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Surgical Treatment Options for the Young and Active Middle-Aged Patient with Glenohumeral Arthritis
المؤلفون المشاركون
Hsu, Andrew R.
Chalmers, Peter N.
Cole, Brian J.
Bhatia, Sanjeev
Verma, Nikhil N.
Lin, Emery C.
Ellman, Michael
المصدر
العدد
المجلد 2012، العدد 2012 (31 ديسمبر/كانون الأول 2012)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2012-03-22
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
The diagnosis and treatment of symptomatic chondral lesions in young and active middle-aged patients continues to be a challenging issue.
Surgeons must differentiate between incidental chondral lesions from symptomatic pathology that is responsible for the patient's pain.
A thorough history, physical examination, and imaging work up is necessary and often results in a diagnosis of exclusion that is verified on arthroscopy.
Treatment of symptomatic glenohumeral chondral lesions depends on several factors including the patient's age, occupation, comorbidities, activity level, degree of injury and concomitant shoulder pathology.
Furthermore, the size, depth, and location of symptomatic cartilaginous injury should be carefully considered.
Patients with lower functional demands may experience success with nonoperative measures such as injection or anti-inflammatory pharmacotherapy.
When conservative management fails, surgical options are broadly classified into palliative, reparative, restorative, and reconstructive techniques.
Patients with lower functional demands and smaller lesions are best suited for simpler, lower morbidity palliative procedures such as debridement (chondroplasty) and cartilage reparative techniques (microfracture).
Those with higher functional demands and large glenohumeral defects will usually benefit more from restorative techniques including autograft or allograft osteochondral transfers and autologous chondrocyte implantation (ACI).
Reconstructive surgical options are best suited for patients with bipolar lesions.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Bhatia, Sanjeev& Hsu, Andrew R.& Lin, Emery C.& Chalmers, Peter N.& Ellman, Michael& Cole, Brian J.…[et al.]. 2012. Surgical Treatment Options for the Young and Active Middle-Aged Patient with Glenohumeral Arthritis. Advances in Orthopedics،Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-502928
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Bhatia, Sanjeev…[et al.]. Surgical Treatment Options for the Young and Active Middle-Aged Patient with Glenohumeral Arthritis. Advances in Orthopedics No. 2012 (2012), pp.1-8.
https://search.emarefa.net/detail/BIM-502928
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Bhatia, Sanjeev& Hsu, Andrew R.& Lin, Emery C.& Chalmers, Peter N.& Ellman, Michael& Cole, Brian J.…[et al.]. Surgical Treatment Options for the Young and Active Middle-Aged Patient with Glenohumeral Arthritis. Advances in Orthopedics. 2012. Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-502928
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-502928
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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