Flexor Tendon Repair

Feb 23, 2017 by in ORTHOPEDIC Comments Off on Flexor Tendon Repair

Successful outcome after flexor tendon repair requires a delicate balance between tendon healing and limiting scar tissue formation. Recent studies have highlighted the importance of the number of core sutures…

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Prosthetic Design in Total Wrist Arthroplasty

Feb 23, 2017 by in ORTHOPEDIC Comments Off on Prosthetic Design in Total Wrist Arthroplasty

Total wrist arthroplasty (TWA) provides a motion-preserving alternative to total wrist arthrodesis for low-demand patients with debilitating pancarpal arthritis. The earlier generation total wrist implants had high complication and failure…

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Surgical Treatment of Distal Biceps Ruptures

Feb 23, 2017 by in ORTHOPEDIC Comments Off on Surgical Treatment of Distal Biceps Ruptures

Distal biceps ruptures occur from eccentric loading of a flexed elbow. Patients treated nonoperatively have substantial loss of strength in elbow flexion and forearm supination. Surgical approaches include 1-incision and…

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Congenital Anomalies of the Hand—Principles of Management

Feb 23, 2017 by in ORTHOPEDIC Comments Off on Congenital Anomalies of the Hand—Principles of Management

Physicians who specialize in pediatric orthopedics and hand surgery frequently encounter congenital hand abnormalities, despite their relative rarity. The treating physician should be aware of the associated syndromes and malformations…

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Posterior Shoulder Instability in Overhead Athletes

Feb 23, 2017 by in ORTHOPEDIC Comments Off on Posterior Shoulder Instability in Overhead Athletes

Posterior shoulder instability in overhead athletes presents a unique and difficult challenge. Often, this group has an inherent capsular laxity and/or humeral retroversion to accommodate the range of motion necessary…

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Immobilization After Rotator Cuff Repair

Feb 23, 2017 by in ORTHOPEDIC Comments Off on Immobilization After Rotator Cuff Repair

Recurrent tears after rotator cuff repair are common. Postoperative rehabilitation after rotator cuff repair is a modifiable factor controlled by the surgeon that can affect re-tear rates. Some surgeons prefer…

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Patellar Instability

Feb 23, 2017 by in ORTHOPEDIC Comments Off on Patellar Instability

Shital N. Parikh, MD, FACS, Editor From an evolutionary standpoint, the patella appeared much later than the condyles, meniscus, and cruciate ligaments of the knee. Compared with lower animals, the…

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