Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Apr 2014
ReviewTrapeziometacarpal joint stability: the evolving importance of the dorsal ligaments.
Trapeziometacarpal (TMC) arthritis of the thumb is a common source of hand pain and disability. TMC ligamentous instability may play a role in TMC degeneration. However, the relative importance of the TMC ligaments in the etiology of degeneration and the use of surgery to treat instability in early-stage arthritis are unclear. ⋯ The dorsal ligaments are the primary stabilizers of the TMC joint. Ligament reconstruction and metacarpal osteotomy ameliorate ligamentous laxity and relieve pain based on Level IV studies.
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Clin. Orthop. Relat. Res. · Apr 2014
How does accounting for worker productivity affect the measured cost-effectiveness of lumbar discectomy?
Back pain attributable to lumbar disc herniation is a substantial cause of reduced workplace productivity. Disc herniation surgery is effective in reducing pain and improving function. However, few studies have examined the effects of surgery on worker productivity. ⋯ Level II, economic and decision analysis. See the Instructions for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Apr 2014
Biography Historical ArticleObituary: Alexander Garcia MD (1919-2012).