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study showed significantly improved patient-reported outcomes in patients aged < 60 years who underwent hip arthroscopy for FAI when compared with a cohort that was waitlisted. 30 Both groups had undergone three months of conservative treatment
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critical thinking approach on the most common areas of controversy regarding ACL reconstruction. Using information collected from systematic reviews and meta-analyses, this instructional review discusses operative versus conservative treatment, timing of
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AO Foundation, PAEG Expert Group, Davos, Switzerland
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) Radiographic images of the right knee of a 2-year-old girl with this type of fracture. Treatment Conservative and surgical management are valid alternatives for the treatment of these fractures. Choosing between both alternatives depends on
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still a role for conservative treatment in some infrequent cases of a single episode of postoperative instability that stabilizes over time ( 24 ). We should carefully analyze the CT scan to assure that the graft is well positioned, the hardware has not
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expectations, pain, the clinical exam, the type and onset of the lesion, the static upward migration, and arthritic changes of the humeral head. The decision of the best surgical approach, in case of failure of conservative treatment, also depends on the
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based on case series and retrospective studies. Typically, these conditions respond to non-operative treatment such as physiotherapy, use of non-steroidal anti-inflammatory drugs, and immobilisation. When left untreated, peroneal tendon disorders can
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, 3 However, early and accurate diagnosis of these injuries are fundamental requirements for their appropriate treatment and to prevent long-term sequelae. Men are two to four times more likely to suffer a Lisfranc joint injury, possibly because
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-operative treatment of Rockwood type I and type II lesions. 12 , 13 Currently, rather than ice and oral analgesic medication, the most accepted conservative treatment is sling immobilisation for a brief period. 13 The patient is encouraged to start range of
Nisantasi Ortopedi Merkezi, Hakkı Yeten Cad., Unimed Center, No:19, 34365 Fulya, Istanbul, Turkey
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Nisantasi Ortopedi Merkezi, Hakkı Yeten Cad., Unimed Center, No:19, 34365 Fulya, Istanbul, Turkey
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performed and positive scans can be followed by CT ( Fig. 1 ). 6 Fig. 1 MRI illustrating os trigonum and intra-operative view after release of symptomatic os trigonum. Treatment Conservative treatment includes rest, icing, bracing
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the rupture, the extension strength, the patient’s expectation and the medical status of the patient. As a general approach, conservative treatment is primarily considered in partial ruptures affecting less than 50% of the tendon. When deciding on the
