- Arthritis
- Emergency CareShe continued to have increasing hip popping and pain months after the surgery and her surgeon continue to tell her that everything looked good, but eventually the hip completely dislocated, requiring an emergency room visit and closed reduction of the dislocated prosthetic joint, after which she was put into a large hip brace by her surgeon, and told by him to be “more careful” and not dislocate the artificial joint again.
- Carpal Tunnel SyndromeWith this finding, she was referred to an orthopaedic hand surgeon who promptly performed bilateral carpal tunnel release surgery and in the ultimate legal report stated that the carpal tunnel surgery was directly caused by the motor vehicle accident and blunt trauma.
- MRIHe was reevaluated 3 weeks later by the physician assistant who found that the sprain had improved and released him to work without limits. No clinical tests or exam was ever performed of the Achilles tendon. He tried to work but because of severe limp and posterior heel pain could not, and went to see an orthopedic surgeon 2 weeks later. The orthopedic surgeon on exam found a ruptured Achilles tendon, confirmed on MRI scan, and told the patient that he needed surgery to repair the torn tendon, but that because so much time had elapsed since the day of injury primary repair could not be done, and a tendon reconstruction surgery would be required, with a less than optimal result.
- RadiologyAs a guest lecturer, Dr. Graboff has taught musculoskeletal physical examination at the University of California, Irvine, School of Medicine. He also teaches Orthopaedics, differential diagnosis, and musculoskeletal radiology at California State University, Long Beach.
- X-Rays
- Computed Tomography"Although Dr. Graboff told the committee that his report was only a 'draft,' and that attorney Colleran had removed the words 'Draft Report,' Dr. Graboff nonetheless initially stood by his opinion that Dr. Meller was negligent and had violated the standard of care," the AAOS said in court papers. "During questioning, however, Dr. Graboff contradicted himself and admitted that he had not previously reviewed the X-rays or CT-scan films, but now that he had seen them at the hearing, he no longer believed that Dr. Meller was negligent or violated the standard of care."
- General SurgeryDr. Graboff received his medical degree from the University of California, Irvine in 1980. He did a general surgery internship at the University of California Irvine Medical Center and affiliated hospitals from 1980 - 1981, and he completed his Orthopaedic Surgery training in 1985 from Harbor-UCLA Medical Center and affiliated hospitals, Los Angeles, California.
- OrthopedicsDr. Graboff has been teaching Orthopedics, differential diagnosis, and musculoskeletal radiology in the doctoral program, Department of Physical Therapy, California State University, Long Beach, College of Health and Human Services, for over 10 years. He has been a guest lecturer at the University of California Irvine School of Medicine and an Instructor in the Clinical Foundations teaching program.
- Hip ReplacementA 62 year old otherwise healthy women with right hip pain was evaluated by her orthopedic surgeon, found to have severe osteoarthritis, and was scheduled for a right total hip replacement. She was admitted to the hospital, had an uneventful surgery, and was discharged home 4 days later to be seen and treated by home health nurse and physical therapist. She started to have hip popping and pain almost immediately upon beginning weight bearing and was told by her surgeon that this “was normal” and would eventually stop as she got stronger. Post hip replacement x-rays were obtained by her surgeon and she was told that everything “looked fine.”
- Physical TherapyA week later it is no better so he is referred to an orthopedic surgeon who makes the tentative diagnosis of a torn anterior cruciate ligament (ACL) and sends him out for an MRI scan of the knee. The radiologist interprets the MRI as showing a torn ACL. Four days after the MRI is performed he returns to see the orthopedist, who tells him that it is probably a sprain and that the results of the MRI are not available, but will notify him if there is any abnormality on the MRI. The orthopedist sends him to physical therapy for a few weeks where he is encouraged to aggressively use his knee, play basketball, and return to his athletic lifestyle. He is never called by the orthopedist about the abnormal MRI.
- Heel Pain
- Ankle SprainA 32 year old man while at work jumped off of the back of his work truck and thought that he sprained his right ankle. He felt a pop and had immediate pain and difficulty walking. His employer sent him to their designated industrial medical urgent care clinic where he was seen only by the physician assistant. After an examination and x-ray he was diagnosed as having an ankle sprain, placed into an “air-cast” and told to take Motrin for pain, weight bear as tolerated, and return for recheck in 3 weeks.
- Neck Pain
- Back Pain
- Ankle SprainHe slips and falls on a wet floor while entering a grocery store and suffers injury to his back and right ankle. He is transported by ambulance to the emergency room where he is diagnosed with a lumbar sprain and an ankle sprain. Almost immediately he develops severe radiating pain and tingling down his right leg. He continues to treat with the same doctor, but a new MRI shows a herniated and extruded disc in his lower back that was not present on an MRI done the year before he fell.
- Heel Pain