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Ulnar Collateral Ligament Tears: Rehabilitation and Throwing Programs. 尺侧副韧带撕裂：康复和投掷计划。
Instructional course lectures Pub Date : 2025-01-01
Adrik Da Silva, James W Connelly, Eric N Bowman, Michael T Freehill, Matthew V Smith, Peter N Chalmers
{"title":"Ulnar Collateral Ligament Tears: Rehabilitation and Throwing Programs.","authors":"Adrik Da Silva, James W Connelly, Eric N Bowman, Michael T Freehill, Matthew V Smith, Peter N Chalmers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The incidence of ulnar collateral ligament injuries has increased over the past decade. As a result, the rate of ulnar collateral ligament reconstruction has increased dramatically at all levels of competition in overhead athletes. Currently, there is no consensus on milestones during rehabilitation or a largely agreed-upon structured throwing program after ulnar collateral ligament injuries. It is important to outline the criteria that should be met during rehabilitation and provide an evidence-based structured throwing program that can be implemented to improve and optimize an athlete's chances of returning to the same level of throwing. These guidelines may be used for rehabilitation after an injury is managed surgically or nonsurgically.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"74 ","pages":"71-78"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Complications in Shoulder Arthroplasty: Why Do They Happen and How to Manage Them. 肩关节置换术中的并发症：为什么会发生以及如何处理。
Instructional course lectures Pub Date : 2025-01-01
Julie Y Bishop, Gregory L Cvetanovich, Evan S Lederman, Marc Lubitz, Sara Edwards, Oke Anakwenze
{"title":"Complications in Shoulder Arthroplasty: Why Do They Happen and How to Manage Them.","authors":"Julie Y Bishop, Gregory L Cvetanovich, Evan S Lederman, Marc Lubitz, Sara Edwards, Oke Anakwenze","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Complications occur with total shoulder arthroplasty (TSA), and they can be daunting to diagnose and treat. It is important to review common TSA-related complications and to summarize risk factors along with causes of these complications and how to avoid them. The orthopaedic surgeon should be knowledgeable about how to successfully manage complications to achieve good patient outcomes and the etiologies and management of the painful and stiff shoulder arthroplasty, subscapularis failure after anatomic TSA, instability after reverse shoulder arthroplasty, and acromion stress fractures in the setting of reverse TSA.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"74 ","pages":"3-18"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Flexor Tendon Injuries. 屈肌腱损伤。
Instructional course lectures Pub Date : 2025-01-01
Diego Barragan Echenique, Elan Volchenko, Alfonso Mejia
{"title":"Flexor Tendon Injuries.","authors":"Diego Barragan Echenique, Elan Volchenko, Alfonso Mejia","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Flexor tendon injuries are a commonly encountered hand problem caused by trauma. They can be associated with fractures or neurovascular injury or occur in isolation. Thorough physical examination is an integral aspect of management of these injuries to identify concomitant pathology and to facilitate preoperative planning and timing of surgery to improve outcome. Management of flexor tendon injuries varies based on the zone of injury, associated fractures, neurovascular inquiries, and injury acuity. The goal of management of flexor tendon injuries is a strong repair and smooth-gliding tendon that heals in a timely manner, resulting in a functional digit. Appropriate rehabilitation is essential in managing these injuries to regain satisfactory motion and prevent adhesion formation and stiffness.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"74 ","pages":"165-178"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Novel Techniques in Orthopaedic Trauma: Role of External Fixators as Adjunct and Initial Fixation in Trauma. 骨科创伤的新技术：外固定架作为辅助和初始固定在创伤中的作用。
Instructional course lectures Pub Date : 2025-01-01
Sehar Resad Ferati, Nirmal C Tejwani
{"title":"Novel Techniques in Orthopaedic Trauma: Role of External Fixators as Adjunct and Initial Fixation in Trauma.","authors":"Sehar Resad Ferati, Nirmal C Tejwani","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>External fixation is a powerful tool in orthopaedic trauma surgery. Beyond serving as provisional or temporizing fixation, external fixation has utility as an intraoperative reduction tool, adjunct to internal fixation, and definitive fixation. It is important to summarize the indications, techniques, and considerations of various roles of external fixation in orthopaedic trauma.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"74 ","pages":"367-378"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimizing Patient Care Using Orthobiologics. 使用骨科优化患者护理。
Instructional course lectures Pub Date : 2025-01-01
Giovanna Medina, Shane Adam Shapiro, Kenneth R Zaslav, Bert R Mandelbaum, Jason L Dragoo
{"title":"Optimizing Patient Care Using Orthobiologics.","authors":"Giovanna Medina, Shane Adam Shapiro, Kenneth R Zaslav, Bert R Mandelbaum, Jason L Dragoo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The present-day treatment for advanced osteoarthritis is joint replacement. However, modern nonsurgical treatments have been used as a first-line option to delay or avoid arthroplasty, especially if treatments are started when osteoarthritis is moderate. Among many nonsurgical options, there has been an increased interest recently in the use of orthobiologics. Orthobiologics are natural substances harvested from one's own body and used to treat several conditions, such as arthritis, tendinopathies, bone healing, and others. Given these are relatively new therapies, there is limited evidence supporting their use. The most common emerging biologic strategies are discussed.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"74 ","pages":"323-332"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ulnar Collateral Ligament Repair. 尺侧副韧带修复。
Instructional course lectures Pub Date : 2025-01-01
Connor Sholtis, Galvin Joseph Loughran, Nicholas Kwon, Eric N Bowman, Matthew V Smith, Peter N Chalmers, Michael T Freehill
{"title":"Ulnar Collateral Ligament Repair.","authors":"Connor Sholtis, Galvin Joseph Loughran, Nicholas Kwon, Eric N Bowman, Matthew V Smith, Peter N Chalmers, Michael T Freehill","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ulnar collateral ligament injury of the elbow is a problem most associated with baseball pitchers but can be a challenging pathology for any overhead throwing athlete. The prevalence of these injuries has been steadily increasing over the past several decades, as has the need for surgical management. Surgical reconstruction has long been considered the gold standard for complete ulnar collateral ligament injuries in throwers, but repair has surfaced as a viable option for younger patients or those with isolated proximal or distal injuries with good tissue quality. Ulnar collateral ligament repair continues to evolve with modified techniques, including graft augmentation.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"74 ","pages":"51-60"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Alphabet Soup of Primary Total Knee Arthroplasty Liner Options-Cruciate Retaining, Posterior Stabilized, 
Medial Congruent, Medial Pivot: Making Sense of the Options and What the Latest Data Show. 初级全膝关节置换术衬垫选择的字母汤--韧带固定、后稳定、内侧同形、内侧枢轴：了解各种选择和最新数据。
Instructional course lectures Pub Date : 2024-01-01
Alexander P Sah, Jeremy M Higuera, Marcus C Ford, Mark W Pagnano
{"title":"Alphabet Soup of Primary Total Knee Arthroplasty Liner Options-Cruciate Retaining, Posterior Stabilized, \u2028Medial Congruent, Medial Pivot: Making Sense of the Options and What the Latest Data Show.","authors":"Alexander P Sah, Jeremy M Higuera, Marcus C Ford, Mark W Pagnano","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The traditional dual-option debate of cruciate-retaining versus posterior-\u2028stabilized knee arthroplasty designs has evolved into a more complex discussion in recent years. The growing interest and rapid adoption of medial conforming and medial pivot designs has made the original debate surrounding cruciate-retaining versus posterior-stabilized designs more interesting. Each liner option has its own advantages and disadvantages. Although conforming tibial liner options are increasing rapidly, traditional cruciate retaining and posterior stabilized are the most common designs, as recorded in most registries. However, it is important to understand the updated pros and cons of each liner design as surgeons focus on personalization of their total knee arthroplasty procedures to the individual patient. Different liner options may be more advantageous in certain situations or vary with surgical technique. Several different types of tibial liner options are currently available, and it is important to review and summarize the latest literature available for each.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"73 ","pages":"169-181"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long-Acting Local Anesthetics for Total Knee Arthroplasty: Past, Present, and Future. 用于全膝关节置换术的长效局部麻醉剂：过去、现在和未来。
Instructional course lectures Pub Date : 2024-01-01
Alexander P Sah, Gwo-Chin Lee
{"title":"Long-Acting Local Anesthetics for Total Knee Arthroplasty: Past, Present, and Future.","authors":"Alexander P Sah, Gwo-Chin Lee","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pain management remains a challenge in the optimization of outcomes after total knee arthroplasty. Multimodal analgesia is commonplace for modern elective joint replacement, combining various medications and anesthetics along the pain pathway. Local analgesics have the advantage of avoiding systemic effects and offering concentrated local delivery of medications. Long-acting local anesthetics provide the added advantage of providing sustained pain relief when other treatment options may no longer be effective. It is important to provide an update on current local analgesic strategies available with a review of the current literature, outlining the potential benefits and unique considerations of each treatment. Novel medications in development targeting pain management following total knee arthroplasty are possible options in the future.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"73 ","pages":"161-168"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138815097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Open and Arthroscopic Elbow Contracture Release: 
Tips and Pearls. 开放式和关节镜肘关节挛缩松解术：小贴士和珍珠。
Instructional course lectures Pub Date : 2024-01-01
H Mike Kim, Mark E Morrey, Scott Steinmann, Raul Barco
{"title":"Open and Arthroscopic Elbow Contracture Release: \u2028Tips and Pearls.","authors":"H Mike Kim, Mark E Morrey, Scott Steinmann, Raul Barco","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Elbow stiffness is a common consequence of trauma and can significantly limit the functionality of the affected arm. Intervention may be necessary for those with a motion arc less than 100°, but the decision to intervene should be based on individual patient needs. Restoration of joint motion in a stiff elbow can be challenging, time consuming, and costly. Nonsurgical treatment is the primary management option, and surgical intervention is considered for refractory stiffness. However, recurrent stiffness is a common issue following surgical elbow contracture release. An overview of relevant elbow anatomy, principles and technical pearls of arthroscopic and open contracture release, and postoperative rehabilitation methods to reduce the risk of recurrent stiffness is provided. It is important to tailor the treatment plan to each patient's unique needs and functional expectations.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"73 ","pages":"625-637"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138815185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Top No-Nonsense Tips: The Dos and Don'ts of Managing Flexor Tendon Injuries. 最简单的窍门：处理屈肌腱损伤的注意事项。
Instructional course lectures Pub Date : 2024-01-01
Maureen A O'Shaughnessy, Marco Rizzo, Nicholas Pulos, Donald G Pitts
{"title":"Top No-Nonsense Tips: The Dos and Don'ts of Managing Flexor Tendon Injuries.","authors":"Maureen A O'Shaughnessy, Marco Rizzo, Nicholas Pulos, Donald G Pitts","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Flexor tendon injury surgical repairs can be challenging for surgeons, where the timing of surgery and precision of repair matter the most. The latest evidence and basic science discoveries in flexor tendon management are provided. It is important to review how wide-awake local anesthesia no tourniquet surgery has been a paradigm shift in surgical management and pearls learned from incorporating this into practice.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"73 ","pages":"347-355"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138815230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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