The all-arthroscopic technique that the authors propose combines a Bristow-Latarjet procedure with a Bankart repair. This combined procedure provides a triple blocking of the shoulder (the so-called 2B3 procedure): (1)…
The most critical step in successful treatment of shoulder instability does not lie in surgical technique, but in accurate assessment of factors contributing to instability. Multidirectional instability (MDI) is initially…
Despite advances in the understanding of anterior shoulder instability, failure rates after open and arthroscopic surgery have been reported to be as high as 30%. In general, a successful operative…
Repetitive throwing or other overhead activity places great stress on the shoulder. As a result, the shoulder is a common site of injury in athletes. Addressing throwing-related injuries requires an…
The capsule, labrum, glenohumeral ligaments, and rotator cuff represent the static and dynamic stabilizers of the glenohumeral joint. Various injuries can occur to one or more of these structures during…
Glenohumeral instability is a common cause of shoulder disability. A wide spectrum of causes and presentations can make diagnosing subtle instability very difficult. This article describes clinical evaluation of the…
Clinical decision making for the management of foot deformities in children with cerebral palsy is based on the collection and integration of data from 5 sources: the clinical history, physical…
Functional activities of the upper extremity are limited in most individuals with a diagnosis of cerebral palsy (CP). However, surgical interventions are applied in less than 20% of pediatric patients with…
Advances in medical and surgical care over the past 20 years have resulted in children who formerly would have died at birth or infancy now surviving well into adulthood, many…
This article discusses the sagittal gait patterns in children with spastic diplegia, with an emphasis on the knee, as well as the concept of the “dose” of surgery that is…
