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Rotator Cuff Tear Diagnosis & Repair

Rotator Cuff Tears: Diagnosis and Arthroscopic Repair

Rotator cuff tears are a common source of shoulder pain and disability, affecting individuals of all ages, though they are more frequent in those over 40 years of age and those engaging in repetitive overhead activities1. This comprehensive review explores the diagnosis and arthroscopic repair of rotator cuff tears, encompassing various repair techniques and rehabilitation protocols.

Diagnosis of Rotator Cuff Tears

Accurate diagnosis is crucial for the effective management of rotator cuff tears. The diagnostic process typically involves a combination of physical examination and imaging techniques.

Physical Examination

During a physical … Read more

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Reverse Shoulder Arthroplasty Outcomes

Reverse Shoulder Arthroplasty for Pseudo Paralysis: Outcomes and Influencing Factors

Reverse shoulder arthroplasty (RSA) is a surgical procedure used to treat various shoulder conditions, including rotator cuff tear arthropathy (CTA), proximal humerus fractures, and failed shoulder arthroplasty 1. RSA is considered when a patient has arthritis of the shoulder joint and the rotator cuff tendons are torn or gone, or when the rotator cuff tendons are torn, and the person cannot lift their arm 2. It is also an option for those who have had a previous standard shoulder replacement that was unsuccessful or for certain shoulder fractures… Read more

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Pectoralis Major Rupture: Surgical Repair

Pectoralis Major Ruptures: Optimal Timing for Surgical Repair, Techniques, and Outcomes

Pectoralis major ruptures are uncommon injuries that typically occur in young, active men 1. These injuries involve a tear of the pectoralis major tendon, most commonly at its insertion on the humerus 2. Although these injuries are relatively rare, they are becoming an increasingly frequent cause of disability 2. While conservative treatment may be an option for some individuals, surgical repair is often recommended, especially for those who wish to regain full strength and function. This article analyzes the optimal timing for surgical repair of pectoralis … Read more

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Congenital Hand Differences Review

Congenital Hand Differences: A Review of Diagnosis and Treatment

Congenital hand differences encompass a spectrum of limb malformations present at birth. These differences can significantly impact hand function and aesthetics, necessitating comprehensive diagnosis and appropriate treatment strategies 1. This article reviews three common congenital hand differences: polydactyly, syndactyly, and cleft hand, examining their diagnosis, treatment options, potential complications, and long-term outcomes.

Polydactyly

Polydactyly, derived from the Greek words “poly” (many) and “daktylos” (finger), is characterized by the presence of one or more extra fingers or toes. It is one of the most prevalent congenital hand abnormalities, affecting approximately 1 … Read more

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UKA versus TKA: A Comparison

Unicompartmental Knee Arthroplasty vs. Total Knee Arthroplasty: Indications, Outcomes, Revision Rates, and Surgical Techniques

Introduction

Osteoarthritis (OA) is a prevalent cause of knee pain and disability, often necessitating surgical intervention when conservative treatments fail. While total knee arthroplasty (TKA) has long been the gold standard for treating end-stage knee OA, unicompartmental knee arthroplasty (UKA) has emerged as a less invasive alternative for individuals with disease isolated to a single compartment of the knee1. Since its first definition, UKA has become a common procedure for the treatment of single-compartment OA, restoring knee biomechanics with minimal bone and soft tissue … Read more

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PROMs in Joint Arthroplasty Evaluation

Patient-Reported Outcome Measures in Joint Arthroplasty

Total joint arthroplasty (TJA) is a common and effective surgical procedure for treating end-stage joint diseases like osteoarthritis. Traditionally, the success of TJA was primarily evaluated based on objective measures such as implant survival, range of motion, and radiographic findings. However, with the shift towards patient-centered care, there is increasing emphasis on incorporating patient-reported outcome measures (PROMs) to assess the true impact of TJA on patients’ lives. PROMs are standardized, validated questionnaires completed by patients to provide subjective assessments of their health status, functional abilities, and quality of life. This article will discuss the … Read more

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