Upper Limb Unit, Department of Orthopedic Surgery, Amphia Hospital, Breda, The Netherlands
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Department of Orthopedic Surgery, Amsterdam University Medical Centers, Amsterdam, The Netherlands
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, regardless of the level of evidence. Only articles including at least five cases with a minimum of follow-up of two years were considered. No minimum of failed RHPs per article was set. A study was excluded if the type of prosthesis and/or the mode of
Department of Orthopedic Surgery, St. Antonius Hospital, Utrecht, The Netherlands
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Department of Orthopedic Surgery, Amsterdam UMC, Amsterdam, The Netherlands
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objectifying problems with the prosthesis. 9 Therefore, the aim of the current article is to provide an evidence-based algorithm for the work-up and treatment of failed RHA. All recommendations are based on a critical appraisal of the literature on
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published studies reporting the results of revision surgery after failed shoulder stabilization using the Latarjet technique is very scant ( 8 ). In this review, an update in the etiology, clinical and imaging assessment, and the surgical options of failed
Royal Perth Hospital, Perth, Australia
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Royal Perth Hospital, Perth, Australia
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80 years if they were high functioning with an elevated quality of life. A sensible option is a trial of non-operative management with conversion to RTSA for those in whom non-operative treatment fails. A meta-analysis looked at acute versus delayed
Rehasport Clinic, Poznań, Poland
Department of Traumatology, Orthopaedics and Hand Surgery, University of Medical Sciences, Poznań, Poland
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Rehasport Clinic, Poznań, Poland
Department of Traumatology, Orthopaedics and Hand Surgery, University of Medical Sciences, Poznań, Poland
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Rehasport Clinic, Poznań, Poland
Department of Traumatology, Orthopaedics and Hand Surgery, University of Medical Sciences, Poznań, Poland
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when the initial attempt at conservative therapy fails. Ruch at al reported the results of arthroscopic treatment for patients who were symptomatic for at least six months despite non-operative therapy. 22 However, they have admitted that for most
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Department of Mechanical Engineering, Imperial College, London, UK
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Origins and pathoanatomy When any of the primary ossification centres of the acromion fail to fuse to the basi-acromion the resulting non-union is termed an os acromiale. 1 An early mention of this type of os in the literature comes from
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Operative treatment Indications After failed conservative management, operative intervention is typically indicated for patients with persistent pain and disability symptoms. 1 , 2 , 14 PTRCTs are typically managed according to their depth, or the
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muscles during shoulder and arm motion ( 26 ). When conservative treatment fails, surgical repair of capsulolabral lesions with soft tissue reconstruction techniques results in good clinical outcomes when there are minimal or no bone defects present, even
Department of Orthopedics, AZ Monica, Deurne, Belgium
Department of Orthopedics, AZ Monica, Deurne, and University Hospital Antwerp, Edegem, Belgium
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Department of Orthopedics, AZ Monica, Deurne, Belgium
Department of Orthopedics, AZ Monica, Deurne, and University Hospital Antwerp, Edegem, Belgium
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Department of Orthopedics, AZ Monica, Deurne, Belgium
Department of Orthopedics, AZ Monica, Deurne, and University Hospital Antwerp, Edegem, Belgium
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radioulnar articulation is not involved since it moves as a unit. 1 Chronic instability typically occurs from a traumatic event that commonly involves an elbow dislocation that remains unstable as the lateral collateral ligament complex fails to heal
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fails ( 21 , 22 ). Currently accepted management is that surgical intervention should be considered only for a limited group of patients whose symptoms persist despite the appropriate rehabilitation program. Surgical treatment should be avoided