Jaypee Brothers
In Current Chapter
In All Chapters
X
Clear
X
GO
Normal
Sepia
Dark
Default Style
Font Style 1
Font Style 2
Font Style 3
Less
Normal
More
Video Atlas of Shoulder Surgery
Peter D McCann
SECTION 1: GENERAL SETUP
CHAPTER 1:
Position: Beach-Chair and Lateral Decubitus
FIVE POINTS
Point 1: Proper patient positioning requires a systemic approach that is understood by all members of the operative team
Point 2: Advantages of the lateral decubitus position include traction of the operative extremity and a reduced risk of cerebral ischemia
Point 3: Disadvantages of the lateral decubitus position include the risk of malpositioning, limited accessibility to the anterior shoulder, and the risk of peripheral neural injury
Point 4: Advantages of the beach-chair position include its Arthroscopic orientation, Availability to both arthroscopic and open procedures, accessibility to the entire shoulder, and decreased risk of peripheral nerve injury
Point 5: Disadvantages of the beach-chair position include the need of a surgical Assistant or Arm positioner, limited visualization during stabilization procedures, and an increased risk of cerebral hypoperfusion
CHAPTER 2:
Portal Placement and Normal Anatomy
FIVE POINTS
Point 1: A thorough appreciation of the surface anatomy of the shoulder is crucial to correct portal placement
Point 2: The three principal portals utilized for arthroscopic rotator cuff repair are the posterior, lateral, and anterior portals
Point 3: The three principal portals utilized for shoulder stabilization are the posterior, anterior-inferior, and anterior-superior portals
Point 4: Accessory portals are frequently useful adjuncts in shoulder arthroscopy
Point 5: A systematic appreciation of arthroscopic anatomy is important to every arthroscopic shoulder procedure
CHAPTER 3:
Knot Tying and Suture Passing
INTRODUCTION
KNOT TYING AND SUTURE PASSING
FIVE POINTS
Point 1: Minimize trauma to the tissue when passing the suture
Point 2: Use an instrument which allows for ease of passage based on placement and amount of tissue incorporated
Point 3: Use a knot which has high-loop security
Point 4: Use a knot which has high-knot security
Point 5: Understand the anatomy of a knot
SECTION 2: INSTABILITY: ARTHROSCOPIC
CHAPTER 4:
SLAP Lesions of the Shoulder: Single Anchor-Double Suture (SADS) Arthroscopic Surgical Repair
INTRODUCTION
STEPS IN PERFORMING A SINGLE ANCHOR DOUBLE SUTURE REPAIR “SADS” OF TYPE 2 SLAP LESIONS
FIVE KEY POINTS TO OBSERVE WHEN PERFORMING SLAP REPAIR
Point 1
Point 2
Point 3
Point 4
Point 5
CHAPTER 5:
Arthroscopic Bankart Repair
INTRODUCTION
INDICATIONS AND CONTRAINDICATIONS
FIVE POINTS
Point 1: Successful Outcome Depends on Appropriate Preoperative Evaluation
SURGICAL TECHNIQUE
Point 2: Appropriate Patient Positioning is Critical to Get Adequate Exposure
Point 3: Portal Placement is Critical to Allow for Appropriate Anchor Placement
Point 4: Mobilization of the Bankart Lesion
Point 5: Suture Anchor Placement and Fixation Technique
POSTOPERATIVE REHABILITATION
AVOIDING PITFALLS AND COMPLICATIONS
CHAPTER 6:
Multidirectional Instability: Capsular Plication and Interval Closure
MULTIDIRECTIONAL INSTABILITY (MDI): TOP FIVE POINTS
Point 1
Point 2
Point 3
Point 4
Point 5
PATHOPHYSIOLOGY OF THE SYMPTOMATIC MDI SHOULDER
HISTORY
PHYSICAL EXAMINATION
IMAGING
INITIAL TREATMENT
INDICATIONS FOR SURGERY
SURGICAL TECHNIQUE
POSTOPERATIVE REHABILITATION
RESULTS
COMPLICATIONS
CHAPTER 7:
Posterior Shoulder Instability: Indications and Arthroscopic Technique
INTRODUCTION
FIVE POINTS
Point 1: Diagnosis
Point 2: Treatment Overview
Point 3: Patient Positioning and Placement of Incisions
Point 4: Surgical Technique
Point 5: Postoperative Management/Rehabilitation
CONCLUSION
CHAPTER 8:
Internal Impingement: Concurrent Superior Labral and Rotator Cuff Injuries
FIVE POINTS
Point 1: History and Physical Examination
Point 2: Imaging
Point 3: SLAP Repair
Point 4: Management of Partial Rotator Cuff Tear
Point 5: Summary
CHAPTER 9:
Humeral Avulsion of the Glenohumeral Ligament Repair
FIVE POINTS
Point 1: How does One Find a Humeral Avulsion of the Glenohumeral Ligament Lesion?
Point 2: How does One Make the Arthroscopic Diagnosis?
Point 3: What Accessory Portals Enable Successful Arthroscopic Repair?
Point 4: What are the Key Steps to Arthroscopic Repair?
Point 5: Keys to Open Humeral Avulsion of the Glenohumeral Ligament Repair Technique
SECTION 3: INSTABILITY: OPEN
CHAPTER 10:
Instability: Open Bankart Repair
INTRODUCTION
INDICATIONS AND CONTRAINDICATIONS
FIVE POINTS
Point 1: Successful Outcome Depends on Appropriate Preoperative Evaluation and Patient Selection
Point 2: Surgical Approach Including Subscapularis Management
Point 3: Anchor Placement
Point 4: Appropriate Tension
Point 5: Postoperative Rehabilitation
AVOIDING PITFALLS AND COMPLICATIONS
CHAPTER 11:
Inferior Capsular Shift
INTRODUCTION
FIVE POINTS
Point 1: Preoperative Diagnosis
Point 2: Positioning/Approach
Point 3: Approach
Point 4: Arm Position for Capsular Plication
Point 5: Postoperative Protocol
CHAPTER 12:
Posterior Shoulder Instability
INTRODUCTION
FIVE POINTS
Point 1: Indications
Point 2: Patient Positioning
Point 3: Placement of Incisions and Surgical Approach
Arthroscopic Approach
Open Approach
Point 4: Technical Surgical Pearls
Point 5: Rehabilitation
CHAPTER 13:
Latarjet: Coracoid Transfer
INTRODUCTION
FIVE POINTS
Point 1: Indications, Contraindications and Imaging
Point 2: Setup/Exposure
Point 3: Coracoid Process Harvesting and Preparation
Point 4: Glenoid Exposure and Preparation
Point 5: Coracoid Process Transfer
COMPLICATIONS
REHABILITATION
CHAPTER 14:
Humeral Head Allograft for Shoulder Instability
INTRODUCTION
FIVE KEY POINTS FOR SUCCESS
Point 1: Indications and Patient Selection
Point 2: Patient Setup and Operative Approach
Point 3: Allograft Preparation
Point 4: Graft Implantation/Fixation
Point 5: Postoperative Care
CHAPTER 15:
Pearls for Anatomic Glenoid Reconstruction Using Distal Tibia Osteochondral Allograft
INTRODUCTION
FIVE KEY POINTS FOR SUCCESS
Point 1: Indications and Patient Selection
Point 2: Patient Setup and Operative Approach
Point 3: Allograft Preparation
Point 4: Fixation
Point 5: Rehabilitation
SECTION 4: ROTATOR CUFF: ARTHROSCOPIC
CHAPTER 16:
Subacromial Decompression and Cuff Mobilization
SUBACROMIAL DECOMPRESSION
TENDON MOBILIZATION
CONCLUSION
FIVE POINTS
Point 1
Point 2
Point 3
Point 4
Point 5
CHAPTER 17:
Arthroscopic Paint Lesion Repair
INTRODUCTION
FIVE POINTS
Point 1: Correct positioning of the patient and portal placement are paramount for optimal visualization of the pathology
Point 2: The delamination should be identified and debrided down to stable borders
Point 3: Prior to the repair, the subacromial space should be debrided and, if necessary, a subacromial decompression performed (Fig. 2)
Point 4: The needle should be inserted off the anterolateral edge of the acromion
Point 5: The repair should be inspected from both the bursal side and the articular side to ensure the tendon moves like a unit (Fig. 4)
CHAPTER 18:
Single-Row Rotator Cuff Repair: Tension Band Construct
FIVE POINTS
Point 1: Indications
Point 2: Positioning
Point 3: Portal Placement
Point 4: Preparation
Point 5: Repair
CHAPTER 19:
Rotator Cuff Repair: Margin Convergence
INTRODUCTION
FIVE POINTS
Point 1: Theory of Margin Convergence
Point 2: Indications
Point 3: Technical Aspects of the Procedure
Point 4: Rehabilitation
Point 5: Outcomes
CHAPTER 20:
Cuff Repair: Double Row
INTRODUCTION
FIVE POINTS
Point 1: Patient Evaluation
Point 2: Arthroscopic Evaluation
Point 3: Subacromial Preparation
Point 4: Tear Assessment
Point 5: Suture Management
CHAPTER 21:
Cuff Repair: Transosseous (No Anchor)
FIVE POINTS
Point 1: Positioning
Point 2: Portal Placement
Point 3: Adequate Rotator Cuff Mobilization
Point 4: Suture Management
Point 5: Postoperative Rehabilitation
CHAPTER 22:
Arthroscopic Subscapularis Repair
FIVE POINTS
Point 1: Examination
Point 2: Portals
Point 3: Technique (Biceps, Coracoid, and Mobilization)
Biceps
Coracoidplasty
Mobilization of Subscapularis
Point 4: Anchor Placement and Suture Management
Point 5: Rehabilitation
CHAPTER 23:
Knotless Arthroscopic Rotator Cuff Repair
SPEEDBRIDGE TRANSOSSEOUS EQUIVALENT DOUBLE-ROW ROTATOR CUFF REPAIR
FIVE POINTS
Point 1: Completely Prepare the Soft Tissues and Bone Bed
Point 2: Medial Anchor Placement
Point 3: Restore Normal Length-Tension Relationships
Point 4: Reinforce the Rotator Cable
Point 5: Linked Lateral Fixation
CHAPTER 24:
Arthroscopic Rotator Cuff Repair Using the Scoi Row Technique
INTRODUCTION
FIVE POINTS
Point 1: Triple-loaded Screw-in Suture Anchors
Point 2: Low Tension Repair
Point 3: Bone Marrow “Super Clot” or Crimson Duvet
Point 4: Regeneration of the Complete Rotator Cuff Footprint
Point 5: Use of a Postoperative Abduction Brace
CHAPTER 25:
Repair of the Massive Nonrepairable Rotator Cuff Tear Using GraftJacket® Allograft
INTRODUCTION
FIVE POINTS
Point 1: Patient Selection
Point 2: Tissue Preparation
Point 3: Graft Preparation
Point 4: Suture Management
Point 5: Rehabilitation
SECTION 5: ROTATOR CUFF REPAIR: OPEN
CHAPTER 26:
Mini Open Repair
INTRODUCTION
FIVE POINTS
Point 1: Indications
Point 2: Exposure and Decompression
Point 3: Mobilization
Point 4: Secure Repair to Bone
Point 5: Rehabilitation
CHAPTER 27:
Open Rotator Cuff Repair
FIVE POINTS
Point 1: Surgical Landmarks
Point 2: Incision
Point 3: Deltoid Split
Point 4: Rotator Cuff Repair
Point 5: Deltoid Repair
CHAPTER 28:
Latissimus Dorsi Transfer
FIVE POINTS
Point 1: Patient Selection
Indication
Point 2: Operative Technique
Point 3: Aftercare
Point 4: Expected Results
Point 5: Outlook
CHAPTER 29:
Pectoralis Tendon Transfer for Irrepairable Subscapularis Rupture
INTRODUCTION
FIVE POINTS
Point 1: Indication
Point 2: Harvesting
Point 3: Routing of the Tendon
Point 4: Refixation
Point 5: Postoperative Rehabilitation
SECTION 6: BICEPS TENDON
CHAPTER 30:
Arthroscopic Management of Partial Proximal Biceps Tendon Tears: Tenotomy or Debridement
INTRODUCTION
FIVE POINTS
Point 1: Special Indications
Point 2: Patient Positioning
Point 3: Technical Aspects
Point 4: Rehabilitation
Point 5: Outcomes
CHAPTER 31:
Biceps Tenodesis: Arthroscopic, Bone Tunnel
FIVE POINTS
Point 1: Indications
Point 2: Patient Positioning
Point 3: Setup/Exposure
Point 4: Surgical Technique
Point 5: Postoperative Care
CHAPTER 32:
Arthroscopic Biceps Tenodesis Using Suture Anchor
INTRODUCTION
FIVE POINTS ESSENTIAL TO THE SUCCESS OF THE PROCEDURE
Point 1: Visualization and Preparation
Point 2: Anchor Placement
Point 3: Suture Placement and Knot Security
Point 4: Tenotomy
Point 5: Postoperative Rehabilitation
SUMMARY
CHAPTER 33:
Subpectoral Biceps Tenodesis
INTRODUCTION
INDICATIONS
FIVE POINTS
Point 1: Advantages of Subpectoral Tenodesis
SURGICAL APPROACH AND TECHNIQUE
Point 2: Open Subpectoral Biceps Tenodesis
Point 3: Arthroscopic Suprapectoral Biceps Tenodesis
Point 4: Potential Complications
Point 5: Postoperative Management
CHAPTER 34:
Biceps Tenodesis: Soft Tissue
FIVE POINTS
Point 1
Point 2
Point 3
Point 4
Point 5
SECTION 7: GLENOHUMERAL ARTHRITIS
CHAPTER 35:
Arthroscopic Debridement and Capsular Release
INTRODUCTION
FIVE POINTS
Point 1: Indications
Point 2: Technique
Point 3: Postoperative Protocol
Point 4: Results
Point 5: Summary
CHAPTER 36:
Glenohumeral Arthritis: Arthroscopic Microfracture for Full Thickness Chondral Defects
INTRODUCTION
FIVE KEY POINTS FOR SUCCESS
Point 1: Indications and Patient Selection
Point 2: Patient Setup and Operative Approach
Point 3: Portal Placement
Point 4: Microfracture
Point 5: Postoperative Care
CHAPTER 37:
Humeral Head Resurfacing
INTRODUCTION
INDICATIONS/CONTRAINDICATIONS
SURGICAL TECHNIQUE
Anesthesia
Position
FIVE POINTS
Point 1: Approach
Point 2: Humeral Preparation
Point 3: Glenoid Preparation
Point 4: Humeral Replacement
Point 5: Closure
Surgical Pearls
Surgical Pitfalls
POSTOPERATIVE RESTRICTIONS AND REHABILITATION
Follow-up
RESULTS OF SURFACE REPLACEMENT
COPELAND MARK III PROSTHESIS RESULTS
COMPLICATIONS
THE PROBLEM SURFACE REPLACEMENT
CONCLUSION
CHAPTER 38:
Hemiarthroplasty: Normal Rotator Cuff and Glenoid
INTRODUCTION
FIVE POINTS FOR HEMIARTHROPLASTY WITH A NORMAL CUFF AND GLENOID
Point 1: Strict Indications
Point 2: Adequate Exposure, Capsular Release and Preservation of the Cuff
Point 3: Sacrifice the Biceps
Point 4: Humeral Sizing and Placement
Point 5: Postoperative Rehab
CHAPTER 39:
Total Shoulder Arthroplasty: Rotator Cuff Intact “Five Points”
INTRODUCTION
FIVE POINTS: TOTAL SHOULDER ARTHROPLASTY WITH ROTATOR CUFF INTACT
Point 1: Approach (Coracoacromial Arch and Subacromial Releases)
Point 2: Subscapularis Release
Point 3: Humeral Preparation
Point 4: Glenoid Exposure and Preparation
Point 5: Subscapularis Repair
CHAPTER 40:
Measurement and Management of Posterior Glenoid Bone Loss
FIVE POINTS
Point 1
Point 2
Point 3
Point 4
Point 5
CHAPTER 41:
Hemiarthroplasty: Glenoid Interpositional Arthroplasty
FIVE POINTS
Point 1: Humeral Osteotomy
Point 2: Glenoid Exposure
Point 3: Glenoid Preparation
Point 4: Graft Fixation
Point 5: Graft Tissue
CHAPTER 42:
Reverse Total Shoulder Arthroplasty for Cuff Tear Arthropathy
FIVE POINTS
Point 1: Selection and Preoperative Planning
Point 2: Surgical Exposure
Point 3: Baseplate Placement
Point 4: Humeral Component Version
Point 5: Intraoperative Stability and Range of Motion
CHAPTER 43:
The Use of the Reverse Shoulder Arthroplasty for Treatmentof Failed Arthroplasty
INTRODUCTION
PREOPERATIVE PLANNING
FIVE POINTS
Point 1: Surgical Approach
Point 2: Humeral Stem Extraction
Point 3: Proximal Humeral Bone Loss
Point 4: Glenoid Bone Loss
Concentric Glenoid Bone Loss
Eccentric Glenoid Bone Loss
Point 5: The Unstable Arthroplasty
CHAPTER 44:
Posterior Glenoid Bone Grafting in Total Shoulder Arthroplasty
INTRODUCTION
FIVE POINTS
Point 1
Point 2
Point 3
Point 4
Point 5
SECTION 8: SHOULDER FRACTURES
CHAPTER 45:
Closed Reduction, Percutaneous Pinning Valgus Impacted Four-Part Fracture Indications
TECHNIQUE
FIVE POINTS
Point 1
Point 2
Point 3
Point 4
Point 5
KEYS TO THE SUCCESS OF THE TECHNIQUE
AFTERCARE
RESULTS
CONCLUSION
CHAPTER 46:
Open Reduction Internal Fixation of Three- and Four-Part Proximal Humerus Fractures
FIVE POINTS
Point 1: Patient Positioning
Point 2: Tuberosity Mobilization
Point 3: Head Segment Reduction
Point 4: Plate Application
Point 5: Suture Augmentation of Tuberosity Fixation
CHAPTER 47:
Humeral Head Replacement: Three- and Four-Part Proximal Humerus Fractures
INTRODUCTION/INDICATIONS
SURGICAL TECHNIQUE FOR RESTORATION OF NORMAL ANATOMY
FIVE POINTS
Point 1: Prosthesis Height
Point 2: Prosthesis Version
Point 3: Management of the Tuberosities
Reduction
Fixation
Point 4: Implant Choice
Point 5: Rehabilitation
RESULTS
CHAPTER 48:
Reverse Prosthesis: Three- and Four-Part Acute Proximal Humerus Fractures
INTRODUCTION
FIVE POINTS
Point 1: Preoperative Planning
Age
Bone Quality
Fracture Pattern
Timing of Surgery
SURGICAL PROCEDURE
Point 2: Deltopectoral Approach
Point 3: Correct Placement of the Humeral Prosthesis
Point 4: Stable Anatomic Tuberosity Fixation
Point 5: Physical Therapy Protocol
CHAPTER 49:
Revision Reverse TSA for Failed Primary Arthroplasty: Exposure and Technique
FIVE POINTS
Point 1: Extended Deltopectoral Exposure with Pectoralis Major Release
Point 2: Humeral Episiotomy
Point 3: Drill and Ream Humerus
Point 4: Cut and Drill Poly Glenoid
Point 5: Cerclage Wire and/or Allograft Strut Humerus
CHAPTER 50:
Reverse Prosthesis: Nonunion and Malunion Proximal Humerus Fractures
ROOM SETUP/PATIENT POSITIONING
FIVE POINTS
Point 1: Surgical Approach
Point 2: Malunion Reverse Prosthesis Humeral Component Insertion
Point 3: Reduction and Deltoid Tensioning
Point 4: Nonunion Reverse Prosthesis Humeral Component Insertion
Point 5: Glenoid Preparation and Component Implantation
POSTOPERATIVE REGIMEN
CHAPTER 51:
Open Reduction Internal Fixation of Glenoid Fracture: Arthroscopic
INTRODUCTION
TYPES OF BONE LOSS AND SPECIFIC INDICATIONS
PATIENT PREPARATION AND POSITIONING
FIVE POINTS
Point 1: Preoperative evaluation
Point 2: Arthroscopic Assessment
Point 3: Reduction
Point 4: Fixation
Point 5: Rehabilitation
CHAPTER 52:
Open Reduction Internal Fixation of Mid-Clavicle Fractures
INTRODUCTION
FIVE POINTS FOR SUCCESSFUL OUTCOMES
Point 1: Indications and Contraindications for ORIF
Point 2: Surgical Technique
Point 3: Avoiding Hardware Mismatch
Point 4: Correct Hardware Placement and Fixation
Point 5: Rehabilitation
ACKNOWLEDGMENTS
CHAPTER 53:
Open Reduction Internal Fixation Type II Distal Clavicle Fracture
OPERATIVE TECHNIQUE
FIVE POINTS
Point 1: Positioning and Approach
Point 2: Reliance on Solid Bone for Fixation
Point 3: Interfragmentary Suture Fixation
Point 4: Advantages of Suture Technique over other Hardware
Point 5: Postoperative Protection and Rehabilitation
CHAPTER 54:
Surgical Management of Clavicle Malunion/Nonunion
INTRODUCTION
FIVE POINTS
Point 1: Clinical Evaluation of Malunion
Point 2: Surgical Approach
Point 3: Bone Graft
Point 4: Internal Fixation
Point 5: Management of Malunion
REHABILITATION
SECTION 9: MISCELLANEOUS CONDITIONS
CHAPTER 55:
Arthroscopic Capsular Release for Frozen Shoulder
INTRODUCTION
FIVE POINTS
Point 1: Indications
Point 2: Technique
Point 3: Postoperative Protocol
Point 4: Results
Point 5: Summary
CHAPTER 56:
Arthroscopic Treatment of Calcific Tendinitis
INTRODUCTION
FIVE POINTS
Point 1: Understanding the Nature of the Disease
Point 2: Options for Nonoperative Treatment
Extracorporeal Shock Wave Therapy
Needling and Lavage
Point 3: Preoperative Visualization and Mapping
Point 4: Arthroscopic Technique
Positioning and Setup
Diagnostic Arthroscopy
Identification of Calcium Deposits
Debridement
Acromioplasty
Tendon Repair
Point 5: Recovery and Outcomes
CHAPTER 57:
Suprascapular Neurolysis: Arthroscopic
FIVE POINTS
Point 1: Pathophysiology
Point 2: Patient Positioning
Point 3: Portal Placement
Point 4: Exposure of Suprascapular Notch
Point 5: Release of Suprascapular Ligament
CHAPTER 58:
Acromioclavicular Joint Reconstruction: Open
INTRODUCTION
FIVE POINTS
Point 1: Classification Based on Physical Examination and Radiologic Evaluation
Point 2: Clinical Indications Based on Classification
Point 3: Patient Positioning
Point 4: Pearls and Pitfalls of Surgical Procedure
Point 5: Rehabilitation
CHAPTER 59:
Arthroscopic Reconstruction of the Acromioclavicular Joint Using Semitendinosus Allograft
INTRODUCTION
FIVE POINTS
Point 1
Point 2
Point 3
Point 4
Point 5
SURGICAL TECHNIQUE
RESULTS
COMPLICATIONS
CHAPTER 60:
Open Repair of Pectoralis Major Tendon Rupture
INTRODUCTION
FIVE POINTS TO SUCCESSFUL OUTCOMES
Point 1: Indications for Surgical Repair
Point 2: Surgical Approach
Point 3: Release of Adhesions
Point 4: Suture Management
Point 5: Rehabilitation
ACKNOWLEDGMENTS
CHAPTER 61:
The Vertical Humeral Osteotomy for Stem Removal in Revision Shoulder Arthroplasty
INTRODUCTION
FIVE POINTS
Point 1: Free Proximal Humeral Stem
Point 2: Unicortical Humeral Osteotomy
Point 3: Remove Cement Mantle
Point 4: Circumferential Luque wires
Point 5: Summary
CHAPTER 62:
Distal Clavicle Resection: Arthroscopic
INTRODUCTION
FIVE POINTS
Point 1: Indications
Point 2: Patient Positioning
Point 3: Portal Placement
Point 4: Technical Aspects
Pearls
Pitfalls
Point 5: Postoperative Protocol
CHAPTER 63:
Office Ultrasound
INTRODUCTION
FIVE POINTS
Point 1: Indications
Point 2: Ultrasonic Shoulder Evaluation
Point 3: Rotator Cuff Tear Criteria
Point 4: Avoiding Pitfalls
Point 5: Conclusion
INDEX
TOC
Index
×
Chapter Notes
Save
Clear