Steadman Clinic and United States Coalition for the Prevention of Illness and Injury in Sport, Vail, Colorado, USA
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Steadman Clinic and United States Coalition for the Prevention of Illness and Injury in Sport, Vail, Colorado, USA
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, labral tears, and extra-articular tendon pathologies. FAI results from bony incongruity between the femoral head (cam impingement), the acetabulum (pincer impingement), or both (mixed impingement). When conservative treatments fail, hip arthroscopy has
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toe injuries or those who have failed conservative management. However, it was felt that there was insufficient evidence to determine whether operative intervention is superior to conservative management. Athletes with reduced dorsiflexion of the
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research has failed to prove this efficacy. 7 , 8 , 39 Ultraviolet light seems to be more effective when compared with laminar flow in reducing PJI; however it is characterised by potentially unacceptable health costs to operative personnel. 8 , 50
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418 failed UKAs Revision : 19% at one year, 48.5% at five years Etiology : loosening 45% ; arthrosis 15% ; wear 12% ; technical failure 11.5% In terms of return to physical activities, Fisher et al 18 report a 93% rate
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flexion such as ballet. The patient only rarely experiences severe pain and conservative treatment should be the ‘gold standard’. When conservative options fail, arthroscopic tenotomy of the psoas tendon can relieve the symptoms. Arthroscopic psoas
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why orthopaedic surgeons sometimes fail to treat overhead athletes with partial thickness cuff rupture and their shoulder pain if they only perform debridement without repair in surgery. 32 Besides the more complex pattern and inherent risk for
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, collagenase injection carried a higher incidence of haematomata and when skin ruptures happened, these tended to be larger in the collagenase group. Scherman et al 46 also failed to find differences in the reduction of contractures between collagenase
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found and its use is only recommended for those recalcitrant cases when other modalities of treatment have failed. Platelet-rich plasma injections (PRP). These preparations are thought to contain high concentrations of growth factors, which
Professor of Orthopaedics, University Texas Health Center, San Antonio, Texas, USA
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President, CEO, or in the Mayo environment, Board of Governors. I have personally witnessed two instances in Orthopaedics, not at Mayo, where a turnaround was desired at Board level. However, two very competent leaders failed when the authority to execute
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mSv/year is always respected. If after three procedures, RS fails, an AS is indicated. 16 Arthroscopic synovectomy generally achieves similar results to RS; however, as AS is a surgical procedure under general anaesthesia (recommended in
