• Conditions We Treat

  • At Littleton Adventist Hospital, our dedicated orthopedic team specializes in treating sports injuries, degenerative conditions including arthritis and adult or childhood orthopedic trauma.

  • Elbow, forearm and wrist conditions in Colorado at Littleton Adventist Hospital.Elbow

    • Olecranon Fractures - The olcecranon is made up of the bones in the elbow, also reffered to as the "funny bone". An olceranon fracture can occur indirectly, by landing on an outstretched arm, or resulting from a direct fall onto a flexed elbow. The fracture can be treated either surgically or nonsurgically depending on the type of fracture and its severity.

    • Lateral Epicondlytis (tennis elbow) - Tennis elbow is the inflammation, soreness, or pain on the outside or lateral side of the upper arm near the elbow. This injury is more common for individuals who play a lot of tennis or other racquet sports.

    • Medial Epicondlytis (gofler's elbow) - Golfer's elbow occurs with pain and inflammation on the inner side of the elbow through the tendons and muscles. The pain can spread to the forearm and wrist.

    • Radial Head Fractures - A radial head fracture is the most common elbow fracture in adults. This type of fracture can cause pain and swelling around the elbow and can affect all movements of the elbow.

    Forearm & Wrist

    • Colles' Fractures - A colles' (wrist) fracture, is a break across the end of the main bone of the forearm and causes the wrist to become extended or shortened.

    • Distal Radius Fractures - A distal radius fracture, also known as "Smith's fractures," is a type of wrist fracture where treatment is typically immobilization, and very rarely surgery.

    • Elbow Arthroscopy - An elbow arthroscopy is a minimally-invasive procedure performed to diagnose or treat conditions affecting the elbow joint. The procedure involves a tiny camera and small incisions.

    • Radial Shaft Fractures - Also called Galeazzi fractures, a radial shaft fracture is an isolated fracture with an associated disloaction in the forearm.

    • Ulnar Shaft Fractures - Ulnar shaft fractures are caused by direct trauma, typically from using the arm to protect from assault. The ulnar shaft fracture is also called a "nightstick fracture."

    Foot and ankle conditions in Colorado at Littleton Adventist Hospital.The foot contains more than 25 bones, 30 joints and 100 muscle, tendons and ligaments, so it’s easy to understand why foot pain is so common.

    The foot and ankle are constructed both for weight bearing and movement. Pain can be minor and go away on its own after a good night's rest, or the pain can become chronic and require surgery to repair the tear or fracture.

    We treat all problems of the foot and ankle, including:

    Achilles tendon ruptures:

    This is a tearing of the tendon connecting your calf to your heel. When the tendon ruptures, you may hear a pop followed by a pain and the inability to stand or put weight on your foot. Surgery is commonly used to reattach the tendon and repair the tear.

    Achilles tendon tendonitis:

    A very common ailment often seen in recreational athletes, people who have changed their workout routine or sometimes when changing the shoes you wear. Typical treatment is rest, ice and stretching before any activities. Occasionally Achilles tendonitis can turn into a rupture, requiring surgery.

    Arch pain:

    The arch is formed by a band of tendons connecting the heel and toes. Overuse, improper footwear or age can cause these tendons to become inflamed and painful. Treatment may consist of shoe inserts to support the arch, anti-inflammatory and pain relief medications, taping to support the arch, or injections.

    Flat foot:

    The arch gives us heel to toe movement. If the connecting tendons become stretched or injured, the arch can flatten out. This condition may occur as we age and is not always painful. If the bones are misaligned, surgery may be recommended.


    Our board certified physicians specialize in hip arthroscopy, hip replacement surgery with minimally invasive techniques and the revision of previously placed implants.

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    The shoulder is the most complex joint in the body and has the largest range of motion. The humerus (upper arm bone) is loosely joined to the scapula (shoulder blade) and held in place by muscles, ligaments and tendons. Broken bones are less common shoulder injuries than injuries of the soft tissue surrounding the bones. 

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    Knee pain can be caused by an acute trauma injury or a degenerative condition like osteoarthritis. We provide both surgical and minimally-invasive procedures so that our patients can continue living healthy, active lifestyles. Our team of orthopedic surgeons and physicians are trained and experienced in the most advanced treatments.

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  • Helping You Stay Active

    For individuals suffering from severe arthritis, joint replacement surgery can be a life-changing experience. Just ask Mickey Foster, 62, of Littleton.

    In early spring 2010, Foster began noticing moderate pain in his groin area. "I thought I had pulled a muscle," says Foster. "My son is a physician, so I called him for advice. He suspected I had arthritis in my hip and explained that pain often starts in the groin. Sure enough, by summer, the pain moved from my groin to my right hip and became so excruciating I couldn't walk, sit, or climb stairs."

    Foster's son recommended he see Robert Thomas, MD, orthopedic surgeon on staff at Littleton Adventist Hospital, for care. X-rays confirmed that Foster had severe arthritis and would benefit from a hip replacement. In October 2010, he underwent joint replacement surgery. "Dr. Thomas was excellent at explaining my options and allowed me to make the decision about whether the implant material would be metal, plastic, or ceramic," says Foster. "I found these options to be a bit confusing, but Dr. Thomas thoroughly explained the pros and cons of each, made his recommendation, and ultimately gave me the power to choose which I felt was best for me. That really impressed me." Foster had a great outcome following surgery and is looking forward to returning to golf and other activities. "We have a fully integrated program that includes both operative and nonoperative solutions to joint pain," says Dr. Thomas. "We place a strong focus on education, and it's important for community members to understand we have a great deal of experience in joint surgeries. We perform these procedures on a regular basis, not an occasional basis. They're a big part of our practice." With access to orthopedic trauma experts, fellowship-trained sports medicine physicians skilled in arthroscopy, and experienced orthopedic surgeons offering the latest in joint replacement technologies and procedures, patients with arthritis can return to pain-free living faster than ever before. "The structure of our orthopedic program allows us to get to know every patient," says Theresa Johnson, director of physical medicine and respiratory care at Littleton Hospital. "The hospital has grown over the years, but we strive to maintain a personal touch to patient care."

    Get in the Swing of Things

    Before you tee off, be sure to warm up your muscles with a quick walk or other activity and then stretch your:

    • Back: Grab a chair in the clubhouse, place it slightly farther than an arm's length away, and hold onto the back for support. With your feet spread apart, bend forward with your spine straightened.
    • Hips: Take a seat in the chair, and cross your left ankle over to your right thigh. Stabilizing yourself with your left hand to your side and keeping your back straight, pull your left knee with your right hand, and twist your torso to the left. Repeat with your right leg over your left.
    • Core: Assume your swing stance. Fold your arms over your chest, and turn your body as you would during a swing - from the backswing to the follow through.

    If you're dealing with pain during your golf game, you may have a repetitive motion injury. Speak with your primary care physician about a referral to our physical therapy department or call 303-730-5883 for more information about outpatient physical therapy services.

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