, Subject Index. 8o-88 83

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Terence Walton
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, Subject Index A abraders 36 acromial - morphologies 272 - shapes 314 - thickness 314 acromionizer 36 acromioclavicular joint 14-15 variants 114 - arthroscopic resection of the lateral davide

complications 347 - - counterindications 340 - - indications 340 operative accesses 340 - - positioning 340 - - postoperative treatment 347 - - radiological check 347 - - soft-tissue debridement 342

1 , Subject Index A abraders 36 acromial - morphologies shapes thickness 314 acromionizer 36 acromioclavicular joint variants arthroscopic resection of the lateral davide acromioclavicular joint associated pathologies bone resection anterior portal 344 anterosuperior portal 344 caudal davicular osteophytes complications counterindications indications 340 operative accesses positioning postoperative treatment radiological check soft-tissue debridement surgical instrumentarium radiographic examination Zanca view approaches bone scan 19 - degenerative changes MRI evaluation 253, 263 acromion - bone resection 286, gross anatomy 3 - ossification centers type 1-III 286 acromioplasty 272, , technique 314, cutting block technique 314 ALPSA lesion 136 anatomy/anatomical - arthroscopic and normal variants landmarks: biceps tendon, bumeral head and glenoid fossa 2 - variations 3-7 anchors degradable expanding anchors 52 - hints for anchor selection and development knotless anchor 53 - nail-like anchors 53 - non-degradable screw-type anchors suture anchors toggling anchors 52 anterior approach, glenohumeral joint (see approach) 8o- 88 anterolateral view from the shoulder 102 anterosuperior impingement 217 approaches 77 - acromioclavicular joint inferior superior transcutaneous 97 - anterior, glenohumeral joint - - anterior-inferior approach - - anterior-superior approach changing of portals 90 8o cranial (Neviaser portal) dorsal (see there) 77-80,94-96,246 - halfpipe (see there) 32, subacromial approach anterior dorsal lateral 97 arthritis - degenerative rheumatoid 9 arthroscopes arthroscopy/arthroscopic - repairs of shoulder instability IGHL (inferior glenohumeral ligament) indications for surgery MDI (multidirectional instability) 146 ligament) , microinstability (see there) posterior instability (see there) SGHL (superior glenohumeral ligament) 147,149, 151, of the shoulder - struggles and successes subacromial decompression (ASD) acromioplasty change of portal arthroscopy of the glenohumeral joint bursoscopy 287, davicular osteophyte complications 296 counterindications indications lateral instrument portal orientation support positioning of patient postoperative treatment radiographic examination 285 surgical instrumentarium visibility 288 atraumatic minor shoulder instabilities 193,195 8 balanced tears, MRI evaluation Bankart lesion - arthroscopic repairs of instability 153 anterior instability Bankart reconstruction postoperative management of Bankart repair glenohumeralligament 7, 19 lesions reverse Bankart lesion 135 bare - area spot 104 beach-chair position 30, disadvantages 30 - procedure 30 biceps tendon variants long head of the biceps biceps pathology rupture tendinitis biceps tenodesis lesions 2, 5, anatomicallandmarks arthroscopic view 5

2 1111 i tm:f1*ht -: :-:-: :-: :-:-: :-: :-:-: :-: : :-: :-: : :-: :-: : : : : - - diagnostic arthroscopy 15 - MRI evaluation pulley lesions , 278 bicepstenotomy 221 bone fraises 287 buckle-handle labrum 8 Buford complex , , , arthroscopic repairs of instability arthroscopic treatment of superior labrallesions atraumatic minor instability 195 minor shoulder instability MRI anatomy and normal variants SLAP lesions (superior labrum anterior-te-posterior lesions) bursa - MRI evaluation subacromial 112 bursoscopy 287, c calcific tendinitis arthroscopic treatment of ro ta tor cuff calcific tendinitis diagnosis diagnostic arthroscopy 301 infraspinatus tendon 299 insertion of marker suture non-operative treatment operative treatment portal placement rehabilitation subacromial rotator cuff debridement 302 supraspinatus tendon MRI evaluation calcium crystals 301 cameras 45 cannulas/cannula systems 40-41, 6o, 234 capsular shrinking 36 capsulitis, adhesive, MRI evaluation 267 CHL (coracohumeralligament) 103, 149, 172, anatomy frozen shoulder (see there) 351,355 clavicular osteophyte 295 Codman's diagnostic features of frozen shoulder 350 coils phased array coils 119 coracoacromialligament 13, 103, 112, 314 coracohumeralligament (see CHL) coracoplasty 274 crochet-hook 33, golden anodized 33 currettes in various shapes and sizes 35 cutting attachments for shaver system 36 o dead arm syndrome 199 debridement - arthroscopic resection of the lateral davide, soft-tissue arthroscopic superior labral labral 235, subacromial subacromial rotator cuff debridement 302 supraspinatus tendon 250 decubitus position, lateral advantages 29 - procedure 25 deltoid muscle 76 depth thermometer 251 digital working place for arthroscopy 42 dorsal approach - dorsal acromion-angle dorso-craniallabrum glenohumeral joint dorsal subacromial approach drive through - lesion 7 - sign 160, 247, 251 E electrica! instruments (see also instrumentation) bipolar electrodes 37 - monopolar electrodes 37 f field of view 120 fixation - fingers 26 - mechanisms in bone soft tissue 53 foramen of Rouviere 106 forceps, arthroscopic 33, 34 fraises 341 frozen shoulder, arthroscopic management acquired frozen shoulder degenerative joint diseases proximal humerus fractures sepsis sequelae surgical sequelae thermal capsular shrinkage Codman's diagnostic features complications definition and classification primary frozen shoulder associated conditions cardiac disease diabetes mellitus other endocrine disorders painful shoulder disorders surgery trauma clinica! diagnosis clinîcal presentation coracohumeralligament differential diagnosis epidemiology investigations pathogenesis pathology rehabilitation treatment acquired frozen shoulder conservative management formal rehabilitation injections of cortîcosteroids manipulations under anesthesia 355 primary and secondary frozen shoulder 354 surgical release arthroscopic release 356, coracohumeralligament open release 355, types 349 :. GLAD lesion 136 glenohumeral instability 7-9 glenohumeral cartilage, arthroscopic view 4 - glenohumeral joint arthroscopic anatomy and normal variants , approaches (see there) arthroscopic view photograph of posterior approach 15 Weitbrecht's foramen glenohumeralligament - - ALPSA lesion anterior glenohumeralligament 107 arthroscopîc anatomy and normal variants IGHL (inferior glenohumeral ligament) 107 ligament) SGHL (superior glenohumeral ligament) arthroscopic repairs of shoulder instability 147, 149, 151, IGHL (inferior glenohumeral ligament) 146 MDI (multidirectional instability) 146 ligament) SGHL (superior glenohumeral ligament) 147, 149, 151 arthroscopic view Bankart Iesion (see there) 7, 17,

3 ~=r~ ;-; courses of displaced labrum (see labrum) 7-8 foramen of Rouviere ALPSA lesion 136 GLAD lesion HAGL lesion (humeral avulsion of the glenohumeralligaments) Hill-Sachs-!esion 6, joint capsule and glenohumeral ligament labral degeneration minor shoulder instabilities (see there) ligament), treatment MRI shoulder instability and SLAP lesions IGHL (inferior glenohumeral ligament) 131 ligament) SGHL (superior glenohumeral ligament) multidirectional instability paralabral cysts reverse Bankart lesion 135 RHAGL le sion (reverse humeral avulsion of the glenohumeral ligament) 135 SLAP lesions (superior labrum anterior-to-posterior) glenohumeral stabilization procedure 16 glenoid variants bare spot biceps attachment to the glenoid 10 - chondralchanges fossa - anatomicallandmarks arthroscopic view fractures, arthroscopic reconstruction classification Neviaser portal 369 positioning of the patient requirements surgical technique impingement anterosuperior 270, posterosuperior labrum meniscoid-type labrum MRI anatomy and normal variants graspers 32 greater tuberosity fracture, MRI evaluation 264 ll'l HAGL (humeral avulsion of the glenohumeralligaments) lesion lesions RHAGL le sion 135 half pipe 32, advantages 94 - technical application 91 Hill-Sachs-Iesion - glenohumeralligament 6, 8 - humeral head 103 humeral head 2, anatomicallandmarks 2 variants bare area Hill-Sachs lesion posterior plication 179 hypermobile superior labrum 229 hypermobility tests 201 Ideberg classification of glenoid fractures 366 impaired visualization 98 - blood pressure control 98 - electrocoagulation 98 - intra-articular filling pressure 98 - laser 98 impingement - anterosuperior - extra -articular - - subacromial - - subcoracoid ,274 - interna! 172,195 - intra-articular 270, anterosuperior glenoid impingement 270 posterosuperior glenoid impingement 270, MRI evaluation bursa! changes osseous impingement secondary impingement Neer's impingement test 270 posterosuperior syndromes 253, inferior approach, acromioclavicular joint 97 insertion mechanisms in bone straight insertion 49 inside-out technique 8o, 81 instrumentation in shoulder arthroscopy 31-37,341 electrica! (see there) fraises half pipe 32, 91-94, special tools for arthroscopic rotator cuff repair 309 interna! impingement 172, 195 irrigation and pump systems K. knifes/knife blades, different 33 knots - arthroscopic knot-tying techniques mistakes Roeder knot simple slider knot non-sliding Revo knot 61 - outback not 67 - sliding locking sliding knots 63 SMC knot 63, Tennessee slider L labral debridement 235, 250 labrum tears/displaced labrum, glenohumeral instability chronic anterior glenohumeral dislocation 8 - displaced buckle-handle labrum 8 - minor shoulder instabilities anterior-inferior labrum lesions SLAC (superiorlabrum-anterior cuff) lesion 169 landmarks 75 laser-assisted capsular shrinkage (LACS) 250 lateral - decubitus position subacromial approach 96 light - cables 44 - source 42 liquid reservoir 38 loose body removal 15 V magnetic resonance imaging (see MRI) , ligament) , arthroscopic repairs of shoulder instability microinstability, arthroscopic repair historical perspective and results operative technique SLAC (superior labrum-anterior cuff) lesion 169 minor shoulder instabilities anatomical-pathological findings 195 anterior-inferior labrum lesions 198 axillary pouch capsular stretch 199 inferior glenohumeralligament lesions 199

4 $ti ~~lt't't -: :-:-: :-: :-:-: :-: :-:-: :-: : :-: :-: : :-: :-: : : : : middle glenohumeralligament lesions 198 posterior-inferior capsule retraction 199 posterior-superior labrum lesions 196 SLAP lesions (superior labrum lesions) 196, supraspinatus tendon lesions classification atraumatic minor instabilities traumatic minor instabilities clinica! exam clinica! tests 200 hypermobility tests provocative tests range-of movement evaluation diagnosis - etiology imaging postoperative treatment surgical technique ligament) treatment 206 rotator interval treatment MR arthrography 128-3D MRI from an intra-articular perspective rotator cuff tears technique theory 128 MRI (magnetic resonance imaging) of the shoulder , coils (see there) 119-3D MRI from an intra-articular perspective equipment field of view indications MRI evaluation of the rotaror cuff, acromioclavicular joint and bursa acromioclavicular joint adhesive capsulitis balanced tears biceps pathology (see there) calcific tendinitis evaluation of the postoperative cuff greater tuberosity fracture impingement (see there) osteochondromatosis rotator cuff arthropathy rotator cuff tears rotator cuff tear size and atrophy 260 lesions glenohumeralligaments (see there) labral pathology specific injuries MRI shoulder protocol normal anatomy and normal variants Buford complex glenoid labrum rotator cuff sublabral foramen principles proton-density weighted image quality radiologic interpretations of rotator cuff, acromioclavicular joint and bursa saturation sequences spin-echo imaging T 1-weighted image T 2-weighted image 118 N Neer's impingement test 270 Neviaser portal - cranial approach glenoid fractures 369 normal variants Buford complex sublabral hole n optica! equipment orthopaedic associates of portland SLAP rehabilitation protocol 243 os acromiale 113, , 285 osteochondrallesion of the glenoid 136 osteochondritis 9 osteochondromatosis, MRI evaluation 267 osteophyte - clavicular subacromial 285 outside technique 8o, 84 p palpating instrument 32 parachute 53 paralabral cysts, ganglion pe el back mechanism 194, 231 port of Wilmington 240 posterior instability, arthroscopic repair , glenoid chondral changes labral tears operative indications operative technique patient positioning postoperative management/care 169,189 - procedure stabilization surgical technique technical equipment 180 posteroinferior instability pouch 178 posterosuperior impingement proton-density weighted image 118 pulley lesions , diagnostic evaluation operative technique operative treatment pathoanatomy and pathogenesis postoperative rehabilitation pulley system repair of partial tears of the supraspinatus tendon rotator interval closure SGHL (superior glenohumeral ligament) subscapular repair supraspinatus partial tear 219 pump and irrigation systems anatomy of a modern pumping system 40 - cannula systems gravity-depending systems 39 - mechanical pumping units 39 - suction system 40 punches, arthroscopic 33, radiofrequency - instruments 98 - thermal probe 180 radio logic interpretations, MRI 121 reverse Bankart lesion 135 Revo knot 61 RHAGL (reverse humeral avulsion of the glenohumeralligament) lesion 135 rheumatoid - arthritis - synovitis rotator cable crescent cuff tears 11, variants arthroscopic rotator cuff repair, bursal-sided treatment acromial shapes acromial thickness coplaning cutting block technique half pipe special tools subacromial decompression arthroscopic rotator cuff repair, full thickness treatment bursal-flap tears bursal-sided tears interval slide 319

5 ~=;=;=; ljl postoperative care side-to-side or convergence sutures U-shaped tears calcific tendinitis, arthroscopic treatment (see there) capsule classification, Southern California Orthopedic Institute (SCOl) rotator cuff 312 cuff disease cuff repair 18 infraspinatus 107, 109 MR arthrography 255 MRI anatomy and normal variants MRI evaluation full-thickness tears partial-thickness tears rotator cuff arthropathy 264 subacromial space (see there) subscapularis supraspinatus , synovium 11 tendo teres minor muscle 107 undersurface, arthroscopic view 11 - intervallesions (RI lesions) 103, 172, 196 arthroscopic anatomy and normal variants 103 capsular interval 182 closure 182 coracohumeralligament (CHL) 103, 149, 172 minor shoulder instability 196 pulley lesions closure rotator interval closure treatment Rouviere, foramen of 106 ;; saturation sequences 118 scalpels, arthroscopic scapula winging 177 SCOICLAS 20 scissors, arthroscopic 33 secure portal system (SPS) 85 SGHL (superior glenohumeralligament) ,147, 149, 151, 172, 213 variants arthroscopic repairs of shoulder instability 147,149, 151 lesions pulley lesions 220 shavers shoulder - arthroscopy - struggles and successes surgery, arthroscopic learning anterolateral view 102 SLAC (superior labrum-anterior cuff) lesion 169 SLAP lesions (superior labrum anterior-to-posterior lesions) arthroscopic treatment classification diagnosis glenohumeral instability hypermobile superior labrum meniscoid superior labrum minor shoulder instabilities 196 lesions pitfalls difficult suture passage inadequate suture anchor fixation 242 poor portal placement 242 suture breakage suture entanglement rehabilitation orthopaedic associates of portland SLAP rehabilitation protocol SLAP II lesion subtypes treatment arthroscopic superior labral debridement diagnostic arthroscopy patient set-up portal placement superior labral repair SMC knot 63, soft spot 14, 78,246 Southern California Orthopedic Institute (SCOl) rotator cuff 312 spin-echo imaging 118 subacromial - approaches anterior dorsal lateral 96 - ASD (arthroscopic subacromial decompression; see ASD) bursa debridement decompression impingement osteophyte space 12-14,112,115 arthroscopic anatomy and normal variants 115 coracoacromialligament 112 subcoracoid impingement 270, 274 sublabral - foramen 126, atraumatic minor instability MRI anatomy and normal variants hole uo-111, 231 subscapular - recess variants repair, pulley lesions subscapularis tears MRI evaluation partial tear 218 sulcus sign 183 superior - approach, acromioclavicular joint 97 - labrum - - anterior-to-posterior lesions (see SLAP lesions) ,196 confiuent with articular cartilage of the glenoid 229 supraspinatus - outlet view tendon relationship to long biceps tendon 283 surgical approaches suture material - arthroscopic view 17 - bioabsorbable suture 17 suture - anchors (see also anchors) performance and failure 54 material 59 - bioresorbable 59 - braided 59 monofilamentous non-bioresorbable 59 swelling (massive) after shoulder arthroscopy 98 switching stick 38 synovitis, rheumatoid 9 T T 1-weighted image 118 T 2-weighted image 118 Tennessee slider tenodesis, biceps thermal - capsular shrinkage, frozen shoulder capsuloraphy 161 transcutaneous approach, acromioclavicular joint 97 traumatic minor shoulder instabilities ,J ultrasling 190 "1 vacuum mattress 27

6 ;: ~'n:r~lt't't -: :-:-: :-: :-:-: :-: :-:-: :-: : :-: :-: : :-: :-: : : : : Vi Walch syndrome 275 Weitbrecht's foramen 114 Wilmington-port 240 Wissinger-rod 38 7 Zanca view 340

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