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Letter from the editor: 'You will just be a year weaker, dad'

机译:编辑的来信:“爸爸,你只会虚弱一年”

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摘要

Osteoarthritis (OA) affects 27 million Americans, and I am one of them. The number of people with this diagnosis will continue to rise as my generation ages, and concurrently, there will be an increase in hip and knee replacement surgical procedures. At the age of 60 years, I thought I was too young to be making the decision for joint replacement, but I was wrong. A fall skiing in January of 2011 ended my season with an anterior cruciate ligament (ACL) or medial collateral ligament (MCL) disruption that led to a right ACL reconstruction. In the postoperative period, I developed severe left hip pain. The x-ray did not look too bad (in my opinion), the injection with local anesthetic combined with a corticosteroid that preceded the magnetic resonance arthro-gram completely resolved the pain for a few hours, and the magnetic resonance imaging was read as moderate to severe OA that would likely lead to a joint replacement in the near future. My reaction to the report was "you've mixed up the studies, that report must belong to someone else." The denial stage soon vanished.
机译:骨关节炎(OA)影响2700万美国人,我就是其中之一。随着我这一代人年龄的增长,具有这种诊断能力的人数将继续增加,与此同时,髋关节和膝关节置换手术的程序将会增加。我以为60岁那年,我还太年轻,无法做出更换关节的决定,但我错了。 2011年1月的秋季滑雪运动结束了我的前交叉韧带(ACL)或内侧副韧带(MCL)的破裂,导致正确的ACL重建。术后,我出现了严重的左髋疼痛。 X射线看起来还不错(在我看来),在进行磁共振关节造影之前先注射局部麻醉剂并同时注射皮质类固醇可完全缓解疼痛几个小时,并且磁共振成像的读数中等。严重的OA,可能会在不久的将来导致联合更换。我对报告的反应是“您混合了研究,该报告必须属于其他人”。否认阶段很快就消失了。

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