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Understanding Bone Stress Injuries: Symptoms, Causes, and TreatmentBone stress injuries (BSIs) are prevalent among athletes in high-impact sports like running, gymnastics, and dance. Often mischaracterized as overuse injuries, BSIs are early signs of bone fatigue that can progress to stress fractures. The article examines the causes, symptoms, and treatments of BSIs, highlighting the role of Relative Energy…Bone stress injuries (BSIs) are prevalent among athletes in high-impact sports like running, gymnastics, and dance. Often mischaracterized as overuse injuries, BSIs are early signs of bone fatigue that can progress to stress fractures. The article examines the causes, symptoms, and treatments of BSIs, highlighting the role of Relative Energy Deficiency in Sport (RED-S) as a significant contributor. RED-S, resulting from insufficient energy intake, leads to hormonal imbalances and poor bone health, increasing injury risk. MSK Doctors offer comprehensive care, including advanced diagnostic tools like onMRI™ technology, bone regeneration therapy, and biomechanical rehabilitation. Early detection and treatment are crucial to avoid long-term damage and aid in effective recovery and return to sport. Athletes experiencing bone pain or performance decline, especially those with menstrual changes, should seek professional assessment to prevent chronic complications. No referral is needed to sta
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Rethinking Microfracture Surgery in Modern Orthopaedics: Perspectives for Cartilage RepairDiscover the ongoing debate surrounding microfracture surgery as a technique for cartilage repair in orthopaedic medicine. As advanced methodologies emerge, such as Autologous Chondrocyte Implantation (ACI) and Matrix-Induced Autologous Chondrocyte Implantation (MACI), the relevance of microfracture comes under scrutiny. Although it may still be appropriate for patients with small cartilage…Discover the ongoing debate surrounding microfracture surgery as a technique for cartilage repair in orthopaedic medicine. As advanced methodologies emerge, such as Autologous Chondrocyte Implantation (ACI) and Matrix-Induced Autologous Chondrocyte Implantation (MACI), the relevance of microfracture comes under scrutiny. Although it may still be appropriate for patients with small cartilage defects, concerns over long-term efficacy and durability limit its applicability. With rapid advancements in regenerative medicine, stem cell therapies and scaffold-based approaches offer promising alternatives. Ultimately, patient-specific factors should guide the decision-making process, and ongoing research is necessary to define microfracture's role in modern orthopaedic surgery.
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Microfracture in Cartilage Repair: Efficacy, Adverse Outcomes, and Clinical ControversiesMicrofracture Technique: Limitations and Concerns. This article discusses the limitations and potential adverse outcomes associated with the microfracture technique used for cartilage repair. Concerns include subchondral bone overgrowth, formation of less durable fibrocartilage instead of hyaline cartilage, and the lack of long-term durability. Other limitations include the technique's suitability for…Microfracture Technique: Limitations and Concerns. This article discusses the limitations and potential adverse outcomes associated with the microfracture technique used for cartilage repair. Concerns include subchondral bone overgrowth, formation of less durable fibrocartilage instead of hyaline cartilage, and the lack of long-term durability. Other limitations include the technique's suitability for large lesions, the formation of granulation tissue and subchondral cysts, and the need for extended rehabilitation. These factors raise concerns about the efficacy and long-term outcomes of microfracture as a sole treatment for cartilage defects.
