Full-Thickness Rotator Cuff Tears

Mar 4, 2019 by in RHEUMATOLOGY Comments Off on Full-Thickness Rotator Cuff Tears

Abstract Arthroscopic management of rotator cuff tears is one of the greatest changes of the past 25 years. It has become a standard procedure, but the techniques are variable and…

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Glenohumeral Instability

Mar 4, 2019 by in RHEUMATOLOGY Comments Off on Glenohumeral Instability

Abstract Glenohumeral instability can present with typical patterns of injury involving consistent structures. However, the degrees of injury and structures needed to address are often less defined. The approach to…

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Diagnostic Arthroscopy and Normal Anatomy

Mar 4, 2019 by in RHEUMATOLOGY Comments Off on Diagnostic Arthroscopy and Normal Anatomy

Abstract The basics of diagnostic arthroscopy involve knowing where to place portals, understanding the external and internal anatomy of the shoulder, and having an organized approach to reviewing the structures…

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Biceps Tendon Lesions

Mar 4, 2019 by in RHEUMATOLOGY Comments Off on Biceps Tendon Lesions

Abstract Lesions of the long head of the biceps tendon can often be the source of shoulder pain. Pathology of the biceps includes “superior labrum anterior-to-posterior” (SLAP) tears, subluxation, tenosynovitis,…

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Shoulder Arthroscopy Concepts and Tools

Mar 4, 2019 by in RHEUMATOLOGY Comments Off on Shoulder Arthroscopy Concepts and Tools

Abstract To pursue or to transition to shoulder arthroscopy, the surgeon must develop technical and intellectual skills that facilitate the process. Technical skills involve tying arthroscopic knots and developing the…

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Diagnostic Ultrasonography

Mar 4, 2019 by in RHEUMATOLOGY Comments Off on Diagnostic Ultrasonography

Abstract Ultrasound (US) is an excellent imaging modality to diagnose rotator cuff and biceps disorders. However, US is by no means the perfect imaging modality for the shoulder, and there…

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Massive Rotator Cuff Tears

Mar 4, 2019 by in RHEUMATOLOGY Comments Off on Massive Rotator Cuff Tears

Abstract It is not clear that there is a specific definition for a massive rotator cuff tear, but it can be loosely defined as one that involves two complete tendon…

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Acromioclavicular Joint Pathology

Mar 4, 2019 by in RHEUMATOLOGY Comments Off on Acromioclavicular Joint Pathology

Abstract Acromioclavicular (AC) joint pathology can be divided into conditions that cause pain or conditions of instability that may cause pain or compromise function. AC joint pain can be secondary…

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Operating Room Setup

Mar 4, 2019 by in RHEUMATOLOGY Comments Off on Operating Room Setup

Abstract To perform shoulder arthroscopy, the surgeon must be familiar with the basic setup. This involves knowledge of patient preparation and positioning, the equipment and instruments used in the operating…

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Irreparable Rotator Cuff Tears

Mar 4, 2019 by in RHEUMATOLOGY Comments Off on Irreparable Rotator Cuff Tears

Abstract Often a surgeon feels that a repair is possible preoperatively, based on imaging, but realizes at the time of surgery that it is not. If the tear is truly…

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