ArthroS CASE DESCRIPTIONS SHOULDER MODULE
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1 ArthroS CASE DESCRIPTIONS SHOULDER MODULE Last update: November 2013
2 VIRTAMED ARTHROS TM SHOULDER BASIC SKILLS CASES (1/2) Guided Diagnostics I: Glenohumeral Healthy right shoulder Guided inspection of glenohumeral Guided Diagnostics II: Subacromial Healthy right shoulder Guided inspection of the subacromial Triangulation I Locate virtual spheres in the glenohumeral Touch all the spheres with the hook for two seconds Triangulation II Locate the virtual spheres in the subacromial Touch all the spheres with the hook for two seconds Triangulation III Locate the virtual rings in the glenohumeral Place the hook inside the rings for two seconds Triangulation IV Locate the virtual rings in the glenohumeral Place the hook inside the rings for two seconds in the glenohumeral and how to visualize the most important in the subacromial and how to visualize the most important and hook in the glenohumeral whilst avoiding cartilage damage and hook in the subacromial and hook in the glenohumeral whilst avoiding cartilage damage and hook in the subacromial 2
3 VIRTAMED ARTHROS TM SHOULDER BASIC SKILLS CASES (2/2) Catch the stars I Locate the virtual stars in the glenohumeral Use the grasper to remove the stars Catch the stars II Locate the virtual stars in the glenohumeral Use the grasper to remove the stars Guided subacromial decompression I* Guided resection of the acromion supported by step by step instructions Guided subacromial decompression II* Guided bursectomy, debridement and resection of the acromion supported by step by step instructions and grasper in the glenohumeral whilst avoiding cartilage damage and grasper in the subacromial Learn to identify a impingement syndrome and get familiar with the entire procedure for a subacromial decompression Learn how to use the acromionizer for the decompression Learn to identify a impingement syndrome and get familiar with the entire procedure for a subacromial decompression Learn how to use shaver and acromionizer for the decompression * Not yet available 3
4 VIRTAMED ARTHROS TM SHOULDER DIAGNOSTIC CASES (1/2) Diagnostic I Healthy right glenohumeral Labrum and biceps tendon can be palpated Diagnostic II Healthy right subacromial Diagnostic III Acromion with bony hook Superficial rotator cuff tear Diagnostic IV Superficial calcification of the rotator cuff Acromion with bony hook Diagnostic V* Bankart lesion Labrum can be palpated Diagnostic VI* SLAP type II lesion Detached labrum can be palpated Diagnostic VII* Transmural crescent shaped rotator cuff tear in the shoulder and how to in the shoulder and how to in the shoulder and how to in the shoulder and how to in the shoulder and how to in the shoulder and how to in the shoulder and how to 4
5 VIRTAMED ARTHROS TM SHOULDER DIAGNOSTIC CASES (2/2) Diagnostic VIII* Loose bodies in glenohumeral Degenerative changes of acromioclavicular Diagnostic IX* SLAP Type III lesion Arthrosis on humerus head Diagnostic X* Incomplete rotator cuff tear Biceps tendon dislocation in the shoulder and how to in the shoulder and how to in the shoulder and how to * Not yet available 5
6 VIRTAMED ARTHROS TM SHOULDER SURGICAL CASES Subacromial debridement Use shaver to debride soft tissue/ bursitis from the subacromial Learn to navigate the camera and shaver at the same time Learn to perform a subacromial debridement Subacromial decompression I Locate the hook on the acromion Use acromionizer burr to resect the part of the acromion causing impingement Subacromial decompression II* Perform a subacromial bursectomy Locate the hook on the acromion Use acromionizer burr to resect the part of the acromion causing impingement Loose body removal Locate the loose bodies in the glenohumeral Use the grasper to remove the loose bodies Removal of rotator cuff calcification* Identify the rotator cuff calcification Use the shaver to remove the calcification Learn to navigate the camera and shaver at the same time Learn to perform a subacromial decompression Learn to navigate the camera and shaver at the same time Learn to perform a subacromial bursectomy and debridement Learn to find and identify loose bodies in the glenohumeral Learn to remove the floating particles using the grasper Learn to find and identify a superficial rotator cuff calcification Learn to remove the calcification using the shaver AC resection* Use the shaver and acromionizer burr to resect the AC arthritis Learn to perform a AC resection Rotator cuff tear debridement* Identify the incomplete rotator cuff tear Perform a debridement to prepare for further repair Learn to find and identify the rotator cuff tear Learn to use the shaver to perform a debridement. * Not yet available V_13_11 6
VirtaMed ArthroS Module descriptions. VirtaMed AG Rütistr. 12, 8952 Zurich Switzerland Phone:
VirtaMed ArthroS Module descriptions VirtaMed AG Rütistr. 12, 8952 Zurich Switzerland info@virtamed.com www.virtamed.com Phone: +41 44 500 9690 Table of contents FAST module... 3 Module description...
VirtaMed ArthroS Module descriptions. VirtaMed AG Rütistr. 12, 8952 Zurich Switzerland Phone:
VirtaMed ArthroS Module descriptions VirtaMed AG Rütistr. 12, 8952 Zurich Switzerland info@virtamed.com www.virtamed.com Phone: +41 44 500 9690 Table of contents Table of contents... 1 FAST module... 3
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, Subject Index. 8o-88 83
, 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 339-347
Acromioplasty, Mumford, Biceps What s the Indication with Rotator Cuff Tears?
Acromioplasty, Mumford, Biceps What s the Indication with Rotator Cuff Tears? James C. Esch MD Oceanside, CA Consultant Smith & Nephew Endoscopy Financial Disclosure You just finished a cuff repair using
Shoulder joint Assessment and General View
Shoulder joint Assessment and General View Done by; Mshari S. Alghadier BSc Physical Therapy RHPT 366 m.alghadier@sau.edu.sa http://faculty.sau.edu.sa/m.alghadier/ Functional anatomy The shoulder contains
The Cryo/Cuff provides two functions: 1. Compression - to keep swelling down. 2. Ice Therapy - to keep swelling down and to help minimize pain. Patients, for the most part, experience less pain and/or