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Question #16

Full-thickness supraspinatus tear in a 65-year-old: when do you operate?

MRI shows a full-thickness supraspinatus tear with mild retraction in an otherwise active 65-year-old. Pain is significant but strength is reasonably preserved. How long would you trial physiotherapy/injection before offering repair, and which MRI features make you operate earlier?

Trauma Arthroscopy Shoulder

The Bone Stories asked 6 hours ago2 views · 0 comments · active 6 hours ago

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Question #15

How far do you push the indication for meniscal repair?

For a longitudinal meniscal tear extending partly into the white-white zone in a young adult, do you still attempt repair if the tissue quality is good? What factors make you decide that a tear is simply not worth repairing?

Trauma Arthroscopy Sports

The Bone Stories asked 6 hours ago2 views · 0 comments · active 6 hours ago

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Question #14

Complete ACL tear but no instability in daily life — would you operate?

A recreationally active adult has MRI-confirmed complete ACL tear but minimal symptoms during daily activities and no recurrent giving-way episodes. Would you initially rehabilitate or recommend reconstruction based on activity goals? What makes you change from conservative treatment to surgery?

Trauma Arthroscopy Sports

The Bone Stories asked 6 hours ago4 views · 0 comments · active 6 hours ago

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