Shoulder MRI for Rotator Cuff Tears. Conor Kleweno,, Harvard Medical School Year III Gillian Lieberman, MD
|
|
|
- Bathsheba Flowers
- 8 years ago
- Views:
Transcription
1 Shoulder MRI for Rotator Cuff Tears Conor Kleweno,, Harvard Medical School Year III
2 Goals of Presentation Shoulder anatomy Function of rotator cuff MRI approach to diagnose cuff tear Anatomy on MRI images Visualize supraspinatus tear on MRI 2
3 Our Patient 78 yo man with several months of increasing left shoulder pain especially with moving arm across front of body Physical exam suggestive of rotator cuff tear Pain limiting range of motion Weakness (especially of external rotation) Menu of radiology tests available Plain film of shoulder to evaluate for bony anatomy and joint positioning MR arthrogram (if think labral tear is involved) MRI 3
4 Anatomy of Shoulder Ball and socket joint Great range of motion Four separate articulations Glenohumeral, acromioclavicular, sternoclavicular,, and scapulothoracic Focus on glenohumeral joint ball and socket between humeral head and glenoid fossa of the scapula 4
5 Shoulder Joint 5
6 Rotator Cuff Complex of muscles & tendons that arise from the scapula, and attach to humerus SITS muscles/tendons Supraspinatus Infraspinatus Teres minor Subscapularis All these tendons blend with the fibrous capsule to form the musculotendinous cuff + glenohumeral ligaments Functions as the dynamic stabilizer of the joint Reinforces joint capsule (superiorly, anteriorly, posteriorly) 6
7 Rotator Cuff 7
8 Sagittal View Diagram Picture: 8
9 Supraspinatus Most often injured Primary function is abduct the humerus (but also has a role in humeral rotation) Depresses humeral head to counteract the uplifting force of the deltoid muscle Most superior muscle/tendon extends over the top of humeral head and inserts on greater tuberosity superiorly Picture: 9
10 Infraspinatus Main function is external rotation of humerus Also functions to depress humeral head and static stabilizer of glenohumeral joint Inserts on greater tuberosity (inferior and posterior to supraspinatus tendon) Picture: 10
11 Teres Minor Least commonly injured Powerful external rotation of humerus Posteroinferior to the infraspinatus Also helps prevent subluxation of humeral head Inserts inferiorly on greater tuberosity Picture: 11
12 Subscapularis Also sends fibers over bicipital groove Largest and most powerful of SITS Main function is internal rotation (also functions to adduct, depress humerus) Also reinforces anterior joint capsule and becomes continuous with it Tendon fibers merge with transverse humeral ligament and fuse with fibers from supraspinatus into sheath that encompasses the biceps tendon Insertion from anterior scapula to superior aspect of lesser tuberosity (anterior humerus) Picture: 12
13 Biceps Tendon (long head) Not part of SITS but important for shoulder movement Stabilizes humeral head in glenoid during abduction of shoulder Proximal insertion is superior glenoid and posterosuperior glenoid labrum then traverses across superomedial aspect of humeral head and enters bicipital groove Picture: 13
14 Rotator Cuff Tears Occurs from: End result of chronic subacromial impingement Progressive tendon degeneration from traumatic injury Or a combination of these factors Inciting injury is often a fall onto an outstretched arm, direct blow to the shoulder, or a rapid accelerating incident (eg( eg,, pulling on a starter cable) Patients with a history of recurrent rotator cuff tendonitis are at increased risk for a tear Supraspinatus most commonly torn 14
15 MRI Standard Views Axial Extending from level of acromion through the glenoid Oblique coronal Obtained parallel to the scapula and supraspinatus and extending through subscapularis tendon anteriorly and infraspinatus tendon posteriorly Oblique sagittal Level of scapula neck through lateral border of greater tuberosity (perpendicular to coronal plane) 15
16 Scout Image & Coil Scout images obtained in coronal plane to serve as localizer for subsequent pulse sequences Coil improves spatial resolution via higher signal:noise MRI shoulder coil to obtain scout image (MRI of the Shoulder, 2003) 16
17 NL MRI Coronal Oblique Superior Supraspinatus M Deltoid M Subscap M Medial T1 image, PACS, BIDMC 17
18 Normal MRI - Sagittal Supraspin T, M Infraspin T, M Subscap T Deltoid Teres minor T,M Anterior T1, fat saturation, PACS, BIDMC 18
19 MRI Anatomy Normal infraspinatus T Normal subscap T Biceps T T2* coronal oblique image. (Musculoskeletal MRI, 2001) Biceps tendon (white arrow head). T2* axial. (Musculoskeletal MRI, 2001) 19
20 MRI of Full-Thickness Tears Defects are filled with fluid, granulation tissue, or synovium Thus, defects have fluid-like like signal on MR Might also see tendon retraction The spine of the scapula separates the supra and infraspinatus on axial images 20
21 Rotator Cuff Tear Normal Supraspinatus tear 21
22 Complete Supraspinatus Tear Complete supraspinatus tear. T1 coronal oblique image. Torn end of supraspinatus tendon (white arrow) and medial retraction of the musculotendinous junction (between black arrows). (Musculoskeletal MRI, 2001) 22
23 Partial Tears Classification of partial tears. A. Articular surface partial. B. bursal surface partial. C. Intrasubstance partial (Figure: MRI of Shoulder, 2003) 23
24 Partial Supraspinatus Tear T1 coronal obliqe image. Partial tear: linear intermediate signal (arrow) between distal supraspinatus tendon and greater tuberosity. (Musculoskeletal MRI, 2001). 24
25 Full-thickness, partial width tear T2, coronal sagittal. PACS, BIDMC 25
26 Impingement Clinically Pain with abduction + external rotation or elevation with internal rotation Coracoacromial arch Humeral head posteriorly Acromion superiorly Coracoid process + coracoacromial ligament anteriorly Conditions that limit space within this arch can lead to impingement and eventual tears in supraspinatus tendon 26
27 Coracoacromial Arch 27
28 Acromion Shapes Sagittal perspective of different acromial shapes. Black circle represents supraspinatus tendon on anterior shoulder. Types III and IV have higher incidence of impingement. (Musculoskeletal MRI 2001, and Bigliani 1991) 28
29 Acromion Orientation Orientation can predispose to impingement and tear. Especially low-lying and Inferolateral. (Musculoskeletal MRI, 2001) 29
30 MRI of Inferolateral Acromion T1 coronal image. Acromion (A) tilts inferiorly relative to the horizontal clavical (C). This narrows the space between humeral head and acromion where the supraspinatus tendon and the subacromial/ subdeltoid bursa exist, increasing risk for impingement and tear. (Musculoskeletal MRI, 2001) 30
31 Back to our patient Complete supraspinatus tear on T2 image (red arrow). Superior translation of HH. Atrophy of supraspin. Acromion is Type II. (T2, PACS BIDMC) 31
32 Back to our patient Torn and retracted subscap T,M. (red arrow) Displaced biceps T Axial T2 PACS, BID 32
33 Treatment Non-operative operative with most partial tears, or if surgery is contraindicated Acute: ice and NSAIDS Physical rehabilitation Restrict overhead reaching and lifting Lidocaine/steroid injection 33
34 Treatment Operative Management Indicated in young patients with severe tears Delay longer than 6 wks can lead to atrophy Young pts who fail non-op op management Open repair vs. arthroscopic repair Depending on pathology 34
35 References Magnetic Resonance Imaging in Orthopaedics and Sports Medicine. Stoller DW Ed. 2 nd edition. Lippincott-Raven Publishers MRI of the Shoulder. Zlatkin MB. Editor. 2 nd edition. Lippincott Williams and Wilkins Musculoskeletal MRI. Kaplan et al. W.B. Saunders Company Bigliani et al. The relationship of acromial architecture to rotator cuff disease. Clin Sports Med Oct;10(4): Review. 35
36 Acknowledgements Pamela Lepkowski Perry Horwich,, MD Larry Barbaras our Webmaster 36
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:
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
Musculoskeletal Ultrasound Technical Guidelines. I. Shoulder
European Society of MusculoSkeletal Radiology Musculoskeletal Ultrasound Technical Guidelines I. Shoulder Ian Beggs, UK Stefano Bianchi, Switzerland Angel Bueno, Spain Michel Cohen, France Michel Court-Payen,
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
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
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
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
Chapter 4 The Shoulder Girdle
Chapter 4 The Shoulder Girdle Key Manubrium Clavicle Coracoidprocess Acromionprocess bony landmarks Glenoid fossa Bones Lateral Inferior Medial border angle McGraw-Hill Higher Education. All rights reserved.
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
Arthroscopic Shoulder Procedures. David C. Neuschwander MD. Shoulder Instability. Allegheny Health Network Orthopedic Associates of Pittsburgh
Arthroscopic Shoulder Procedures David C. Neuschwander MD Allegheny Health Network Orthopedic Associates of Pittsburgh Shoulder Instability Anterior Instability Posterior Instability Glenohumeral Joint
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
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
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
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
Upper Limb QUESTIONS UPPER LIMB: QUESTIONS
1 Upper Limb QUESTIONS 1.1 Which of the following statements best describes the scapula? a. It usually overlies the 2nd to 9th ribs. b. The spine continues laterally as the coracoid process. c. The suprascapular
BODY BODY PEDICLE PEDICLE TRANSVERSE TRANSVERSE PROCESS PROCESS
Learning Objective Radiology Anatomy of the Spine and Upper Extremity Identify anatomic structures of the spine and upper extremities on standard radiographic and cross-sectional images Timothy J. Mosher,
Clarification of Terms
Shoulder Girdle Clarification of Terms Shoulder girdle = scapula and clavicle Shoulder joint (glenohumeral joint) = scapula and humerus What is the purpose (or function) of the shoulder and entire upper
Imaging of Sports Injuries
Imaging of Sports Injuries Capable of tremendous mobility Paradox Must be loose enough to function but stable enough to prevent symptoms Shoulder injuries occur when the balance between stability & mobility
.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
SCAPULAR FRACTURES. Jai Relwani, Shoulder Fellow, Reading Shoulder Unit, Reading.
SCAPULAR FRACTURES Jai Relwani, Shoulder Fellow, Reading Shoulder Unit, Reading. Aims Anatomy Incidence/Importance Mechanism Classification Principles of treatment Specific variations Conclusion Anatomy
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
Shoulder Injury Prevention and Rehabilitation for Health & Fitness Professionals
s EDUCATION WORKSHOPS Shoulder Injury Prevention and Rehabilitation for Health & Fitness Professionals with B.App.Sc (Physio), Dip.Ed (P.E.) CONTENTS Topic Page 1. Functional Anatomy 3 2. Scapulohumeral
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
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
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 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
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
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
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
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
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
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,
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
Rotator cuff contusions of the shoulder in professional football players: Epidemiology and magnetic resonance imaging findings
Thomas Jefferson University Jefferson Digital Commons Department of Orthopaedic Surgery Faculty Papers Department of Orthopaedic Surgery March 2007 Rotator cuff contusions of the shoulder in professional
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
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
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
.org. Rotator Cuff Tears. Anatomy. Description
Rotator Cuff Tears Page ( 1 ) A rotator cuff tear is a common cause of pain and disability among adults. In 2008, close to 2 million people in the United States went to their doctors because of a rotator
X-Ray Rounds: (Plain) Radiographic Evaluation of the Shoulder
X-Ray Rounds: (Plain) Radiographic Evaluation of the Shoulder Anatomy 3 Bones Humerus Scapula Clavicle 3 Joints Glenohumeral Acromioclavicular Sternoclavicular 1 Articulation Scapulothoracic Anatomy Humerus
Functional Anatomy of the Shoulder Complex
Functional Anatomy of the Shoulder Complex MALCOLM PEAT The shoulder complex, together with other joint and muscle mechanisms of the upper limb, primarily is concerned with the ability to place and control
Rotator Cuff Repair and Rehabilitation
1 Rotator Cuff Repair and Rehabilitation Surgical Indications and Considerations Anatomical Considerations: The rotator cuff complex is comprised of four tendons from four muscles: supraspinatus, infraspinatus,
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
Shoulder Examination
Shoulder Examination Summary Inspection Palpation Movement Special Tests Neurological examination Introduction Shoulder disorders are can be broadly classified into the following types: Pain Stiffness
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...
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
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
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
The Diagnosis-Driven Physical Exam of the Shoulder
The Diagnosis-Driven Physical Exam of the Shoulder April 24, 2014 Carlin Senter MD, Natalie Voskanian MD, Veronica Jow MD Carlin Senter, MD Assistant Clinical Professor UCSF Sports Medicine 1 Natalie Voskanian,
Quantifying the Extent of a Type II SLAP Lesion Required to Cause Peel-Back of the Glenoid Labrum A Cadaveric Study
Quantifying the Extent of a II SLAP Lesion Required to Cause Peel-Back of the Glenoid Labrum A Cadaveric Study Aruna Seneviratne, M.D., Kenneth Montgomery, M.D., Babette Bevilacqua, P.A.C., and Bashir
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
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
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
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
More Joint & Bursa Injuries
Unraveling the Mystery of Shoulder Pain: More Joint & Bursa Injuries Presented by Dr. Ben Benjamin Instructor: Ben Benjamin, Ph.D. Instructor: Ben Benjamin, Ph.D. ben@benbenjamin.com 1 Thank You DrBen@BenBenjamin.com
Upper limb injuries. Traumatology RHS 231 Dr. Einas Al-Eisa
Upper limb injuries Traumatology RHS 231 Dr. Einas Al-Eisa Pain in the limbs: May be classified under 4 headings: 1. Joint pain 2. Soft tissue pain 3. Neurogenic pain 4. Orthopaedic causes (fractures,
Radiology Corner. The Superior Labrum, Anterior-to-Posterior SLAP Lesion
Radiology Corner The Superior Labrum, Anterior-to-Posterior SLAP Lesion The Superior Labrum, Anterior-to-Posterior SLAP Lesion Guarantor: Col Timothy G. Sanders, MC, USAF (Ret.) 1 Contributors: Col Timothy
Rotator Cuff Tears. Anatomy
Copyright 2011 American Academy of Orthopaedic Surgeons Rotator Cuff Tears A rotator cuff tear is a common cause of pain and disability among adults. In 2008, close to 2 million people in the United States
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
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
BRIDGET LAWLOR, PH.TH RESISTANCE TRAINING INJURIES THE ROTATOR CUFF INJURY WATCH. the glenoid cavity to the neck of the humerus.
Common resistance training injuries shouldn't have to be common. In this article we re looking at causes and prevention of resistance training injuries and taking a closer look at the shoulder joint, and
46 Shoulder Pain ANATOMY AND FUNCTION SCOTT DAVID MARTIN THOMAS S. THORNHILL KEY POINTS
46 Shoulder Pain SCOTT DAVID MARTIN THOMAS S. THORNHILL KEY POINTS Comprehension of functional anatomy allows diagnosis of most causes of shoulder pain on clinical examination. History and clinical examination
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
Muscle Energy Technique. Applied to the Shoulder
Muscle Energy Technique Applied to the Shoulder MUSCLE ENERGY Theory Muscle energy technique is a manual therapy procedure which involves the voluntary contraction of a muscle in a precisely controlled
Review Article. Dislocation Of Shoulder Joint
Review Article Dislocation Of Shoulder Joint Hafizuddin Ahmed A. H. Introduction: Dislocation means complete loss of contact of the articular surfaces of bony components of a joint. Shoulder joint is the
Shoulder. Clinical Assessment of the. The approach to a physical examination of the
Focus on CME at the University of British Columbia Clinical Assessment of the Shoulder When assessing shoulder pain, a structured physical examination, as directed by the patient s history, allows the
Split Pectoralis Major and Teres Major Tendon Transfers for Reconstruction of Irreparable Tears of the Subscapularis
Techniques in Shoulder & Elbow Surgery 5(1):5 12, 2004 2004 Lippincott Williams & Wilkins, Philadelphia T E C H N I Q U E Split Pectoralis Major and Teres Major Tendon Transfers for Reconstruction of Irreparable
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
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
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.
Shoulder Pain and How Do I Know If I Have It
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
Upper Extremity Special Tests. Cervical Tests. TMJ Dysfunction
Upper Extremity Special Tests Cervical Tests Vertebral Artery Test: used to test for vertebral artery occlusion or insufficiency. The subject lies supine on the plinth with the examiner seated behind with
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.
The Pilates Studio of Los Angeles / PilatesCertificationOnline.com
Anatomy Review Part I Anatomical Terminology and Review Questions (through pg. 80) Define the following: 1. Sagittal Plane 2. Frontal or Coronal Plane 3. Horizontal Plane 4. Superior 5. Inferior 6. Anterior
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
Injuries to Upper Limb
Injuries to Upper Limb 1 The following is a list of common sporting conditions and injuries. The severity of each condition may lead to different treatment protocols and certainly varying levels of intervention.
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
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
Completing the Loop: Management of the Adolescent Sports Injury. Adam Thomas, PT, DPT, ATC
: Management of the Adolescent Sports Injury Adam Thomas, PT, DPT, ATC https://www.youtube.com/watch?v=vbufpo 8s3As On field assessment can be the most efficient when the health care provider has observed
Diagnostic accuracy of shoulder ultrasound performed by a single operator
Radiology Australasian Radiology (2007) 51, 226 229 Diagnostic accuracy of shoulder ultrasound performed by a single operator DM Cullen, WH Breidahl and GC Janes Perth Orthopaedic and Sports Medicine Centre,
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
Scope it Out! Arthroscopic Procedures. Disclaimer
Scope it Out! Arthroscopic Procedures Julie A. Leu, eu,cpc, C,CPCO, CO,C CPMA, CPC-I 2009-2011 NAB Member, Region 7 Disclaimer Every reasonable effort has been made to ensure that the educational material
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
Important rehabilitation management concepts to consider for a postoperative physical therapy rtsa program are:
: General Information: Reverse or Inverse Total Shoulder Arthroplasty (rtsa) is designed specifically for the treatment of glenohumeral (GH) arthritis when it is associated with irreparable rotator cuff
Arthritis of the Shoulder
Arthritis of the Shoulder In 2011, more than 50 million people in the United States reported that they had been diagnosed with some form of arthritis, according to the National Health Interview Survey.
Musculoskeletal: Acute Lower Back Pain
Musculoskeletal: Acute Lower Back Pain Acute Lower Back Pain Back Pain only Sciatica / Radiculopathy Possible Cord or Cauda Equina Compression Possible Spinal Canal Stenosis Red Flags Initial conservative
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
REHAB 544 FUNCTIONAL ANATOMY OF THE UPPER EXTREMITY & LOWER EXTREMITY
REHAB 544 FUNCTIONAL ANATOMY OF THE UPPER EXTREMITY & LOWER EXTREMITY Mark Guthrie, PhD Rehabilitation Medicine University of Washington REHAB 544: Musculoskeletal Anatomy of the Upper & Lower Extremities,
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
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
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)
Elbow & Forearm H O W V I T A L I S T H E E L B O W T O O U R D A I L Y L I V E S?
Elbow & Forearm H O W V I T A L I S T H E E L B O W T O O U R D A I L Y L I V E S? Clarification of Terms The elbow includes: 3 bones (humerus, radius, and ulna) 2 joints (humeroulnar and humeroradial)
.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
Cervical Spine Imaging
March 20, 2006 Cervical Spine Imaging Johannes Kratz, Harvard Medical School Year IV 1 Overview Background Clinical Cases Diagnostic Tests and a Decision-Tree Algorithm Examples of Cervical Spine Evaluations
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
Partial-Thickness Rotator Cuff Tears
Clinical Sports Medicine Update Partial-Thickness Rotator Cuff Tears Matthew J. Matava,* MD, Derek B. Purcell, MD, and Jonas R. Rudzki, MD From the Department of Orthopaedic Surgery, Washington University
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
What is subacromial bursitis? Where is the subacromial bursa? What causes subacromial bursitis?
What is subacromial bursitis? Bursitis is an inflammation or irritation of the bursa, which is a small sac located between a bone and muscle, skin, or a tendon. The bursa allows smooth gliding between
SLAP repair. An information guide for patients. Delivering the best in care. UHB is a no smoking Trust
SLAP repair An information guide for patients Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
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