Publications by authors named "E Ek"

Background: Failure rates in the management of recurrent posterior shoulder instability remain a concern. Cadaveric studies have established that posterior capsulolabral tears, glenoid retroversion, and posterior glenoid bone loss result in increased posterior humeral head translation in the setting of a posteriorly directed force. A high and flat acromion has recently been associated with posterior instability.

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Purpose: The scapholunate ligament (SLL) is the most frequently injured wrist ligament. The aim of this study was to investigate cellular and extracellular changes within the SLL following injury.

Methods: Fifteen SLLs were harvested, ranging between 39 days to 20 years from time of injury.

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Article Synopsis
  • The study compares two surgical methods (costal-osteochondral graft (COG) and medial femoral trochlea (MFT) graft) for treating fragmented fractures of the scaphoid with over two years of follow-up.
  • Both methods showed similar outcomes in terms of pain and wrist function, but there was a distinct radiographic finding where COG patients had evidence of arthritis, while MFT patients did not.
  • MFT patients experienced knee pain as a complication, while COG patients faced the risk of developing wrist arthritis over time.
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 In recent years, the classification and treatment algorithm for adult Kienböck's disease (KD) has expanded. However, the priority of the investigations done in determining its management has not been discussed, as not every patient with KD requires magnetic resonance imaging (MRI) or wrist arthroscopy.  We discuss the role of these investigations and emphasize the importance of computed tomography (CT) imaging in evaluating the cortical integrity of the lunate and its role in the decision-making process and management of KD.

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