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polished cobalt- chrome metal spool is shaped to mimic the native capitellum and trochlea. The stem has medial and lateral fins as well as an anterior flange to provide additional rotational stability. Reconstruction or repair of the medial and lateral
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). Reversed subacromial decompression ( 22 ) and ‘interposition techniques’ like subacromial balloon ( 23 ) and superior capsule reconstruction (SRC) ( 24 ) aim to give pain relief and ameliorate function by facilitating the slide of the humeral head under the
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ones. The choice of the respective treatment method depends primarily on the local tendency to recur, the complication rate of the respective method, the opportunities for defect reconstruction, the resulting functional deficits and patient
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). Additionally, magnetic resonance arthrogram can be useful to define soft tissue injuries, calculate glenoid track, and define any signs of fatty degeneration or atrophy of the muscles as well as cartilage status. Figure 1 CT scan 3D reconstruction of a
University of Brighton, UK
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Brighton and Sussex Medical Schools, UK
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neurovascular theory suggests that nerve damage results in increased local vascularity. This precipitates osteoclastic activation with secondary osteopenia, fractures and deformity. 7 The neurotraumatic theory suggests that microtrauma in insensate joints
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due to the success of haematological prophylaxis to prevent these problems. Carpal tunnel syndrome Haemophilia can cause haemarthrosis and haematomas, with the latter potentially resulting in compartment syndrome and nerve compression, acute
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chondromas or due to the growth of a solitary synovial chondroma, have been described as ‘giant solitary synovial osteochondromatosis’. 9 The last may cause ulnar nerve neuropathy due to nerve compression. 6 , 10 , 11 The diagnosis is based on plain
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Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
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Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
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Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
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Introduction Upper limb fractures are common injuries and affect people of all ages. As clinical studies have shown a significant correlation between anatomical reduction and joint function, reconstruction of normal anatomy is one of the key
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. To prevent persistent instability after these injuries, the surgeon must decide which structures require surgical repair or reconstruction and how to best deal with each of these. 1 The term ‘complex elbow instability’ was introduced to
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post-operative event that was likely to have a negative influence on the final outcome (infection, dislocation, nerve problems, aseptic loosening of any component, disassociation of the components or glenoid screw problems). 14 They used the term
