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Operative Techniques: Sports Medicine Surgery- E-BOOK

Operative Techniques: Sports Medicine Surgery- E-BOOK

Bruce Reider | Michael Terry | Matthew T Provencher

(2009)

Additional Information

Book Details

Abstract

Operative Techniques: Sports Medicine Surgery offers you all the how-to step-by-step guidance from experts Bruce Reider, Michael Terry, and Matthew Provencher that you need to perform the latest techniques in this specialty. Large full-color intraoperative photos, accompanied by detailed illustrations and a dedicated website demonstrate procedures, both arthroscopic and open. This concise, accessible multimedia resource shows you what you need to know and how to do it all—from ACL reconstruction and labral tear repair to loose body removal and treatment of turf toe. The result is a detailed, easy-to-use reference that no sports medicine surgeon should be without.
This is a title in the Operative Techniques series. Please visit www.operativetechniques.com for more information.

  • Includes full-text web access so you can search the text online, view surgical videos that let you see the experts perform the techniques and perfect your own, zoom in on illustrations and use reference links for further research on the procedures.
  • Discusses pearls and pitfalls with an emphasis on optimizing outcomes to improve the quality of your technique and learn the expert’s approach to getting the best results.
  • Outlines positioning, exposures, instrumentation, and implants to give you a step-by-step guide for every procedure.
  • Provides discussions of post-operative care and expected outcomes, including potential complications and brief notes on controversies and supporting evidence to give you important details about patient-focused surgery.
  • Highlights key anatomies with color photos and illustrations as well as diagrams that present cases as they appear in real life to help you see every detail with clarity.

Table of Contents

Section Title Page Action Price
Front cover Cover
Title page iii
Copyright page iv
CONTRIBUTORS vii
PREFACE xiii
ACKNOWLEDGMENTS xv
FOREWORD xvii
Table of contents xix
SECTION I: SHOULDER 1
PROCEDURE 1: Operating Room Setup for Shoulder Arthroscopy 3
Indications 4
Examination/Imaging 4
Surgical Anatomy 6
Positioning 7
Portals/Exposures 12
Procedure 13
Postoperative Care and Expected Outcomes 18
Evidence 18
PROCEDURE 2: Subacromial Decompression 21
Indications 22
Examination/Imaging 22
Surgical Anatomy 23
Positioning 25
Portals/Exposures 26
Procedure 28
Postoperative Care and Expected Outcomes 33
Evidence 34
PROCEDURE 3: Arthroscopic Distal Clavicle Excision 35
Indications 36
Examination/Imaging 36
Surgical Anatomy 38
Positioning 38
Portals/Exposures 38
Procedure 39
Postoperative Care and Expected Outcomes 42
Evidence 42
PROCEDURE 4: Acromioclavicular Joint Reconstruction 43
Indications 44
Examination/Imaging 44
Surgical Anatomy 46
Positioning 47
Portals/Exposures 48
Procedure 48
Postoperative Care and Expected Outcomes 56
Evidence 56
PROCEDURE 5: Arthroscopic Rotator Cuff Repair 57
Indications 58
Examination/Imaging 58
Surgical Anatomy 60
Positioning 60
Portals/Exposures 61
Procedure 62
Postoperative Care and Expected Outcomes 70
Evidence 71
PROCEDURE 6: Mini-Open Rotator Cuff Repair 73
Indications 74
Examination/Imaging 74
Surgical Anatomy 76
Positioning 76
Portals/Exposures 77
Procedure 77
Postoperative Care and Expected Outcomes 80
Evidence 80
PROCEDURE 7: Arthroscopic Anterior Stabilization 83
Indications 84
Examination/Imaging 84
Surgical Anatomy 86
Positioning 88
Portals/Exposures 90
Procedure 92
Postoperative Care and Expected Outcomes 99
Evidence 100
PROCEDURE 8: Open Anterior Stabilization 103
Indications 104
Examination/Imaging 104
Surgical Anatomy 107
Positioning 110
Portals/Exposures 110
Procedure: Anterior Stabilization 114
Procedure: Humeral Head Allograft For Hill-Sachs Lesion 117
Postoperative Care and Expected Outcomes 120
Evidence 121
PROCEDURE 9: Arthroscopic Treatment of Multidirectional Instability of the Shoulder 123
Indications 124
Examination/Imaging 124
Surgical Anatomy 125
Positioning 128
Portals/Exposures 129
Procedure 132
Postoperative Care and Expected Outcomes 142
Evidence 143
PROCEDURE 10: Arthroscopic Repair of Posterior Shoulder Instability 145
Indications 146
Examination/Imaging 146
Surgical Anatomy 147
Positioning 148
Portals/Exposures 148
Procedure 149
Postoperative Care and Expected Outcomes 153
Evidence 153
PROCEDURE 11: Open Stabilization for Posterior Shoulder Instability with Bone Erosion or Increased Glenoid Retroversion 155
Indications 156
Examination/Imaging 156
Surgical Anatomy 157
Positioning 159
Portals/Exposures 160
Procedure 162
Postoperative Care and Expected Outcomes 167
Evidence 167
PROCEDURE 12: Superior Labral Tear 169
Indications 170
Examination/Imaging 170
Surgical Anatomy 170
Positioning 173
Portals/Exposures 174
Procedure 176
Postoperative Care and Expected Outcomes 180
Evidence 181
PROCEDURE 13: Arthroscopic Treatment of Internal Impingement of the Shoulder 183
Indications 184
Examination/Imaging 184
Surgical Anatomy 186
Positioning 189
Portals/Exposures 190
Procedure 192
Postoperative Care and Expected Outcomes 201
Evidence 202
PROCEDURE 14: Arthroscopic Biceps Tenodesis 205
Indications 206
Examination/Imaging 206
Surgical Anatomy 206
Positioning 208
Portals/Exposures 208
Procedure 209
Postoperative Care and Expected Outcomes 219
Evidence 219
PROCEDURE 15: Open Subpectoral Biceps Tenodesis 221
Indications 222
Examination/Imaging 222
Surgical Anatomy 222
Positioning 224
Portals/Exposures 224
Procedure 224
Postoperative Care and Expected Outcomes 233
Evidence 234
PROCEDURE 16A: Scapular Surgery I 237
Indications 238
Examination/Imaging 238
Surgical Anatomy 238
Positioning 240
Portals/Exposures 241
Procedure 241
Postoperative Care and Expected Outcomes 244
Evidence 244
PROCEDURE 16B: Scapular Surgery II 245
Indications 246
Examination/Imaging 246
Surgical Anatomy 246
Positioning 246
Portals/Exposures 248
Procedure 248
Postoperative Care and Expected Outcomes 250
Evidence 250
PROCEDURE 16C: Scapular Surgery III 253
Indications 254
Examination/Imaging 254
Surgical Anatomy 254
Positioning 254
Portals/Exposures 256
Procedure 256
Postoperative Care and Expected Outcomes 259
Evidence 260
PROCEDURE 16D: Scapular Surgery IV 261
Indications 262
Examination/Imaging 262
Surgical Anatomy 263
Positioning 264
Portals/Exposures 265
Procedure 265
Postoperative Care and Expected Outcomes 267
Evidence 267
SECTION II: ELBOW 269
PROCEDURE 17: Ulnar Nerve Transposition 271
Indications 272
Examination/Imaging 272
Surgical Anatomy 274
Positioning 275
Portals/Exposures 275
Procedure 276
Postoperative Care and Expected Outcomes 280
Evidence 280
PROCEDURE 18: Ulnar Collateral Ligament Reconstruction Using the Docking Procedure 283
Indications 284
Examination/Imaging 284
Surgical Anatomy 286
Positioning 288
Portals/Exposures 289
Procedure 290
Postoperative Care and Expected Outcomes 297
Evidence 298
PROCEDURE 19: Elbow Arthroscopy 301
Indications 302
Examination/Imaging 302
Surgical Anatomy 303
Positioning 304
Portals/Exposures 306
Procedure 309
Postoperative Care and Expected Outcomes 312
Evidence 313
PROCEDURE 20: Arthroscopic Treatment of Elbow Stiffness 315
Indications 316
Examination/Imaging 316
Surgical Anatomy 320
Positioning 322
Portals/Exposures 323
Procedure 325
Postoperative Care and Expected Outcomes 329
Evidence 330
PROCEDURE 21: Arthroscopic Management of Osteochondritis Dissecans of the Elbow 333
Indications 334
Examination/Imaging 334
Surgical Anatomy 336
Positioning 337
Portals/Exposures 338
Procedure 340
Postoperative Care and Expected Outcomes 344
Evidence 344
PROCEDURE 22: Arthroscopic Treatment of Lateral Epicondylitis 347
Indications 348
Examination/Imaging 348
Surgical Anatomy 348
Positioning 348
Portals/Exposures 350
Procedure 351
Postoperative Care and Expected Outcomes 356
Evidence 356
PROCEDURE 23A: Elbow Tendinosis I 359
Indications 360
Examination/Imaging 360
Surgical Anatomy 360
Positioning 361
Portals/Exposures 362
Procedure 365
Postoperative Care and Expected Outcomes 368
Evidence 370
PROCEDURE 23B: Elbow Tendinosis II 371
Indications 372
Examination/Imaging 372
Surgical Anatomy 372
Positioning 372
Portals/Exposures 372
Procedure 374
Postoperative Care and Expected Outcomes 377
Evidence 378
SECTION III: HIP 379
PROCEDURE 24: Hip Arthroscopy 381
Indications 382
Examination/Imaging 382
Surgical Anatomy 382
Positioning 384
Portals/Exposures 386
Procedure 388
Postoperative Care and Expected Outcomes 389
Evidence 390
PROCEDURE 25: Arthroscopic Treatment of Acetabular Labral Tears 391
Indications 392
Examination/Imaging 392
Surgical Anatomy 394
Positioning 395
Portals/Exposures 396
Procedure 398
Postoperative Care and Expected Outcomes 403
Evidence 403
PROCEDURE 26: Arthroscopic Treatment of Femoroacetabular Impingement Lesions and Labral Tears 405
Indications 406
Examination/Imaging 406
Surgical Anatomy 409
Positioning 413
Portals/Exposures 414
Procedure 417
Postoperative Care and Expected Outcomes 425
Evidence 426
SECTION IV: KNEE 427
PROCEDURE 27: Anterior Cruciate Ligament Reconstruction with Bone–Patellar Tendon–Bone Autograft or Allograft Using a Two-Incision Technique 429
Indications 430
Examination/Imaging 431
Surgical Anatomy 432
Positioning 433
Portals/Exposures 434
Procedure 435
Postoperative Care and Expected Outcomes 443
Evidence 444
PROCEDURE 28: Anterior Cruciate Ligament Reconstruction Using Autogenous Hamstring Tendons 447
Indications 448
Examination/Imaging 448
Surgical Anatomy 450
Positioning 451
Portals/Exposures 451
Procedure 453
Postoperative Care and Expected Outcomes 462
Evidence 464
PROCEDURE 29: Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction 467
Indications 468
Examination/Imaging 468
Surgical Anatomy 470
Positioning 471
Portals/Exposures 472
Procedure 474
Postoperative Care and Expected Outcomes 486
Evidence 486
PROCEDURE 30: Revision Anterior Cruciate Ligament Reconstruction 487
Introduction 488
Indications 488
Etiology of Graft Failure 488
Examination/Imaging 491
Surgical Anatomy 495
Positioning 497
Portals/Exposures 497
Procedure 499
Postoperative Care and Expected Outcomes 509
Evidence 511
PROCEDURE 31: PCL Reconstruction: Single Bundle Tec hnique 515
Indications 516
Examination/Imaging 516
Surgical Anatomy 518
Positioning 520
Portals/Exposures 521
Procedure 522
Postoperative Care and Expected Outcomes 529
Evidence 530
PROCEDURE 32: PCL Reconstruction: Double Bundle Technique 533
Indications 534
Examination/Imaging 534
Surgical Anatomy 536
Positioning 537
Portals/Expoures 538
Procedure 539
Postoperative Care and Expected Outcomes 548
Evidence 549
PROCEDURE 33: PCL Reconstruction: Inlay Technique 551
Indications 552
Examination/Imaging 552
Surgical Anatomy 556
Positioning 558
Portals/Exposures 560
Procedure: Arthroscopic Technique 561
Procedure: Open Technique 572
Postoperative Care and Expected Outcomes 574
Evidence 576
PROCEDURE 34: Posterolateral Corner Reconstruction 579
Indications 580
Examination/Imaging 580
Surgical Anatomy 582
Positioning 583
Portals/Exposures 583
Procedure 584
Postoperative Care and Expected Outcomes 589
Evidence 589
PROCEDURE 35: Medial Collateral Ligament Reconstruction and Medial Femoral Condyle Repair 593
Indications for MCL Reconstruction 594
Examination/Imaging 594
Surgical Anatomy 595
Positioning 596
Portals/Exposures 596
Procedure: MCL Reconstruction 597
Indications for Microfracture Procedure: Medial Femoral Condyle Repair 598
Postoperative Care and Expected Outcomes 599
Evidence 599
PROCEDURE 36: Treatment of Knee Dislocations 601
Introduction 602
Indications and Surgical Timing 602
Examination/Imaging 603
Surgical Anatomy 604
Positioning 606
Portals/Exposures 606
Procedure 606
Postoperative Care and Expected Outcomes 619
Evidence 620
PROCEDURE 37: Quadriceps and Patellar Tendon Repair 623
Indications 624
Examination/Imaging 624
Surgical Anatomy 626
Positioning 627
Portals/Exposures 627
Procedure: Reconstruction for Acute Tendon Injuries 628
Procedure: Reconstruction for Chronic Tendon Injuries 636
Postoperative Care and Expected Outcomes 639
Evidence 639
PROCEDURE 38: Arthroscopic Meniscectomy 641
Indications 642
Examination/Imaging 642
Surgical Anatomy 643
Positioning 644
Portals/Exposures 645
Procedure 646
Postoperative Care and Expected Outcomes 648
Evidence 648
PROCEDURE 39: Inside-Out Meniscal Repair 651
Indications 652
Examination/Imaging 652
Surgical Anatomy 652
Positioning 654
Portals/Exposures 654
Procedure 656
Postoperative Care and Expected Outcomes 661
Evidence 661
PROCEDURE 40: Arthroscopic Treatment of Osteochondritis Dissecans of the Knee 665
Indications 666
Examination/Imaging 666
Surgical Anatomy 670
Positioning 670
Portals/Exposures 671
Management Decisions 672
Procedure: Arthroscopic Drilling of an Intact Condylar Lesion 673
Procedure: Arthroscopic Loose Body Removal, Débridement + Marrow Stimulation/Drilling vs. Chondral Biopsy for a Staged ACI 675
Procedure: Arthroscopic Fixation ± Bone Graft 678
Procedure: Autologous Osteochondral Transfers 683
Postoperative Care and Expected Outcomes 685
Evidence 687
PROCEDURE 41: Microfracture 689
Examination/Imaging 690
Surgical Anatomy 690
Positioning 690
Portals/Exposures 690
Procedure 692
Postoperative Care and Expected Outcomes 696
Evidence 697
PROCEDURE 42A: Osteochondral Grafting I 701
Indications 702
Examination/Imaging 702
Surgical Anatomy 702
Positioning 702
Portals/Exposures 703
Procedure 704
Postoperative Care and Expected Outcomes 707
Evidence 707
PROCEDURE 42B: Osteochondral Grafting II 709
Indications 710
Examination/Imaging 710
Surgical Anatomy 712
Positioning 713
Portals/Exposures 713
Procedure 713
Postoperative Care and Expected Outcomes 719
Evidence 719
PROCEDURE 43: Medial Patellofemoral Ligament Reconstruction 721
Indications 722
Examination/Imaging 722
Surgical Anatomy 726
Positioning 727
Portals/Exposures 727
Procedure 729
Postoperative Care and Expected Outcomes 734
Evidence 734
PROCEDURE 44: Tibial Spine Fractures in Children 737
Arthroscopic Surgery for Arthrofibrosis of the Knee 751
Indications 752
Examination/Imaging 752
Surgical Anatomy 753
Positioning 753
Portals/Exposures 754
Procedure 755
Postoperative Care and Expected Outcomes 758
Evidence 759
Indications 738
Examination/Imaging 738
Surgical Anatomy 741
Positioning 742
Portals/Exposures 743
Procedure 743
Postoperative Care and Expected Outcomes 748
Evidence 750
SECTION V: FOOT AND ANKLE 761
PROCEDURE 46: Achilles TendonDébridement and Repair 763
Indications 764
Examination/Imaging 764
Surgical Anatomy 770
Positioning 772
Portals/Exposures 772
Procedure: Primary Repair of an Acute Achilles Tendon Rupture 773
Procedure: FHL Transfer 775
Procedure: Achilles Turndown 777
Procedure: Resection of Haglund’s Deformity/Débridement of Insertional Tendinitis 781
Postoperative Care and Expected Outcomes 783
Evidence 783
PROCEDURE 47: Peroneal Tendon Stabilization 785
Indications 786
Examination/Imaging 786
Surgical Anatomy 787
Positioning 789
Portals/Exposures 789
Procedure 790
Postoperative Care and Expected Outcomes 792
Evidence 793
PROCEDURE 48: Ankle Arthroscopy 795
Indications 796
Examination/Imaging 796
Surgical Anatomy 798
Positioning 798
Portals/Exposures 799
Procedure 801
Postoperative Care and Expected Outcomes 808
Evidence 808
PROCEDURE 49: Arthroscopic Treatment of Osteochondral Lesions of the Talus 809
Indications 810
Examination/Imaging 810
Surgical Anatomy 813
Positioning 815
Portals/Exposures 816
Procedure 819
Postoperative Care and Expected Outcomes 823
Evidence 823
PROCEDURE 50: Lateral Ankle Ligament Repair 825
Indications 826
Examination/Imaging 826
Surgical Anatomy 828
Positioning 829
Portals/Exposures 831
Procedure 832
Postoperative Care and Expected Outcomes 838
Evidence 838
PROCEDURE 51: Percutaneous Intramedullary Screw Fixation of Proximal Fifth Metatarsal Fractures 839
Indications 840
Examination/Imaging 840
Surgical Anatomy 841
Positioning 842
Portals/Exposures 843
Procedure 844
Postoperative Care and Expected Outcomes 848
Evidence 850
INDEX 853