The Hip - book

Blood Supply to the Humerus

– Discussion:     – main blood supply to humeral head arises from anterolateral branch of anterior humeral circumflex artery;     – this vessel passes laterally to long head of biceps & forms arcuate artery;     – arcuate artery:          – arises from ascending branch of anterior humeral circumflex artery … Read more

Biceps Tendonitis – Tendonopathy

– See: Proximal Biceps Tendon Rupture: and SLAP tear and arthroscopic rotator cuff repair – Discussion:     – inflammation of long head of biceps tendon usually occurs w/ rotator cuff inflammation (esp subscapular tears);     – clinically, it may be difficult to differentiate the pain patterns of rotator cuff and biceps tendon inflammation;         … Read more

Bankart Lesion

    – Discussion: – is an avulsion of the anteroinferior glenoid labrum at its attachment to IGHL complex; – lesion is felt to result from anterior shoulder dislocation and is felt to be primary lesion in recurrent anterior instability; – when Bankart lesion occurs, there is obligitory concomitant capsular disruption, w/ stretching or elongation … Read more

Basal Cell Carcinoma

– Discussion:     – Rare in upper extremity     – Ulcerated skin lesion          – cyst formation          – pigmentation          – elevated edge may appear pearly          – may be subungual     – Location:          – … Read more

Axillary Approach to the Shoulder

– Indications:     – most often used for anterior shoulder reconstructions – Positioning:     – beach chair w/ full access to posterior aspect of shoulder;     – holding shoulder in flexion, will relax shoulder & facilitate exposure;     – consider the Mconnel Shoulder Positioner;     – references:       … Read more

Axillary Artery

– See: Arteries of the Upper Limb – Discussion:     – the axillary artery begins at the first rib as a direct continuation of the subclavian artery and becomes the brachial artery at the lower border of the teres major     – artery passes behind pectoralis minor in its course thru axilla & is conveniently described as having 3 … Read more