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School of Surgery, University of Western Australia, Perth, Australia
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active forward elevation (AFE) and active external rotation (CLEER). A younger patient with shoulder joint hyperlaxity, characterized by external rotation exceeding 85° when the arm is at the side. Cases involving capsular
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FORE (Foundation for Research and Teaching in Orthopedics, Sports Medicine, Trauma, and Imaging in the Musculoskeletal System), Meyrin, Switzerland
Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland
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that voluntary dislocators may not respond as well to surgical intervention as non-voluntary ones. It can also be challenging to determine a clear definition of MDI due to its intuitive overlap with generalized ligamentous laxity or hyperlaxity. While
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, generalized hyperlaxity (e.g. Ehlers–Danlos syndrome), trochlear dysplasia, dysplasia of vastus medialis obliquus (VMO), increased Q angle, genu valgum, increased femoral anteversion and tibial torsion have been adequately discussed in a previous review in
The University of Western Australia, Perth, Australia
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Clinique Victor Hugo, 5 Bis rue du Dôme 75016 Paris, France
American Hospital of Paris, 55 Boulevard du Château, 92200 Neuilly-sur-Seine, France
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Shoulder, Elbow Unit, Sportsclinicnumber1, Papiermuehlestrasse 73, 3014 Bern, Switzerland
Shoulder, Elbow and Orthopaedic Sports Medicine, Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, Bern, Switzerland
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Royal Perth Hospital, Perth, Australia
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). It is also important to assess patient risk factors (age, hyperlaxity and sports profile) ( 3 ). Proven risk factors for recurrence are as follows: young age < 20–25 years; bone loss; competitive, contact and overhead sports; as well as hyperlaxity
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also be soft tissue problems related or not to collagen diseases such as generalized hyperlaxity or Ehlers–Danlos syndrome that may be related to postoperative recurrence after Latarjet ( 7 ). While epilepsy has been classically regarded as a risk
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insufficiency, severe varus or valgus deformity (> 20°) with relevant soft-tissue release and relevant bone loss, as well as insertions of collateral ligaments, gross flexion-extension gap imbalance, ankylosis and hyperlaxity. They found that although the
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Dynamic shoulder instability classification of Gerber and Nyfeller ( 8 ). Classification Description B1: Chronic locked dislocation Locked instability caused by major trauma B2: Unidirectional instability without hyperlaxity
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Faculty of Medicine, University of Geneva, Geneva, Switzerland
Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland
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glenoid. 11 Hyperlaxity is constitutional, multidirectional, bilateral and asymptomatic. Hyperlaxity of the shoulder is probably best defined as external rotation with the elbow at the side equal to or greater than 85 degrees. 12 This non
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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failure rate than BPTB autograft alone and 3.1 times reduction in graft failure rate compared to HT autograft alone, at a mean of 38 months follow-up. 36 Patients with ligamentous hyperlaxity undergoing ACL reconstruction with HT autograft and ALLR
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head and the glenoid rim may easily progress to recurrent posterior subluxation or dislocation during motion, especially if patients have coexisting structural and functional deficiencies (hyperlaxity, capsular redundancy, glenoid flattening, or