Arthroscopic Shoulder Procedures. David C. Neuschwander MD. Shoulder Instability. Allegheny Health Network Orthopedic Associates of Pittsburgh
|
|
|
- Rosalyn May
- 3 years ago
- Views:
Transcription
1 Arthroscopic Shoulder Procedures David C. Neuschwander MD Allegheny Health Network Orthopedic Associates of Pittsburgh Shoulder Instability Anterior Instability Posterior Instability
2 Glenohumeral Joint Stability Dependent upon the bony geometry and soft tissues about the shoulder Success rates of Open Anterior stabilization procedures 90-95% Despite low recurrence rates with open procedures, there can be important losses in external rotation, surgical morbidity and difficult rehab
3
4 Shoulder Arthroscopy Has a learning curve which is specific to each procedure Needs to duplicate the techniques which have been done with an open technique Measures to Limit Bleeding Subacromial space lidocaine with epi injection Systolic blood pressure about 100 if tolerated medically Use of arthroscopic pump Epi in fluid Initial Evaluation Scalene block or General Anesthesia Assess range of motion and stability testing Portal placement (Poster, Anterior) for evaluation of GH joint Subacromial space portal placement (posterior, anterior, and lateral) Use of accessory portals and anchor portals as necessary
5 Preop Clinical Exam Anterior Instability Assess Tissue Quality Determine if the tissue has moved medially along the glenoid neck Determine how far the tissue can be moved to get desired effect on the tension of the repair Anchor Placement Along the glenoid face-neck junction Placed 5-7 mm apart Recreate the bumper effect
6 Anterior Instability Postop Exam Initial Shoulder Arthroscopic Evaluation Anterior Instability Anterior Instability Anterior Superior Lateral Portal
7 Anchor Hole Placement Anterior Instability Knot Tying Anterior Instability Final Evaluation Anterior Instability
8 Another Case Anterior Soft Tissue Bankart Lesion Anterior Instability Anterior Capsule T Split Anterior Instability Preop Arthroscopic Exam Anterior Instability
9 Anterior Instability Initial Probe Eval Elevate Anterior Labrum Anterior Instability Place Anchor Anterior Instability
10 Anterior Instability Tie Knot Replace Blue Suture Anterior Instability Knot Tying Anterior Instability
11 Test Stability Anterior Instability Evaluate Final Repair Anterior Instability Another Case
12 Retracted Anterior Labrum Elevate Anterior Labrum Shoulder Instability and Rotator Cuff Repairs March 29, 2014
13 Viewed From Posteriorly Viewed Anteriorly Benefits of Arthroscopic Technique Less loss of external rotation (not have to take down subscapularis) Less difficulty regaining postoperative motion Better able to treat associated pathology
14 Refined Arthroscopic Technique Anchors placed on the anterior glenoid face-neck junction to recreate labral bumper that deepens glenoid concavity Plication sutures Rotator Interval closure Analysis of Athroscopic Instability Failures Too short a period of immobilization (< 3 weeks) Use of too few anchors Anterior placement of anchors on glenoid neck rather than edge of the articular surface Participation in contact sports Young Age Analysis of Arthroscopic Failures Glenohumeral Ligament Quality Generalized ligamentous laxity Engaging Hill-Sachs lesion Bony Bankart (inverted pear shaped glenoid) Capsular attenuation
15 Posterior Shoulder Instability 2-10% of all instability cases 50% due to trauma Athletes usually have subluxation rather than dislocation Most common in overhead throwers, tennis players, butterfly and freestyle swimmers, weightlifters, and football lineman History Symptoms with forward flexion, adduction, and internal rotation Throwers (follow-through) Swimmers (pull-through) Location of pain variable Often describe crepitation or click Posterior Instability Improvements in diagnosis and treatment of athletes and other individuals has shown posterior instability to be more common than once thought
16 Posterior Instability Symptoms Pain, weakness and loss of function with the arm in a forwardly flexed position Many patients improve with conservative treatment Physical Exam Posterior Joint Line Tenderness Load and shift test (sitting and supine) Posterior Instability
17 Posterior Instability Loose Body
18 Posterior Instability Viewed From Anterior Portal Viewed From Posterior Portal Viewed Posteriorly Viewed Anteriorly
19 Knot Tying Anchor Placement Evaluate Knot Security Suture Anchor for Anterior Labral Tear
20 Final Repair Final Repair Viewed from Anterior Portal Loose Body
21 Rotator Cuff Rotator Cuff Tendinitis Partial Thickness Tears Full Thickness Tears Rotator Cuff Tendons Supraspinatus Infraspinatus Teres Minor Subscapularis
22 Operative Procedure Visualization Preparation Execution Visualization Glenohumeral Evaluation Humeral Head and Glenoid Labrum Biceps Tendon Rotator Cuff ( all 4 Tendons) Subacromial Space Evaluation Bursal Side of Rotator Cuff Preparation Remove Thickened Bursal Tissue Remove Thickened CA Ligament Remove Acromial Spur Evaluate Rotator Cuff Tear Size Tendons Involved Configuration of Tear
23 Execution Undertake Rotator Cuff Repair Side to Side Rotator Cuff Repair
24 Second Suture Reevaluate Tear Single Row Repair
25 Single Row Repair Single Row Repair Single Row Repair
26 Single Row Evaluation Double Row Repair Evaluate Tear
27 Medial Row Anchor
28
29
30 Footprint Cuff Insertion Thank You
31
32 Anterior Labral Bumper Effect Arthroscopic Shoulder Procedures
Rotator Cuff Tears in Football
Disclosures Rotator Cuff Tears in Football Roger Ostrander, MD Consultant: Mitek Consultant: On-Q Research Support: Arthrex Research Support: Breg Research Support: Arthrosurface 2 Anatomy 4 major muscles:
Bankart Repair using the Smith & Nephew BIORAPTOR 2.9 Suture Anchor
Shoulder Series Technique Guide *smith&nephew BIORAPTOR 2.9 Suture Anchor Bankart Repair using the Smith & Nephew BIORAPTOR 2.9 Suture Anchor Gary M. Gartsman, M.D. Introduction Arthroscopic studies of
A Simplified Approach to Common Shoulder Problems
A Simplified Approach to Common Shoulder Problems Objectives: Understand the basic categories of common shoulder problems. Understand the common patient symptoms. Understand the basic exam findings. Understand
SHOULDER INSTABILITY IN PATIENTS WITH EDS
EDNF 2012 CONFERENCE LIVING WITH EDS SHOULDER INSTABILITY IN PATIENTS WITH EDS Keith Kenter, MD Associate Professor Sports Medicine & Shoulder Reconstruction Director, Orthopaedic Residency Program Department
Shoulder Instability. Fig 1: Intact labrum and biceps tendon
Shoulder Instability What is it? The shoulder joint is a ball and socket joint, with the humeral head (upper arm bone) as the ball and the glenoid as the socket. The glenoid (socket) is a shallow bone
SHOULDER INSTABILITY. E. Edward Khalfayan, MD
SHOULDER INSTABILITY E. Edward Khalfayan, MD Instability of the shoulder can occur from a single injury or as the result of repetitive activity such as overhead sports. Dislocations of the shoulder are
TOWN CENTER ORTHOPAEDIC ASSOCIATES P.C. Labral Tears
Labral Tears The shoulder is your body s most flexible joint. It is designed to let the arm move in almost any direction. But this flexibility has a price, making the joint prone to injury. The shoulder
Rotator Cuff Pathophysiology. treatment program that will effectively treat it. The tricky part about the shoulder is that it is a ball and
Rotator Cuff Pathophysiology Shoulder injuries occur to most people at least once in their life. This highly mobile and versatile joint is one of the most common reasons people visit their health care
Portal Placement for Shoulder Arthroscopy: Basic to Advanced William B. Stetson, MD
Portal Placement for Shoulder Arthroscopy: Basic to Advanced William B. Stetson, MD 1. Cannulas Smooth Ribbed Lipped Partial Threaded Fully Threaded Flexible 5.75 mm, 6 mm, 7 mm & 8.25 mm x 7cm or 9 cm
Ms. Ruth Delaney ROTATOR CUFF DISEASE Orthopaedic Surgeon, Shoulder Specialist
WHAT DOES THE ROTATOR CUFF DO? WHAT DOES THE ROTATOR CUFF DO? WHO GETS ROTATOR CUFF TEARS? HOW DO I CLINICALLY DIAGNOSE A CUFF TEAR? WHO NEEDS AN MRI? DOES EVERY CUFF TEAR NEED TO BE FIXED? WHAT DOES ROTATOR
the revo / mini-revo shoulder fixation system s u r g i c a l t e c h n i q u e
the revo / mini-revo shoulder fixation system s u r g i c a l t e c h n i q u e REVO The following techniques are described by Stephen J. Snyder, M.D., Van Nuys, CA. Arthroscopic repair of the rotator
Rehabilitation Guidelines for Arthroscopic Capsular Shift
Rehabilitation Guidelines for Arthroscopic Capsular Shift The anatomic configuration of the shoulder joint (glenohumeral joint) is often compared to a golf ball on a tee. This is because the articular
A Patient s Guide to Shoulder Pain
A Patient s Guide to Shoulder Pain Part 2 Evaluating the Patient James T. Mazzara, M.D. Shoulder and Elbow Surgery Sports Medicine Occupational Orthopedics Patient Education Disclaimer This presentation
Rehabilitation Guidelines for Posterior Shoulder Reconstruction with or without Labral Repair
Rehabilitation Guidelines for Posterior Shoulder Reconstruction with or without Labral Repair The anatomic configuration of the shoulder joint (glenohumeral joint) is often compared to a golf ball on a
Notice of Independent Review Decision DESCRIPTION OF THE SERVICE OR SERVICES IN DISPUTE:
Notice of Independent Review Decision DATE OF REVIEW: 12/10/10 IRO CASE #: NAME: DESCRIPTION OF THE SERVICE OR SERVICES IN DISPUTE: Determine the appropriateness of the previously denied request for right
Anterior Capsular Repair Rehabilitation Program Methodist Sports Medicine Center, Indianapolis, IN Department of Physical Therapy
Anterior Capsular Repair Rehabilitation Program Methodist Sports Medicine Center, Indianapolis, IN Department of Physical Therapy Anterior Capsule reconstruction is a surgical procedure utilized for anterior
5/7/2009 SHOULDER) CONDITIONS OF THE SHOULDER NOW IT TIME TO TEST YOU ICD-9 SKILLS: PLEASE APPEND THE APPROPRIATE DIAGNOSIS CODE FOR EACH:
SHOULDER CONDITIONS OF THE SHOULDER AND THEIR TREATMENT Presented by Kevin Solinsky, CPC,CPC-I,CEDC, CEMC The is a major joint and plays a large part in daily life, particularly for athletes and those
SHOULDER PAIN. Procedures: Subacromial, Glenohumeral and Acromioclavicular Injections Nonprocedural Treatments
SHOULDER PAIN Anatomy Conditions: Muscular Spasm Pinched Nerve Rotator Cuff Tendonitis Procedures: Subacromial, Glenohumeral and Acromioclavicular Injections Nonprocedural Treatments Surgery: Rotator Cuff
Shoulder Arthroscopy
Copyright 2011 American Academy of Orthopaedic Surgeons Shoulder Arthroscopy Arthroscopy is a procedure that orthopaedic surgeons use to inspect, diagnose, and repair problems inside a joint. The word
9/7/14. I do not have a financial relationship with any orthopedic manufacturing organization
I do not have a financial relationship with any orthopedic manufacturing organization Timothy M. Geib, MD Oklahoma Sports & Orthopedic Institute September 27, 2014 Despite what you may have heard, I am
ACL plastik, erfarenheter av. tidig kirurgisk behandling. tidig kirurgisk behandling 6/12/2013
in sports Per Renström, MD, PhD Professor emeritus,,, Sweden Member ATP and ITF Sports Science and Medical Committees Physician Swedish Football Association Presentation at the IOC Advanced team physician
Shoulder Restoration System
Shoulder Restoration System PopLok Knotless Suture Anchor Simple, Secure, Versatile all-peek knotless anchor system for rotator cuff and instability repairs CO M M I T T ED TO I N N OVATI O N SURGICAL
Knotilus TM. Anchor Instability Repair. Technique Guide
Knotilus TM Anchor Instability Repair Technique Guide Instability Repair Using the Knotilus TM Anchor Introduction While the shoulder has more mobility than any other joint in the body, it is also the
Internal Impingement in the Overhead Athlete: A Correlation of Findings on MRI and Arthroscopic Evaluation
Internal Impingement in the Overhead Athlete: A Correlation of Findings on MRI and Arthroscopic Evaluation Lee D Kaplan, MD J Towers, MD PJ McMahon, MD CH Harner,, MD RW Rodosky,, MD Thrower s shoulder
Shoulder Injuries. Why Bother? QAS Injury Prevalence. Screening Injury 29.2% 12 month cumulative injury prevalence. Dr Simon Locke
Shoulder Injuries Dr Simon Locke Why Bother? Are shoulder and upper limb injuries common? Some anatomy What, where, what sports? How do they happen? Treatment, advances? QAS Injury Prevalence Screening
Refer to Specialist. The Diagnosis and Management of Shoulder Pain 1. SLAP lesions, types 1 through 4
The Diagnosis Management of Shoulder Pain 1 Significant Hisry -Age -Extremity Dominance -Hisry of trauma, dislocation, subluxation -Weakness, numbness, paresthesias -Sports participation -Past medical
Combined lesions of the glenoid labrum include labral
9(1):10 14, 2008 Ó 2008 Lippincott Williams & Wilkins, Philadelphia T E C H N I Q U E Arthroscopic Repair of Combined Labral Lesions MAJ Brett D. Owens, MD, Bradley J. Nelson, MD, and COL Thomas M. DeBerardino,
Shoulder MRI for Rotator Cuff Tears. Conor Kleweno,, Harvard Medical School Year III Gillian Lieberman, MD
Shoulder MRI for Rotator Cuff Tears Conor Kleweno,, Harvard Medical School Year III Goals of Presentation Shoulder anatomy Function of rotator cuff MRI approach to diagnose cuff tear Anatomy on MRI images
Shoulder Pain and Weakness
Shoulder Pain and Weakness John D. Kelly IV, MD THE PHYSICIAN AND SPORTSMEDICINE - VOL 32 - NO. 11 - NOVEMBER 2004 For CME accreditation information, instructions and learning objectives, click here. A
Postoperative Protocol For Posterior Labral Repair/ Capsular Plication-- Dr. Trueblood
Postoperative Protocol For Posterior Labral Repair/ Capsular Plication-- Dr. Trueblood Indications: Posterior shoulder instability is a relatively uncommon finding in normal adult shoulders. The most common
THE SHOULDER. Shoulder Pain. Fractures. Instability and Dislocations of the Shoulder
THE SHOULDER Shoulder Pain 1. Fractures 2. Sports injuries 3. Instability/Dislocations 4. Rotator Cuff Disease and Tears 5. Arthritis Fractures The shoulder is made up of three primary bones, the clavicle,
The rapid evolution of arthroscopic shoulder surgery
Technical Note Arthroscopic Repair of SLAP Lesions With a Bioknotless Suture Anchor Edward Yian, M.D., Conrad Wang, M.D., Peter J. Millett, M.D., and Jon J. P. Warner, M.D. Abstract: The diagnosis and
Rehabilitation Guidelines For SLAP Lesion Repair
Rehabilitation Guidelines For SLAP Lesion Repair The anatomic configuration of the shoulder joint (glenohumeral joint) is often compared to a golf ball on a tee. This is because the articular surface of
Rehabilitation Guidelines for Anterior Shoulder Reconstruction with Arthroscopic Bankart Repair
Rehabilitation Guidelines for Anterior Shoulder Reconstruction with Arthroscopic Bankart Repair The anatomic configuration of the shoulder joint (glenohumeral joint) is often compared to a golf ball on
1 of 6 1/22/2015 10:06 AM
1 of 6 1/22/2015 10:06 AM 2 of 6 1/22/2015 10:06 AM This cross-section view of the shoulder socket shows a typical SLAP tear. Injuries to the superior labrum can be caused by acute trauma or by repetitive
Arthroscopic Shoulder Instability Repair Using the SUTUREFIX ULTRA Suture Anchor and SUTUREFIX ULTRA Instrumentation System
*smith&nephew SHOULDER TECHNIQUE GUIDE Arthroscopic Shoulder Instability Repair Using the SUTUREFIX ULTRA Suture Anchor and SUTUREFIX ULTRA Instrumentation System KNEE HIP SHOULDER EXTREMITIES Arthroscopic
Abstract Objective: To review the mechanism, surgical procedures, and rehabilitation techniques used with an athlete suffering from chronic anterior
Abstract Objective: To review the mechanism, surgical procedures, and rehabilitation techniques used with an athlete suffering from chronic anterior glenohumeral instability and glenoid labral tear. Background:
SLAP Repair Protocol Arthroscopic Labral Repair Protocols (Type II, IV and Complex Tears)
SLAP Repair Protocol Arthroscopic Labral Repair Protocols (Type II, IV and Complex Tears) This protocol has been modified and is being used with permission from the BWH Sports and Shoulder Service. The
Classic shoulder impingement as described by. Anterior Internal Impingement: An Arthroscopic Observation. Original Article With Video Illustration
Original Article With Video Illustration Anterior Internal Impingement: An Arthroscopic Observation Steven Struhl, M.D. Purpose: The source of pain in patients with a stable shoulder and clinical signs
Flying Swan Arthroscopic Labral Repair using a Tensioned Suture Bridge Construct
SHOULDER TECHNIQUE GUIDE Flying Swan Arthroscopic Labral Repair using a Tensioned Suture Bridge Construct Andrew L. Wallace, MFSEM PhD FRCS FRACS Susan Alexander, MSc PhD FRCS KNEE HIP SHOULDER EXTREMITIES
POSTERIOR LABRAL (BANKART) REPAIRS
LOURDES MEDICAL ASSOCIATES Sean Mc Millan, DO Director of Orthopaedic Sports Medicine & Arthroscopy 2103 Burlington-Mount Holly Rd Burlington, NJ 08016 (609) 747-9200 (office) (609) 747-1408 (fax) http://orthodoc.aaos.org/drmcmillan
The Trans-Rotator Cuff Approach to SLAP Lesions: Technical Aspects for Repair and a Clinical Follow-up of 31 Patients at a Minimum of 2 Years
The Trans-Rotator Cuff Approach to SLAP Lesions: Technical Aspects for Repair and a Clinical Follow-up of 31 Patients at a Minimum of 2 Years Stephen J. O Brien, M.D., Answorth A. Allen, M.D., Struan H.
Shoulder Dyslexia: The Alphabet Soup. Alison Nguyen 4/13/06
Shoulder Dyslexia: The Alphabet Soup Alison Nguyen 4/13/06 Mystery Cases Case 1 Case 2 Case 3 Case 4 Shoulder Dyslexia: The Alphabet Soup Shoulder dyslexia: addressing the endless alphabet soup Ant-inf
Rehabilitation Guidelines for Shoulder Arthroscopy
Rehabilitation Guidelines for Shoulder Arthroscopy Front View Long head of bicep Acromion Figure 1 Shoulder anatomy Supraspinatus Image Copyright 2010 UW Health Sports Medicine Center. Short head of bicep
10/16/2012. Marc J Breslow, MD Illinois Bone and Joint Institute Morton Grove, Des Plaines
Orthopaedic Management of Shoulder Pathology Marc J Breslow, MD Illinois Bone and Joint Institute Morton Grove, Des Plaines Opening Statements IBJI Began fall 2007 9000 Waukegan Rd, Morton Grove 900 Rand
Reimbursements for. Getting Reimbursed for Shoulder Scopes. Even the most common procedures can challenge the most experienced coders.
Cristina Bentin, CCS-P, CPC-H, CMA Getting Reimbursed for Shoulder Scopes Even the most common procedures can challenge the most experienced coders. Reimbursements for orthopedic surgeries under the Medicare
Shoulder Impingement/Rotator Cuff Tendinitis
Copyright 2011 American Academy of Orthopaedic Surgeons Shoulder Impingement/Rotator Cuff Tendinitis One of the most common physical complaints is shoulder pain. Your shoulder is made up of several joints
The Shoulder Complex & Shoulder Girdle
The Shoulder Complex & Shoulder Girdle The shoulder complex 4 articulations involving The sternum The clavicle The ribs The scapula and The humerus Bony Landmarks provide attachment points for muscles
The Treatment of Traumatic Recurrent Anterior Shoulder Instability with Arthroscopic Bankart Repair
J Med Sci 22;22(2):63-68 http://jms.ndmctsgh.edu.tw/22263.pdf Copyright 22 JMS Hsing-Ning Yu, et al. The Treatment of Traumatic Recurrent Anterior Shoulder Instability with Arthroscopic Bankart Repair
POSTOPERATIVE SHOULDER
JEROEN BOSCH HOSPITAL POSTOPERATIVE SHOULDER Matthieu J.C.M. Rutten Musculoskeletal Ultrasound Society 22nd Annual Meeting, 19 22 Sept 2012 Leuven, Belgium JEROEN BOSCH HOSPITAL POSTOPERATIVE SHOULDER
When is Hip Arthroscopy recommended?
HIP ARTHROSCOPY Hip arthroscopy is a minimally invasive surgical procedure that uses a camera inserted through very small incisions to examine and treat problems in the hip joint. The camera displays pictures
Rotator cuff tears Acute or chronic? Mary Obele ANZSOM September 2012 Acknowledgement: ACC
Rotator cuff tears Acute or chronic? Mary Obele ANZSOM September 2012 Acknowledgement: ACC Anatomy Epidemiology Asymptomatic rotator cuff tears: prevalence is 35% (5) 15% full thickness and 20% partial
Level V Evidence. Minor Shoulder Instability. Alessandro Castagna, M.D., Ulf Nordenson, M.D., Raffaele Garofalo, M.D., and Jon Karlsson, M.D., Ph.D.
Level V Evidence Minor Shoulder Instability Alessandro Castagna, M.D., Ulf Nordenson, M.D., Raffaele Garofalo, M.D., and Jon Karlsson, M.D., Ph.D. Abstract: The wide spectrum of shoulder instability is
Arthroscopic Labral Repair Protocol-Type II, IV, and Complex Tears:
Department of Rehabilitation Services Physical Therapy This protocol has been adopted from Brotzman & Wilk, which has been published in Brotzman SB, Wilk KE, Clinical Orthopeadic Rehabilitation. Philadelphia,
Arthroscopic Subscapularis Repair
CHPTER 18 rthroscopic Subscapularis Repair mmar nbari, MD nthony. Romeo, MD n all-arthroscopic repair of the subscapularis tendon has seen significant interest in the past 10 years. s we refine our knowledge
Arthroscopy of the Hip
Arthroscopy of the Hip Professor Ernest Schilders FRCS, FFSEM Consultant Orthopaedic Surgeon Specialist in Shoulder and Hip Arthroscopy, Groin and Sports Injuries Private consulting rooms The London Hip
Chapter 5. The Shoulder Joint. The Shoulder Joint. Bones. Bones. Bones
Copyright The McGraw-Hill Companies, Inc. Reprinted by permission. Chapter 5 The Shoulder Joint Structural Kinesiology R.T. Floyd, Ed.D, ATC, CSCS Structural Kinesiology The Shoulder Joint 5-1 The Shoulder
J F de Beer, K van Rooyen, D Bhatia. Rotator Cuff Tears
1 J F de Beer, K van Rooyen, D Bhatia Rotator Cuff Tears Anatomy The shoulder consists of a ball (humeral head) and a socket (glenoid). The muscles around the shoulder act to elevate the arm. The large
Hand and Upper Extremity Injuries in Outdoor Activities. John A. Schneider, M.D.
Hand and Upper Extremity Injuries in Outdoor Activities John A. Schneider, M.D. Biographical Sketch Dr. Schneider is an orthopedic surgeon that specializes in the treatment of hand and upper extremity
ROTATOR CUFF TEARS SMALL
LOURDES MEDICAL ASSOCIATES Sean Mc Millan, DO Director of Orthopaedic Sports Medicine & Arthroscopy 2103 Burlington-Mount Holly Rd Burlington, NJ 08016 (609) 747-9200 (office) (609) 747-1408 (fax) http://orthodoc.aaos.org/drmcmillan
Aredundant or insufficient posterior capsule has
Original Article With Video Illustration Kim s Lesion: An Incomplete and Concealed Avulsion of the Posteroinferior Labrum in Posterior or Multidirectional Posteroinferior Instability of the Shoulder Seung-Ho
.org. Shoulder Pain and Common Shoulder Problems. Anatomy. Cause
Shoulder Pain and Common Shoulder Problems Page ( 1 ) What most people call the shoulder is really several joints that combine with tendons and muscles to allow a wide range of motion in the arm from scratching
SLAP Lesion Repair Rehabilitation Protocol Dr. Mark Adickes
SLAP Lesion Repair Rehabilitation Protocol Dr. Mark Adickes Introduction: This rehabilitation protocol has been developed for the patient following a SLAP (Superior Labrum Anterior Posterior) repair. It
North Shore Shoulder Dr.Robert E. McLaughlin II 1-855-SHOULDER 978-969-3624 Fax: 978-921-7597 www.northshoreshoulder.com
North Shore Shoulder Dr.Robert E. McLaughlin II 1-855-SHOULDER 978-969-3624 Fax: 978-921-7597 www.northshoreshoulder.com Physical Therapy Protocol for Patients Following Shoulder Surgery -Rotator Cuff
Dr. Benjamin Hewitt. Shoulder Stabilisation
Please contactmethroughthegoldcoasthospitaswityouhaveanyproblemsafteryoursurgery. Dr. Benjamin Hewitt Orthopaedic Surgeon Shoulder Stabilisation The shoulder is the most flexible joint in the body, allowing
Sports Medicine. Assessing and Diagnosing Shoulder Injuries in Pediatric and Adolescent Patients
Sports Medicine Assessing and Diagnosing Shoulder Injuries in Pediatric and Adolescent Patients Sports Medicine at Nationwide Children s Hospital Nationwide Children s Hospital Sports Medicine includes
ABSTRACT. Conrad Wang, MD is a Resident in the Harvard Combined Orthopaedic Residency Program
SUPERIOR LABRAL TEARS OF THE SHOULDER: SURGICAL REPAIR USING A BIORESORBABLE KNOTLESS SUTURE ANCHOR CONRAD WANG, MD, EDWARD YIAN MD, PETER J. MILLETT MD, MSC., JON J.P. WARNER, MD HARVARD SHOULDER SERVICE,
Shoulder Arthropathies. Crystal Skovly, PA-C Orthopedic Institute Yankton, SD
Shoulder Arthropathies Crystal Skovly, PA-C Orthopedic Institute Yankton, SD Covered Glenohumeral Arthritis Impingement Syndrome Rotator Cuff Tears Rupture of the Long Head Biceps Tendon Shoulder Instability
UHealth Sports Medicine
UHealth Sports Medicine Rehabilitation Guidelines for Arthroscopic Rotator Cuff Repair Type 2 Repairs with Bicep Tenodesis (+/- subacromial decompression) The rehabilitation guidelines are presented in
Mini Medical School _ Focus on Orthopaedics
from The Cleveland Clinic Mini Medical School _ Focus on Orthopaedics Arthritis of the Shoulder: Treatment Options Joseph P. Iannotti MD, PhD Professor and Chairman, Department of Orthopaedic Surgery The
Rehabilitation Protocol: SLAP Superior Labral Lesion Anterior to Posterior
Rehabilitation Protocol: SLAP Superior Labral Lesion Anterior to Posterior Department of Orthopaedic Surgery Lahey Hospital & Medical Center, Burlington 781-744-8650 Lahey Outpatient Center, Lexington
Open Rotator Cuff Repair Rehabilitation Program Methodist Sports Medicine Center, Indianapolis, IN Department of Physical Therapy
Open Rotator Cuff Repair Rehabilitation Program Methodist Sports Medicine Center, Indianapolis, IN Department of Physical Therapy Rotator Cuff Repair is a surgical procedure utilized for a tear in the
Overhead Strength Training for the Shoulder: Guidelines for Injury Prevention and Performance Training Success
Overhead Strength Training for the Shoulder: Guidelines for Injury Prevention and Performance Training Success Robert Panariello MS, PT, ATC, CSCS Strength training is an important component in the overall
THE SHOULDER JOINT T H E G L E N O H U M E R A L ( G H ) J O I N T
THE SHOULDER JOINT T H E G L E N O H U M E R A L ( G H ) J O I N T CLARIFICATION OF TERMS Shoulder girdle = scapula and clavicle Shoulder joint (glenohumeral joint) = scapula and humerus Lippert, p115
.org. Rotator Cuff Tears: Surgical Treatment Options. When Rotator Cuff Surgery is Recommended. Surgical Repair Options
Rotator Cuff Tears: Surgical Treatment Options Page ( 1 ) The following article provides in-depth information about surgical treatment for rotator cuff injuries, and is a continuation of the article Rotator
Arthroscopic Shoulder Stabilization With Suture Anchors: Technique, Technology, and Pitfalls
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH Number 390, pp. 17 30 2001 Lippincott Williams & Wilkins, Inc. Arthroscopic Shoulder Stabilization With Suture Anchors: Technique, Technology, and Pitfalls Brian
Arthroscopic Labral Repair (SLAP)
Arthroscopic Labral Repair (SLAP) Brett Sanders, MD Center For Sports Medicine and Orthopaedic 2415 McCallie Ave. Chattanooga, TN (423) 624-2696 Anatomy The shoulder joint involves three bones: the scapula
Knee Injuries What are the ligaments of the knee?
As sporting participants or observers, we often hear a variety of terms used to describe sport-related injuries. Terms such as sprains, strains and tears are used to describe our aches and pains following
CAPPAGH NATIONAL ORTHOPAEDIC HOSPITAL, FINGLAS, DUBLIN 11. The Sisters of Mercy. Rotator Cuff Repair
1.0 Policy Statement... 2 2.0 Purpose... 2 3.0 Scope... 2 4.0 Health & Safety... 2 5.0 Responsibilities... 2 6.0 Definitions and Abbreviations... 3 7.0 Guideline... 3 7.1 Pre-Operative... 3 7.2 Post-Operative...
Fact. However. Historically 5/4/15. Arthroscopic Revision Cuff Repair. Revision Rotator Cuff Repair: How To Do It Better
Fact Revision Rotator Cuff Repair: How To Do It Better Stephen S. Burkhart, MD San Antonio, Texas Functional outcome after cuff repair is better in patients with a healed rotator cuff. Harryman et al.
William J. Robertson, MD UT Southwestern Orthopedics 1801 Inwood Rd. Dallas, TX 75390-8882 Office: (214) 645-3300 Fax: (214) 3301 billrobertsonmd.
Arthroscopic Rotator Cuff Repair Postoperative Rehab Protocol Starting the first day after surgery you should remove the sling 3-4 times per day to perform pendulum exercises and elbow/wrist range of motion
SLAP Repair Protocol
SLAP Repair Protocol Anatomy and Biomechanics The shoulder is a wonderfully complex joint that is made up of the ball and socket connection between the humerus (ball) and the glenoid portion of the scapula
Shouldering the Burden
Shouldering the Burden Wheelchair Athletes and Shoulder Injuries Dr. Julia Alleyne BHSc(PT) MD MScCH Dip Sport Med CMO, 2015 Parapan Games, Toronto Faculty/Presenter Disclosure Faculty: Dr. Julia Alleyne
Arthroscopic Labrum Repair of the Shoulder (SLAP)
Anatomy Arthroscopic Labrum Repair of the Shoulder (SLAP) The shoulder joint involves three bones: the scapula (shoulder blade), the clavicle (collarbone) and the humerus (upper arm bone). The humeral
ARTHROSCOPIC CAPSULAR PLICATION AND CAPSULAR SPLIT/SHIFT TECHNIQUES FOR MULTIDIRECTIONAL INSTABILITY
ARTHROSCOPIC CAPSULAR PLICATION AND CAPSULAR SPLIT/SHIFT TECHNIQUES FOR MULTIDIRECTIONAL INSTABILITY Joseph C. Tauro, MD Assistant Clinical Professor of Orthopaedic Surgery New Jersey Medical School Newark,
Arthroscopic Repair of Combined Bankart and SLAP Lesions: Operative Techniques and Clinical Results
Original Article Clinics in Orthopedic Surgery 2010;2:39-46 doi:10.4055/cios.2010.2.1.39 Arthroscopic Repair of Combined Bankart and SLAP Lesions: Operative Techniques and Clinical Results Hyung Lae Cho,
Rotator Cuff Repair Protocol
Rotator Cuff Repair Protocol Anatomy and Biomechanics The shoulder is a wonderfully complex joint that is made up of the ball and socket connection between the humerus (ball) and the glenoid portion of
28% have partial tear of the rotator cuff.
ROTATOR CUFF TENDON RUPTURE Anatomy: 1. Rotator cuff consists of: Subscapularis anteriorly, Supraspinatus superiorly and Infraspinatus and Teres minor posteriorly. 2 Biceps tendon is present in the rotator
Outcome of Arthroscopic Repair of Type II SLAP Lesions in Worker_s Compensation Patients
HSSJ (2007) 3: 58 62 DOI 10.1007/s11420-006-9023-2 ORIGINAL ARTICLE Outcome of Arthroscopic Repair of Type II SLAP Lesions in Worker_s Compensation Patients Nikhil N. Verma, MD & Ralph Garretson, MD &
Rehabilitation Guidelines for Type I and Type II Rotator Cuff Repair and Isolated Subscapularis Repair
UW Health SpoRTS Rehabilitation Rehabilitation Guidelines for Type I and Type II Rotator Cuff Repair and Isolated Subscapularis Repair The anatomic configuration of the shoulder joint (glenohumeral joint)
Rotator Cuff Surgery: Post-Operative Protocol for Mini-Open or Arthroscopic Rotator Cuff Repair
Rotator Cuff Surgery: Post-Operative Protocol for Mini-Open or Arthroscopic Rotator Cuff Repair Considerations: 1. Mini-Open - shoulder usually assessed arthroscopically and acromioplasty is usually performed.
History Inspection Palpation Range of motion Other Tests
Diagnosis and Management of Common Shoulder and Hip Complaints UCSF Essentials of Primary Care August 8, 2013 Carlin Senter, M.D. At the end of this hour you will know 1. The differential diagnosis for
ROTATOR CUFF SYNDROME Arbejds- og Miljømedicinsk Årsmøde 2008 ROTATOR CUFF SYNDROME = SHOULDER PAIN Steen Bo Kalms, Shoulder- and Elbow Surgeon ROTATOR CUFF SYNDROME VERY COMMON DIAGNOSIS ON REFERRED PTT
Biceps Tenodesis Protocol
Department of Rehabilitation Services Physical Therapy The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone
Arthroscopic Management of Anterior Instability: Pearls, Pitfalls, and Lessons Learned
Arthroscopic Management of Anterior Instability: Pearls, Pitfalls, and Lessons Learned Matthew T. Provencher, MD a,b, *, Neil Ghodadra, MD c, Anthony A. Romeo, MD d,e KEYWORDS Anterior shoulder instability
Labral Repair Book. Dr. Allan Hunt. 2855 Campus Drive Suite 300 Plymouth, MN 55441. 4010 W 65 th St Edina, MN 55435. www.tcomn.com
Labral Repair Book Dr. Allan Hunt 4010 W 65 th St Edina, MN 55435 2855 Campus Drive Suite 300 Plymouth, MN 55441 www.tcomn.com Normal shoulder function The shoulder is the most flexible joint in the body,
The value of MRI in evaluation of shoulder pain
International Journal of Medical Imaging 2014; 2(4): 83-91 Published online June 30, 2014 (http://www.sciencepublishinggroup.com/j/ijmi) doi: 10.11648/j.ijmi.20140204.11 The value of MRI in evaluation
Anatomic Percutaneous Ankle Reconstruction of Lateral Ligaments (A Percutaneous Anti ROLL)
Anatomic Percutaneous Ankle Reconstruction of Lateral Ligaments (A Percutaneous Anti ROLL) Mark Glazebrook James Stone Masato Takao Stephane Guillo Introduction Ankle stabilization is required when a patient
Thermal Capsulorrhaphy as a Treatment of Joint Instability. Original Policy Date
MP 7.01.65 Thermal Capsulorrhaphy as a Treatment of Joint Instability Medical Policy Section Surgery Issue 12/2013 Original Policy Date 12/2013 Last Review Status/Date Reviewed with literature search/12/2013
Rehabilitation Guidelines for Biceps Tenodesis
UW Health Sports Rehabilitation Rehabilitation Guidelines for Biceps Tenodesis The shoulder has two primary joints. One part of the shoulder blade, called the glenoid fossa forms a flat, shallow surface.