David Abbasi, MD - Sports Medicine & Orthopedic Surgery

David Abbasi, MD - Sports Medicine & Orthopedic Surgery 😷 Board Certified Orthopedic Surgeon ⚕️Follow for Medical & Health Content
🌴Delray Beach, FL

08/11/2026

This is Tommy John surgery waiting to happen. Please don't try this. 🚨

What you're seeing is sometimes called a "Kimura press," loading weight while your shoulder and elbow are held in extreme external rotation, the same joint position used in the kimura submission in Brazilian Jiu-Jitsu.

Here's why that position is so dangerous under load: putting your shoulder into extreme external rotation combined with pressing force places enormous rotational stress on the joint capsule and rotator cuff, particularly the infraspinatus and supraspinatus. At the elbow, that same rotational torque directly stresses the ulnar collateral ligament, the exact ligament that fails in classic UCL tears seen in overhead throwing athletes.

But the scariest part is what can happen to the bone itself. When a joint is locked into extreme rotation and then loaded further, the humerus can actually fail before the ligaments do, resulting in a spiral fracture, a serious, often surgical injury caused by rotational force twisting the bone until it breaks.

This isn't a mobility exercise worth the risk. The joint position alone already carries real injury risk in a live BJJ match, adding external load on top of it is asking for a torn UCL or a broken humerus. Skip this one entirely. 🦴

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08/11/2026

Ever notice those little crosshatch marks next to a surgical scar? That's called "railroad tracking," and it's a big reason some surgeons avoid staples. 🩹

Traditional metal staples close a wound by puncturing the skin on both sides of the incision. While they're fast and efficient, especially useful in emergency or high-volume surgical settings, those individual puncture points can leave small permanent marks on either side of the scar, creating that characteristic "railroad track" appearance months or even years after healing.

This is exactly why many surgeons opt for subcuticular sutures instead, especially in cosmetically sensitive areas like the face or anywhere visible. This technique places the stitches beneath the skin's surface entirely, avoiding external puncture marks and typically resulting in a smoother, thinner, less noticeable scar line.

That said, it's not black and white. Staples still have real advantages: faster closure time, less pain during removal, and in certain surgeries, like orthopedic procedures, comparable or even better outcomes overall. The right choice often comes down to the location of the incision, how visible it will be, and what matters most for that specific patient.

Cosmetic outcome isn't just about closing a wound, it's about how that wound is remembered years later. 🩺

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08/11/2026

This baby was born with an extra finger, and it's more common than most people think. 👶✋

This is called polydactyly, a congenital condition where a person is born with one or more extra digits on the hand or foot. It's actually one of the most common congenital hand differences, and it can range from a tiny, soft nub with no bone or joint inside, to a fully formed extra finger complete with its own bones, joints, and even tendons.

Polydactyly is generally classified by where the extra digit appears: near the thumb (preaxial), near the pinky (postaxial), or in the middle of the hand (central), with postaxial being the most common type overall. It can run in families as a genetic trait, or it can occur sporadically with no family history at all.

Treatment depends heavily on the specific case. If the extra digit has no functional bone or joint structure, it can often be simply removed shortly after birth. If it does contain functional bone and joint tissue, surgical removal is typically more involved and carefully planned to preserve normal hand function and appearance.

It's a great reminder of just how much natural variation exists in human development, even something as fundamental as "how many fingers" isn't always fixed. 🩺

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08/11/2026

This is what the nerves connecting your teeth to your brain actually look like. 🦷🧠

The nerves inside your teeth originate deep within the dental pulp, at the very center of each tooth, and travel outward through small branches into the superior and inferior alveolar nerves. From there, these pathways converge into the trigeminal nerve, or cranial nerve V, the largest cranial nerve in the body, which spreads across the jaw and face like an intricate network of branches before finally entering the brainstem.

This dense, direct architecture is exactly why tooth pain feels so intense and immediate. Unlike most pain signals in your body, which travel a longer route through the spinal cord before reaching the brain, dental pain takes a short, direct path straight into the brainstem. Your brain interprets that speed as urgency, processing tooth pain, pressure, and temperature as immediate, high-priority alerts, which is part of why even a small cavity can feel unbearable.

It's a genuinely wild reminder of just how much complex wiring is packed into something as small as a single tooth. 🩺

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08/10/2026

Not every popular exercise is actually good for your joints. Here are 5 I regularly see leading to injuries in clinic:

🚫 Leg extensions with excessively heavy weight — at full extension, this puts intense direct stress on the patellofemoral joint and can seriously strain the ACL, especially risky for anyone with prior knee issues.

🚫 Smith machine squats — the fixed bar path forces your knees and hips through a locked, unnatural movement pattern instead of letting your body move the way it's designed to, often loading the knees incorrectly.

🚫 Behind-the-neck presses — this position puts the shoulder into an extreme, vulnerable range of motion, a common setup for rotator cuff impingement and strain.

🚫 Weighted sit-ups with feet anchored — repeatedly loading the spine in this position creates excessive compressive stress on the lumbar discs over time.

🚫 Box jumps from excessive heights — without proper landing mechanics, this is a fast track to ACL tears, Achilles strain, and ankle injuries.

✅ None of these mean "never do these movements," it means prioritize proper form, appropriate loading, and controlled range of motion over ego lifting.

Train smart. Your joints have to last you a lifetime. 💪

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08/10/2026

Watch a doctor react to why this specific amputation level matters so much. 🦵

This is a below-knee amputation, also called a transtibial amputation, meaning the leg is removed below the knee joint while the knee itself is fully preserved. That single detail makes an enormous difference in a patient's long-term outcome.

Here's why: the knee joint plays a critical role in balance, gait mechanics, and how efficiently someone can walk with a prosthetic. When the knee is preserved, patients typically use significantly less energy to walk compared to an above-knee amputation, since they still have a fully functional, natural joint doing much of the work. This usually means faster rehabilitation, better mobility long-term, and a much more natural walking pattern with a prosthetic limb.

Compare that to an above-knee amputation, where the prosthetic has to replicate not just the foot and ankle, but the knee joint too, which is mechanically far more complex and energy-demanding for the patient to adapt to.

This is exactly why surgeons go to great lengths to preserve as much healthy limb and joint function as possible during an amputation, every joint saved translates directly into a better quality of life afterward. 🩺

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08/10/2026

62-year-old male. Traumatic fall. Severe neck pain. What's your diagnosis, doc? 🧠

A 62-year-old male presents to the emergency department after a traumatic fall, reporting severe neck pain and difficulty moving his head. Imaging reveals displacement and abnormal alignment between the base of the skull and the upper cervical spine, raising serious concern for instability at the craniovertebral junction, the critical area where the skull meets the top of the spine.

This is exactly the kind of case where imaging isn't optional, it's life-saving. Instability at this junction can put the brainstem and spinal cord at serious risk, and even small errors in movement or handling before this is identified can have devastating consequences.





What do you think is going on here? Drop your diagnosis in the comments before scrolling for the answer. Cases like this are exactly why trauma imaging protocols exist. 👇

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08/10/2026

This photo was taken in 1922. This girl was waiting for the end of her life, until an experimental treatment called insulin changed everything. 😢

Before this discovery, a Type 1 diabetes diagnosis was essentially a death sentence, and the only available "treatment" was an extreme starvation diet, sometimes as low as a few hundred calories a day, that kept patients alive slightly longer but left them dangerously thin and weak. The "before" photo reflects exactly that: a child in critical condition, her body breaking down from the disease.

This breakthrough happened at the University of Toronto, where Frederick Banting and Charles Best developed insulin and began treating some of the first patients in 1922. One of the most famous cases from that same era was Elizabeth Hughes, who arrived in Toronto weighing just 45 pounds and unable to walk on her own. Within weeks of starting insulin, she was gaining weight rapidly and living on a full, healthy diet again, going on to live a long, ordinary life afterward.

What makes this discovery even more remarkable: Banting, Best, and their colleague Collip sold the insulin patent to the University of Toronto for just $1 each, believing something this life-saving shouldn't be controlled or profited from by any one person.

A single injection turned a fatal diagnosis into a manageable condition, and it changed the entire trajectory of modern medicine. 💉

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08/09/2026

Your Adam's apple isn't just a random bump, it's protecting one of the most important structures in your entire body. 🫁

What you're seeing is actually the thyroid cartilage, part of your larynx, or voice box. It sits directly over your vocal cords and the top of your airway, and it becomes more prominent during puberty, especially in men, as rising testosterone causes that cartilage to grow larger and more angular.

Here's why protecting this area matters so much: a direct, forceful hit to the throat isn't just painful, it can be genuinely dangerous. The larynx houses your vocal cords and sits right at the entrance to your airway, so a significant impact can cause swelling, bruising, or even fracture the cartilage itself. In severe cases, this can lead to airway obstruction, making it difficult or impossible to breathe, which is a real medical emergency.

This is exactly why throat strikes are heavily restricted or banned in most combat sports, and why something as simple as a seatbelt across the chest, not the neck, matters in a car. It's also why any direct trauma to the throat, even if it seems minor at first, should be taken seriously and evaluated, especially if there's any hoarseness, difficulty breathing, or swelling afterward.

Protect your neck. It's doing more work than you realize. 🩺

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08/09/2026

Foul ball, straight to the shin. 😬

The tibia sits almost right under the skin with barely any padding, which is exactly why a hit like this hurts so much more than it looks. Expect a nasty bruise, a deep contusion, and a very slow walk-off for a while. ⚾

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6274 Linton Boulevard, Suite 106
Delray Beach, FL
33484

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