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Commentary: Reoperative aortic root replacement-further evidence of feasibility…and expertise still matters.
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Division of Cardiothoracic Surgery, Department of Surgery, Lifespan Cardiovascular Institute, The Warren Alpert Medical School of Brown University, Providence, RI. Electronic address:
An unstable distal radioulnar joint can cause ulnar-sided wrist pain. Stability of the distal radioulnar joint, which varies among individuals, is dependent on the bony structure of the sigmoid notch and the surrounding soft tissues, such as the interosseous membrane, the extensor carpi ulnaris tendon, the pronator quadratus, and the deep radioulnar ligaments. In particular, avulsions of the deep radioulnar ligaments lead to instability and disturbed wrist proprioception.
View Article and Find Full Text PDFMeniscal tears affect patients of all ages, with varying presentations, influence on function, and treatment requirements. Classic dogma suggests that older patients should be treated nonoperatively or offered meniscectomy when conservative treatment fails. However, recent data suggest improved subjective outcomes and reduced rates of degenerative change after meniscal repair, even in patients older than 40 years.
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- Managing knee issues in patients aged 25 to 45 with meniscal deficiency and pain is complex, especially considering the possibility of future knee replacements.
- Meniscus allograft transplantation combined with other procedures may improve functionality but doesn’t significantly delay osteoarthritis progression and has a high rate of re-operations (up to 59% within about 43 months).
- It’s crucial to have honest discussions with patients about the expected benefits and limitations of these treatments, as many may not return to their pre-injury activity levels and could face disappointment after surgery.
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