Additional Information
Book Details
Abstract
Covering the entire spectrum of operative shoulder arthroscopy, including both routine and complex shoulder procedures, Gartsman’s Shoulder Arthroscopy, 3rd Edition, provides a straightforward, "classroom" approach that walks you through each step of these challenging surgeries. Two master surgeons in the field, Drs. Hussein Elkousy and T. Bradley Edwards, present clear explanations of the standard approach to each procedure, plus variations and complications that frequently arise. Focused, concise coverage includes review of anatomy, indications and contraindications, non-operative options, pre-operative assessment and imaging, and more.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | cover | ||
| Inside Front Cover | ifc1 | ||
| Gartsman's Shoulder Arthroscopy | i | ||
| Copyright Page | ii | ||
| Dedication | iii | ||
| Preface | v | ||
| Table Of Contents | vii | ||
| Video Contents | ix | ||
| Full_page_Edwards_Ad | x | ||
| One The Basics | 1 | ||
| 1 Shoulder Arthroscopy Concepts and Tools | 1 | ||
| Abstract | 1.e1 | ||
| Keywords | 1.e1 | ||
| Arthroscopy Versus Open Repair | 1 | ||
| Technical Skills | 2 | ||
| Suture Anchors | 4 | ||
| Sutures Through Tendon | 5 | ||
| Suture Management | 5 | ||
| Arthroscopic Knot Tying (Video 1.1) | 22 | ||
| Knot-Tying Concepts | 22 | ||
| Knot Types | 22 | ||
| Knot-Tying Steps | 24 | ||
| Intellectual Skills | 35 | ||
| The Gradual Transition | 35 | ||
| Stage 1 | 35 | ||
| Stage 2 | 35 | ||
| Stage 3 | 35 | ||
| Stage 4 | 36 | ||
| Stage 5 | 36 | ||
| Instrument Handling | 36 | ||
| Arthroscope | 36 | ||
| Needle-Passing Device | 36 | ||
| Shuttle Suture Passer | 36 | ||
| Knot Pusher | 37 | ||
| 2 Operating Room Setup | 38 | ||
| Abstract | 38.e1 | ||
| Keywords | 38.e1 | ||
| Clinical Data | 38 | ||
| Setup and Preparation | 38 | ||
| Anesthesia | 42 | ||
| Patient Positioning | 42 | ||
| Lateral Decubitus Position | 43 | ||
| Sitting Position | 43 | ||
| Equipment | 44 | ||
| Arthroscope | 44 | ||
| Suture Passers | 46 | ||
| Soft Tissue Management | 48 | ||
| Suture Management | 49 | ||
| Sutures | 53 | ||
| Power Instruments | 53 | ||
| Cannulas | 53 | ||
| Thermal Instruments | 55 | ||
| Fluid Management | 56 | ||
| Transfer Rods | 56 | ||
| Anchors | 56 | ||
| Photography and Video Recording | 56 | ||
| Dedicated Team | 57 | ||
| 3 Diagnostic Arthroscopy and Normal Anatomy | 58 | ||
| Abstract | 58.e1 | ||
| Keywords | 58.e1 | ||
| Diagnostic Glenohumeral Arthroscopy | 58 | ||
| Posterior Portals | 58 | ||
| Lateral Portals | 59 | ||
| Anterior Portals | 60 | ||
| Physical Examination | 61 | ||
| Arthroscopic Procedure (Videos 3.1 and 3.2) | 61 | ||
| Diagnostic Subacromial Space Arthroscopy | 77 | ||
| Two Glenohumeral Joint Surgery | 89 | ||
| 4 Glenohumeral Instability | 89 | ||
| Abstract | 89.e1 | ||
| Keywords | 89.e1 | ||
| Literature Review | 89 | ||
| Diagnosis | 92 | ||
| Patient History | 92 | ||
| Physical Examination | 92 | ||
| Radiographs | 94 | ||
| Nonoperative Treatment | 96 | ||
| Operative Treatment | 96 | ||
| Indications | 96 | ||
| Contraindications | 97 | ||
| Operative Approach | 98 | ||
| Operative Rationale | 98 | ||
| Intraoperative Decision Making and Indications | 100 | ||
| Débridement | 100 | ||
| Labrum Repair | 100 | ||
| Capsular Tensioning | 101 | ||
| Rotator Interval | 101 | ||
| Operative Technique | 101 | ||
| Posterior Repair (Videos 4.2–4.6) | 105 | ||
| Portal Placement | 108 | ||
| Scapular Neck and Tissue Preparation | 108 | ||
| Drill Holes | 108 | ||
| Suture Passing | 109 | ||
| Anterior-Inferior Repair (Videos 4.7–4.11) | 110 | ||
| Débridement | 110 | ||
| Insertion Tears | 110 | ||
| Bankart, Bone Fragment | 110 | ||
| Anterior Scapular Neck Preparation | 111 | ||
| Drill Holes | 112 | ||
| Anchor Insertion | 112 | ||
| Suture Passing | 112 | ||
| Shuttling the Suture | 114 | ||
| Knot Tying | 114 | ||
| Superior Labrum Repair (Video 4.12) | 115 | ||
| Capsular Shift (Videos 4.13–4.15) | 115 | ||
| Mutlidirectional Instability (MDI) Videos | 116 | ||
| Rotator Interval Repair (Video 4.16) | 116 | ||
| Rotator Cuff Lesions | 118 | ||
| Postoperative Management | 121 | ||
| Results | 121 | ||
| Operative Repair | 121 | ||
| Postoperative Scores and Shoulder Rating Systems | 121 | ||
| Range of Motion | 121 | ||
| Return to Sports Participation | 122 | ||
| Ligament Laxity | 123 | ||
| Complications | 123 | ||
| Latarjet (Videos 4.17 and 4.18) | 123 | ||
| Discussion | 129 | ||
| Bibliography | 130 | ||
| 5 Biceps Tendon Lesions | 133 | ||
| Abstract | 133.e1 | ||
| Keywords | 133.e1 | ||
| Superior Labrum Anterior-to-Posterior Lesions | 133 | ||
| Anatomy | 133 | ||
| Making the Diagnosis | 135 | ||
| Management of SLAP Tears | 137 | ||
| Nonsurgical Treatment | 137 | ||
| Surgical Treatment | 137 | ||
| Type 1 Superior Labrum Anterior-to-Posterior Lesion | 137 | ||
| Type 2 Superior Labrum Anterior-to-Posterior Lesions | 137 | ||
| Type 3 Superior Labrum Anterior-to-Posterior Lesions | 141 | ||
| Type 4 Superior Labrum Anterior-to-Posterior Lesions | 141 | ||
| Operative Technique (Video 5.2) | 141 | ||
| Type 1 Superior Labrum Anterior-to-Posterior Lesions | 144 | ||
| Type 2 Superior Labrum Anterior-to-Posterior Lesions | 144 | ||
| Type 3 Superior Labrum Anterior-to-Posterior Lesions | 150 | ||
| Type 4 Superior Labrum Anterior-to-Posterior Lesions | 150 | ||
| Postoperative Treatment | 150 | ||
| Biceps Lesions Distal to the SLAP Lesion | 150 | ||
| Literature Review | 150 | ||
| Diagnosis | 152 | ||
| Indications for Treatment | 153 | ||
| Operative Technique | 154 | ||
| Soft Tissue Biceps Tenodesis Technique (Video 5.3) | 154 | ||
| Subacromial Techniques | 157 | ||
| Biceps Tenodesis—Suture Anchor Technique (Video 5.5). | 158 | ||
| Biceps Tenodesis—Interference Screw Technique (Figs. 5.118–5.123). | 162 | ||
| Tenotomy | 164 | ||
| Postoperative Treatment | 164 | ||
| Discussion | 164 | ||
| Bibliography | 164 | ||
| 6 Stiffness | 167 | ||
| Abstract | 167.e1 | ||
| Keywords | 167.e1 | ||
| Literature Review | 167 | ||
| Clinical Presentation | 167 | ||
| Diagnosis | 167 | ||
| Indications for Surgery | 168 | ||
| Limitations of Arthroscopic Surgery | 169 | ||
| Operative Technique (Video 6.1) | 169 | ||
| Examination Under Anesthesia | 169 | ||
| Manipulation | 169 | ||
| Joint Entry | 171 | ||
| Rotator Interval | 171 | ||
| Anterior Capsule | 172 | ||
| Subacromial Space | 174 | ||
| Postoperative Care | 177 | ||
| 7 Arthrosis | 178 | ||
| Abstract | 178.e1 | ||
| Keywords | 178.e1 | ||
| Diagnosis | 178 | ||
| Nonoperative Treatment | 178 | ||
| Indications for Surgery | 178 | ||
| Contraindications to Surgery | 178 | ||
| Osteoarthritis | 179 | ||
| Rheumatoid Arthritis | 184 | ||
| Avascular Necrosis | 187 | ||
| Chondrolysis | 187 | ||
| 8 Periarticular Cysts and Suprascapular Nerve Compression | 190 | ||
| Abstract | 190.e1 | ||
| Keywords | 190.e1 | ||
| Literature Review | 190 | ||
| Diagnosis | 190 | ||
| Nonoperative Treatment | 190 | ||
| Indications for Surgery | 191 | ||
| Operative Technique | 193 | ||
| Suprascapular Nerve Decompression at the Suprascapular Notch (Lafosse Technique) | 193 | ||
| Variations of Technique | 195 | ||
| Postoperative Care | 195 | ||
| Suprascapular Nerve Decompression at the Spinoglenoid Ligament (Video 8.3) | 195 | ||
| Bibliography | 196 | ||
| 9 Sepsis or Infection | 197 | ||
| Abstract | 197.e1 | ||
| Keywords | 197.e1 | ||
| Literature Review | 197 | ||
| Diagnosis | 197 | ||
| Operative Technique | 197 | ||
| Bibliography | 200 | ||
| Three Subacromial Space Surgery | 203 | ||
| 10 Impingement Syndrome | 203 | ||
| Abstract | 203.e1 | ||
| Keywords | 203.e1 | ||
| Diagnosis | 203 | ||
| Differential Diagnosis | 204 | ||
| Indications and Goals of Surgery | 205 | ||
| Literature Review | 205 | ||
| Arthroscopic Findings | 206 | ||
| Treatment | 206 | ||
| Operative Technique (Video 10.1) | 206 | ||
| Examination Under Anesthesia | 206 | ||
| Positioning | 206 | ||
| Landmarks | 206 | ||
| Glenohumeral Joint Entry and Findings | 207 | ||
| Subacromial Entry and Findings | 207 | ||
| Bursectomy | 207 | ||
| Coracoacromial Ligament | 209 | ||
| Acromioplasty | 211 | ||
| Hemostasis | 213 | ||
| Os Acromiale | 215 | ||
| Postoperative Management | 215 | ||
| Causes of Failure | 215 | ||
| Failure of Thought | 215 | ||
| Unrealistic Expectations | 215 | ||
| Improper Diagnosis | 215 | ||
| Technical Failure | 216 | ||
| Inadequate Decompression | 216 | ||
| Excessive Decompression | 216 | ||
| Lateral Acromial Resection | 216 | ||
| Comparison of Open and Arthroscopic Approaches | 216 | ||
| Coracoid Impingement (Video 10.2) | 217 | ||
| Bibliography | 218 | ||
| 11 Partial-Thickness Rotator Cuff Tears | 220 | ||
| Abstract | 220.e1 | ||
| Keywords | 220.e1 | ||
| Literature Review | 220 | ||
| Diagnosis | 220 | ||
| Nonoperative Treatment | 220 | ||
| Indications for Surgery | 221 | ||
| Operative Technique | 221 | ||
| Operative Findings | 221 | ||
| Intraoperative Decision Making | 222 | ||
| Management of Partial-Thickness Tears (Video 11.1) | 223 | ||
| Internal Impingement Lesion | 226 | ||
| Postoperative Treatment | 226 | ||
| Bibliography | 227 | ||
| 12 Full-Thickness Rotator Cuff Tears | 228 | ||
| Abstract | 228.e1 | ||
| Keywords | 228.e1 | ||
| Historical Review | 228 | ||
| Diagnosis | 229 | ||
| Management | 230 | ||
| Surgery Discussion | 230 | ||
| Operative Technique | 231 | ||
| Anesthesia | 231 | ||
| Positioning | 231 | ||
| Portals | 231 | ||
| Glenohumeral Joint | 232 | ||
| Subacromial Space | 233 | ||
| Tear Classification | 234 | ||
| Coracoacromial Ligament and Acromioplasty | 237 | ||
| Acromioclavicular Joint | 238 | ||
| Cuff Mobilization | 238 | ||
| Repair Site Preparation | 239 | ||
| Anchor Selection | 241 | ||
| Anchor Design | 241 | ||
| Anchor Material | 242 | ||
| Suture Selection | 242 | ||
| Repair of Avulsion or Crescent-Shaped Tears of the Supraspinatus | 242 | ||
| Single-Row Repair of Supraspinatus Tendon (Videos 12.1–12.4) | 243 | ||
| Suture Placement | 244 | ||
| Suture Passing | 244 | ||
| Needle-Passing Device Technique | 244 | ||
| Knot Tying (Video 12.5) | 245 | ||
| Double-Row Repair | 247 | ||
| Types and Contrast of Techniques | 247 | ||
| Technique for Double Row (Video 12.6) | 251 | ||
| Technique for Transosseous Equivalent (Video 12.7) | 255 | ||
| Longitudinal Tears (Videos 12.8 and 12.9) | 256 | ||
| Horizontal Cleavage Tears (Video 12.10) | 256 | ||
| Subscapularis Tears (Video 12.11) | 260 | ||
| Postoperative Treatment | 261 | ||
| Complications | 263 | ||
| Stiffness | 263 | ||
| Failure of Healing | 263 | ||
| Bibliography | 263 | ||
| 13 Massive Rotator Cuff Tears | 266 | ||
| Abstract | 266.e1 | ||
| Keywords | 266.e1 | ||
| Literature Review | 266 | ||
| Operative Technique (Videos 13.1–13.4) | 267 | ||
| Visualization | 267 | ||
| Cuff Mobilization and Tear Classification | 267 | ||
| Repair Sequence | 278 | ||
| Suture Management | 278 | ||
| Margin Convergence | 278 | ||
| Subscapularis Tears | 279 | ||
| Postoperative Management | 281 | ||
| Bibliography | 281 | ||
| 14 Irreparable Rotator Cuff Tears | 282 | ||
| Abstract | 282.e1 | ||
| Keywords | 282.e1 | ||
| Literature Review | 282 | ||
| Diagnosis | 283 | ||
| Nonoperative Treatment | 284 | ||
| Indications for Surgery | 284 | ||
| Contraindications to Surgery | 284 | ||
| Operative Technique | 284 | ||
| Glenohumeral Joint | 284 | ||
| Subacromial Space | 284 | ||
| Postoperative Management | 286 | ||
| Complications | 288 | ||
| Bibliography | 288 | ||
| 15 Acromioclavicular Joint Pathology | 290 | ||
| Abstract | 290.e1 | ||
| Keywords | 290.e1 | ||
| Literature Review | 290 | ||
| Diagnosis | 290 | ||
| Painful Conditions | 290 | ||
| Instability | 290 | ||
| Differential Diagnosis | 290 | ||
| Nonoperative Treatment | 291 | ||
| Injection | 292 | ||
| Indications for Surgery | 292 | ||
| Painful Conditions | 292 | ||
| Operative Technique (Video 15.1) | 293 | ||
| Postoperative Management | 294 | ||
| Complications | 296 | ||
| Instability | 296 | ||
| Operative Technique (Video 15.2) | 296 | ||
| Postoperative Management | 299 | ||
| Complications | 301 | ||
| Bibliography | 301 | ||
| 16 Calcific Tendinitis | 303 | ||
| Abstract | 303.e1 | ||
| Keywords | 303.e1 | ||
| Literature Review | 303 | ||
| Diagnosis | 303 | ||
| Nonoperative Treatment | 303 | ||
| Indications for Surgery | 306 | ||
| Operative Technique (Video 16.1) | 306 | ||
| Postoperative Management | 309 | ||
| Complications | 310 | ||
| Bibliography | 310 | ||
| 17 Fractures | 312 | ||
| Abstract | 312.e1 | ||
| Keywords | 312.e1 | ||
| Literature Review | 312 | ||
| Diagnosis | 312 | ||
| Nonoperative Treatment | 312 | ||
| Indications for Surgery | 312 | ||
| Contraindications to Surgery | 315 | ||
| Bibliography | 316 | ||
| 18 Diagnostic Ultrasonography | 317 | ||
| Abstract | 317.e1 | ||
| Keywords | 317.e1 | ||
| Basic Terminology | 317 | ||
| The Basic Exam | 318 | ||
| Long Head of the Biceps Tendon | 318 | ||
| Subscapularis Tendon | 321 | ||
| Supraspinatus and Infraspinatus Tendons | 324 | ||
| Injections | 330 | ||
| Summary | 330 | ||
| Bibliography | 331 | ||
| 19 Rehabilitation | 333 | ||
| Abstract | 333.e1 | ||
| Keywords | 333.e1 | ||
| Types of Exercises (Videos 19.1 and 19.2) | 333 | ||
| Surgical Procedures to Improve Motion | 333 | ||
| Surgical Procedures With No Repair and Intact Rotator Cuff | 338 | ||
| Irreparable Rotator Cuff Tears | 340 | ||
| Rotator Cuff Repair | 340 | ||
| Weeks 4 to 12 | 341 | ||
| Index | 342 | ||
| A | 342 | ||
| B | 343 | ||
| C | 344 | ||
| D | 345 | ||
| E | 345 | ||
| F | 346 | ||
| G | 346 | ||
| H | 347 | ||
| I | 347 | ||
| J | 348 | ||
| K | 348 | ||
| L | 348 | ||
| M | 349 | ||
| N | 349 | ||
| O | 350 | ||
| P | 350 | ||
| R | 351 | ||
| S | 352 | ||
| T | 354 | ||
| U | 354 | ||
| V | 354 | ||
| W | 354 | ||
| Inside Back Cover | ibc1 |