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Is it time to recommend arthroscopic shoulder reconstruction for every patient? Arthroscopic techniques have improved significantly and gained in popularity over the past few years, but does the literature support abandoning open reconstruction?
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Although shoulder arthroscopy has become very popular and has been advocated for instability, there is often no substitute for an open procedure.
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he Centers for Disease Control and Prevention published Smallpox Vaccination and Adverse ReactionsGuidance for Clinicians in the Jan. 24th edition of Morbidity and Mortality Weekly Report. The guidance is a thorough review of the smallpox vaccine with a well-illustrated compendium of complications.
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With improved understanding of rotator cuff pathology and the availability of arthroscopic instrumentation specifically designed for soft tissue repair techniques, rotator cuff repairs have evolved from a classic open approach to a mini-open (or deltoid-sparing) approach, and finally to an all-arthroscopic technique.
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Open repair of rotator cuff tears has been a time-tested technique based on fundamental principles. Neer originally proposed 4 major objectives: cuff defect closure, elimination of impingement lesions of the coracoacromial arch, deltoid muscle preservation, and early rehabilitation without disrupting the repair.
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Slap (superior labrum anterior to posterior) lesions involve injuries to the superior labrum with varying degrees of avulsion of the long head of the biceps attachment. SLAP lesions can be difficult to diagnose, difficult to treat, and difficult to determine in importance.
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Valgus instability of the elbow is characterized by pain and instability at the medial aspect of the elbow due to the sprain, attenuation, or rupture of the ulnar collateral ligament (UCL). As more is being learned about this ligament, it appears that there may be a spectrum of asymptomatic laxity, especially in athletes who perform overhead throwing maneuvers.
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The Metabolic Syndrome and Total and Cardiovascular Disease Mortality in Middle-Aged Men; Amlodipine Fosinopril Combination on Microalbuminuria in Hypertensive Type 2 Diabetic Patients; Relation Between Alcohol Consumption and C-Reactive Protein Levels in the Adult United States Population; Prostate Cancer Screening; Can We Trust Home BP Measurement?; Systolic and Diastolic Dysfunction
