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AANA Advanced Arthroscopy: The Shoulder E-Book

AANA Advanced Arthroscopy: The Shoulder E-Book

Richard L Angelo | James Esch | Richard K. N. Ryu | Richard K. N. Ryu

(2010)

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Book Details

Abstract

The Shoulder—a title in the AANA Advanced Arthroscopy series—covers advanced and emerging, state-of-the-art arthroscopic techniques—rotator cuff repairs, arthroscopic subcapularis repair, biologic augmentation devices, and more. Richard L. Angelo, MD, Richard K.N. Ryu, MD, and James Esch, MD present their expertise as premiere arthroscopic shoulder surgeons on disease specific options, managing and avoiding complications, and rehabilitation protocols…in print and online.

  • Access the fully searchable text, along with a video library of procedures and links to PubMed online at expertconsult.com.
  • Stay current through coverage of hot topics like rotator cuff repairs, biologic augmentation devices, proximal bicep tendon disorders, anterior and posterior instability, instability with bone loss, and revision instability surgery.
  • Hone your skills thanks to 23 videos of techniques—on arthroscopic biceps tenodesis, arthroscopic subcapularis repair, arthroscopic rotator cuff reconstruction using accelar human dermal matrix, and more—performed by experts.
  • See arthroscopic surgical details in full color and understand nuances through interpretative drawings of technical details.
  • Optimize surgical results and outcomes with an emphasis on advanced and emerging arthroscopic techniques, surgical tips, and pearls.

Table of Contents

Section Title Page Action Price
Front cover Cover
AANA Advanced Arthroscopy The Shoulder iii
Copyright page iv
Contributors vii
Preface xi
Table of Contents xiii
SECTION A. Basics 1
CHAPTER 1. Biology of Healing and Tissue Repair 2
OVERVIEW AND BACKGROUND 2
ROTATOR CUFF PATHOLOGY 2
BIOLOGIC PROCESS OF ROTATOR CUFF HEALING 4
EXOGENOUS SOURCES THAT AFFECT ROTATOR CUFF BIOLOGY 7
ROTATOR CUFF BIOLOGY IN THE CLINICAL SETTING 9
SUMMARY 11
REFERENCES 11
CHAPTER 2. Shoulder Disorder: From Dysfunction to the Lesion 14
CAUSATIVE FACTORS OF IMPINGEMENT SYNDROME 14
CONCLUSIONS 21
REFERENCES 22
CHAPTER 3. Shoulder Biomechanics, Examination, and Rehabilitation Principles 24
SHOULDER BIOMECHANICS 24
EXAMINATION OF THE SHOULDER IN THE CONTEXT OF THE KINETIC CHAIN 27
PRINCIPLES AND RATIONALE OF CORE-BASED FUNCTIONAL REHABILITATION 30
SUMMARY 32
REFERENCES 32
CHAPTER 4. Implant Choices: The Biomechanics of Anchors and Sutures 34
HISTORY 34
SUTURE ANCHORS 34
SUTURES 38
SUMMARY 41
REFERENCES 42
SUGGESTED READINGS 43
CHAPTER 5. Arthroscopic Knot Tying 44
LEARNING TO TIE KNOTS ARTHROSCOPICALLY 44
DEFINITIONS 44
INSTRUMENTATION FOR ARTHROSCOPIC KNOTTYING 45
TIPS AND TRICKS FOR INSTRUMENTATION 46
KNOTS 48
REFERENCES 52
SUGGESTED READINGS 52
CHAPTER 6. Setup and Patient Positioning 53
PREPARATION 53
SETUP 53
PATIENT POSITIONING 54
REFERENCES 58
SUGGESTED READINGS 58
SECTION B. Advanced Procedures of the Shoulder 59
CHAPTER 7. Diagnostic Shoulder Arthroscopy and Bursoscopy 60
PREOPERATIVE CONSIDERATIONS 60
ARTHROSCOPIC TECHNIQUE 60
SUMMARY 75
REFERENCES 76
CHAPTER 8. Arthroscopic Subacromial Decompression 77
ANATOMY AND PATHOANATOMY 77
HISTORY AND PHYSICAL EXAMINATION 78
DIAGNOSTIC IMAGING 80
TREATMENT OPTIONS: INDICATIONS AND CONTRAINDICATIONS 80
TECHNIQUES 82
COMPLICATIONS 84
POSTOPERATIVE REHABILITATION 85
SUMMARY 85
REFERENCES 86
CHAPTER 9. Arthroscopic Distal Clavicular Resection 87
ANATOMY AND PATHOPHYSIOLOGY 87
MECHANISM OF INJURY 87
HISTORY AND PHYSICAL EXAMINATION 88
DIAGNOSTIC IMAGING OF ACROMIOCLAVICULAR JOINT PATHOLOGY 88
TREATMENT OPTIONS 88
RESULTS OF ARTHROSCOPIC DISTAL CLAVICLE EXCISION 92
REFERENCES 92
CHAPTER 10. Arthroscopic Acromioclavicular Joint Reconstruction 93
PREOPERATIVE CONSIDERATIONS 93
TREATMENT OPTIONS 97
SUMMARY 104
REFERENCES 104
SUGGESTED READING 105
CHAPTER 11. Arthroscopic Treatment of Traumatic Anterior Shoulder Instability 106
PATHOANATOMY 106
HISTORY AND PHYSICAL EXAMINATION 107
DIAGNOSTIC IMAGING 107
INDICATIONS 108
CONTRAINDICATIONS 108
TREATMENT OPTIONS 108
POSTOPERATIVE REHABILIATION PROTOCOL 113
SUMMARY 113
REFERENCES 113
SUGGESTED READINGS 114
CHAPTER 12. Posterior Instability of the Shoulder 115
PREOPERATIVE CONSIDERATIONS 115
ANATOMY AND PATHOANATOMY 115
HISTORY AND PHYSICAL EXAMINATION 117
DIAGNOSTIC IMAGING 118
INDICATIONS AND CONTRAINDICATIONS 119
TREATMENT OPTIONS 119
POSTOPERATIVE REHABILITATION PROTOCOL 122
OUTCOMES 122
SUMMARY AND CONCLUSIONS 122
REFERENCES 122
SUGGESTED READINGS 123
CHAPTER 13. Multidirectional Instability of the Glenohumeral Joint 124
PREOPERATIVE CONSIDERATIONS 124
ANATOMY AND PATHOANATOMY 124
HISTORY AND PHYSICAL EXAMINATION 125
DIAGNOSTIC IMAGING 126
TREATMENT OPTIONS 126
SURGICAL TECHNIQUE 127
POSTOPERATIVE PROTOCOLS 134
SUMMARY 135
REFERENCES 135
SUGGESTED READINGS 135
CHAPTER 14. Instability with Bone Loss 136
PREOPERATIVE CONSIDERATIONS 136
ANATOMY AND PATHOANATOMY 136
HISTORY AND PHYSICAL EXAMINATION 137
DIAGNOSTIC IMAGING 137
INDICATIONS AND CONTRAINDICATIONS 139
TREATMENT OPTIONS 139
POSTOPERATIVE REHABILITATION PROTOCOL 145
REFERENCES 145
CHAPTER 15. Revision Instability Surgery 147
ANATOMY AND PATHOANATOMY 147
HISTORY AND PHYSICAL EXAMINATION 149
DIAGNOSTIC IMAGING 150
INDICATIONS AND CONTRAINDICATIONS 150
TREATMENT OPTIONS 151
POSTOPERATIVE REHABILITATION PROTOCOL 155
CONCLUSIONS 155
REFERENCES 155
CHAPTER 16. Rotator Interval Pathology 157
ANATOMY 157
BIOMECHANICS 158
PATHOPHYSIOLOGY 160
IMAGING STUDIES 161
TREATMENT 162
POSTOPERATIVE REHABILITATION PROTOCOL 166
REFERENCES 166
CHAPTER 17. Disorders of the Proximal Biceps Tendon 167
ANATOMY 167
PATHOANATOMY 168
HISTORY AND PHYSICAL EXAMINATION 169
DIAGNOSTIC IMAGING 169
INDICATIONS AND CONTERAINDICATIONS 169
TREATMENT OPTIONS 170
POSTOPERATIVE REHABILITATION PROTOCOL 175
SUMMARY 175
REFERENCES 176
CHAPTER 18. Superior Labrum Anterior and Posterior (SLAP) Tears 177
ANATOMY AND PATHOANATOMY 177
CLINICAL PRESENTATION 181
DIAGNOSTIC IMAGING 182
TREATMENT OPTIONS 183
POSTOPERATIVE REHABILITATION PROTOCOL 186
SUMMARY 186
REFERENCES 186
CHAPTER 19. Partial-Thickness Rotator Cuff Tears 188
ANATOMY, PATHOANATOMY, AND BIOMECHANICS 188
CAUSES, INCIDENCE, AND CLASSIFICATION 189
CLINICAL EVALUATION 190
DIAGNOSTIC IMAGING 190
TREATMENT OPTIONS 191
OUTCOMES 197
POSTOPERATIVE REHABILITATION PROTOCOL 197
SUMMARY AND CONCLUSIONS 198
REFERENCES 198
SUGGESTED READINGS 198
CHAPTER 20. Small to Medium Rotator Cuff Tears 199
PREOPERATIVE CONSIDERATIONS 199
ARTHROSCOPIC ROTATOR CUFF REPAIR 200
POSTOPERATIVE REHABILITATION PROTOCOL 206
REFERENCES 207
CHAPTER 21. Large to Massive Rotator Cuff Tears 208
PREOPERATIVE CONSIDERATIONS 208
PRINCIPLES AND ANATOMY 208
HISTORY AND PHYSICAL EXAMINATION 211
DIAGNOSTIC IMAGING 212
INDICATIONS AND CONTRAINDICATIONS 212
TREATMENT OPTIONS 212
COMPLICATIONS AND TECHNICAL PITFALLS 220
POSTOPERATIVE REHABILITATION PROTOCOL 220
REFERENCES 220
SUGGESTED READING 221
CHAPTER 22. Subscapularis Tears 222
ANATOMY AND PATHOANATOMY 222
HISTORY AND PHYSICAL EXAMINATION 223
DIAGNOSTIC IMAGING 224
INDICATIONS AND CONTRAINDICATIONS 224
TREATMENT OPTIONS 225
POSTOPERATIVE REHABILITATION PROTOCOL 230
CONCLUSIONS 230
REFERENCES 230
CHAPTER 23. Massive, Irreparable Rotator Cuff Tears 232
ANATOMY AND PATHOANATOMY 232
CLINICAL EVALUATION 235
DIAGNOSTIC IMAGING 238
TREATMENT OPTIONS 239
POSTOPERATIVE REHABILITATION PROTOCOL 245
REFERENCES 246
CHAPTER 24. Suprascapular Nerve Releases 247
PREOPERATIVE CONSIDERATIONS 247
ANATOMY AND PATHOANATOMY 247
HISTORY AND PHYSICAL EXAMINATION 248
DIAGNOSTIC IMAGING 249
INDICATIONS AND CONTRAINDICATIONS 250
TREATMENT OPTIONS 250
POSTOPERATIVE REHABILITATION PROTOCOL 253
SUMMARY AND CONCLUSIONS 253
REFERENCES 253
CHAPTER 25. Biologic Augmentation Devices 255
ANATOMY AND PATHOANATOMY 255
HISTORY AND PHYSICAL EXAMINATION 256
DIAGNOSTIC IMAGING 256
INDICATIONS AND CONTRAINDICATIONS 256
TREATMENT OPTIONS 257
POSTOPERATIVE REHABILITATION PROTOCOL 262
SUMMARY AND CONCLUSIONS 262
REFERENCES 263
SUGGESTED READING 263
CHAPTER 26. Arthrofibrosis 264
ANATOMY, PATHOANATOMY, AND ETIOLOGY 264
HISTORY AND PHYSICAL EXAMINATION OF THE STIFF SHOULDER 265
DIAGNOSTIC IMAGING 266
TREATMENT 266
ANESTHESIA AND PAIN MANAGEMENT FOR THE ARTHROFIBROSIS PATIENT 272
REHABILITATION OF THE POSTOPERATIVE ARTHROFIBROSIS PATIENT 272
SUMMARY 272
REFERENCES 273
SUGGESTED READING 273
CHAPTER 27. Os Acromiale 274
PREOPERATIVE CONSIDERATIONS 274
ANATOMY AND PATHOANATOMY 274
HISTORY AND PHYSICAL EXAMINATION 275
DIAGNOSTIC IMAGING 275
INDICATIONS AND CONTRAINDICATIONS 275
TREATMENT OPTIONS 275
POST OPERATIVE REHABILITATION PROTOCOL 277
CONCLUSIONS 277
REFERENCES 277
CHAPTER 28. Glenohumeral Arthritis 279
CLASSIFICATION 279
ANATOMY AND PATHOANATOMY 280
PHYSICAL EXAMINATION 280
DIAGNOSTIC IMAGING 280
TREATMENT OPTIONS 280
COMPLICATIONS 283
SUMMARY 284
REFERENCES 284
SUGGESTED READINGS 284
CHAPTER 29. Scapulothoracic Burscoscopy 285
ANATOMY AND PATHOANATOMY 285
HISTORY AND PHYSICAL EXAMINATION 288
DIAGNOSTIC IMAGING 289
TREATMENT OPTIONS 289
POSTOPERATIVE REHABILITATION 293
SUMMARY 293
REFERENCES 293
CHAPTER 30. Calcific Tendinitis 295
HISTORICAL REVIEW 295
PATHOGENESIS 295
PRESENTATION 296
TREATMENT OPTIONS 297
POSTOPERATIVE PROTOCOL 301
REFERENCES 301
SECTION C. Complications 303
CHAPTER 31. Complications of Shoulder Arthroscopy 304
GENERAL COMPLICATIONS 304
COMPLICATIONS SPECIFIC TO SHOULDER ARTHROSCOPY 305
COMPLICATIONS ASSOCIATED WITH SPECIFIC PROCEDURES 309
SUMMARY 311
REFERENCES 311
Index 313