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. Physician-guided fluoroscopy In the neurologically intact patient who shows suspicious findings for segmental instability on CT or MRI, a dynamic fluoroscopy in flexion and extension might add diagnostic value. This examination should be performed by an
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‘mid flexion instability’ OR ‘quadriceps function’. One author (JN) screened the titles and abstracts of all the studies and identified 92 papers to review. After reviewing all the papers, 52 papers were deemed to be relevant to this review. The
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recently, arthroscopy has been promoted ( 7 ). However, arthroscopy is an invasive, highly demanding technique, and the definition of instability criteria is hindered due to considerable individual anatomical variations ( 11 ). The external rotation
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the mid-range instability, not to the end-range instability. Fig. 1 Bony defects created anteroinferiorly. Anteroinferior bony defects were created at the 4:30 clock position stepwise. Fig. 2 End-range stability: a) normal shoulder at
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instability, deformity or pain. Posterior spinal stabilization with screws and rods associated with decompression, or anterior stabilization with plate and screws to induce vertebral fusion, can be used in the most severe cases of cervical and thoracic
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%, with infection and aseptic loosening as the most common complications. Rotating hinge knee prostheses were most commonly indicated for infection, aseptic loosening, instability and bone loss. They had good outcome scores and survivorship, but continued
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of the humerus, which has been postulated to be necessary to provide a compressive force from the deltoid muscle. 45 , 63 Another reason for instability may be the removal of the rotator cuff to gain exposure and place the implants. Therefore
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patients with OLT present ankle ligament laxity and 39% of patients with ankle instability present with an OLT ( 5 , 6 ). Subsequently, acute trauma and repetitive micro-traumata due to ankle instability and/or hindfoot malalignment seem to be a leading
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radiographic description of lesion, naming it Hill–Sachs lesion (HSL). 1 Later on the glenoid rim lesions were reported. 1 Quantifying bone loss is of utmost importance to decide the best treatment for recurrent anterior glenohumeral instability
Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
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Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
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Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland
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its indications have been expanded to treat numerous other pathologies. Indications include irreparable rotator cuff tears without arthritic changes, 4 primary glenohumeral arthritis with associated instability (i.e. B2 or D glenoids), 5 revision