Jaime Palos

Orthopaedic Surgeon / Arthroscopy & Sports Medicine / Master in Medical Science

[Jaime Palos @drjaimepalos]

@hjluks This is a topic that many Rads and Orthos must learn and understand!! ⚠️
Normaly… (at least in Mexico)
Radiologist report these tears (DEGENERATIVE) as RUPTURES
Normaly…
Orthos do operate these “RUPTURES” to “FIX THEM”, acelerating knee OA!
A vicious cycle!

[Jaime Palos @drjaimepalos]

@Sporthopedia Triste que a ese “nivel” no existan adecuados protocolos de tratamiento ni de rehabilitación! 👎🏾

#profesionalizareldeporte

[Jaime Palos @drjaimepalos]

@dr_articular In a rush?

[Jaime Palos @drjaimepalos]

@DrJN_SportsMed @akassarjian @northwoods1980 @smfowler_shaun Hope this can help! But if there is Cuff load, thats the answer.

[Jaime Palos @drjaimepalos]

@DhananjayaSabat Its a mix of issues. 1. ACL insuf (rot) due to tunnels position (tib tunnel little bit ant, maybe causing impingement), 2. LM dysfuntion, no MRI cut showing the root, for sure is causing certain degree of OA, 3. Do tib slope msrments to check if its contributing w/ instability.

[Jaime Palos @drjaimepalos]

@PhilippNiemeyer Im still using aiming device. 🎯
Prof. Do you recomend free hand for an early careerist?
Or to reach a specific number of ACLR and then move to free hand?

[Jaime Palos @drjaimepalos]

@PhilippNiemeyer Most of the time is not necessary. But if its a large size, the shaver helps to aspirate inside and resect septums.

[Jaime Palos @drjaimepalos]

• Caso interesante.⚠️
Valdría la pena saber cuál fue el injerto y técnica inicial.
Y si ahora es auto-injerto cuál utilizaron?
#BTB #hamstrings #quad
Sin duda hacer aumentación!
Una pena

Que opinan?
#LET #autograft #sportsmedicine #ACL #orthotwitter

[Mauricio Ymay @MauricioYmay]

De verdad es una pena lo de JJ Macías. Malditas lesiones que pueden acabar con carreras exitosas.

[Jaime Palos @drjaimepalos]

@PhilippNiemeyer Its a big one!
Arthroscopic valvectomy using the basket and afterwards shaver to aspirate and resect. Working through PM portal 👍🏾

[Jaime Palos @drjaimepalos]

@nspiuzzi Great rule to apply everyday! I read it in Atomic Habits too 👍🏾

[Jaime Palos @drjaimepalos]

@RoshanaMN Definitely outdated! Many surgical options before TKA and of course the use of biologics, where we can discuss a lot.

[Jaime Palos @drjaimepalos]

@dr_articular Nice! But … was it a expired suture? or brand new? 😝

[Jaime Palos @drjaimepalos]

Very useful!
In this case (chronic): A bad quality MRI, where the ACL "does not appear injured in any cut", to demonstrate (by imaging) that the patients needs surgery.
Arthroscopic finding attached.
#ACL #arthroscopy #sportsmedicine

[Knee Surgery, Sports Traumatology, Arthroscopy @KSSTA]

The PCL-PCA method provided the highest precision to measure of the buckling PCL, representative of anterior tibial translation and the best discrimination ACL-deficient and ACL-intact knees

#kneesurgery #ACLrehab #sportsmedicine #radiology

Link: https://t.co/UvRXnsQzuB

[Jaime Palos @drjaimepalos]

@DrJN_SportsMed All comments very interesting!

I’ve found Lever test usefull in px that refer instability but dont present a quite significant and + Lachman.
In hard surface, if positive, for me indicates ACL insufficiency, in clinic and UA.

[Jaime Palos @drjaimepalos]

@Sporthopedia Buen recordatorio!

En particular el “Lever Test” me ha funcionado para tomar decisión de tratamiento en lesiones parciales donde el LCA es insuficiente.

Saludos✌🏾

[Jaime Palos @drjaimepalos]

@ValerioVive Te recomiendo el libro! 👌🏾

[Jaime Palos @drjaimepalos]

@doctormacias @trauma_modern •Tambien ocurre en pacientes con condiciones metabólicas u hormonales, principalmente: Diabetes mellitus e hiperlipidemia (colesterol / triglicéridos).
•A mi me gusta ver el signo de Matles. 👇🏾

[Jaime Palos @drjaimepalos]

@elpelochain No creo que lleguen al 100% #honestamente

[Jaime Palos @drjaimepalos]

Directivos, entrenadores, incluso jugadores … aveces no entienden de tiempos biológicos! #dontrush #tiemposbiologicos #profesionalizareldeporte #sportsmedicine