition, including plenty of calcium and Vitamin D for optimal bone strength.
- And good common sense. Listen to your body’s signals and seek help if pain persists after adequate rest.
To schedule a consult with Dr. Yacobucci, or one of TOCA’s knowledgeable and highly trained orthopedics specialists, please contact us at 602.277.6211.
Dr. Blazuk and colleagues study the Validity of Indirect Ultrasound Findings…
Title: Validy of Indirect Ultrasound Findings in Acute Anterior Cruciate Ligament Ruptures
Ken Mautner, MD, Walter I. Sussman, DO, Katie Nanos, MD, Joseph Blazuk, MD, Carmen Brigham, ATC, Emily Sarros, ATC
Objectives: Ultrasound (US) is increasingly being used as an extension of the physical examination on the sidelines, in training rooms, and in clinics. Anterior cruciate ligament (ACL) injury in sport is common, but the literature on US findings after acute ACL rupture is limited. Three indirect US findings of ACL rupture have been described, and this study assessed the validity of these indirect signs.
American Institute of Ultrasound in Medicine / J Ultrasound Med 2018; 9999:1-8 / 0278-4297
Gerald Yacobucci, M.D.
Sports Medicine, Arthroscopic & Reconstructive Surgery of the Knee & Shoulder
Gerald Yacobucci, M.D. is an expert in the field of orthopedic surgery and sports medicine. He trained at one of the leading Sports Medicine Centers in the United states at the University of Pennsylvania in Philadelphia. He has specialty training in sports medicine and additional training and experience in surgery to restore damaged or deficient cartilage in the knee. He has published articles in orthopedic and sports medicine journals, presented on numerous topics, and participated in clinical research.
KNEE PRESERVATION: “My mission is to provide patients with damaged knees all available options to relieve pain and restore maximum function and most importantly, delay or eliminate the need for Total Knee Replacement. My Sports Medicine background has taught me to approach these complex knees from a preserve and protect standpoint…..that is, to only repair what is damaged and to never replace what is still viable. That said, I always use biology (growing or grafting with living tissue) when available and only move on to prosthetic (non-biologic) implantation when all else fails. If biology is not an option, I use a minimalist approach to prosthetic implantation, using mini-implants that Resurface only the damaged areas….leaving the remainder of the knee intact. Partial Knee Replacement is explored in many cases when the patient is younger and has a large portion of the knee that is undamaged.”
Click to view/download Dr. Yacobucci’s Knee Preservation Collateral
At your appointment, Dr. Yacobucci will spend as much time as you need in face- to-face discussion with you about your condition. He will use anatomy models and diagrams to explain the details of your problem as well as all of the available options for your treatment. If surgery is needed, he will outline a detailed plan for your procedure and recovery, including the all-important timeline for “return to action” … whether it’s work, sports, a quality lifestyle – or all three.
Dr. Yacobucci has served as the team physician and orthopedic surgeon for the Arizona Rattlers arena football team. He also treats athletes from numerous schools in the Valley.
Dr. Gerald Yacobucci serves these TOCA locations:
Justin Roberts, M.D.
Lower Extremity Specialist, General Orthopedic Trauma
Dr. Justin Roberts is an orthopedic surgeon who is fellowship trained in surgery of the foot and ankle. He specializes in comprehensive care of the lower extremities, including knee and leg pain. He has special interests in ankle and knee replacement, sports injuries, flat foot correction, bunion correction, arthroscopy, and lower extremity post-traumatic reconstruction.
Dr. Roberts was born and raised in Bakersfield, California. He received his undergraduate degree with highest honors at the University of California, Santa Barbara, then attended medical school at the University of California, San Diego. Dr. Roberts came to Phoenix for orthopedic residency at Banner University Medical Center, then completed fellowship training at the Orthopedic Associates of Michigan in Grand Rapids, MI. During fellowship, he received comprehensive training in complex surgical reconstruction of the foot and ankle, knee replacement, and general orthopedic trauma.
Dr. Roberts promotes a relaxed atmosphere where open and honest communication is encouraged. Patient education is a critical part of his practice, and he will take the time to explain your condition and treatment options. He emphasizes non-operative measures prior to recommending surgery whenever possible. Dr. Roberts understands that orthopedic problems can be very disabling and recovery can be extensive. He also recognizes that optimal function requires precise interaction between all of the joints of the lower extremity. He is dedicated to finding the root of the problem and working to get you back to the quality of life you desire.
When not working, Dr. Roberts enjoys rugby, fishing, golf and spending time with his family.
Click to view/download Dr. Robert’s Bio Details
Dr. Justin Roberts serves these TOCA locations:
Grant D. Padley, D.O.
Arthroscopic Surgery, Sports Medicine, Knee, Hip, Shoulder & Elbow
Grant D. Padley, D.O., specializes in Sports Medicine with an emphasis on treating knee, shoulder, hip and elbow injuries. He performs shoulder, hip and knee arthroscopy with ligament reconstruction, meniscal treatment and advanced cartilage restoration including biologic treatments and allograft transplantation.
He treats all aspects of shoulder disorders including dislocation, instability, separations, rotator cuff tears, fractures and shoulder replacements. His shoulder replacement surgeries include resurfacing arthroplasty, total shoulder arthroplasty and reverse total shoulder arthroplasty.
He has completed additional specialized training with world experts in hip arthroscopy and is one of a handful of surgeons in the region performing advanced hip arthroscopic techniques including labral repairs, labral reconstructions, and treatment of femeroacetabular impingement (FAI). He has been performing these since his arrival in the Valley carrying one of the highest volumes of hip arthroscopies in the region.
Dr. Padley is an orthopedic consultant and provider to the Cincinnati Reds for major league baseball spring training and throughout the year for their minor league and rookie league teams. He is also a consultant to Japanese professional baseball for the Saitama Seibu Lions. He is a consultant to Ballet Arizona for hip disorders and injuries. He was a team physician for the WNBA’s Phoenix Mercury for four years including the 2014 championship season. He is the team physician for Benedictine University in Mesa and Millennium High School in Goodyear.
He is Fellowship Trained in orthopedic sports medicine and is Board Certified. He currently serves as a consultant for an orthopedic implant company for new product and technique development.
Dr. Padley is a member of the American Osteopathic Association, Academy of Orthopedic Surgeons, American Orthopedic Society of Sports Medicine, Maricopa County Medical Society and the National Orthopedic Education Society. He is an adjunct Assistant Professor at A.T. Still University and routinely gives lectures for physician assistant and medical students. Dr. Padley is from Kansas City, Missouri.
To view Dr. Padley’s personal website visit: www.hiparthroscopyphoenix.com
Dr. Grant Padley serves these TOCA locations:
Steen Johnsen, M.D.
Foot & Ankle Surgery, Sports Medicine, General Orthopedic Trauma
Dr. Johnsen joined The Orthopedic Clinic Association in 2006 after practicing in Boulder County, Colorado for 7 years. He actively treats many professional, Olympic and collegiate running athletes. Dr. Johnsen’s main interests are in common and complex foot and ankle problems. He has a strong interest in sports medicine, knee injuries, lower extremity trauma, ankle joint replacement and ankle cartilage replacement techniques.
Dr. Johnsen is a native of the Phoenix area. He graduated from Chaparral High School. He majored in Physiology at the University of California; Berkeley and graduated with Highest Honors. He graduated from Baylor College of Medicine in Houston, Texas and completed his Orthopedic Surgery Residency at Henry Ford Hospital System in Detroit, Michigan. He completed fellowships in both Foot and Ankle Surgery and Sports Medicine at the Institute for Bone and Joint Disorders.
He remains actively involved in clinical and basic science research and is a published author. He coauthored the workers compensation lower extremity guidelines for the State of Colorado which is currently used in multiple western states and became the guide for the nationally used ODG workers compensation guidelines. He is a member of the American Academy of Orthopedic Surgeons and the American Orthopedic Foot and Ankle Society. He is Board Certified by the American Board of Orthopedic Surgeons in Foot and Ankle surgery and has a second Board sub-specialty certification in Sports Medicine.
Dr. Steen Johnsen serves these TOCA locations:
Christopher W. Huston, M.D.
Interventional Spine, Neck and Back issues, Spine complications in athletes and Electrodiagnostics
Dr. Christopher W. Huston is fellowship-trained in the diagnosis, rehabilitation and utilization of interventional spine procedures for the treatment of painful spine disorders. He reviews for various medical journals, which has included the Archives of Physical Medicine and Rehabilitation, Journal of Physical Medicine, and Current Reviews in Musculoskeletal Medicine.
Dr. Huston has served on several award, planning, and spine committees for the Physiatric Association of Spine, Sports & Occupational Rehabilitation. Additionally, he served as assistant chief of physical medicine and rehabilitation at the Walter Reed Army Medical Center for the U.S. Army in Washington, D.C.
He has published various scientific abstracts, manuscripts, articles, and book chapters for various physical medicine, rehabilitation and spine disorder publications regarding spine disorders and interventions. Dr. Huston is regularly asked to present on those topics across North America. He is the TOCA Interventional Spine Fellowship Director. Physicians from across the country apply for the TOCA Interventional Spine Fellowship to work with Dr. Huston.
Dr. Christopher Huston serves these TOCA locations:
Samuel M. Harmsen, M.D.
Shoulder & Elbow Specialist, Arthroscopy, Reconstructive Surgery, Orthopaedic Trauma, Complex Shoulder & Elbow Reconstruction
Dr. Samuel Harmsen is fellowship-trained in shoulder and elbow surgery, with advanced training in complex shoulder and elbow reconstruction. He specializes in the treatment of all shoulder and elbow conditions including sports related, reconstructive, and traumatic injury. He performs arthroscopic and open surgical techniques and is uniquely skilled with reverse shoulder replacement and revision shoulder surgery. Dr. Harmsen also treats general orthopaedic trauma of the upper and lower extremities.
Born and raised in Salt Lake City, Utah, Dr. Harmsen attended the University of Utah, majoring in Japanese and Asian Studies, interrupting his studies to serve a two-year mission for his church in Japan. Prior to medical school he enjoyed several years of ski instructing at one of his favorite ski resorts in Deer Valley, UT.
Dr. Harmsen has had the opportunity to train under some of the world’s most renowned leaders in shoulder and elbow surgery. Following orthopaedic residency, he completed a complex shoulder and elbow fellowship at the San Francisco Shoulder, Elbow and Hand Clinic under Drs. Tom Norris and James Kelly. After fellowship, he extended his training by spending time with Dr. Laurent LaFosse in Annecy, France, and Dr. Pascal Boileau in Nice, France. This specialty training has helped him gain unique skills in advanced shoulder and elbow arthroscopy and reconstruction that are not widely available in Arizona.
Dr. Harmsen is very active in orthopedic research, having published and presented at a number of local, national, and international meetings. His primary area of interest is shoulder surgery, particularly in clinical results with shoulder arthroplasty. Dr. Harmsen plans to establish the Arizona Shoulder and Elbow Institute and, together with TOCA, develop a center of excellence within Arizona for shoulder and elbow research, education, and patient care.
Dr. Harmsen likes to create a professional but relaxed clinical atmosphere where everyone feels comfortable and able to ask questions freely. He wants you to leave each visit confident and encouraged. His clinical approach is centered around each patient’s individual concerns and goals. He believes that clear communication, patient education, and patient participation are vital to the success of any treatment, whether operative or non-operative.
Dr. Samuel Harmsen serves these TOCA locations:
Joseph L. Haber, M.D.
Orthopedic Surgery of the Hand & Wrist
Dr. Joseph Haber is an expert in the treatment of all hand and wrist conditions and has been treating hand and wrist disorders since 1996. He has experience in treating high-level professionals from the PGA, LPGA, Nationwide tour, WNBA, Phoenix Suns, professional football players, professional baseball players, and National Hockey League. He is the hand surgery consultant for the Arizona State University Athletic Department and cares for many other collegiate athletes.
Dr. Haber treats all aspects of hand and wrist disorders, including, but not limited to, simple hand pain, tendonitis, acute trauma, all the way to complex reconstruction for rheumatoid patients. He has been emphasizing his practice to hand and wrist disorders and surgery since 1996. Dr. Haber has also been an investigator and is involved in an international study for the collagenase injection for Dupuytren’s Disease.
Dr. Haber has presented his research and has been published in leading medical journals including the American Society for Surgery of the Hand Correspondence News, American Society for Reconstructive Microsurgery, and the Annals for Plastic Surgery.
Dr. Haber attended medical school at the University of Alabama. He then did a general surgery residency followed by a plastic surgery residency at St. Joseph’s Hospital in Houston, TX. He completed a hand and microsurgery fellowship with the Orthopedic department at the University of Alabama. Dr. Haber is board-certified in plastic surgery with a subspecialty certificate in surgery of the hand and is fellowship-trained.