All Activities
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Scapula Fractures
Ranging from simple fractures to complex cases involving bony displacement and intra-articular involvement with the glenohumeral joint, scapula fractures require proper management to restore shoulder kinematics. Successful outcomes depend on radiographic indications for conservative treatment or surgical intervention.
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Anterolateral Instability
Working in concert with the ACL, the anterolateral ligament (ALL) plays a role in providing rotatory stability to the knee. Current treatment concepts focus on lateral extra-articular procedures to reduce residual instability after knee injury.
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Soft-Tissue Trauma and Dislocations
Soft-tissue trauma and dislocations present unique challenges in trauma management due to capsular, ligamentous, and tendinous involvement. Proper management of fracture fixation and/or soft-tissue repair is paramount to preserve joint stability and kinematics.
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Collateral Ligament Injuries
The collateral ligaments are critical for maintaining medial and lateral knee stability. Injury classification and whether an injury occurs in isolation or contributes to multiligamentous instability will help guide whether conservative or surgical treatment is indicated.
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Lateral Collateral Ligament (LCL) Injuries
Rarely occurring in isolation, lateral collateral ligament (LCL) injuries are often part of multiligamentous injuries. LCL tear classification will help determine whether conservative or surgical treatment is appropriate.
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Innovations in Trauma Surgery
Explore innovations in trauma solutions, including the latest fracture fixation and soft-tissue repair techniques.
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Cartilage and Meniscus Treatments
In cases of isolated cartilage loss, transplantation and implantation techniques with autografts or allografts can be used with the goal of restoring cartilaginous integrity.
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Flexor Tendon Injuries
Flexor tendon injuries that affect the palmar aspect of the hand not only affect mobility and hand function but may also result in neurological and vascular compromise. Depending on the pathology, surgical release or repair may be indicated.
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Lunotriquetral Ligament (LTL) Instability
The lunotriquetral ligament (LTL) and associated joint are integral to wrist structure and function. Injury resulting in lunotriquetral ligament instability may require ligament repair, reconstruction, or other surgical intervention to restore ulnar-sided stability to the wrist.
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Palmar Distal Interphalangeal (DIP) Joint Injuries (Jersey Finger)
A palmar distal interphalangeal (DIP) joint injury, otherwise known as jersey flexor digitorum profundus from the distal phalanx. Surgical intervention can restore alignment to preserve function and prevent deformity.
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Perilunate Injuries
Perilunate injuries range in severity, inclusive of multipoint instability, dislocation, and fracture. Careful evaluation of the extent of injury and level of structural involvement is needed for treatment planning to maximize functional outcomes.
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Scapholunate Pathologies
Scapholunate pathologies disrupt the normal kinematics of the wrist. Common causes of pain and dysfunction include ganglion cysts and scapholunate ligament injuries, which can progress to scapholunate advanced collapse (SLAC).
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Scaphoid Lunate Advanced Collapse (SLAC)
Scapholunate advanced collapse, or SLAC wrist, is a debilitating complication of a scapholunate injury that results in progressive osteoarthritic changes in response to abnormal kinematics of the wrist. For this advanced pathology, salvage procedures like proximal-row carpectomy and four-corner fusion...
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Triangular Fibrocartilage Complex (TFCC) Injuries
The triangular fibrocartilage complex (TFCC) is a conglomerate of soft-tissue structures on the ulnar side of the wrist that plays a significant biomechanical role in wrist mobility and stabilization. The severity and chronicity of TFCC injuries will help determine the...
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ACL Injuries: QuadLink™ ACL Reconstruction Using FiberTag® TightRope® II Implants and the InternalBrace™ Technique
Walter R. Lowe, MD (Houston, TX), demonstrates quadriceps tendon graft preparation using FiberTag® TightRope® II implants for an autograft ACL reconstruction using the InternalBrace™ technique. The InternalBrace surgical technique is intended only to augment the primary repair/reconstruction by expanding the...
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Osteochondral Injuries of the Hip
When focal cartilage defects of the hip arise, cartilage-preserving techniques are paramount to prevent progression to osteoarthritis. Surgical interventions include the use of autografts, allografts, and biologic treatments.
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Femoral Head Avascular Necrosis (AVN)
The femoral head is the most common site for avascular necrosis (AVN), which can lead to subchondral bone loss and joint dysfunction from vascular compromise. Joint-preserving treatment options are available, but early diagnosis is essential to take this route.
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Internal Snapping Hip Syndrome
True internal snapping hip syndrome, or coxa saltans interna, is rare. The ability to correctly identify this pathology is key for determining an appropriate treatment plan and surgical management, if needed.
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Peritrochanteric Hip Pathologies
Trochanteric bursitis, coxa saltans externa, and abductor tendinopathy and tears are grouped together and identified as greater trochanteric pain syndrome. A thorough history and physical examination are essential for an accurate diagnosis to help differentiate these lateral hip conditions from...
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Femoral Neck Fractures
Because they are intracapsular, femoral neck fractures present an increased risk of nonunion and avascular necrosis and require proper surgical stabilization. Open reduction internal fixation and hip arthroplasty are viable treatment options for this common fracture type.
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Intertrochanteric Fractures
Occurring between the greater and lesser trochanters, intertrochanteric fractures are common following falls in older populations. Intertrochanteric nails are commonly used to stabilize this fracture pattern.
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Proximal Hamstring Tears
Most hamstring tears occur proximally. Whether a proximal hamstring tear occurs in the muscle belly or musculotendinous junction or is classified as an avulsion tear will help guide whether conservative or surgical treatment is indicated.
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Subtrochanteric Fractures
Occurring within the 5 cm of femoral shaft distal to the lesser trochanter, subtrochanteric fractures can result from either low-energy or high-energy trauma. Intramedullary nails are commonly used to stabilize this fracture pattern.