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Proper technique helps minimize irritation at the injection site

In those patients where we would be considering a rotator cuff repair, particularly the younger and more active patients, with traumatic tears, I perform an Ostenil Hyaluronan injection

4 This facilitates oxygen unloading at the tissue level 6 and supports redox balance by favoring fluxes through glycolysis at the expense of the pentose phosphate pathway (PPP), 4 thereby limiting NADPH generation and thus NADPH-dependent glutathione recycling