Ideal for shoulder surgeons who want to upgrade their skillsto the next level, this practical, step-by-step text presents the latestcutting-edge management strategies and science aimed at shoulder preservationsurgery. Highlighting four main areas - the overhead athlete, shoulderinstability, glenohumeral arthritis, and the rotator cuff - these innovativetechniques focus on the maintenance of the native shoulder joint. Chapters openwith an introduction to the clinical problem, followed by misgivings related toopen surgery or arthroplasty as treatment strategies. A rationale for thearthroscopic treatment is then presented, along with an in-depth description ofthe technique itself as well as preliminary results. Techniques presented includeposterior capsule release for the overhead athlete, arthroscopic Latarjet forinstability, the CAM procedure for glenohumeral arthritis, biologicalaugmentation for rotator cuff repair. A fifth section covers post-operativecare and return-to-play considerations. With contributions from many of the topthinkers and surgeons of the shoulder, Elite Techniques in Shoulder Arthroscopybrings these exciting new management strategies to the fore with the aim ofelevating them to more common practice for orthopedic surgeons and sportsmedicine specialists.
Part I: Overhead Athlete.- Pathophysiology of ThrowingInjuries.- Prevention of Labral and Rotator Cuff Injuries in the OverheadAthlete.- Keys to Successful Labral Repair.- Indications and Techniques forPosterior Capsule Release.- Throwing Acquired Anterior Rotator IntervalPathology.- Part II: Instability.- Evaluation of Bone Loss and the GlenoidTrack.- Management of Capsular Laxity.- Remplissage: Technique and Results.-Arthroscopic Latarjet.- Posterior Instability.- Part III: GlenohumeralArthritis.- Pearls for Through Debridement, Capsular Release, and the Role ofMicrofracture.- The Comprehensive Arthroscopic Management (CAM) Procedure forYoung Patients with Glenohumeral Osteoarthritis.- Graft InterpositionArthroplasty.- Adhesive Capsulitis: Diagnosis, Etiology and TreatmentStrategies.- Part IV: Rotator Cuff.- Ultrasound in Rotator Cuff Evaluation.-Indications for Repair: Who Really Needs Surgery?- Biologic Augmentation ofRotator Cuff Repair Repair.- Indications and Technique for Double RowFixation.- Retracted Subscapularis Tears.- ont-family: 'Times New Roman',serif; font-size: 10pt;">Arthroscopic Repair of Massive RetractedRotator Cuff Tears.- The Use of Graft Augmentation in the Treatment of MassiveRotator Cuff Tears.- Suprascapular Nerve Release: General Principles.-Spinoglenoid Ligament Release.- Part V: Post Op Care.- Maximizing Return toActivity Post Cuff and Instability Surgery.- When is the Patient Truly Readyto Return, a.k.a. Kinetic Chain Homeostasis.
John D. Kelly IV, MD, Director, Shoulder Sports Medicine,Director, Penn Center for Throwing Athletes, University of Pennsylvania,Department of Orthopedics, Philadelphia, PA, USA
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