Clinical management of shoulder sepsis
Presentation Pain, loss of motion, and effusion are early signs of infection. However, shoulder effusion is difficult to detect and is often missed. Motion is painful, and the arm is…
Opinion editorial—soft tissue bankart: Still the gold standard
ABOUT THE EXPERT Hiroyuki Sugaya, MD, served as Chairman of Sports Medicine & Joint Center in Funabashi Orthopaedic Hospital for 18 years. Dr. Sugaya opened Tokyo Sports & Orthopaedic Clinic…
Multidirectional instability—rehabilitation and return to sport
Traditionally the classification of shoulder instability has been based primarily on etiology and the direction of the instability. In other words, traumatic versus atraumatic in onset and anterior, posterior, or…
Molecular mechanisms and pathogenesis of shoulder sepsis
Microanatomy and cell biology The hyaline cartilage of the articular surface is essentially acellular and consists of horizontally arranged collagen fibers in proteoglycan macromolecules. The boundaries of the joint cavity…
Opinion editorial—concavity compression
ABOUT THE EXPERTS Frederick A. Matsen III, MD, is a Professor of Orthopaedics and Sports Medicine at the University of Washington. His life in shoulder began with a fellowship in…
Opinion editorial—use and abuse of the latarjet procedure
ABOUT THE EXPERT Gilles Walch, MD, is an orthopedic surgeon specialized in shoulder surgery. He is a senior partner at the Shoulder Department of Centre Orthopedique Santy and at Hospital…
Multidirectional instability—open inferior capsular shift
Introduction The open inferior capsular shift operation as described by Neer is a versatile operation that allows adjustment of technique to match identified pathology in patients with glenohumeral instability. Shoulder…
Anterior instability—bone augmentation surgery: Primary and revision outcomes
Introduction Osseous lesions in the humeral head and glenoid are commonly observed in patients with anterior shoulder instability. The prevalence of bone loss and pathologic bony changes increases with recurrent…
Multidirectional instability—arthroscopic treatment and outcomes
Introduction As noted in Chapter 35 , the basic science and clinical characteristics of multidirectional instability (MDI) have helped identify this clinical entity more thoroughly. Subsequent research efforts have established…
Sepsis background
Shoulder sepsis can have a devastating impact on shoulder function, particularly if diagnosis and treatment are delayed or inadequate. The general principles in the pathogenesis of shoulder sepsis are similar…
