Assessing the effectiveness of treatment
Already in 1900, I had become interested in what I have called the End Result Idea, which was merely the common-sense notion that every hospital should follow every patient it…
Occupational shoulder disorders
Introduction Musculoskeletal disorders (MSDs) are frequently reported in the working population and therefore are characterized as work-related diseases. The World Health Organization (WHO) has described these diseases as multifactorial, with…
Opinion editorial—revision shoulder arthroplasty: Techniques to facilitate reconstruction
ABOUT THE EXPERT John W. Sperling, MD, MBA, is Professor of Orthopedic Surgery at the Mayo Clinic. Dr. Sperling’s principal clinical and research interest is primary and revision shoulder arthroplasty….
The role of arthroscopy in the evaluation and management of glenohumeral arthritis
Background of glenohumeral arthritis Osteoarthritis is the most common cause of disability in the United States; Buckwalter et al. determined that the condition affects nearly 10% of the population older…
Opinion editorial—defining the ideal indications and surgical technique for an anatomic total shoulder arthroplasty for primary osteoarthritis of the shoulder
ABOUT THE EXPERT Joseph Iannotti, MD, PhD, is Professor of Orthopaedic Surgery at the Cleveland Clinic School of Medicine at Case Western Reserve University; he is also Chief of Staff…
Evaluation of rotator cuff pathology: History, examination, and imaging
Introduction Critical evaluation of a patient’s clinical history, physical examination, and imaging findings is fundamental in establishing a diagnosis of rotator cuff pathology. All three components must work in tandem…
Rotator cuff repair: Tear classification, operative techniques, and outcomes
Introduction As described in Chapter 53 , rotator cuff tears can be successfully treated nonsurgically. However, atraumatic tears that fail nonoperative treatment and traumatic tears are commonly treated surgically. This…
Nerve problems related to the shoulder
The orthopedic surgeon is often the first to correctly identify a nerve problem related to the shoulder. Patients may have a chief complaint of shoulder pain that in fact is…
Approach to the irreparable cuff tear and failed cuff repair
Introduction The goal of rotator cuff repair is to anatomically repair the rotator cuff with a biomechanically sound construct while respecting the biology of the tissues. Long-term follow-up demonstrates that…
Nonoperative management of rotator cuff disease
Introduction While descriptions of rotator cuff tears have been noted at least as early as 1788, the first surgical repair of a rotator cuff tear is credited to Muller in…
