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. A wide range of treatment modalities have been described, such as supervised neglect, 21 physiotherapy, 22 intra-articular corticosteroid injections, 23 capsular distension injections, 24 manipulation under anaesthesia (MUA) 25
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Porto Biomechanics Laboratory (LABIOMEP), Faculty of Sports, University of Porto, Porto, Portugal
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Dom Henrique Research Centre, Porto, Portugal
ICVS/3Bs, PT Government Associate Laboratory, Braga/Guimarães, Portugal
School of Medicine, Minho University, Braga, Portugal
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, manipulation with instruments might cause iatrogenic chondral damage ( Fig. 2 ). Iatrogenic chondral injuries may occur directly when using surgical instruments, or indirectly due to inadequate treatment of meniscal injuries. The iatrogenic chondral damage
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Clínica Alemana, Santiago, Chile
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paediatric orthopaedic surgeons. This paper reviews the history of the procedure, current indications, and recent advances underlying surgical physeal manipulation. History of the procedure In the 19th century, Hueter, Volkmann, and Delpech described
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the routine use of MRI, but it can be useful in case of stiffness after ACL reconstruction for scar tissue evaluation ( 55 ). Treatment modalities Different treatment modalities can be indicated to treat knee stiffness, including manipulation
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, knee stiffness requiring manipulation under anaesthesia, post-operative infection and deep vein thrombosis were also analysed. The following additional information was recorded: study setting; population; participant demographics; follow-up rates and
Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, UK
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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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transverse fractures; manipulation techniques, especially useful in cases of sacral fractures associated with pelvic ring injuries, such as manipulating the iliac wings together with controlling rotations of the lower limbs when facing a type B pelvic injury
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(ischaemia) time-dependent, while a subsequent reperfusion injury may create a secondary ischaemia, so amplifying the primary ischaemic damage. Surgical manipulation of a proximal humeral fracture may generate a third phase of ischaemia, particularly if
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stiff TKA, including manipulation under anaesthesia (MUA), arthroscopic arthrolysis and revision arthroplasty. 9 – 11 There is no clear management protocol for the treatment of the stiff TKA. This review has two objectives: to define the risk
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shoulder but the benefits lasted less than six weeks. 24 Other authors have demonstrated good outcomes in the early stages of frozen shoulder with oral steroids combined with neuropathic agents and a home exercise programme. 25 Manipulation
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. Daluga et al. ( 26 ) studied 135 TKAs and when defining TKA overstuffing as a 12% increase in APFD, 10 were overstuffed. All 10 of these joints required manipulation ( P = .026), compared to 84/125 unstuffed knees that also required manipulation in
