A board-certified orthopedic surgeon, Dr. Nabil Ebraheim serves as the chief of orthopedic trauma at the University of Toledo Medical Center. In his work, Dr. Nabil Ebraheim has demonstrated his expertise in treating a wide range of injuries and fractures, including scapula fractures.
A scapula fracture is a break in the bone of the shoulder blade, a condition that might occur due to blunt-force trauma. A patient with a scapula fracture will typically experience pain in the shoulder area upon moving the arm, as well as swelling. Since the fracture often occurs due to a fall or a collision, scrapes to the area and other types of injuries, such as damage to soft tissues, may also be present. When the patient sees a doctor, he or she will consider the shoulder’s position, order medical imaging, if necessary, to get a better understanding of the extent of the damage, and treat any other injuries.
In most cases, a scapula fracture does not require surgery. The doctor will typically have the patient wear a sling that helps keeps the shoulder secure and in place during the healing period. He or she might have the patient perform certain movements or exercises periodically with the arm to reduce stiffness as the injury heals. Full range of motion of the shoulder might not come back for six months or a year after the break. However, if the scapula fracture is particularly severe, or if a component in the shoulder has been displaced, surgery might be necessary.
An accomplished orthopedic surgeon, Dr. Nabil Ebraheim educates the general public about injuries to the bones and muscles through his YouTube channel and trains newly minted orthopedists as the director of the University of Toledo’s orthopedic residency program. Among Dr. Nabil Ebraheim’s areas of interest are shoulder fractures and injuries including rotator cuff tears.
The rotator cuff, the part of the anatomy that holds the arm in the shoulder socket, plays a key role in rotating and raising the arm. If one of the tendons in the rotator cuff becomes either partially or completely torn, the person will experience extreme pain and difficulty in performing everyday movements, such as putting on clothes in the morning.
Rotator cuff tears sometimes occur suddenly, due to a fall or improperly lifting a heavy object. However, in most cases, a rotator cuff tear happens gradually. For instance, athletes such as weightlifters or baseball players might experience a rotator cuff tear due to repeated motion. Other times, degenerative tears occur due to poor blood supply to the tendons or as the result of a bone spur rubbing against a tendon during movement. If a person suspects he or she has a rotator cuff injury, a doctor can evaluate the shoulder and determine a course of treatment.
Based in Toledo, Ohio, Dr. Nabil Ebraheim serves as chairman and professor at the University of Toledo Medical Center Department of Orthopedic Surgery. In 2015, Dr. Nabil Ebraheim scored in the 100th percentile on the American Board of Orthopedic Surgery re-certification exam.
Surgeons are not required to take the re-certification exam. However, many choose to do so as a way to stay up-to-date in their field, and to demonstrate credibility and a higher level of expertise in their specialty following years of experience on the job.
There are multiple stages of the re-certification process. Administered by the American Board of Orthopedics, as of 2016 there are updated requirements, which are categorized into four areas. The first area looks at the applicant’s professional standing and includes periodic peer reviews and confirmation of one’s medical license and hospital credentials. Secondly, evidence of continued learning is determined through review of 120 Category 1 CME credits, which includes 20 Self-Assessment Examinations (SAE). Next, a written exam is required, as well as a submission of case lists and patient surveys, and peer reviews and evaluations from the leaders of the anesthesia, orthopedics, nursing, and surgery staff.