[Current status of ligament injuries of the large joints].
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Principles of Treatment and Results after Hohmann's Operation: The method of clinical examination and rational conservative measures including physiotherapy are discussed in the light of the literature and the results of a cooperative study. To summarize briefly it may be said that conservative therapy should first of all be completely exhausted. Local injections of a corticosteroid should not exceed 3 and at most 6. If conservative therapy is unsuccessful after 4 months, operation is indicated and the extended Hohmann operation performed.
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Physicians and patients must recognize the demands of the sport involved, as well as the individual's ability to meet those demands. Careful analysis of the sport and examination of the patient to assess recovery and chances of reinjury are mandatory, if he is to enjoy sports after injury. Physicians should become familiar with padding, shoes, warm-up programs, preparticipation examinations, and protective equipment and devices, all of which are helpful in preventing sports injuries. We have touched only briefly on the epidemic problem of quality of life trauma that is part of our society. Because injuries result in punishment to the soul as well as to the body of a person, the sports participant deserves a comprehensive, scientific, multidisciplinary approach in order to return to the state of physical and emotional well-being he enjoyed before the injury. For this reason a physician must examine each patient carefully and with regard for the individual's ability to be sure of the diagnosis for subsequent treatment.
This article reviews soft tissue and alignment abnormalities that may be critical for identifying subtle extremity fractures and dislocations.
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