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Hombro y codo

Pronator Syndrome and Anterior Interosseous Nerve Syndrome

Última actualización 20/05/13Craig M. Rodner, MD, Abstract Dysfunction of the median nerve at the elbow or proximal forearm can characterize two distinct clinical entities: pronator syndrome (PS) or anterior interosseous nerve (AIN) syndrome. PS is characterized by vague volar forearm pain, with median nerve paresthesias and minimal motor findings. AIN …

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Management of Fractures of the Proximal Ulna

Última actualización 9/04/13Dominique M. Rouleau J Am Acad Orthop Surg March 2013 vol. 21 no. 3 Abstract Proximal ulna fractures can be difficult to manage because of the elbow’s complex anatomy. Advances in understanding elbow anatomy and biomechanics, however, have led to new insights. Careful preoperative evaluation is critical because …

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Workers’ Compensation and Outcomes of Upper Extremity Surgery

Última actualización 5/03/13Konrad I. Gruson J Am Acad Orthop Surg February 2013 ; 21 Abstract Clinical outcomes following upper extremity surgery among workers’ compensation patients have traditionally been found to be worse than those of non–workers’ compensation patients. In addition, workers’ compensation patients take significantly longer to return to their …

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Soft-tissue Management in Revision Total Shoulder Arthroplasty

Última actualización 4/02/13Joseph A. Abboud, Abstract Revision total shoulder arthroplasty can be technically challenging. Results are inferior to those of primary arthroplasty, particularly when the indications for revision are related to soft-tissue problems. Patient selection is important. In the stiff arthroplasty, the surgeon must address rotator cuff and capsular contractures …

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Shoulder Dislocation in the Older Patient

Última actualización 22/10/12J Am Acad Orthop Surg. October 2012;20(10) Anand M. Murthi Abstract Approximately 20% of all shoulder dislocations occur in patients aged >60 years. Older patients who sustain a primary shoulder dislocation are much less likely than younger patients to suffer from recurrence. However, older patients are more likely …

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Scapular Dyskinesis and Its Relation to Shoulder Injury

Última actualización 25/06/12J Am Acad Orthop Surg June 2012 vol. 20 no. 6 W. Benjamin Kibler Abstract The scapula plays a key role in nearly every aspect of normal shoulder function. Scapular dyskinesis—altered scapular positioning and motion—is found in association with most shoulder injuries. Basic science and clinical research findings …

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The Hill-Sachs Lesion: Diagnosis, Classification, and Management

Última actualización 10/04/12J Am Acad Orthop Surg April 2012 Matthew T. Provencher, Abstract The Hill-Sachs lesion is an osseous defect of the humeral head that is typically associated with anterior shoulder instability. The incidence of these lesions in the setting of glenohumeral instability is relatively high and approaches 100% in …

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Management of Multidirectional Instability of the Shoulder

Última actualización 13/02/12Trevor R. Gaskill JAAOS December 2011;19 (12) Abstract Multidirectional shoulder instability is defined as symptomatic instability in two or more directions. Instability occurs when static and dynamic shoulder stabilizers become incompetent due to congenital or acquired means. Nonspecific activity-related pain and decreased athletic performance are common presenting complaints. …

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