Musculoskeletal Key

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…

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…

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…

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…

ABOUT THE EXPERT Eiji Itoi, MD, PhD, is an emeritus professor of Tohoku University, Sendai, Japan. He had a shoulder fellowship year with Dr. Shiro Tabata in 1989. He then…

Introduction and epidemiology Posterior shoulder instability occurs on a spectrum ranging from painful posterior labral tears with minimal instability to symptomatic posterior subluxation, all the way to locked dislocation events….

Introduction This chapter discusses the history, treatment algorithm, indications, and rationale for use of an open approach to anterior shoulder instability—specifically a discussion of the open Bankart repair technique, as…

History of open posterior shoulder surgery Posterior glenohumeral instability includes a variety of clinical presentations, ranging from traumatic posterior glenohumeral dislocation to recurrent microinstability that frequently presents as nondescript posterior…

A fracture of the clavicle has been greatly underrated in respect to pain and disability… The “usual or routine treatment” is perhaps far short of satisfying, relieving therapy. —Carter R….