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The Shoulder E-Book

The Shoulder E-Book

Michael A. Wirth | Charles A. Rockwood | Steven B. Lippitt | Frederick A. Matsen | Steven B. Lippitt

(2009)

Additional Information

Book Details

Abstract

Significantly revised and updated, the new edition of this highly regarded reference on the shoulder continues to impress. A multitude of leading international authorities—30% new to this 4th edition—present today’s most comprehensive, in-depth view of the current state of shoulder practice, all in a beautifully illustrated, full-color 2-volume masterwork. They deliver the most up-to-date coverage of shoulder function and dysfunction, along with practical approaches for patient evaluation and balanced discussions of treatment alternatives—open and arthroscopic, surgical and nonsurgical. Greatly expanded and visually enhanced coverage of arthroscopy, as well as many new chapters, provide expert guidance on the latest minimally invasive approaches. New “Critical Points” summary boxes highlight key technical tips and pearls, and two DVDs deliver new videos that demonstrate how to perform open and arthroscopic procedures. And now, as an Expert Consult title, this thoroughly updated 4th edition comes with access to the complete fully searchable contents online, as well as videos of arthroscopic procedures from the DVDs—enabling you to consult it rapidly from any computer with an Internet connection.

  • Includes tips and pearls from leaders in the field, as well as their proven and preferred methods.
  • Offers scientifically based coverage of shoulder function and dysfunction to aid in the decision-making process.
  • Provides a balance between open and arthroscopic techniques so you can chose the right procedures for each patient.
  • Includes the entire contents of the book online, fully searchable, as well as procedural videos from the DVDs, for quick, easy anywhere access.
  • Features 30% new expert contributors and new chapters, including Effectiveness Evaluation and the Shoulder, Revision of Rotator Cuff Problems, Management of Complications of Rotator Cuff Surgery, Management of Infected Shoulder Prosthesis, and others, providing you with abundant fresh insights and new approaches.
  • Provides new and expanded material on the management of advanced arthritis and CTA, infected arthroplasty, procedures to manage the stiff shoulder, and much more keeping you on the cusp of the newest techniques.
  • Offers enhanced coverage of shoulder arthroscopy, including basic and advanced techniques and complications, for expert advice on all of the latest minimally invasive approaches.
  • Devotes an entire new chapter to research frontiers to keep you apprised of what’s on the horizon.
  • Incorporates “Critical Points” summary boxes that highlight key technical tips and pearls.
  • Uses a new full-color design for optimal visual guidance of arthroscopic views and procedures.
  • Presents new videos on arthroscopic procedures on 2 DVDs to help you master the latest techniques.

Table of Contents

Section Title Page Action Price
Front Cover Cover
The Shoulder iii
Copyright Page iv
Dedication v
Foreword to the Fourth Edition vii
Foreword to the Third Edition ix
Foreword to the First Edition ix
Preface xi
Contributors xiii
Chapter 1. Developmental Anatomy of the Shoulder and Anatomy of the Glenohumeral Joint 1
COMPARATIVE ANATOMY 1
EMBRYOLOGY 5
POSTNATAL DEVELOPMENT 11
ADULT GLENOHUMERAL JOINT 12
REFERENCES 29
BIBLIOGRAPHY 30
Chapter 2. Gross Anatomy of the Shoulder 33
HISTORY 33
BONES AND JOINTS 38
MUSCLES 48
NERVES 67
BLOOD VESSELS 79
BURSAE, COMPARTMENTS, AND POTENTIAL SPACES 87
SKIN 93
REFERENCES 97
Chapter 3. Congenital Anomalies and Variational Anatomy of the Shoulder 101
VARIATIONAL ANATOMY OF THE SHOULDER 101
COMMON MALFORMATIONS OF THE SHOULDER 117
RARE ANOMALIES 126
REFERENCES 137
Chapter 4. Clinical Evaluation of Shoulder Problems 145
PATIENT HISTORY 145
PHYSICAL EXAMINATION 152
SPECIAL TESTS 162
REFERENCES 176
Chapter 5. Radiographic Evaluation of Shoulder Problems 177
FRACTURES OF THE GLENOHUMERAL JOINT 177
ANTERIOR INSTABILITY 183
POSTERIOR HUMERAL HEAD COMPRESSION FRACTURES ASSOCIATED WITH ANTERIOR DISLOCATION: THE HILL…SACHS DEFECT 186
POSTERIOR INSTABILITY 188
GLENOHUMERAL ARTHRITIS 191
GLENOHUMERAL ARTHROPLASTY 192
CLAVICLE 194
ACROMIOCLAVICULAR JOINT AND DISTAL CLAVICLE 194
STERNOCLAVICULAR JOINT AND MEDIAL CLAVICLE 197
ROTATOR CUFF 199
SCAPULA 206
CALCIFYING TENDINITIS 207
BICEPS TENDON 207
ACKNOWLEDGMENTS 207
REFERENCES 207
BIBLIOGRAPHY 210
Chapter 6. Biomechanics of the Shoulder 213
SHOULDER COMPLEX 213
GLENOHUMERAL AND SCAPULOTHORACIC JOINT MOTION 217
SHOULDER MOTION 222
SHOULDER CONSTRAINTS 230
MUSCLE AND JOINT FORCES 250
REFERENCES 260
Chapter 7. Effectiveness Evaluation of the Shoulder 267
HISTORY 267
DEVELOPMENT OF OUTCOME MEASURES 268
TYPES OF OUTCOME MEASURES 268
APPLICATION OF OUTCOME MEASURES 269
ASSESSING OUTCOME MEASURES 270
SPECIFIC OUTCOME INSTRUMENTS 271
AUTHOR'S CURRENT PRACTICE 275
FUTURE DEVELOPMENTS 275
SUMMARY 275
REFERENCES 277
Chapter 8. Anesthesia for Shoulder Procedures 279
ANESTHESIA 279
NEUROLOGIC INJURY AFTER SHOULDER PROCEDURES 285
PREOPERATIVE CONSIDERATIONS 287
INTRAOPERATIVE CONSIDERATIONS 287
POSTOPERATIVE CONSIDERATIONS 289
SUMMARY 291
REFERENCES 291
Chapter 9. Fractures of the Proximal Humerus 295
ANATOMY 295
MECHANISM OF INJURY 297
CLINICAL EVALUATION 297
IMAGING 297
CLASSIFICATION 298
METHODS OF TREATMENT 300
AUTHORS' PREFERRED METHOD OF TREATMENT 307
COMPLICATIONS AFTER ARTHROPLASTY 325
RESULTS AFTER ARTHROPLASTY 326
REVERSE SHOULDER ARTHROPLASTY FOR PRIMARY AND SECONDARY MANAGEMENT OF PROXIMAL HUMERUS FRACTURES 326
LATE COMPLICATIONS OF PROXIMAL HUMERUS FRACTURES 327
REFERENCES 329
Chapter 10. Fractures of the Scapula 333
ANATOMY 333
CLASSIFICATION OF FRACTURES OF THE SCAPULA 334
CLINICAL FEATURES 335
ASSOCIATED INJURIES AND COMPLICATIONS 335
RADIOGRAPHIC EVALUATION 336
TYPES OF FRACTURES AND METHODS OF TREATMENT 336
OTHER DISORDERS 364
AUTHORS' PREFERRED METHOD OF TREATMENT 368
REFERENCES 377
Chapter 11. Fractures of the Clavicle 381
HISTORICAL REVIEW 381
ANATOMY 382
MORPHOLOGY AND FUNCTION 383
FUNCTION 385
CLASSIFICATION OF CLAVICLE FRACTURES 389
MECHANISM OF INJURY 394
CLINICAL FINDINGS 396
RADIOGRAPHIC EVALUATION 401
DIFFERENTIAL DIAGNOSIS 404
COMPLICATIONS 406
TREATMENT 413
POSTOPERATIVE CARE 419
AUTHORS' PREFERRED METHOD OF TREATMENT 419
REFERENCES 445
BIBLIOGRAPHY 450
Chapter 12. Disorders of the Acromioclavicular Joint 453
DEVELOPMENTAL ANATOMY 453
ANATOMY AND FUNCTION 453
EXCISION OF THE DISTAL CLAVICLE 457
BIOMECHANICS OF ACROMIOCLAVICULAR MOTION 463
SPECTRUM OF DISORDERS 466
EVALUATION 467
TRAUMATIC DISORDERS 474
NONTRAUMATIC DISORDERS 514
REFERENCES 518
Chapter 13. Disorders of the Sternoclavicular Joint 527
SURGICAL ANATOMY 527
MECHANISM OF INJURY 533
CLASSIFICATION OF PROBLEMS OF THE STERNOCLAVICULAR JOINT 534
INCIDENCE OF INJURY TO THE STERNOCLAVICULAR JOINT 537
SIGNS AND SYMPTOMS OF INJURIES TO THE STERNOCLAVICULAR JOINT 539
RADIOGRAPHIC FINDINGS OF INJURY TO THE STERNOCLAVICULAR JOINT 539
TREATMENT 542
AUTHORS' PREFERRED METHOD OF TREATMENT 551
COMPLICATIONS OF INJURIES TO THE STERNOCLAVICULAR JOINT 557
COMPLICATIONS OF OPERATIVE PROCEDURES 558
REFERENCES 559
Chapter 14. Sepsis of the Shoulder: Molecular Mechanisms and Pathogenesis 561
HISTORY 561
SEPTIC ANATOMY OF THE SHOULDER 562
MICROANATOMY AND CELL BIOLOGY 563
CLASSIFICATION 564
PATHOGENIC MECHANISMS OF SEPTIC ARTHRITIS AND OSTEOMYELITIS 565
MICROBIAL ADHESION AND INTRA-ARTICULAR SEPSIS 568
BACTERIAL PATHOGENS 569
CLINICAL PRESENTATION 570
LABORATORY EVALUATION 571
COMPLICATIONS 574
TREATMENT 575
OUTCOME 578
PREVENTION 579
AUTHOR'S PREFERRED METHOD OF TREATMENT 579
SUMMARY 580
REFERENCES 580
Chapter 15. Fractures, Dislocations, and Acquired Problems of the Shoulder in Children 583
FRACTURES OF THE PROXIMAL HUMERUS 583
FRACTURES OF THE CLAVICLE 594
FRACTURES OF THE SCAPULA 604
REFERENCES 612
Chapter 16. Glenohumeral Instability 617
HISTORICAL REVIEW 617
RELEVANT ANATOMY 622
MECHANICS OF GLENOHUMERAL STABILITY 629
TYPES OF GLENOHUMERAL INSTABILITY 651
CLINICAL FINDINGS 661
INJURIES ASSOCIATED WITH ANTERIOR DISLOCATIONS 666
INJURIES ASSOCIATED WITH POSTERIOR DISLOCATIONS 678
TREATMENT 678
EVALUATION 684
TREATMENT 700
REFERENCES 760
BIBLIOGRAPHY 770
Chapter 17. Rotator Cuff 771
HISTORICAL REVIEW 771
RELEVANT ANATOMY AND MECHANICS 775
CLINICAL CONDITIONS INVOLVING THE CUFF 799
INCIDENCE OF ROTATOR CUFF DEFECTS 800
CLINICAL FINDINGS 802
CLINICAL CONDITIONS RELATED TO THE ROTATOR CUFF 808
SHOULDER FUNCTION AND HEALTH STATUS IN CLINICAL CONDITIONS OF THE ROTATOR CUFF 809
IMAGING TECHNIQUES 810
DIFFERENTIAL DIAGNOSIS 817
TREATMENT 819
REFERENCES 880
Chapter 18. Evaluation and Management of Failed Rotator Cuff Surgery 891
DIAGNOSIS 891
FAILED REPAIRS 892
PERSISTENT SUBACROMIAL IMPINGEMENT 897
STIFFNESS 899
HETEROTOPIC OSSIFICATION 902
ACROMIAL STRESS FRACTURE 903
DELTOID INSUFFICIENCY 903
CONCLUSION 906
REFERENCES 906
Chapter 19. Complications of Shoulder Arthroscopy 909
EARLY REPORTS AND REVIEWS 909
ANESTHESIA-RELATED COMPLICATIONS 910
GENERAL SURGICAL COMPLICATIONS 911
COMPLICATIONS SPECIFIC TO SHOULDER ARTHROSCOPY 914
BUPIVACAINE-INDUCED CHONDROLYSIS 918
SUMMARY 918
REFERENCES 918
Chapter 20. Shoulder Arthroscopy 921
HISTORY 921
ANATOMY 922
POSITIONING, PORTALS, AND DIAGNOSTIC ARTHROSCOPY 929
SUMMARY 939
REFERENCES 939
Arthroscopic Treatment of Shoulder Instability 940
PATHOANATOMY 940
DIAGNOSIS AND DIAGNOSTIC ARTHROSCOPY IN SHOULDER INSTABILITY 941
MANAGEMENT OF POST-TRAUMATIC ANTERIOR INSTABILITY 942
ARTHROSCOPIC MANAGEMENT OF POSTERIOR INSTABILITY 950
ARTHROSCOPIC MANAGEMENT OF MULTIDIRECTIONAL INSTABILITY 952
POSTOPERATIVE MANAGEMENT AND RETURN TO PLAY 956
COMPLICATIONS OF STABILIZATION SURGERY 957
CONCLUSIONS 957
REFERENCES 958
Arthroscopic Management of Rotator Cuff Disease 961
ARTHROSCOPIC MANAGEMENT OF IMPINGEMENT SYNDROME 961
ARTHROSCOPIC ROTATOR CUFF REPAIR 964
ARTHROSCOPIC MANAGEMENT OF SUBSCAPULARIS TEARS 980
REFERENCES 982
Acromioclavicular Joint Arthritis and Instability 984
ANATOMY OF THE ACROMIOCLAVICULAR JOINT 984
EXCISION OF THE DISTAL CLAVICLE 984
STABILIZATION OF THE ACROMIOCLAVICULAR JOINT 990
REFERENCES 992
Arthroscopic Treatment of Shoulder Stiffness and Calcific Tendinitis of the Rotator Cuff 993
PRIMARY ADHESIVE CAPSULITIS 993
SECONDARY ADHESIVE CAPSULITIS 998
SECONDARY SHOULDER STIFFNESS 998
CALCIFIC TENDINITIS 1000
REFERENCES 1001
Arthroscopic Management of Arthritic and Prearthritic Conditions of the Shoulder 1002
OSTEOARTHRITIS 1002
INFLAMMATORY SYNOVITIS AND ARTHRITIS 1007
RENAL ARTHROPATHY 1008
OSTEONECROSIS 1008
ARTHROSCOPY AFTER HEMIARTHROPLASTY AND TOTAL SHOULDER ARTHROPLASTY 1008
SUMMARY 1009
REFERENCES 1009
Biceps in Shoulder Arthroscopy 1011
DIAGNOSIS OF BICEPS PATHOLOGY 1011
TREATMENT 1013
COEXISTING DIAGNOSES 1018
CONCLUSION 1019
REFERENCES 1019
SLAP Tears 1020
ANATOMY 1020
BIOMECHANICS 1021
CLASSIFICATION 1021
DIAGNOSIS 1022
SURGICAL MANAGEMENT 1024
SURGICAL TECHNIQUE 1025
PARALABRAL GANGLION CYSTS 1026
CONCLUSIONS 1028
REFERENCES 1028
Thrower's Shoulder 1029
INTERNAL IMPINGEMENT 1030
DIAGNOSIS OF THROWER'S INJURY 1031
TREATMENT 1033
CONCLUSION 1043
REFERENCES 1043
Chapter 21. Advanced Shoulder Arthroscopy 1045
EVOLUTION OF SHOULDER ARTHROSCOPY 1045
THE SHOULDER AS A HOUSE 1045
THE ARTHROSCOPIC PORTALS 1046
SHOULDER PATHOLOGY BY AREA 1047
REFERENCES 1087
Chapter 22. Glenohumeral Arthritis and Its Management 1089
MECHANICS OF ARTHRITIS AND ARTHROPLASTY 1089
CLINICAL FINDINGS AND EVALUATION 1107
TREATMENT 1131
COMPLICATIONS 1222
REVISION 1229
REFERENCES 1238
BIBLIOGRAPHY 1246
Chapter 23. Advanced Evaluation and Management of Glenohumeral Arthritis in the Cuff-Deficient Shoulder 1247
HISTORY AND BIOMECHANICS OF REVERSE ARTHROPLASTY 1247
CLASSIFICATION OF CUFF TEAR ARTHROPATHY 1249
DIFFERENTIAL DIAGNOSIS 1254
EVALUATION 1255
TREATMENT 1255
COMPLICATIONS AND THEIR MANAGEMENT 1274
REFERENCES 1275
Chapter 24. Management of the Infected Shoulder Arthroplasty 1277
PATIENT EVALUATION 1277
TREATMENT 1279
SUMMARY 1282
REFERENCES 1282
Chapter 25. Calcifying Tendinitis* 1283
HISTORICAL REVIEW 1283
ANATOMY 1283
INCIDENCE 1284
CLASSIFICATION 1285
PATHOLOGY 1286
PATHOGENESIS 1288
CLINICAL FINDINGS 1291
RADIOLOGY 1293
LABORATORY INVESTIGATIONS 1295
COMPLICATIONS 1296
DIFFERENTIAL DIAGNOSIS 1296
TREATMENT 1296
CONCLUSION 1304
REFERENCES 1305
Chapter 26. The Biceps Tendon 1309
HISTORICAL REVIEW 1309
ANATOMY 1312
FUNCTION OF THE BICEPS TENDON 1321
CLASSIFICATION OF BICIPITAL LESIONS 1326
INCIDENCE 1329
ETIOLOGY 1330
PREVENTION 1331
CLINICAL FEATURES OF BICIPITAL LESIONS 1331
DIAGNOSTIC TESTS 1334
COMPLICATIONS 1339
DIFFERENTIAL DIAGNOSIS 1339
TREATMENT 1341
SUMMARY 1355
REFERENCES 1355
Chapter 27. Nerve Problems About the Shoulder 1361
CLINICAL EVALUATION 1361
MUSCULOCUTANEOUS NERVE INJURY 1362
AXILLARY NERVE 1363
SPINAL ACCESSORY NERVE 1366
LONG THORACIC NERVE 1369
SUPRASCAPULAR NERVE 1372
THORACIC OUTLET SYNDROME 1374
PARSONAGE–TURNER SYNDROME (BRACHIAL PLEXUS NEUROPATHY) 1376
BRACHIAL PLEXUS INJURIES 1377
REFERENCES 1385
BIBLIOGRAPHY 1388
Chapter 28. Muscle Ruptures Affecting the Shoulder Girdle 1389
GENERAL PRINCIPLES OF RUPTURE OF THE MUSCULOTENDINOUS UNIT 1389
RUPTURE OF THE PECTORALIS MAJOR 1390
RUPTURE OF THE DELTOID 1394
RUPTURE OF THE TRICEPS 1395
RUPTURE OF THE BICEPS 1397
RUPTURE OF THE SERRATUS ANTERIOR 1399
RUPTURE OF THE CORACOBRACHIALIS 1400
RUPTURE OF THE SUBSCAPULARIS 1400
RUPTURE OF THE PECTORALIS MINOR 1401
RUPTURE OF THE SUPRASPINATUS 1401
RUPTURE OF THE INFRASPINATUS 1401
RUPTURE OF THE TERES MAJOR 1402
CONCLUSION 1402
REFERENCES 1402
BIBLIOGRAPHY 1403
Chapter 29. The Stiff Shoulder 1405
DEFINITION 1405
CLASSIFICATION 1405
NORMAL MOTION AND PATHOMECHANICS 1406
PATHOPHYSIOLOGY 1408
DIAGNOSTIC CRITERIA 1409
EPIDEMIOLOGY 1410
PREDISPOSING FACTORS 1410
EVALUATION 1412
NATURAL HISTORY 1414
TREATMENT 1414
AUTHORS’ PREFERED TREATMENT 1423
SUMMARY 1428
ACKNOWLEDGEMENTS 1429
REFERENCES 1429
BIBLIOGRAPHY 1433
Chapter 30. The Shoulder in Athletes 1437
SPORTS-SPECIFIC BIOMECHANICS 1437
ASYMPTOMATIC THROWING SHOULDER ADAPTATION 1446
THROWING SHOULDER CONDITIONS 1449
EVALUATION OF THE OVERHEAD ATHLETE 1454
TREATMENT 1455
TRAUMATIC INJURIES 1472
NEUROVASCULAR INJURIES 1479
CONCLUSION 1483
REFERENCES 1483
Chapter 31. Occupational Shoulder Disorders 1489
OCCUPATIONAL SHOULDER DISORDERS 1490
DEGENERATIVE JOINT DISEASE 1495
PREVENTION 1496
OUTCOMES OF TREATMENT 1499
EVALUATION OF UPPER EXTREMITY DISABILITY AND IMPAIRMENT 1501
CURRENT DISABILITY COMPENSATION SYSTEMS 1503
PRIVATE INSURANCE COMPANIES 1505
CONCLUSION 1506
REFERENCES 1506
Chapter 32. Tumors and Related Conditions 1509
HISTORICAL REVIEW 1509
ANATOMY 1510
STAGING AND CLASSIFICATION OF TUMORS 1512
INCIDENCE OF NEOPLASMS 1530
CLINICAL FEATURES 1532
RADIOGRAPHIC AND LABORATORY EVALUATION 1534
COMPLICATIONS OF TUMORS 1536
DIFFERENTIAL DIAGNOSIS 1536
SURGERY 1538
AUTHOR’S PREFERRED METHODS OF TREATMENT 1550
REFERENCES 1552
Chapter 33. Amputations and Prosthetic Replacement 1557
TYPES OF AMPUTATIONS 1557
PRECIPITATING FACTORS 1558
SPECIFIC PROCEDURES 1558
PROSTHETIC REHABILITATION 1568
REFERENCES 1575
BIBLIOGRAPHY 1575
Chapter 34. Emerging Technologies in Shoulder Surgery: Trends and Future Directions 1577
BIOLOGICAL ENHANCEMENT OF ROTATOR CUFF REPAIR 1577
COMPUTER NAVIGATION AND MINIMALLY INVASIVE SHOULDER REPLACEMENT 1579
MANAGEMENT OF GLENOID BONE LOSS IN SHOULDER ARTHROPLASTY 1580
ALTERNATIVE BEARING SURFACES 1581
CONCLUSIONS 1583
REFERENCES 1583
Index I-i