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Operative Treatment

For patients who fail nonoperative treatment, the procedure of choice is arthroscopic subacromial decompression (ASAD). The advantages of the arthroscopic approach include minimally invasive surgery without detachment of the deltoid.

This leads to a more comfortable postoperative recovery and the capability to accelerate rehabilitation. Arthroscopy also allows complete evaluation of the glenohumeral joint and the […]

Posterior cruciate ligament injuries

PCL tears of the knee are not very common; they constitute only 5-10% of all major knee ligament tears.

Anatomy The PCL has an average width of 0.5 in (13 mm) and length of 1.5 in (38 mm). It is fan-shaped, being narrowest in the midportion and fanning out superiorly and, to a lesser extent, […]

Carpal Tunnel Syndrome

Carpal tunnel syndrome is most often caused by overuse of the wrist, which in turn causes narrowing and inflammation of the tunnel that houses the nerves and tendons that lead from the forearm to the wrist. Compression of the median nerve causes the symptoms. Overuse is common in hand-intensive activities, particularly when the wrist is […]

Syndesmosis Ligament Rupture

SYMPTOMS

There is a severe sharp pain around the anterior tibio fibula junction, haemarthrosis and sense of ankle instability after a severe hyperflexion – inversion or eversion ankle sprain. A player cannot continue and will limp off the pitch. This injury is well-known in association with a fracture but occurs frequently in isolation in […]

Posterior Cruciate Ligament Injury

Basics Description Injury to the OSD, the primary stabilizer to posterior translation of the tibia on the femur at the knee Classification (see Posterior drawer test under Physical Exam): Grade 1: Tibial plateau is anterior to the femoral condyles. Grade 2: Tibial plateau is level with the femoral condyles. Grade 3: Tibial plateau is […]