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Related Concept Videos

Joints01:26

Joints

32.5K
Joints, also called articulations or articular surfaces, are points at which ligaments or other tissues connect adjacent bones. Joints permit movement and stability, and can be classified based on their structure or function.
Structural joint classifications are based on the material that makes up the joint as well as whether or not the joint contains a space between the bones. Joints are structurally classified as fibrous, cartilaginous, or synovial.
Fibrous Joints Are Immovable
The bones of a...
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Flail Chest-II01:26

Flail Chest-II

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
160

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LETTER TO THE EDITOR REGARDING: Torrens C, González-García C, Díez-Izquierdo M, Santana F. Three-week immobilization vs. no immobilization in primary reverse total shoulder arthroplasty: a randomized controlled trial. J Shoulder Elbow Surg. 2025 Nov;34(11):2543-2549. doi:10.1016/j.jse.2025.02.015.

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Related Experiment Video

Updated: May 31, 2025

Measurement of Dynamic Scapular Kinematics Using an Acromion Marker Cluster to Minimize Skin Movement Artifact
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Acromioclavicular joint injuries: multicenter expert consensus study using the Delphi method.

Leslie A Barnes1, Lewis L Shi2, Taylor Walters1

  • 1Department of Orthopaedic Surgery & Sports Medicine, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.

Journal of Shoulder and Elbow Surgery
|January 22, 2025
PubMed
Summary
This summary is machine-generated.

Expert surgeons reached consensus on diagnosing and treating acromioclavicular (AC) joint separations. Guidelines were established for AC joint injury management, including imaging and surgical repair techniques.

Keywords:
DelphiShoulderacromioclavicular jointconsensusdiagnosistreatment

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine

Background:

  • Acromioclavicular (AC) joint injuries present management challenges due to a lack of treatment consensus.
  • Optimal diagnosis, surgical techniques, and rehabilitation for AC joint separations require standardized guidelines.

Framework:

  • The Delphi method was employed to achieve expert consensus on AC joint injury management.
  • 18 fellowship-trained surgeons participated in three Delphi survey rounds with a 100% response rate.

Implementation:

  • Consensus was achieved on 76 statements across six key areas: history, physical examination, radiology, treatment, surgical technique, and rehabilitation.
  • Key areas of agreement include comprehensive patient assessment, radiographic imaging protocols, surgical indications, and the utility of allograft tendon augmentation.

Implications:

  • The Delphi method effectively synthesized expert opinions for AC joint injury management.
  • Findings provide foundational insights for developing improved clinical guidelines and highlight areas for future research in AC joint separation treatment.