Management of arthritis of the shoulder. Omar Haddo Consultant Orthopaedic Surgeon
|
|
- Joleen George
- 5 years ago
- Views:
Transcription
1 Management of arthritis of the shoulder Omar Haddo Consultant Orthopaedic Surgeon
2 Diagnosis Pain - with activity initially. As disease progresses night pain is common and sleep difficult Stiffness trouble with daily activity Mechanical symptoms - grinding, catching, locking Sternoclavicular joint Acromioclavicular joint Glenohumeral joint History / Examination / Investigations
3 Shoulder Arthritis Osteoarthritis Inflammatory Arthritis Cuff Tear Arthropathy Osteonecrosis Post traumatic Septic Arthritis
4 Sternoclavicular arthritis Pain medially Associated with bony lump Xrays CT Exclude Sepsis Tumour
5 Sternoclavicular arthritis Conservative treatment Nonsteroidals Activity Modification Steroid injection Operative treatment Joint resection Not as successful as ACJ
6 Acromioclavicular Arthritis Bad Xrays are not always symptomatic Osteolysis of distal clavicle Repetitive overhead activity can lead to microtrauma. Most often occurs in weightlifters/body builders and football players. Also occurs in hockey players and has been reported in lacrosse players. More often occurs in men, but has been reported in female bodybuilders. Beware MRI report
7 Acromioclavicular Arthritis Conservative treatment Nonsteroidals Activity Modification Steroid injection Operative treatment ACJ resection
8 Glenohumeral Arthritis Osteoarthritis Posterior glenoid erosion Flattening of the humeral head Rotator cuff tears are uncommon in OA
9 Glenohumeral Arthritis Inflammatory Arthritis Peri-articular erosions and osteopenia Adjacent joint involvement (elbow, C-spine) Cuff function Cuff Tear Arthropathy Superior migration of humeral head Articulates with acromion as well
10 Glenohumeral Arthritis Osteonecrosis Consider causes Corticosteroids Alcoholism Sickle cell diesese Lupus Idiopathic Usually younger patients with adequate bone stock.
11 Glenohumeral Arthritis Post Traumatic May have mal-union of tuberosities, distorting normal anatomic landmarks May have axillary nerve palsy. Many have soft-tissue contractures and muscle weakness Age of patient
12 Glenohumeral Arthritis Conservative Activity modification Physiotherapy Maintains range of motion Strengthens surrounding musculature Decreases inflammation Oral medication Injection Steroids vs Hyaluronic acid
13 Glenohumeral Arthritis Operative Arthroscopic debridement Arthroplasty Hemi Total Resurfacing Reverse
14 Arthroscopic Debridement Arthroscopic debridement of synovium, labrum and loose articular cartilage Biceps tenotomy Subacromial decompression Rotator interval and capsular release ACJ excision Burkhead, et al. Shoulder arthritis in the young adult: arthroscopy to arthroplasty. Instr Course Lect Flatow, et al. Management of glenohumeral arthritis: a role for arthroscopy? Orthop Clin North Am Weinstein, et al. Arthroscopic debridement of the shoulder for osteoarthritis. Arthroscopy
15 Arthroscopic Debridement Young and active patients Elderly with significant comorbidities Early disease Short term benefit
16 Which implant?
17 Total Shoulder vs Hemi vs Resurfacing Better functional scores with TSR than Stemmed Hemi Glenoid component remains an issue Better results with Copeland resurfacing hemiarthroplasty than Stemmed Hemi Kirkley et al, 2000 better pain relief with TSR Gartsman, better pain relief with TSR Levy, O. and S.A. Copeland, Cementless surface replacement arthroplasty of the shoulder. 5- to 10- year results with the Copeland mark-2 prosthesis. J Bone Joint Surg Br, Bryant D, Litchfield R; J Bone Joint Surg Am Sep;87(9): A comparison of pain, strength, range of motion, and functional outcomes after hemiarthroplasty and total shoulder arthroplasty in patients with osteoarthritis of the shoulder. A systematic review and meta-analysis. Bunker T. Shoulder & Elbow April; Vol 3 (2): Stemless shoulder replacement, the best of both worlds: a personal view
18 Which Glenoid Poly vs metal backed Flat back or curved Pegs vs keel Cemented vs uncemented Boileau P, Avidor C. J Shoulder Elbow Surg Jul-Aug;11(4): Cemented polyethylene versus uncemented metal-backed glenoid components in total shoulder arthroplasty: a prospective, double-blind, randomized study.
19 Surface replacement Pros: Bone conserving Restores anatomy Easy to perform Good results Cons: Overstuffing joint Glenoid erosion Difficult to expose glenoid
20
21 Anatomical shoulder Pros: Standard Good if not enough bone stock Cons: Wrong alignment Overstuffing Bone loss Fractures
22
23 Reverse shoulder Pros: Restores movement with CTA Cons Scapula notching No way back
24 Contraindications to Shoulder Arthroplasty Active or recent shoulder joint infection Paralysis with complete loss of rotator cuff and deltoid function A neuropathic arthropathy Irreparable rotator cuff tear is a contraindication to glenoid replacement.
25 Complications Dislocation Rotator cuff tear / dysfunction Glenoid wear / loosening Infection Stiffness Heterotropic ossification Fracture Nerve injury
26 Ultimate bail-out Excision arthroplasty Shoulder arthrodesis Also considered for Septic arthritis
27 My philosophy Bone conserving Right implant for right diagnosis Plan B intraop and in failure Backed by evidence Small learning curve (for surgeon and theatre staff) Company support???cost
28 The Future Stemless systems Universal systems Biological resurfacing and interposition arthroplasty Meniscal allograft / Graft Jacket Microfracture / ACI Navigation Robotics
29 THANK YOU
Shoulder Joint Replacement
Shoulder Joint Replacement Although shoulder joint replacement is less common than knee or hip replacement, it is just as successful in relieving joint pain. Shoulder replacement surgery was first performed
More informationThe Shoulder. By Patrick Ryan, Bobby Law, Jack Beaty, Alex Newhouse and Chuck Nelson
The Shoulder By Patrick Ryan, Bobby Law, Jack Beaty, Alex Newhouse and Chuck Nelson Learning Objectives/Agenda Review the anatomy of the shoulder Describe the main diseases of the shoulder Describe the
More informationwww.fisiokinesiterapia.biz Shoulder Problems Fractures Instability Impingement Miscellaneous Anatomy Bones Joints / Ligaments Muscles Neurovascular Anatomy Anatomy Supraspinatus Anterior Posterior Anatomy
More informationDevelopments in Shoulder Arthroplasty
Developments in Shoulder Arthroplasty Andrew L. Wallace PhD MFSEM FRCS FRACS Consultant Shoulder Surgeon Glenohumeral Joint Arthritis Relatively uncommon Not as common as hip/knee/hand UK National Joint
More informationArthritis of the Shoulder
Arthritis of the Shoulder Simply defined, arthritis is inflammation of one or more of your joints. In a diseased shoulder, inflammation causes pain and stiffness. Although there is no cure for arthritis
More informationCommon Shoulder Problems and Treatment Options. Benjamin W. Szerlip D.O. Austin Shoulder Institute
Common Shoulder Problems and Treatment Options Benjamin W. Szerlip D.O. Austin Shoulder Institute Speaker Disclosure Dr. Szerlip has disclosed that he has no actual or potential conflict of interest in
More informationSHOULDER ARTHROPLASTY (TOTAL, HEMI, REVERSE)/ARTHRODESIS
evicore healthcare. Clinical Decision Support Tool Diagnostic Strategies This tool addresses common symptoms and symptom complexes. Imaging requests for patients with atypical symptoms or clinical presentations
More informationCigna Medical Coverage Policies Musculoskeletal Shoulder Arthroplasty (Total, Hemi, Reverse)/Arthrodesis
Cigna Medical Coverage Policies Musculoskeletal Shoulder Arthroplasty (Total, Hemi, Reverse)/Arthrodesis Effective January 1, 2016 Instructions for use The following coverage policy applies to health benefit
More informationBiomechanical concepts of total shoulder replacement. «Shoulder Course» Day 1. Richard W. Nyffeler Orthopädie Sonnenhof Bern. 11. Sept.
Biomechanical concepts of total shoulder replacement Richard W. Nyffeler Orthopädie Sonnenhof Bern First total shoulder prosthesis Jules Emile Péan, 1830-1898 Monobloc prostheses Charles Neer, 1917-2011
More informationArthritis of the Shoulder
Arthritis of the Shoulder In 2011, more than 50 million people in the United States reported that they had been diagnosed with some form of arthritis, according to the National Health Interview Survey.
More informationD Degenerative joint disease, rotator cuff deficiency with, 149 Deltopectoral approach component removal with, 128
Index A Abduction exercise, outpatient with, 193, 194 Acromioclavicular arthritis, with, 80 Acromiohumeral articulation, with, 149 Acromio-humeral interval (AHI), physical examination with, 9, 10 Active
More informationName of Policy: Shoulder Resurfacing
Name of Policy: Shoulder Resurfacing Policy #: 366 Latest Review Date: November 2010 Category: Surgery Policy Grade: Active policy but no longer scheduled for regular literature reviews and update. Background/Definitions:
More informationMaking sense of all our measures-inclination, version, subluxation, reaming depth & implant seating
Thursday - ANATOMIC SHOULDER ARTHROPLASTY 7:00-7:15a Welcome and Introduction of Faculty Athwal, Keener, 7:15-7:22a The ABC s of the Walch Classification Walch 7:22-7:32a How I use x-rays, CT +/- MRI for
More informationArthritis of the Shoulder
Page 1 of 7 Arthritis of the Shoulder This article is also available in Spanish: Artritis del hombro (Arthritis of the Shoulder) (topic.cfm?topic=a00723). In 2011, more than 50 million people in the United
More informationCommon Surgical Shoulder Injury Repairs
Common Surgical Shoulder Injury Repairs Mr Ilia Elkinson BHB, MBChB, FRACS (Ortho), FNZOA Orthopaedic and Upper Limb Surgeon Bowen Hospital Wellington Hospital Objectives Review pertinent anatomy of the
More informationReverse Total Shoulder. Dr. Minoo Patel
Reverse Total Shoulder Dr. Minoo Patel AOA VIC, Lorne, 2011 The role of the rotator cuff Depress and humeral head (against the force of the deltoid) Keep the humeral head co-apted in the glenoid Initiate
More informationMEDICAL POLICY MEDICAL POLICY DETAILS POLICY STATEMENT. Page: 1 of 6
Page: 1 of 6 MEDICAL POLICY MEDICAL POLICY DETAILS Medical Policy Title SHOULDER ARTHROPLASTY (TOTAL, PARTIAL AND REVERSE) Policy Number 7.01.95 Category Technology Assessment Effective Date 6/21/18 Revised
More informationShoulder Case Studies
Shoulder Case Studies Eden Raleigh Orthopaedic Surgeon Shoulder & Knee Surgery Ph: 9421 1900 0402697115 dredenraleigh@gmail.com My Background Specialising in Shoulder and Knee Surgery Main focus on Arthroscopic/Sports
More informationANATOMIC TOTAL SHOULDER REPLACEMENT:
The Shoulder Replacement A total shoulder arthroplasty (TSA) is a surgery to replace the damaged parts of the ball and socket shoulder joint with an artificial prosthesis. The damage to the shoulder can
More information11/15/2017. Biceps Lesions. Highgate Private Hospital (Whittington Health NHS Trust) E: LHB Anatomy.
Biceps Lesions Mr Omar Haddo (Consultant Orthopaedic Surgeon MBBS, BmedSci, FRCS(Orth) ) Highgate Private Hospital (Whittington Health NHS Trust) E: admin@denovomedic.co.uk LHB Anatomy Arise from superior
More informationIntegra. Titan Modular Shoulder System, 2.5
Titan Modular Shoulder System, 2.5 Limit uncertainty with a shoulder implant system that redefines modularity, addresses multiple indications, and allows for reproducible results. Titan Modular Shoulder
More informationAcromioplasty. Surgical Indications and Considerations
1 Acromioplasty Surgical Indications and Considerations Anatomical Considerations: Any abnormality that disrupts the intricate relationship within the subacromial space may lead to impingement. Both intrinsic
More informationWHAT YOU IS BACK WITHIN ARM S REACH
YOUR TOTAL SHOULDER REPLACEMENT SURGERY STEPS TO RETURNING TO A LIFESTYLE YOU DESERVE WHAT YOU IS BACK WITHIN ARM S REACH Nathan Richardson, MD Orthopedics, Shoulder & Elbow Surgeon Board Certified in
More informationwhat you is back within LOVE arm s reach find out why the exactech shoulder may be right for you
TOTAL shoulder REPLACEMENT what you is back within LOVE arm s reach find out why the exactech shoulder may be right for you how does your shoulder work? The shoulder is the most mobile joint in the body.
More informationShoulder Joint Replacement
Shoulder Joint Replacement Although shoulder joint replacement is less common than knee or hip replacement, it is just as successful in relieving joint pain. Shoulder replacement surgery was first performed
More informationShoulder and Elbow ORTHOPAEDIC SYPMPOSIUM APRIL 8, 2017 DANIEL DOTY MD
Shoulder and Elbow ORTHOPAEDIC SYPMPOSIUM APRIL 8, 2017 DANIEL DOTY MD Shoulder Articulations Glenohumeral Joint 2/3 total arc of motion Shallow Ball and Socket Joint Allows for excellent ROM Requires
More informationCLINICAL GUIDELINES. CMM-318: Shoulder Arthroplasty/ Replacement/Resurfacing/ Revision/Arthrodesis. Version Effective October 22, 2018
CLINICAL GUIDELINES CMM-318: / Replacement/Resurfacing/ Revision/Arthrodesis Version 20.0.2018 Effective October 22, 2018 Clinical guidelines for medical necessity review of speech therapy services. CMM-318:
More informationShoulder Injuries: Treatments that Work, Do Not Work, and When ENOUGH is Enough? Mark Ganjianpour, M.D. Beverly Hills, CA April 20, 2012
Shoulder Injuries: Treatments that Work, Do Not Work, and When ENOUGH is Enough? Mark Ganjianpour, M.D. Beverly Hills, CA April 20, 2012 Multiaxial ball and socket Little Inherent Instability Glenohumeral
More informationFracture complexe ESH Que choisir? Hémi ou Inversée Ph Valenti Paris
Fracture complexe ESH Que choisir? Hémi ou Inversée Ph Valenti Paris Proximal Complex fracture of the humerus Surgeon is not always happy!!!! Reduction is not anatomical!!!! Great tuberosity is not reduced!!!
More informationMassive Rotator Cuff Tears. Rafael M. Williams, MD
Massive Rotator Cuff Tears Rafael M. Williams, MD Rotator Cuff MRI MRI Small / Partial Thickness Medium Tear Arthroscopic View Massive Tear Fatty Atrophy Arthroscopic View MassiveTears Tear is > 5cm
More informationSurface Replacement for the Active Patient with GH DJD. Disclosures. Popularized by Copeland 3/1/2018
Surface Replacement for the Active Patient with GH DJD E. Rhett Hobgood, M.D. MS Sports Medicine Jackson, MS Disclosures Consultant for Exactech No royalties from any company Fellowship support from Mitek,
More informationMagnetic resonance imaging of painful shoulder arthroplasty
Magnetic resonance imaging of painful shoulder arthroplasty John W. Sperling, MD, MS, a Hollis G. Potter, MD, b Edward V. Craig, MD, a Evan Flatow, MD, c and Russell F. Warren, MD, a New York, NY Specialized
More informationArthritis of the Shoulder
Arthritis of the Shoulder This article is also available in Spanish: Artritis del hombro (Arthritis of the Shoulder) (topic.cfm?topic=a00723). In 2011, more than 50 million people in the United States
More informationDESIGN RATIONALE AND SURGICAL TECHNIQUE
DESIGN RATIONALE AND SURGICAL TECHNIQUE ANCHOR PEG GLENOID DESIGN RATIONALE In total shoulder arthroplasty, most cases of clinical and radiographic loosening involve failure of the fixation of the glenoid
More informationShoulder Joint Replacement
TREATMENT Shoulder Joint Replacement Although shoulder joint replacement is less common than knee or hip replacement, it is just as successful in relieving joint pain. Shoulder replacement surgery was
More informationSan Diego Shoulder Institute 2016: Arthroscopy, Arthroplasty, Fractures DVD Guidebook
San Diego Shoulder Institute 2016: Arthroscopy, Arthroplasty, Fractures DVD Guidebook Faculty Title of Presentation DISC 1 Shoulder Arthroplasty Navarro How Can Registries Help Us Improve our Performance
More informationS1 Shoulder. Primary. MDS VERSION 7.0 Shoulder Operation. Form: MDSv7.0 S1 v1.0. Patient Addressograph
S1 Shoulder Primary Important: Please tick relevant boxes. All component stickers should be affixed to the accompanying Minimum Dataset Form Component Labels Sheet. Please ensure that all sheets are stapled
More information2nd madrid. shoulder course. msc. MADRID - October 18-19, Chairmen: Samuel Antuña Emilio Calvo Fernando Marco
2nd Chairmen: Samuel Antuña Emilio Calvo Fernando Marco www..com 2nd 2 2nd INDEX General Information 04 Faculty 05 Program at a Glance 06 Scientific Program Thursday October 18th 08 Friday October 19th
More informationShoulder Replacement Commonly Asked Questions
Shoulder Replacement Commonly Asked Questions Patrick J Denard, MD Shoulder Specialist 2780 E. Barnett Rd Medford, OR 97530 541-779-6250 Background Information What is the anatomy of the shoulder? The
More informationLes séquelles traumatiques. Ph. Valenti, J. Kany, D. Katz
Indications et Techniques Les séquelles traumatiques Ph. Valenti, J. Kany, D. Katz Paris Shoulder Unit Clinique Bizet (Paris, France) Disclosures Arthroplasty Consultant : FH orthopaedics receive royalties
More information11/13/2017. Disclosures: The Irreparable Rotator Cuff. I am a consultant for Arhtrex, Inc and Endo Pharmaceuticals.
Massive Rotator Cuff Tears without Arthritis THE CASE FOR SUPERIOR CAPSULAR RECONSTRUCTION MICHAEL GARCIA, MD NOVEMBER 4, 2017 FLORIDA ORTHOPAEDIC INSTITUTE Disclosures: I am a consultant for Arhtrex,
More informationNot relevant to this presentation.
Nolan R. May, MD Kearney, NE Heartland Surgery Center, Kearney NE Not relevant to this presentation. 1 What are the indications for total shoulder arthroplasty? What are the differences between total shoulder
More informationThe Irreparable Rotator Cuff Tear:
The Irreparable Rotator Cuff Tear: Trauma 101: Shoulder Session #2 Brian Grawe, MD Assistant Professor Orthopaedics & Sports Medicine 5/10/2018 Brian Grawe, MD Assistant Professor Phone Number: 513-558-4516
More informationCase 61. Middle aged farmer with a history of trivial injury and since then pain and stiffness in the L shoulder. Inflammatory markers were negative.
Case 61 Middle aged farmer with a history of trivial injury and since then pain and stiffness in the L shoulder. Inflammatory markers were negative. Diagnosis GLENOID DYSPLASIA DEFINITION The classic constellation
More informationRetrospective Analysis of Arthroscopic Management of Glenohumeral Degenerative Disease
Retrospective Analysis of Arthroscopic Management of Glenohumeral Degenerative Disease Geoffrey S. Van Thiel, M.D., M.B.A., Steven Sheehan, B.S., Rachel M. Frank, B.S., Mark Slabaugh, M.D., Brian J. Cole,
More informationLate Results of Total Shoulder Replacement in Patients With Rheumatoid Arthritis
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH Number 366, pp. 39-45 0 1999 Lippincott Williams & Wilkins, Inc. Late Results of Total Shoulder Replacement in Patients With Rheumatoid Arthritis Jens 0. S@jbjerg,
More informationELBOW ARTHROSCOPY WHERE ARE WE NOW?
ELBOW ARTHROSCOPY WHERE ARE WE NOW? Christian Veillette M.D., M.Sc., FRCSC Assistant Professor, University of Toronto Shoulder & Elbow Reconstructive Surgery Toronto Western Hospital @ University Health
More informationAugmented Glenoid Component for Bone Deficiency in Shoulder Arthroplasty
Clin Orthop Relat Res (2008) 466:579 583 DOI 10.1007/s11999-007-0104-4 SYMPOSIUM: NEW APPROACHES TO SHOULDER SURGERY Augmented Glenoid Component for Bone Deficiency in Shoulder Arthroplasty Robert S. Rice
More informationImmediate post surgical findings of soft tissue swelling, subcutaneous emphysema, and skin staples for reverse total shoulder arthroplasty.
Immediate post surgical findings of soft tissue swelling, subcutaneous emphysema, and skin staples for reverse total shoulder arthroplasty. REVERSE TOTAL SHOULDER ARTHROPLASTY WITH FRACTURED ACROMION Above:
More informationReview shoulder anatomy Review the physical exam of the shoulder Discuss some common causes of acute shoulder pain Discuss some common causes of
Review shoulder anatomy Review the physical exam of the shoulder Discuss some common causes of acute shoulder pain Discuss some common causes of chronic shoulder pain Review with some case questions Bones:
More informationManagement of Chronic Elbow Pain
Mr. Nashat Siddiqui Consultant Upper Limb Orthopaedic Surgeon Management of Chronic Elbow Pain Patients presenting with elbow pain can pose a diagnostic challenge, especially if there is no obvious recent
More informationManagement of the Younger Arthritic Shoulder
Conflict of Interest Slide Management of the Younger Arthritic Shoulder Gerald R. Williams, Jr, MD John M. Fenlin, Jr, MD Professor of Shoulder and Elbow Surgery Royalties Depuy: shoulder arthroplasty
More informationConflict of Interest. New Strategies in Rotator Cuff Repair. Objectives. Learner Outcome
Conflict of Interest New Strategies in Rotator Cuff Repair Sheri Lankford, BSN, CNOR I hereby certify that, to the best of my knowledge, no aspect of my current personal or professional situation might
More informationTechnical difficulty in component sizing and positioning in humeral resurfacing: Relationship to clinical outcomes
Page 32 SA Orthopaedic Journal Spring 2015 Vol 14 No 3 Technical difficulty in component sizing and positioning in humeral resurfacing: Relationship to clinical outcomes P Ryan MBChB (UCT), FC(Orth) (SA),
More informationMSK Covered Services. Musculoskeletal: Joint Metal-on-metal total hip resurfacing, including acetabular and femoral components
CPT CODE S2118 MSK Covered Services Musculoskeletal: Joint Metal-on-metal total hip resurfacing, including acetabular and femoral components 23000 Removal of subdeltoid calcareous deposits, open 23020
More informationSHOULDER IMPINGEMENT / ROTATOR CUFF TENDONITIS / SUBACROMIAL BURSITIS
SHOULDER IMPINGEMENT / ROTATOR CUFF TENDONITIS / SUBACROMIAL BURSITIS The terms impingement, rotator cuff tendonitis, and subacromial bursitis, all refer to a spectrum of the same condition. Anatomy The
More informationRehabilitation Guidelines for Shoulder Arthroscopy
Rehabilitation Guidelines for Shoulder Arthroscopy The true shoulder joint is called the glenohumeral joint and consists humeral head and the glenoid. It is a ball and socket joint. Anatomy of the Shoulder
More informationReverse Total Shoulder Arthroplasty Protocol Shawn Hennigan, MD
General Information: Reverse Total Shoulder Arthroplasty Protocol Shawn Hennigan, MD Reverse or Inverse Total Shoulder Arthroplasty (rtsa) is designed specifically for the treatment of glenohumeral (GH)
More informationSHOULDER ANATOMY AND FUNCTION. Disclosure. Case. Learning Objectives MRI. Plan? 3/23/2017 5
Disclosure Doc, My Shoulder Keeps me Up at Night! Evaluation and Treatment of Atraumatic Shoulder Pain Matthew F. Dilisio, MD Shoulder and Elbow Surgery, CHI Health Orthopedics Assistant Professor, Creighton
More informationIndex. ESSKA 2018 G. Milano et al. (eds.), Management of Failed Shoulder Surgery,
A Acromial fractures, 186 Acromioclavicular joint (ACJ) instability, 55, 97 case study, 98 100 classification, 85 clinical relevant situations, 86 dislocation, 97 98 insufficient fixation, 87 88 operative
More informationShoulder Arthroscopy. Dr. J.J.A.M. van Raaij. NOV Jaarvergadering Den Bosch 25 jan 2018
Shoulder Arthroscopy Dr. J.J.A.M. van Raaij NOV Jaarvergadering Den Bosch 25 jan 2018 No disclosures Disclosure Shoulder Instability Traumatic anterior Traumatic posterior Acquired atraumatic Multidirectional
More informationShoulder DJD in Athletic patient. What is Athletic? McCarty University of Colorado Fall Sports Medicine Symposium. Oct. 3, 2008
Indications for Shoulder Arthroplasty in Athletic Patients Eric C. McCarty, M.D. Associate Professor, Dept. of Orthopaedics Chief, Sports Medicine and Shoulder Surgery Head Team Physician, University of
More informationA Patient s Guide to Osteonecrosis of the Humeral Head
A Patient s Guide to Osteonecrosis of the Humeral Head 20295 NE 29th Place, Ste 300 Aventura, FL 33180 Phone: (786) 629-0910 Fax: (786) 629-0920 admin@instituteofsports.com DISCLAIMER: The information
More information2nd madrid. shoulder course. msc. MADRID - October 18-19, Chairmen: Samuel Antuña Emilio Calvo Fernando Marco
2nd Chairmen: Samuel Antuña Emilio Calvo Fernando Marco www..com 2 2nd Index General Information 04 Faculty 05 Scientific Program Thursday October 18th 06 Friday October 19th 10 Traducción simultánea Inglés
More informationSSSR. 1. Nov Shoulder Prosthesis. Postoperative Imaging. Florian M. Buck, MD
Shoulder Prosthesis Postoperative Imaging Florian M. Buck, MD Shoulder Prosthesis Surgical Approach Findings Imaging Modalities Postoperative Problems Shoulder Prosthesis What are we talking about Anatomical
More informationSHOULDER PROBLEMS & ARTHROSCOPIC MANAGEMENT
SHOULDER PROBLEMS & ARTHROSCOPIC MANAGEMENT DR.SHEKHAR SRIVASTAV Sr. Consultant-KNEE & SHOULDER Arthroscopy Sant Parmanand Hospital,Delhi Peculiarities of Shoulder Elegant piece of machinery It has the
More informationSHOULDER INSTABILITY
Disclaimer This movie is an educational resource only and should not be used to manage Orthopaedic health. All decisions about the management of Shoulder Instability must be made in conjunction with your
More informationDisclosure. General. Total Shoulder Arthroplasty : Results, Outcomes and Expectations 2/8/2016. Consultant for Tornier/Wright, DJO, and Conventus
Total Shoulder Arthroplasty : Results, Outcomes and Expectations Edwin E Spencer Jr MD Knoxville Orthopaedic Clinic Disclosure Consultant for Tornier/Wright, DJO, and Conventus General The literature is
More informationShoulder Joint Examination. Shoulder Joint Examination. Inspection. Inspection Palpation Movement. Look Feel Move
Shoulder Joint Examination History Cuff Examination Instability Examination AC Joint Examination Biceps Tendon Examination Superior Labrum Examination Shoulder Joint Examination Inspection Palpation Movement
More information2nd madrid. shoulder course. msc. MADRID - October 18-19, Chairmen: Samuel Antuña Emilio Calvo Fernando Marco
Chairmen: Samuel Antuña Emilio Calvo Fernando Marco www..com 2 Index General Information 04 Faculty 05 Scientific Program Thursday October 18th 06 Friday October 19th 10 3 General information Dates October
More informationJames T. Mazzara, MD Continuing Medical Education 10/8/2006
CME Course Sponsor/Location Date Credits Trauma CME Open Fracture and Pelvic Fracture Case Review Hartford Hospital 9/28/2006 1 Orthopedic Department Meeting Hartford Hospital 9/28/2006 1 Multidisciplinary
More informationShoulder Arthroplasty. Valentin Lance 3/24/16
Shoulder Arthroplasty Valentin Lance 3/24/16 Outline Background Pre-operative imaging assessment Total Shoulder Arthroplasty: Standard and Reverse Complications Other shoulder hardware Hemiarthroplasty
More informationProximal Humeral Fractures RSA v HHR. Proximal Humeral Fractures RSA v HHR. Introduction
Proximal Humeral Fractures RSA v HHR Xavier A. Duralde, MD Peachtree Orthopaedic Clinic Atlanta, GA Proximal Humeral Fractures RSA v HHR Consultant: Smith+Nephew Board of Directors: CORR Introduction Incidence
More informationLateral meniscus allograft biologic glenoid arthroplasty in total shoulder arthroplasty for young shoulders with degenerative joint disease
Lateral meniscus allograft biologic glenoid arthroplasty in total shoulder arthroplasty for young shoulders with degenerative joint disease Gregory P. Nicholson, MD, Jordan L. Goldstein, MD, Anthony A.
More informationResurfacing Arthroplasty of the Humerus: Indications, Surgical Technique, and Clinical Results
8(3):152 160, 2007 Ó 2007 Lippincott Williams & Wilkins, Philadelphia R E V I E W Resurfacing Arthroplasty of the Humerus: Indications, Surgical Technique, and Clinical Results Jason J. Scalise, MD, Anthony
More informationTORNIER AEQUALIS FX. Shoulder System SYSTEM OVERVIEW
TORNIER AEQUALIS FX Shoulder System SYSTEM OVERVIEW Simple in design, but used for the most complex fractures Each year, approximately 4 million people in the United States seek medical care for shoulder
More informationThe Upper Limb II. Anatomy RHS 241 Lecture 11 Dr. Einas Al-Eisa
The Upper Limb II Anatomy RHS 241 Lecture 11 Dr. Einas Al-Eisa Sternoclavicular joint Double joint.? Each side separated by intercalating articular disc Grasp the mid-portion of your clavicle on one side
More informationTHE REVERSE SHOULDER REPLACEMENT
THE REVERSE SHOULDER REPLACEMENT The Reverse Shoulder Replacement is a newly approved implant that has been used successfully for over ten years in Europe. It was approved by the FDA for use in the U.S.A.
More informationDegenerative joint disease of the shoulder, while
Arthroscopic Debridement of the Shoulder for Osteoarthritis David M. Weinstein, M.D., John S. Bucchieri, M.D., Roger G. Pollock, M.D., Evan L. Flatow, M.D., and Louis U. Bigliani, M.D. Summary: Twenty-five
More informationRevision of the humeral component for aseptic loosening in arthroplasty of the shoulder
Revision of the humeral component for aseptic loosening in arthroplasty of the shoulder A. Cil, C. J. H. Veillette, J. Sanchez-Sotelo, J. W. Sperling, C. Schleck, R. H. Cofield From the Mayo Clinic, Rochester,
More informationAnatomy Your shoulder is made up of three bones: your upper arm bone (humerus), your shoulder blade (scapula), and your collarbone (clavicle).
Shoulder Impingement/Rotator Cuff Tendinitis One of the most common physical complaints is shoulder pain. Your shoulder is made up of several joints combined with tendons and muscles that allow a great
More informationS h o u l d e r Solutions by Tornier C o n v e r T i b l e S h o u l d e r S y S T e m
S h o u l d e r Solutions by Tornier C o n v e r t i b l e s h o u l d e r s y s t e m C o n v e r t i b l e s h o u l d e r s y s t e m A n a t o m i c Aequalis Ascend Flex - UDZF131 One System. Two Solutions.
More informationRehabilitation Guidelines for Shoulder Arthroscopy
UW HEALTH SPORTS REHABILITATION Rehabilitation Guidelines for Shoulder Arthroscopy Front View Acromion Supraspinatus Back View Supraspinatus Long head of bicep Type I Infraspinatus Short head of bicep
More informationOperations included in the National Joint Registry (NJR)
Operations included in the National Joint Registry (NJR) Quick links, go to: Hips > Knees > Ankles > Elbows > Shoulders > Trauma > Version 8 June 2018 1 Version control Version number Date Amendments 1
More informationTotal Shoulder Arthroplasty
1 Total Shoulder Arthroplasty Surgical indications and contraindications Anatomical Considerations: Total shoulder arthroplasty surgery involves the replacement of the humeral head and the glenoid articulating
More informationAsymptomatic acromioclavicular joint arthritis in arthroscopic rotator cuff tendon repair: a prospective randomized comparison study
Arch Orthop Trauma Surg (2011) 131:363 369 DOI 10.1007/s00402-010-1216-y ARTHROSCOPY AND SPORTS MEDICINE Asymptomatic acromioclavicular joint arthritis in arthroscopic rotator cuff tendon repair: a prospective
More informationevicore MSK joint surgery procedures requiring prior authorization
evicore MSK joint surgery procedures requiring prior authorization Moda Health Commercial Group and Individual Members* Updated 1/30/2018 *Check EBT to verify member enrollment in evicore program Radiology
More informationStefan C Muzin, MD PM&R Attending Physician, Beth Israel Deaconess Medical Center, Harvard Medical School Onsite Physiatrist, GE Aviation, Lynn, MA
Stefan C Muzin, MD PM&R Attending Physician, Beth Israel Deaconess Medical Center, Harvard Medical School Onsite Physiatrist, GE Aviation, Lynn, MA Consultant, OEHN (Occupational and Environmental Network)
More informationArthroS CASE DESCRIPTIONS SHOULDER MODULE
ArthroS CASE DESCRIPTIONS SHOULDER MODULE Last update: November 2013 VIRTAMED ARTHROS TM SHOULDER BASIC SKILLS CASES (1/2) Guided Diagnostics I: Glenohumeral Healthy right shoulder Guided inspection of
More informationBalgrist Shoulder Course 2017
My approach to failed hemiprosthesis Ernst Wiedemann OCM Clinic Munich Consultant to Arthrex Royalties from Arthrex Consultant to Zimmer Disclosures Pathways Hemi-prosthesis Anatomical prosthesis (HSA
More informationHip, Knee and Shoulder Surgery
Hip, Knee and Shoulder Surgery Policy Number: MM.06.030 Lines of Business: HMO; PPO; QUEST Integration; Medicare Advantage Section: Surgery Place(s) of Service: Outpatient; Inpatient Original Effective
More informationP.O. Box Sierra Park Road Mammoth Lakes, CA Orthopedic Surgery & Sports Medicine
P.O. Box 660 85 Sierra Park Road Mammoth Lakes, CA 93546 SHOULDER: Instability Dislocation Labral Tears The shoulder is the most mobile joint in the body, but to have this amount of motion, it is also
More informationRelieving Arthritis Knee Pain Michael J. Repine MD Boulder Medical Center Orthopedics
Arthritis is COMMON Relieving Arthritis Michael J. Repine MD Boulder Medical Center Orthopedics 303-622-3172 More than 43 million people have some form of arthritis. It is estimated that the number of
More informationPatient Information. Angle: pt. Shoulder Resurfacing. and Joint Preservation. MyJointOnlyBetter.com Arthrosurface.com
Patient Information Angle: 5-16 0 25pt Shoulder Resurfacing and Joint Preservation MyJointOnlyBetter.com Arthrosurface.com Do you have pain in your shoulder that affects your sleep and prevents you from
More informationHaemophilia and Orthopaedic Surgery. Brett Halliday Orthopaedic Surgeon Holy Spirit Northside and Royal Brisbane Hospitals
Haemophilia and Orthopaedic Surgery Brett Halliday Orthopaedic Surgeon Holy Spirit Northside and Royal Brisbane Hospitals Disclaimer Director of Education OTC South Pacific No funds or company support
More informationCOMMON KNEE AND SHOULDER INJURIES IN THE YOUNG ATHLETE. Outline 5/11/2017
COMMON KNEE AND SHOULDER INJURIES IN THE YOUNG ATHLETE IRVING RAPHAEL MD Syracuse Orthopedic Specialists Former S.U. Head Team Physician May 19, 2017 Meniscal Injuries anatomy Exam Treatment ACL Injuries
More informationWhy are these shoulder replacements called a reverse prosthesis?
PATIENT GUIDE TO REVERSE PROSTHESIS Edward G. McFarland MD The Division of Sports Medicine and Shoulder Surgery The Department of Orthopaedic Surgery The Johns Hopkins University Baltimore MD Why are these
More information