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Sport Traumatology and Biomechanics Unit Department of Traumatology, Orthopaedics and Hand Surgery, Poznań University of Medical Science, Poznań, Poland
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and pain. Overlapping neurological symptoms, such as dissociated sensory loss, often make treatment difficult. Every patient with unexplained shoulder degeneration should be evaluated for SM. Both conservative and surgical treatments may be a good
National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol, UK.
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National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol, UK.
North Bristol NHS Trust, Southmead Hospital, Bristol, UK.
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National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol, UK.
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surgery for chronic pain after TKA should not be performed unless the cause of pain is clearly identified as implant-related, as revision surgery for unexplained pain has consistently been shown to result in poor outcomes. 91 - 93 Chronic pain after
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, progressive arthritis, and instability; knee pain continues to be one of the top five reasons for revision surgery. 2 A retrospective study by Erivan R et al 12 showed that in patients with unexplained chronic knee pain following TKR, 4.5% of cases
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an honest and apologetic approach to medical mistakes makes patients less likely to seek legal advice for complaints. 12 In the post-operative setting, unexplained severe pain may result in mistrust between the patient and the surgeon. A failure
Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Rome, Italy.
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a case of persistent and/or unexplained hip or abdominal pain in this population to allow early fracture identification. When diagnosis is delayed for over 30 days, this condition is defined as NFNF, and for its treatment in CP patients the surgeon
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not significantly associated with adverse outcomes, caution should be exercised when attributing unexplained pain to PFJ overstuffing, and revision should not be performed for this alone. Table 3 Comparison of overstuffed and unstuffed knees by
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Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
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Introduction Degenerative joint disease of the elbow is less common compared to the hip and knee. The prevalence of primary elbow osteoarthritis (OA) is 2–3%. 1 , 2 OA of the elbow can cause severe disabling symptoms of pain, locking
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trochanter fracture ( n = 1, 0.4%), modular neck fracture ( n = 1, 0.4%) and unexplained pain ( n = 1, 0.4%). Revision rate There were 32 failures in total necessitating revision surgery in the 268 cases (11.9%). Seven hip resurfacings failed
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and prognosis of these patients. Elbow tumours pose a diagnostic challenge for orthopaedic surgeons. Physical examination and a thorough history are the cornerstones of diagnosis. Patients usually present with persistent, unexplained, non
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. However, bearing dislocation is still reported as the predominant mechanism of failure in mobile-bearing UKAs. 49 Mechanical loosening, lateral OA and unexplained pain are other mechanisms of failure, with revision for patellofemoral problems and PE
