– Discussion: – rotator cuff anatomy – diff dx of cuff tears (partial rotator cuff tear) – etilogy of tear – how do RTC tears heal? – surgically demonstratable full thickness RTC tears are present in about 1/5 elderly patients; – MRI studies have been published … Read more
– See: partial rotator cuff tear – Discussion: – rotator cuff anatomy – frequency of tear – diff dx of cuff tears: (partial rotator cuff tear) – etilogy of tear: – impingement syndrome: (75%) … Read more
The Rotator Cuff–Symposium: Complications of Rotator Cuff Surgery. The Rotator Cuff–Symposium: Classification of Rotator Cuff Lesions. Repair of the rotator cuff. End-result study of factors influencing reconstruction. Shoulder-muscle strength and range of motion following surgical repair of full-thickness rotator-cuff tears. Isokinetic strength of the shoulder after repair of a torn rotator cuff. Concurrent rupture of the rotator … Read more
– See: – Caput Ulnae Syndrome – Rheumatoid Hand – Wrist Arthrodesis – Discussion: – wrist involvement w/ RA is common; – findings inlude peri-articular osteoporosis, destructive osteolysis, arthritis of distal RU joint, and carpal arthrosis; – final pattern is … Read more
– Rhomboid Major: origin: spinous process of 2nd to 5th thoracic vertebrae; insertion: medial border of scapula from spine to inferior angle; action: adducts scapula and elevation of medial border; the inferior fibers aid in rotating the glenoid cavity inferior; nerve supply: dorsal scapular (C4, C5); … Read more
– See: Axillary Approach to the Shoulder – Indications: – most often used for Bankhart repairs for anterior shoulder dislocations; – Positioning: beach chair w/ full access to posterior aspect of shoulder; – Incision: – incision is placed in major axillary skin fold; – skin incision begins in the axilla and is centered over pectoralis … Read more
– Discussion: – defect in anteromedial portion resulting from posterior shoulder dislocation; – management of this injury is determined by both the size of impression defect & time locked posterior dislocation has been present; – Non Operative Treatment: – if < 20% of joint surface is involved, joint usually … Read more
– See: Humeral Frx – Main Menu – humeral shaft fractures – Retrograde IM Nailing: – main advantage over antegrade nailing, is that violation of the rotator cuff is not necessary (and therefore shoulder motion is not affected); – retrograde nailing is also preferred over antegrade nailing for distal shaft fractures; – main disadvantage is … Read more
– Rotator Cuff Tear – Discussion: – arthroscopic repair techniques – clinical outcomes of repair – indications for RTC tear: – shoulder pain (especially night pain); – symptoms which cause loss of function or quality of life; – failure of NSAIDS and formal physical therapy; – failure of series of marcaine / steroid injections; – full passive ROM pre-op is necessary … Read more
– PreOp Planning: – Proximal Exposure: – if there is extreme difficulty in dislocating the hip, attempt to perform a wide capsulotomy or perform a trochanteric osteotomy; – it is essential to avoid a proximal femoral frx while extracting the stem; – before attempting prosthesis removal, remove granulation tissue … Read more