Publications by authors named "Xavier Akins"

Article Synopsis
  • A 25-year-old police officer sustained a gunshot wound to his left shoulder, leading to an osteochondral defect in the humeral head.
  • After undergoing shoulder arthroscopy and an osteochondral allograft (OCA) for treatment, he successfully returned to full work duty within six months.
  • This case suggests that OCA transplantation can be an effective solution for traumatic osteochondral lesions in the shoulder joint.
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Article Synopsis
  • * The literature search spanned from 1975 to 2023, ultimately finding 12 relevant studies with 358 patients, revealing an overall 84.6% success rate for returning to play or activity after surgery.
  • * Transposition procedures had higher return rates (87.9% for subcutaneous and 95% for submuscular) compared to in situ decompression (75.5%), indicating that with the right conditions and surgical approach, these surgeries are likely to yield positive
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» Osteochondritis dissecans of the capitellum is a localized compromise of bone that may lead to subchondral collapse with articular cartilage damage and loose body formation.» The etiology is multifactorial; proposed mechanisms include repetitive microtrauma, vascular insufficiency, and genetic predisposition.» Diagnosis is based on patient presentation, clinical examination, diagnostic imaging, and intraoperative findings.

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