BOOK
Shoulder and Elbow Injuries in Athletes
Robert A. Arciero | Frank A. Cordasco | Matthew T Provencher
(2017)
Additional Information
Book Details
Abstract
Thorough and concise, this practical reference provides a unique, on-field management approach to all athletic injuries to the shoulder and elbow, as well as nonoperative and operative treatment options, including arthroscopy and open surgery. Focusing on high-performance athletes, leading authorities in the field demonstrate how to provide pain relief, restore function, and return the athlete to sport and to prior level of performance in a safe and timely fashion.
- Showcases the knowledge and expertise of an international group of editors and authors who have served as president of the American Orthopaedic Society for Sports Medicine, the American Shoulder and Elbow Surgeons and the Arthroscopy Association of North America, are physicians or consultants for professional and collegiate sports teams, have won awards for research in the field of shoulder surgery, are editors and reviewers for peer-reviewed journals, and much more.
- Contains rehabilitation guidelines and critical return-to-sport protocols – essential information for nonsurgical healthcare providers -- primarily on athletes under the age of 40, with some consideration of the older athlete (professional golf, for example).
- Contains a section in each chapter covering "On-the-Field Management and Early Post-Injury Assessment and Treatment" – a must-read for immediate care of the injured athlete and ensuring the safe return to play.
- Covers the most recent advances in the management of tendon tears in elite and overhead athletes, including prevention in youth sports, early sports specialization, and changing standards of care regarding shoulder and elbow instability.
- Provides a thorough review of current ulnar collateral ligament injury diagnosis, imaging, non-operative management, and surgery, as well as acromioclavicular and sternoclavicular joint injuries, clavicle and olecranon fractures, and OCD of the capitellum.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| IFC | ES1 | ||
| Shoulder and Elbow Injuries in Athletes: Prevention, Treatment, and Return to Sport | i | ||
| Shoulder and Elbow Injuries in Athletes: Prevention, Treatment, andReturn to Sport | iii | ||
| Copyright | iv | ||
| Dedication | v | ||
| List of Contributors | vi | ||
| Foreword | xiv | ||
| Preface | xv | ||
| Contents | xvi | ||
| Video Table of Contents | xix | ||
| Anterior Shoulder Instability | xix | ||
| Posterior Shoulder Instability | xix | ||
| Multidirectional Shoulder Instability | xix | ||
| Shoulder Instability Rehabilitation and Return to Sport | xx | ||
| Full-Thickness Posterior Rotator Cuff Tear | xx | ||
| Isolated Subscapularis Tendon Tear | xx | ||
| Surgical Treatment | xx | ||
| Surgical Treatment Options: Midshaft Fracture | xx | ||
| Treatment Options: Distal Fractures | xx | ||
| Overview | xx | ||
| Treatment | xx | ||
| Medial: Ulnar Collateral Ligament Injury | xx | ||
| Distal Bicep Tendon Injury | xx | ||
| Triceps Tendon Injury | xx | ||
| Osteochondritis Dissecans of theCapitellum | xx | ||
| 1 - SHOULDER | 1 | ||
| I - Shoulder Instability, Rehabilitation, and Return to Sport | 2 | ||
| 1 - Anterior Shoulder Instability | 3 | ||
| 1-1A EPIDEMIOLOGY, MECHANISM OF INJURY, HISTORY, PHYSICAL EXAMINATION, AND IMAGING FOR ANTERIOR INSTABILITY | 3 | ||
| Disclosures | 3 | ||
| Imaging Introduction | 3 | ||
| Epidemiology | 3 | ||
| Mechanism of Injury | 4 | ||
| History | 4 | ||
| Physical Evaluation | 5 | ||
| Imaging | 7 | ||
| References | 8 | ||
| 1-1B LATERAL DECUBITUS OR BEACH-CHAIR POSITIONING | 9 | ||
| Introduction | 9 | ||
| Lateral Decubitus versus Beach-Chair Position | 9 | ||
| LATERAL DECUBITUS POSITION | 9 | ||
| Setup Description | 9 | ||
| Tips and Pearls | 9 | ||
| Advantages | 9 | ||
| Disadvantages | 10 | ||
| Complications | 10 | ||
| BEACH-CHAIR POSITION | 11 | ||
| Setup Description | 11 | ||
| Tips and Pearls | 12 | ||
| Advantages | 15 | ||
| Disadvantages | 15 | ||
| Complications | 15 | ||
| Senior Author’s Preferred Method: Bankart Repair Technique to Treat Recurrent Anterior Shoulder Instability in the Lateral Decub... | 15 | ||
| BANKART REPAIR TECHNIQUE | 16 | ||
| References | 17 | ||
| 1-1C ARTHROSCOPIC CAPSULOLABRAL REPAIR AND RECONSTRUCTION IN THE BEACH-CHAIR POSITION | 18 | ||
| Introduction | 18 | ||
| Indications and Contraindications | 18 | ||
| Surgical Technique of Capsulolabral Repair in the Beach-Chair Position | 19 | ||
| SINGLE-ROW REPAIR TECHNIQUE | 21 | ||
| ?DOUBLE-ROW REPAIR TECHNIQUE (VIDEO 1C.1) | 22 | ||
| Conclusions | 22 | ||
| References | 22 | ||
| 1-1D OPEN STABILIZATION: BANKART AND CAPSULAR SHIFT AND HUMERAL AVULSION OF THE GLENOHUMERAL LIGAMENT REPAIR | 23 | ||
| Introduction | 23 | ||
| Indications and Contraindications | 24 | ||
| History | 25 | ||
| Physical Examination | 25 | ||
| Imaging | 26 | ||
| ?Technique (Video 1D.1) | 26 | ||
| Rehabilitation | 29 | ||
| Complications | 29 | ||
| Conclusion | 29 | ||
| References | 29 | ||
| 1-1E GLENOID BONE LOSS: OPEN LATARJET | 31 | ||
| Introduction | 31 | ||
| Patient Selection | 31 | ||
| Indications | 31 | ||
| Physical Examination | 31 | ||
| Key Clues from History and Physical Examination That Suggest a Diagnosis of Glenoid Bone Loss | 32 | ||
| Preoperative Imaging and Arthroscopic Validation | 32 | ||
| Preferred Technique for Measurement of Glenoid Bone Loss | 32 | ||
| Preferred Surgical Technique | 32 | ||
| POSITIONING AND PREPARATION | 32 | ||
| EXPOSURE AND APPROACH | 32 | ||
| CORACOID GRAFT HARVEST | 33 | ||
| CORACOID GRAFT PREPARATION | 34 | ||
| GLENOID EXPOSURE AND PREPARATION | 34 | ||
| CORACOID GRAFT FIXATION | 34 | ||
| CAPSULAR AND SUBSCAPULARIS REPAIR | 35 | ||
| Postoperative Management and Rehabilitation | 37 | ||
| Key Technical Pearls and Complications | 37 | ||
| Open versus Arthroscopic Latarjet | 37 | ||
| References | 38 | ||
| 1-1F GLENOID BONE LOSS: ARTHROSCOPIC LATARJET PROCEDURE | 39 | ||
| Introduction | 39 | ||
| Principles | 39 | ||
| Indications | 40 | ||
| Diagnostics | 40 | ||
| Surgical Technique | 41 | ||
| Pearls and Pitfalls | 42 | ||
| Rehabilitation and Follow-Up | 43 | ||
| Outcomes | 43 | ||
| References | 43 | ||
| 1-1G GLENOID BONE LOSS: BONE GRAFT OPTIONS: ILIAC CREST AND DISTAL TIBIAL ALLOGRAFT | 44 | ||
| Introduction | 44 | ||
| Indications and Preoperative Workup | 44 | ||
| Patient Positioning and Surgical Approach | 44 | ||
| Distal Tibial Allograft Preparation | 45 | ||
| GLENOID PREPARATION AND GRAFT FIXATION | 46 | ||
| POSTOPERATIVE REHABILITATION | 46 | ||
| Iliac Crest Autograft | 47 | ||
| PATIENT POSITIONING | 47 | ||
| SURGICAL APPROACH | 47 | ||
| ILIAC CREST EXPOSURE AND AUTOGRAFT PREPARATION | 47 | ||
| GLENOID PREPARATION AND GRAFT FIXATION | 47 | ||
| POSTOPERATIVE REHABILITATION | 47 | ||
| Complications | 48 | ||
| References | 49 | ||
| 1-1H GLENOID BONE LOSS: BONE GRAFT OPTIONS DISTAL CLAVICLE | 49 | ||
| Introduction | 49 | ||
| Hill-Sachs Lesion | 49 | ||
| Measurement of Bone Loss | 49 | ||
| BACKGROUND | 49 | ||
| TECHNICAL NOTES | 50 | ||
| “ON-TRACK–OFF-TRACK” CONCEPT | 50 | ||
| Surgical Treatment Options | 50 | ||
| Coracoid Bone Autograft | 50 | ||
| HISTORIC BACKGROUND | 50 | ||
| ADVANTAGES | 50 | ||
| DISADVANTAGES | 50 | ||
| Iliac Crest Bone Autograft | 51 | ||
| 2 - ELBOW | 425 | ||
| IX - Elbow Instability | 426 | ||
| 26 - Medial: Ulnar Collateral LigamentInjury26 | 427 | ||
| 26-26A EPIDEMIOLOGY, ANATOMY, MECHANISM OF INJURY, HISTORY, PHYSICAL EXAMINATION, AND IMAGING | 427 | ||
| Introduction | 427 | ||
| Epidemiology | 427 | ||
| Anatomy | 428 | ||
| Mechanism of Injury | 429 | ||
| History and Physical Examination | 429 | ||
| Imaging | 430 | ||
| References | 431 | ||
| 26-26B SURGICAL TREATMENT AND OUTCOMES: POSTEROMEDIAL IMPINGEMENT—DEBRIDEMENT AND ULNAR COLLATERAL LIGAMENT RECONSTRUCTION | 432 | ||
| Introduction | 432 | ||
| Posteromedial Impingement Surgical Technique | 433 | ||
| ELBOW ARTHROSCOPY | 433 | ||
| OPEN DECOMPRESSION | 434 | ||
| Posteromedial Impingement Outcomes | 434 | ||
| Ulnar Collateral Ligament Reconstruction Surgical Technique | 435 | ||
| GRAFT HARVEST AND PREPARATION | 435 | ||
| ULNAR COLLATERAL LIGAMENT RECONSTRUCTION | 436 | ||
| Ulnar Collateral Ligament Reconstruction Outcomes | 438 | ||
| References | 438 | ||
| 26-26C PREVENTION IN YOUTH SPORTS(EARLY SPORTS SPECIALIZATION) | 439 | ||
| Introduction | 439 | ||
| Youth Sports Participation and Specialization | 439 | ||
| Quantity of Pitching | 439 | ||
| Pitch Type | 440 | ||
| Biomechanics of Pitching and Mechanical Flaws | 441 | ||
| Strength and Conditioning | 442 | ||
| Other Risk Factors | 442 | ||
| Summary | 443 | ||
| Early Sport Specialization Recommendations | 443 | ||
| References | 443 | ||
| 26-26D REHABILITATION AND RETURN TO SPORT | 445 | ||
| Introduction | 445 | ||
| Sport-Specific Rehabilitation | 448 | ||
| Conclusion | 451 | ||
| References | 451 | ||
| 27 - Lateral: Posterolateral Rotary Instability | 453 | ||
| Introduction | 453 | ||
| Epidemiology | 453 | ||
| Anatomy | 453 | ||
| Mechanism | 453 | ||
| History | 455 | ||
| Physical Examination | 456 | ||
| Imaging | 457 | ||
| Surgical Treatment and Outcomes | 457 | ||
| Rehabilitation and Return to Sport | 459 | ||
| References | 459 | ||
| X - Elbow Tendon Injuries | 460 | ||
| 28 - Medial: Flexor-Pronator Tendon Injury | 461 | ||
| Introduction | 461 | ||
| Epidemiology | 461 | ||
| Anatomy | 461 | ||
| Mechanism of Injury | 461 | ||
| History | 461 | ||
| Physical Examination | 462 | ||
| Imaging | 462 | ||
| Nonoperative Management | 463 | ||
| Surgical Treatment and Outcomes | 464 | ||
| Rehabilitation | 465 | ||
| Return to Sport | 465 | ||
| References | 465 | ||
| 29 - Lateral: Extensor Carpi Radialis Brevis Tendon Injury | 467 | ||
| Introduction | 467 | ||
| Anatomy of the Extensor Carpi Radialis Brevis and Lateral Epicondyle | 467 | ||
| Lateral Epicondylitis | 467 | ||
| HISTORY | 467 | ||
| PATHOANATOMY AND HISTOLOGY | 468 | ||
| PHYSICAL EXAMINATION AND WORKUP | 468 | ||
| IMAGING | 468 | ||
| Nonsurgical Treatment | 469 | ||
| NONSTEROIDAL ANTIINFLAMMATORY DRUGS AND REST | 469 | ||
| PHYSICAL THERAPY | 469 | ||
| INJECTIONS | 469 | ||
| ORTHOSES | 470 | ||
| AUTHORS’ PREFERRED NONOPERATIVE TECHNIQUE | 470 | ||
| Operative Management | 470 | ||
| ULTRASOUND ABLATION | 470 | ||
| PERCUTANEOUS TECHNIQUE | 471 | ||
| OPEN TECHNIQUE | 471 | ||
| Authors’ Preferred Surgical Technique | 471 | ||
| RESULTS | 473 | ||
| COMPLICATIONS | 473 | ||
| Conclusions | 473 | ||
| References | 474 | ||
| 30 - Distal Biceps Tendon Injury | 475 | ||
| 30-30A EPIDEMIOLOGY, ETIOLOGY, ANATOMY, HISTORY, EXAMINATION, AND IMAGING | 475 | ||
| Important Points | 475 | ||
| Epidemiology | 475 | ||
| Etiology | 475 | ||
| Anatomy | 475 | ||
| History and Physical Examination | 476 | ||
| Imaging | 477 | ||
| References | 479 | ||
| 30-30B TREATMENT, OUTCOMES, COMPLICATIONS, AND REHABILITATION | 479 | ||
| Important Points | 479 | ||
| Surgical Treatment | 479 | ||
| SINGLE-INCISION VERSUS TWO-INCISION TECHNIQUE | 480 | ||
| METHOD OF FIXATION | 480 | ||
| Outcomes | 480 | ||
| Authors’ Preferred Surgical Technique | 481 | ||
| Repair of Acute Biceps Tendon Rupture | 481 | ||
| REPAIR OF CHRONIC (LONGER THAN 6–8 WEEKS) BICEPS TENDON RUPTURE | 482 | ||
| Rehabilitation | 482 | ||
| References | 483 | ||
| 31 - Triceps Tendon Injury | 485 | ||
| Introduction | 485 | ||
| Epidemiology | 485 | ||
| Anatomy | 485 | ||
| History and Physical Examination | 485 | ||
| Diagnostic Imaging | 486 | ||
| Nonoperative Management | 486 | ||
| Operative Management | 487 | ||
| Authors’ Preferred Technique | 488 | ||
| Postoperative Protocol | 490 | ||
| Biomechanical Comparison of Operative Techniques | 490 | ||
| Outcomes and Return to Sport | 491 | ||
| Complications | 492 | ||
| Summary | 492 | ||
| References | 492 | ||
| XI - Elbow Articular Cartilage and Bone Injuries | 494 | ||
| 32 - Osteochondritis Dissecans of the Capitellum | 495 | ||
| Etiology/Pathology | 495 | ||
| History and Physical Examination | 496 | ||
| Diagnostic Imaging | 496 | ||
| Classification | 497 | ||
| Nonsurgical Management | 498 | ||
| Operative Treatment | 499 | ||
| Authors’ Surgical Procedure of Choice | 501 | ||
| Discussion | 502 | ||
| References | 502 | ||
| 33 - Olecranon Stress Fractures | 504 | ||
| Introduction | 504 | ||
| Epidemiology, Anatomy, Classification, and Mechanism of Injury | 504 | ||
| History and Physical Examination | 505 | ||
| Imaging | 506 | ||
| Clinical Decision Making | 506 | ||
| Surgical Technique | 507 | ||
| Rehabilitation | 507 | ||
| Outcomes | 507 | ||
| Prevention | 508 | ||
| Conclusions | 508 | ||
| References | 508 | ||
| Index | 511 | ||
| A | 511 | ||
| B | 512 | ||
| C | 513 | ||
| D | 514 | ||
| E | 514 | ||
| F | 515 | ||
| G | 515 | ||
| H | 515 | ||
| I | 516 | ||
| J | 516 | ||
| K | 516 | ||
| L | 516 | ||
| M | 517 | ||
| N | 518 | ||
| O | 518 | ||
| P | 518 | ||
| Q | 519 | ||
| R | 519 | ||
| S | 521 | ||
| T | 522 | ||
| U | 522 | ||
| V | 523 | ||
| W | 523 | ||
| Y | 523 | ||
| IBC | ES2 |