– Discussion, Indications and Outcomes: – impingement syndrome – open acromioplasty – what exactly does an acromioplasty do? – [Subacromial denervation as a treatment modality for patients with subacromial pathology] – Radiographs – Initial Set Up: – prior to inserting instruments into subacromial space it is helpful to prevent subacromial bleeding … Read more
Discussion: – objective good to excellent results may be achieved in over 70% of patients, and subjective satisfactory results are achieved in over 90% of patients; – shoulder arthroscopy is indicated in cases of impingement syndrome and questionable rotator cuff tear repair, since the shoulder scope will be able to determine the status of … Read more
– See: Brachial Plexus Injury – Indications: – shoulder paralysis: – may include paralytic dislocation or combined rotator cuff / deltoid paralysis (in which case shoulder arthroplasty would be contra-indicated); – as a requirement for shoulder fusion, the muscles of forearm and hand need to be functional as do the serratus anterior and trapezius; – the … Read more
– Discussion: – musculoskeletal dz is characterized by congenital immobility of multiple joints. – there may be as many as 10 to 20 specific arthrogrypotic disorders, all with similar joint manifestations; – believed to be caused by oligohydrmnios & conditions limiting fetal movement; – joint develops in … Read more
– Discussion: – Total Shoulder Arthroplasty: (considerations: hemiarthroplasty vs TSA) – Reverse arthroplasty – Indications: – indicated for end stage DJD or RA shoulder involvement; – contra-indications to shoulder arthroplasty include combined rotator cuff / deltoid paralysis and recent joint infection; – in these rare circumstances, arthrodesis may be considered; – may occur as … Read more
– See: – Arterial Development of the Limbs : – Upper Extremity Arteriogram of the Limbs : Subclavian Artery Axillary Artery Supreme Thoracic Artery Thoracoacromial Artery Lateral Thoracic Artery Subscapular Artery Anterior Humeral Circumflex Artery Posterior Humeral Circumflex Artery Brachial Artery Profunda Brachi Median Artery Radial Artery Ulnar Artery – Upper Extremity Emboli: – upper … Read more
(See also: Adult Upper Limb Arteries) Discussion: Upper Limb Development subclavian artery projects into the early upper limb bud & forms subclavian-axillary-brachial trunk; its distal portion becomes interosseous artery that initially supplies plexus of arteries in the primitive hand; branch of trunk artery, median artery, temporarily replaces interosseous artery in supplying the hand; subsequently, ulnar … Read more
– See: – Anterior Dislocation – Posterior Dislocations: – Discussion: – note: w/ true AP of shoulder there should be no overlap of the humerus over the glenoid; – Greater Tuberosity and Acromio Humeral Interval; – AP in ext. rot. brings greater tuberosity into clear … Read more
– See: – Radiographic Evaluation – Blood Supply to Talus- Discussion: – may occur following talar neck fractures or may be atraumatic (from SLE, diabetes, MS ect); – absence of subchondral bone atrophy in talar dome on x-ray after 6 weeks following fracture implies AVN (see Hawkins Sign); – however, there is not direct correlation between development of AVN and … Read more
– See: – stabilizers of the shoulder – shoulder capsule – Discussion: – originates as a portion of fibrous glenoid labrum anteroinferiorly; – there are two subdivisions of this ligament: an anterior and posterior bands along with the intervening axillary pouch; – antero-inferior portion of normal … Read more