Layer Name Structure Purpose Pathology I Osteochondral Innominate Joint congruity Developmental Dynamic Acetabulum Joint kinematics/biomechanics Dysplasia Cam/Rim impingement Femur Acetabular Profunda/protrusio Trochanteric impingement Sub-spine impingement Femoral/acetabular version Delamination Femoral inclination…
Intra-articular Periarticular FAI (cam and pincer type) Greater trochanteric pain syndrome Labral pathology Snapping hip syndromes Chondral lesions Proximal hamstring repair Ligamentum teres injuries Sciatic nerve entrapment Loose bodies/synovial chondromatosis…
Fig. 1 Normal aged cartilage is biomechanically different from normal young cartilage. Over time, the surface (STZ: superficial tangential zone) becomes rougher and there are fewer chondrocytes. Degenerative aged and/or…
Fig. 23.1 Right shoulder posterior view artwork demonstrating the two compression sites for the suprascapular nerve (Copyright Kevin D. Plancher MD 2015) Anatomy Suprascapular Nerve The suprascapular nerve has been…
Fig. 22.1 The anatomic course of the suprascapular nerve. The suprascapular nerve (white arrows) leaves the brachial plexus and travels posteriorly under the transverse scapular ligament with the vein, while…
Fig. 20.1 A and B. Margin convergence. Side-to-side sutures are used to close down the defect and take tension off of the repair to the bone (Figure 20.1A reprinted from…
Fig. 24.1 (a) Phase I ROM: forward elevation. (b) Phase I ROM: ER As stated earlier, the surgeon may delay beginning these ROM exercises until 4–6 weeks post-op for some…
Fig. 13.1 This image shows the arthroscopic view through a posterior portal of the glenohumeral joint in a right shoulder. The patient is in the lateral decubitus position with the…
Fig. 5.1 (a) Left shoulder cadaveric dissection with intact anterior rotator interval. (b) Same shoulder as in (a) with CHL reflected superiorly exposing the soft tissue pulley outlet. (c) Same…
Fig. 19.1 Schematic of the relationship between subscapularis repair and the supraspinatus. (a) Massive retracted and contracted tear of the subscapularis and supraspinatus tendons. (b) Repair of the subscapularis partially…
