Objectives. Coracoid Fractures in Football: Evaluation and Management. Objectives. Introduction 5/8/2017
|
|
- Austin Crawford
- 5 years ago
- Views:
Transcription
1 Objectives Coracoid Fractures in Football: Evaluation and Management Discuss operative and non-operative management of coracoid fractures Chris Warrell, M.D. Orthopaedic Sports Medicine Fellow Andrews Institute April 27, 2017 Objectives Put coracoid fractures on your radar Discuss common associated injuries Review recent NFL experience Generate thought, discussion Introduction Rare injury 1% of all fractures, 5% of shoulder fractures? increasing Reported in trauma literature No comparative studies Little-to-no information about athletes No guidelines for treatment or return to play EyresKS, Brooks A, Stanley D. Fractures of the coracoid process. JBJS [Br] 1995;77-B:425-8 Anatomy Anatomy 1
2 Anatomy Classification Attachments Eyres(I-V) & Ogawa (I & II) EyresKS, Brooks A, Stanley D. Fractures of the coracoid process. JBJS [Br] 1995;77-B:425-8 Direct impact to anterolateral shoulder Similar to acromioclavicular separation Previous Surgery Growing risk? Previous Surgery Growing risk? 2
3 Associated Injuries Superior Shoulder Suspensory Complex (SSSC) Associated Injuries Less Common Subscapularis injury* Shoulder instability Neurologic injury Suprascapular nerve Brachial plexus Glenoid fracture Rotator cuff tear Hill BW, Jacobson AR, AnavianJ et al. Surgical management of coracoid fractures: Technical Tricks and Clinical Experience. J OrthopTrauma 2014;28:e Evaluation High index of suspicion Exam Tenderness Biceps tests Speed s Yergeason s Cross-body adduction Standard shoulder X-ray series AP, Axillary, Scapular-Y Special X-ray views Cephalad Tilt / Serendipity View Computed Tomography (CT) Gold standard 3D recon ProtassJJ, StapfliFV, OsmerJC. Coracoid process fracture diagnosis in acromioclavicular separation. Radiology. 1975;116:61-64 ProtassJJ, StapfliFV, OsmerJC. Coracoid process fracture diagnosis in acromioclavicular separation. Radiology. 1975;116:
4 Magnetic Resonance (MRI) Not necessary for fracture diagnosis Helpful for diagnosis of associated injuries Management Overview All information from trauma literature No comparative studies Heterogeneous treatment Conflicting results Good and bad outcomes with nonoperative tx Little-to-no information on athletes Better outcomes with early diagnosis ProtassJJ, StapfliFV, OsmerJC. Coracoid process fracture diagnosis in acromioclavicular separation. Radiology. 1975;116:61-64 Hill BW, Jacobson AR, AnavianJ et al. Surgical management of coracoid fractures: Technical Tricks and Clinical Experience. J OrthopTrauma 2014;28:e AnavianJ, WijdicksCA, Schroder LK, et al. Surgery for scapula process fractures. ActaOrthopaedica2009;80(3): Management Nonoperative Indications Minimally displaced Type I fractures All Type II fractures No additional displaced injuries of the SSSC Sling or shoulder immobilizer x 4-6 weeks Similar protocol to AC/Clavicle fx Close follow-up with imaging Consider repeat advanced imaging at 2-4 weeks Hill BW, Jacobson AR, AnavianJ et al. Surgical management of coracoid fractures: Technical Tricks and Clinical Experience. J OrthopTrauma 2014;28:e AnavianJ, WijdicksCA, Schroder LK, et al. Surgery for scapula process fractures. ActaOrthopaedica2009;80(3): Management Operative Indications Painful nonunion Type I with >1cm displacement Multiple displaced injuries of SSSC Open reduction internal fixation Screw(s) Injured Week 1 of 2016 NFL Regular Season Direct impact to non-throwing shoulder Stayed in game Initially diagnosed with shoulder sprain 4
5 5 weeks out 12 weeks out Placed on Injured Reserve Cleared to return to play Week 13 of Regular Season (12/1/16) Did not return during 2016 season Currently a free agent Injured Week 3 of 2016 NFL Preseason Awkward fall ; Landed on elbow, jammed shoulder Removed from game Initially diagnosed with shoulder sprain 5
6 4 weeks out 12 weeks out Placed on Injured Reserve Cleared to return to play Week 12 of Regular Season (11/27/17) Did not return during 2016 season Currently a free agent 6
7 Summary Rare injury, potentially growing incidence Associated injuries common High index of suspicion needed for diagnosis Advanced imaging necessary Early diagnosis associated with improved outcomes Further study needed to guide management in contact athletes Resources Hill BW, Jacobson AR, Anavian J, et al. Surgical management of coracoid fractures: technical tricks and clinical experience. J OrthopTrauma. 2014;28(5):e Kawasaki Y, Hirano T, Miyatake K, et al. Safety screw fixation technique in a case of coracoid base fracture with acromioclavicular dislocation and coracoid base cross-sectional size data from a computed axial tomography study. Arch OrthopTrauma Surg.2014;134(7): Terra BB, EinismanB, de FigueiredoEA, et al. Anatomic study of the coracoid process: safety margin and practical implications. Arthroscopy. 2013;29(1): VaientiE, PogliacomiF. Delayed diagnosis of isolated coracoid process fractures: results of 9 cases treated conservatively. Acta Biomed.2012;83(2): Ogawa K, Matsumura N, Ikegami H. Coracoid fractures: therapeutic strategy and surgical outcomes. J Trauma Acute Care Surg. 2012;71(2):E DiPaolaM, MarchettoP. Coracoid process fracture with acromioclavicular joint separation in an American football player: a case report and literature review. Am J Orthop. 2009;38(1): Anavian J, WijdicksCA, Schroder LK, et al. Surgery for scapula process fractures: good outcomes in 26 patients. Acta Orthop. 2009;80(3): ThamA, Purchase R, Kelly JD 4 th. The relation of the coracoid process to the glenoid: an anatomic study. Arthroscopy. 2009;25(8): Salzmann GM, Paul J, SandmannGH, et al. The coracoid insertion of the coracoclavicular ligaments: an anatomic study. Am J Sports Med. 2008;36(12): Resources Pan WJ, TeoYS, Chang HC, et al. The relationship of the lateral cord of the brachial plexus to the coracoid process during arthroscopic coracoid surgery: a dynamic cadaveric study. Am J Sports Med. 2008;36(10): Rios CG, ArcieroRA, MazzoccaAD. Anatomy of the clavicle and coracoid process for reconstruction of the coracoclavicular ligaments. Am J Sports Med. 2007;35(5): Lo IK, Burkhart SS, PartenPM. Surgery about the coracoid: neurovascular structures at risk. Arthroscopy. 2004;20(6): EyresKS, Brooks A, Stanley D. Fractures of coracoid process. J Bone Joint SurgBr May;77(3): Martin-Herrero T, Rodriguez-MerchanC, Munuera-Martinez L. Fractures of the coracoid process: presentation of seven cases and review of the literature. J Trauma. 1990;30(12) ProtassJJ, StapfliFV, OsmerJC. Coracoid process fracture diagnosis in acromioclavicular separation. Radiology. 1975;116:
Shoulder Injuries. Glenoid labrum injuries. SLAP Lesions
Shoulder Injuries functional anatomy clinical perspective impingement rotator cuff injuries glenoid labrum injuries dislocation Glenoid labrum injuries SLAP lesions stable or unstable traction/compression
More informationAcute Orthopaedic Injuries Developing a Diagnostic Approach to the Shoulder
Acute Orthopaedic Injuries Developing a Diagnostic Approach to the Shoulder WWW.FISIOKINESITERAPIA.BIZ Overview To be able to quickly categorize shoulder injuries To take appropriate history and conduct
More informationThe Shoulder. Anatomy and Injuries PSK 4U Unit 3, Day 4
The Shoulder Anatomy and Injuries PSK 4U Unit 3, Day 4 Shoulder Girdle Shoulder Complex is the most mobile joint in the body. Scapula Clavicle Sternum Humerus Rib cage/thorax Shoulder Girdle It also includes
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 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 informationThe Shoulder Complex. Anatomy. Articulations 12/11/2017. Oak Ridge High School Conroe, Texas. Clavicle Collar Bone Scapula Shoulder Blade Humerus
The Shoulder Complex Oak Ridge High School Conroe, Texas Anatomy Clavicle Collar Bone Scapula Shoulder Blade Humerus Articulations Sternoclavicular SC joint. Sternum and Clavicle. Acromioclavicular AC
More informationIndex. B Backslap technique depth assessment, 82, 83 diaphysis distal trocar, 82 83
Index A Acromial impingement, 75, 76 Aequalis intramedullary locking avascular necrosis, 95 central humeral head, 78, 80 clinical and functional outcomes, 95, 96 design, 77, 79 perioperative complications,
More informationSuprascapular Nerve: How to identify when it is a problem and what to do? Speaker Disclosure
Suprascapular Nerve: How to identify when it is a problem and what to do? Eric C. McCarty, MD Associate Professor Chief of Sports Medicine and Shoulder Surgery University of Colorado School of Medicine
More informationI (and/or my co-authors) have something to disclose.
Shoulder Anatomy And Biomechanics Nikhil N Verma, MD Director of Sports Medicine Professor, Department of Orthopedics Rush University Team Physician, Chicago White Sox and Bulls I (and/or my co-authors)
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 informationBiceps Tendon Rupture
Disclaimer This movie is an educational resource only and should not be used to manage Orthopaedic Health. All decisions about Biceps Tendon Rupture must be made in conjunction with your Physician or a
More informationThe Scapula and Shoulder Girdle How it impacts operative and Non-operative treatment. Klaus Bak, MD, COO
The Scapula and Shoulder Girdle How it impacts operative and Non-operative treatment Klaus Bak, MD, COO Introduction Basic knowledge: The continuous cooperation between the four joints of the shoulder
More informationRecurrent Shoulder Dislocation.
Recurrent Shoulder Dislocation www.fisiokinesiterapia.biz Anatomy of the Shoulder Shoulder Dislocations Case Study Rehabilitation Pick List Anatomy of the Shoulder Articulations Sternoclavicular Acromioclavicular
More informationScapular and Deltoid Regions
M1 Gross and Developmental Anatomy Scapular and Deltoid Regions Dr. Peters 1 Outline I. Skeleton of the Shoulder and Attachment of the Upper Extremity to Trunk II. Positions and Movements of the Scapula
More informationDisclosure. Traumatic Anterior Shoulder Instability 7/23/2018. Orthopaedics for the Primary Care Practitioner & Rehabilitation Therapist
Orthopaedics for the Primary Care Practitioner & Rehabilitation Therapist Christopher E. Baker M.D. Sports Medicine Shoulder Reconstruction Traumatic Anterior Shoulder Instability Disclosure Speaking/Consulting
More informationDisclosure Statement. Acromioclavicular (AC) Joint
Michael D. Loeb. M.D. Texas Orthopedics, Sports Medicine, and Rehabilitation Associates, P.A. Austin, Texas Disclosure Statement NO INTERESTS PERTAINING TO INFORMATION GIVEN IN THIS PRESENTATION Acromioclavicular
More informationHAGL lesion of the shoulder
HAGL lesion of the shoulder A 24 year old rugby player presented to an orthopaedic surgeon with a history of dislocation of the left shoulder. It reduced spontaneously and again later during the same match.
More informationMUSCLES OF SHOULDER REGION
Dr Jamila EL Medany OBJECTIVES At the end of the lecture, students should: List the name of muscles of the shoulder region. Describe the anatomy of muscles of shoulder region regarding: attachments of
More informationShoulder Labral Tear and Shoulder Dislocation
Shoulder Labral Tear and Shoulder Dislocation The shoulder joint is a ball and socket joint with tremendous flexibility and range of motion. The ball is the humeral head while the socket is the glenoid.
More informationFootball and netball season A review of the apophysis and the acute shoulder: assessment. Simon Locke Sport and Exercise Physician
Football and netball season A review of the apophysis and the acute shoulder: assessment Simon Locke Sport and Exercise Physician Apophyseal injuries; How to diagnose and manage? Goals for tonight Recognise
More informationPage 1. Shoulder Injuries in Sports.
www.schulterteam.ch Shoulder Injuries in Sports Matthias A Zumstein Shoulder, Elbow and Orthopaedic Sports Medicine Department of Orthopedic Surgery and Traumatology University of Berne, Switzerland matthias.zumstein@insel.ch
More informationFractures of the shoulder girdle, elbow and fractures of the humerus. H. Sithebe 2012
Fractures of the shoulder girdle, elbow and fractures of the humerus H. Sithebe 2012 Fractures of the Clavicle (mid-shaft). Fractures of the clavicle Fractures of the clavicle Treatment- conservative.
More informationThe shoulder that won t get better.
The shoulder that won t get better. www.fisiokinesiterapia.biz Shoulder Injuries Acute Chronic Acute shoulder injuries Instability Labral pathology (SLAP lesions) Fractures (clavicle, scapula, humerus)
More informationShoulder Trauma (Fractures and Dislocations)
Shoulder Trauma (Fractures and Dislocations) Trauma to the shoulder is common. Injuries range from a separated shoulder resulting from a fall onto the shoulder to a high-speed car accident that fractures
More informationIncidence of traumatic axillary nerve injury after glenohumeral dislocation and fractures of the proximal humerus in Mansoura Emergency Hospital
Incidence of traumatic axillary nerve injury after glenohumeral dislocation, El Sllab and Selim MD. 93 Incidence of traumatic axillary nerve injury after glenohumeral dislocation and fractures of the proximal
More informationWorker's Compensation Shoulder Practices
Worker's Compensation Shoulder Practices Aimee S. Klapach Orthopedic Surgeon; Knee, Shoulder, & Sports Medicine Sports & Orthopaedic Specialists, part of Allina Health Minnesota Department of Labor and
More informationSubacromial Impingement (diagnostic methods )
Subacromial Impingement (diagnostic methods ) M.N. Naderi Fellowship in shoulder and arthroscopic surgery Neer : Definition Impingement on the tendinous portion of the rotator cuff by the coracoacromial
More informationA Patient s Guide to Shoulder Dislocations
A Patient s Guide to Shoulder Dislocations 20295 NE 29th Place, Ste 300 Aventura, FL 33180 Phone: (786) 629-0910 Fax: (786) 629-0920 admin@instituteofsports.com DISCLAIMER: The information in this booklet
More informationManagement of Massive/Revision Rotator Cuff Tears
Management of Massive/Revision Rotator Cuff Tears Nikhil N. Verma MD, Director Sports Medicine, Rush University Medical Center, Midwest Orthopedics at Rush, Chicago, IL nverma@rushortho.com I. Anatomy
More informationAC Separations & Distal Clavicle Fractures. Joshua M. Abzug, MD
AC Separations & Distal Clavicle Fractures Joshua M. Abzug, MD Introduction Account for 10-30% of pediatric clavicle fxs Result of direct blow to shoulder or fall onto distal clavicle Mechanism Collision
More informationIndex. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Abduction pillow, ultrasling, 880, 881, 882, 883 Adolescents, shoulder instability in. See Shoulder, instability of, pediatric and adolescent.
More informationAcute Management of Shoulder Dislocation. Mr. Paul Halliwell Royal Surrey County Hospital, Guildford.
Acute Management of Shoulder Dislocation Mr. Paul Halliwell Royal Surrey County Hospital, Guildford. Acute: Injury to rehab. Management: Hx, O/E, x-ray, Rx Shoulder: Glenohumeral Dislocation: Complete
More informationIpsilateral Nonunions of the Coracoid Process and Distal Clavicle
33 Ipsilateral Nonunions of the Coracoid Process and Distal Clavicle Rare Shoulder Girdle Fracture Pattern David E. Ruchelsman, M.D., Dimitrios Christoforou, M.D., and ndrew S. Rokito, M.D. bstract Coracoid
More informationAssessment of Approximate Glenoid Size in Thai People
Assessment of Approximate Glenoid Size in Thai People J Med Assoc Thai 2014; 97 (Suppl. 2): S14-S18 Full text. e-journal: http://www.jmatonline.com Pason Phonphok MD*, Nattha Kulkamthorn MD* * Division
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 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 informationManagement of Anterior Shoulder Instability
Management of Anterior Shoulder Instability Angelo J. Colosimo, MD Head Orthopaedic Surgeon University of Cincinnati Athletics Director of Sports Medicine University of Cincinnati Medical Center Associate
More informationShoulder injuries: Early surgery or not? Prof. Lars Engebretsen, Head of Scientific Activities
Shoulder injuries: Early surgery or not? Prof. Lars Engebretsen, Head of Scientific Activities Sport shoulder injuries that may need ACUTE surgery some clavicle, and displaced intraarticular fractures
More informationRehabilitation Guidelines for Labral/Bankert Repair
Rehabilitation Guidelines for Labral/Bankert Repair 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 informationPOSTERIOR INSTABILITY OF THE SHOULDER Vasu Pai
POSTERIOR INSTABILITY OF THE SHOULDER Vasu Pai Posterior instability is less common among cases of shoulder instability, accounting for 2% to 10% of all cases of instability. More common in sporting groups:
More informationShoulder Arthroscopy Portals
Shoulder Arthroscopy Portals Alper Deveci and Metin Dogan 7 7.1 Bony Landmarks Before starting shoulder arthroscopy, the patient must be positioned and draping applied. Then the bony landmarks are identified
More informationShoulder Instability and Tendon Injuries
Shoulder Instability and Tendon Injuries Shoulder Update Spire Hospital Leeds November 2017 Simon Boyle Consultant Shoulder and Elbow Surgeon Simon Boyle York and Leeds Nuffield Trained in Yorkshire, Annecy,
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 informationShoulder examination. P Sripathi Rao Arthroscopy & Sports Injuries Unit Dean, Kasturba Medical College
Shoulder examination P Sripathi Rao Arthroscopy & Sports Injuries Unit Dean, Kasturba Medical College Manipal University, Manipal Common symptoms Tingling Numbness Pain Loss of movements Weakness Approach
More informationThe Cryo/Cuff provides two functions: 1. Compression - to keep swelling down. 2. Ice Therapy - to keep swelling down and to help minimize pain. Patien
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
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 information1 Injuries of Upper Limb
1 Injuries of Upper Limb - Clavicle fractures - Acromioclavicular joint injuries - Sternoclavicular joint dislocation - Scapula fractures - Scapulothoracic dissociation - Proximal humerus fractures - Humeral
More informationSHOULDER ANATOMY Karl Wieser, MD Department of Orthopedics, University of Zurich, Balgrist, Switzerland
20th Course in Shoulder Surgery Balgrist SHOULDER ANATOMY Karl Wieser, MD Department of Orthopedics, University of Zurich, Balgrist, Switzerland www.balgrist.ch ANATOMY OVERVIEW courtesy of Georg Lajtai
More informationwww.fisiokinesiterapia.biz Shoulder Problems Fractures Instability Impingement Miscellaneous Anatomy Bones Joints / Ligaments Muscles Neurovascular Anatomy Anatomy Supraspinatus Anterior Posterior Anatomy
More informationManagement of Grade III-V Symptomatic AC Injuries
Grade III-V AC Injuries Acromioclavicular Joint Injuries Management of Grade III-V Symptomatic AC Injuries Sean Grey MD Orthopaedic Center of the Rockies Fort Collins, Colorado Unsolved Problem Controversy:
More informationP V S MEMORIAL HOSPITAL LTD.
SHOULDER XRAYS Instability Series o True AP (Grashey s) o Axillary o Stryker Notch view o True AP in Internal rotation o Scapular Y view o West Point view for Bony Bankart ( looks like modif axillary view)
More informationChapter 53 - Shoulder Episode Overview
Chapter 53 - Shoulder Episode Overview 1. List 3 views of shoulder 2. Describe the sensory and motor components of the brachial plexus 3. List 6 indications for orthopedic consultation for clavicle fractures
More informationAdult Reconstruction Hip Education Tracks
Adult Reconstruction Hip Education Tracks Adult Reconstruction Hip Track for the Specialist - HIP1 ICL 281 A Case-based Approach to High Risk Total Hip - When Do I Do Something Differently? ICL 241 The
More informationUpper extremity. Part I
Part I Upper extremity 1 Fractures of the clavicle Peter V. Giannoudis 1.1 OPEN REDUCTION AND INTERNAL FIXATION (ORIF) OF MIDSHAFT FRACTURES Indications (a) Open fractures. (b) Painful non-union. (c) Associated
More informationChronic Shoulder Instability
Chronic Shoulder Instability The shoulder is the most moveable joint in your body. It helps you to lift your arm, to rotate it, and to reach up over your head. It is able to turn in many directions. This
More information"Stability and Instability of RTSA"
Orthopedics Update «Reverse Total Shoulder Arthroplasty» Stability and Instability of RTSA A. LÄDERMANN Orthopaedics and Traumatology, La Tour Hospital, Meyrin, Switzerland Orthopaedics and Traumatology,
More informationOrthopaedic and Spine Institute 21 Spurs Lane, Suite 245, San Antonio, TX Tel#
Orthopaedic and Spine Institute 21 Spurs Lane, Suite 245, San Antonio, TX 78240 www.saspine.com Tel# 210-487-7463 PATIENT GUIDE TO SHOULDER INSTABILITY LABRAL (BANKART) REPAIR / CAPSULAR SHIFT WHAT IS
More informationShoulder Instability
J F de Beer, K van Rooyen, D Bhatia Shoulder Instability INSTABILITY means that the shoulder dislocates completely (dislocation) or partially (subluxation). Anatomy The shoulder consists of a ball (humeral
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 informationOrthopedics - Dr. Ahmad - Lecture 2 - Injuries of the Upper Limb
The shoulder and the upper arm Fractures of the clavicle 1. Fall on the shoulder. 2. Fall on outstretched hand. In mid shaft fractures, the outer fragment is pulled down by the weight of the arm and the
More informationAcu-Sinch Repair System. Technical Monograph
Acu-Sinch Repair System Technical Monograph Acumed is a global leader of innovative orthopaedic and medical solutions. We are dedicated to developing products, service methods, and approaches that improve
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 informationSuprascapular Nerve Entrapment: Technique for Arthroscopic Release
Techniques in Shoulder and Elbow Surgery 7(2):000 000, 2006 R E V I E W Suprascapular Nerve Entrapment: Technique for Arthroscopic Release Peter J. Millett, MD, MSc Steadman Hawkins Clinic, Vail, CO Harvard
More informationShoulder Pain: Diagnosis and Management
Shoulder Pain: Diagnosis and Management Thomas J. Gill, M.D. Director, Boston Sports Medicine and Research Institute Associate Professor of Orthopedic Surgery Tufts Medical School www.bostonsportsmedicine.com
More informationCase Report Avulsion Fracture of the Coracoid Process at the Coracoclavicular Ligament Insertion: A Report of Three Cases
Case Reports in Orthopedics Volume 2016, Article ID 1836070, 5 pages http://dx.doi.org/10.1155/2016/1836070 Case Report Avulsion Fracture of the Coracoid Process at the Coracoclavicular Ligament Insertion:
More informationAnatomy of the Musculoskeletal System
Anatomy of the Musculoskeletal System Kyle E. Rarey, Ph.D. Department of Anatomy & Cell Biology and Otolaryngology University of Florida College of Medicine Outline of Presentation Vertebral Column Upper
More informationThe Athlete s Shoulder
The Athlete s Shoulder Lennard Funk lenfunk@shoulderdoc.co.uk Decision Making NORMATIVE evidence base COGNITIVE environmental PSYCHOLOGICAL individual needs, bias, preferences, values Three P s 1. Major
More informationComparisons of shoulder function after treatment of floating shoulder injuries with different methods.
Biomedical Research 2017; 28 (5): 2320-2326 ISSN 0970-938X www.biomedres.info Comparisons of shoulder function after treatment of floating shoulder injuries with different methods. Qing Zhou, Bo Chen,
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 informationThis presentation is the intellectual property of the author. Contact them at for permission to reprint and/or distribute.
January 19, 2012 John W. Hinchey, MD Dept of Orthopaedic Surgery Shoulder & Elbow Service This live activity is designated for a maximum of 1 AMA PRA Category 1 Credit tm. Physicians should claim only
More informationCurrent Controversies in Shoulder Surgery:
Current Controversies in Shoulder Surgery: Shoulder Instability Rotator Cuff Injury and Repair Reverse Shoulder Arthroplasty Brian Feeley, MD UC San Francisco Sports Medicine and Shoulder Surgery Disclosures
More informationIntroduction & Question 1
Page 1 of 7 www.medscape.com To Print: Click your browser's PRINT button. NOTE: To view the article with Web enhancements, go to: http://www.medscape.com/viewarticle/424981 Case Q & A Shoulder Pain, Part
More informationPediatric Upper Extremity Injuries. Andrew Westbrook, DO
Pediatric Upper Extremity Injuries Andrew Westbrook, DO Case #1 12 yo male who presents to sports medicine clinic due to right shoulder pain Pain started 3 days ago during a baseball game when he was playing
More informationSHOULDER INSTABILITY
SHOULDER INSTABILITY Dr.KN Subramanian M.Ch Orth., FRCS (Tr & Orth), CCT Orth(UK) Consultant Orthopaedic Surgeon, Special interest: Orthopaedic Sports Injury, Shoulder and Knee Surgery, SPARSH Hospital
More informationClavicle Fractures in Children and Adolescents
Clavicle Fractures in Children and Adolescents John A. Schlechter, DO Children s Hospital Orange County Orange, CA Objectives The Bone The Fracture The Treatment The Controversies The Bone The Clavicle
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 informationManagement of arthritis of the shoulder. Omar Haddo Consultant Orthopaedic Surgeon
Management of arthritis of the shoulder Omar Haddo Consultant Orthopaedic Surgeon Diagnosis Pain - with activity initially. As disease progresses night pain is common and sleep difficult Stiffness trouble
More informationRehabilitation Guidelines for Anterior Shoulder Reconstruction with Arthroscopic Bankart Repair
UW HEALTH SPORTS REHABILITATION Rehabilitation Guidelines for Anterior Shoulder Reconstruction with Arthroscopic Bankart Repair The anatomic configuration of the shoulder joint (glenohumeral joint) is
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 informationPatient ID. Case Conference. Physical Examination. Image examination. Treatment 2011/6/16
Patient ID Case Conference R3 高逢駿 VS 徐郭堯 55 y/o female C.C.: recurrent right shoulder dislocation noted since falling down injury 2 years ago Came to ER because of dislocation for many times due to minor
More informationA Patient s Guide to Adult Clavicle Fractures
A Patient s Guide to Adult Clavicle Fractures 2350 Royal Boulevard Suite 200 Elgin, IL 60123 Phone: 847.931.5300 Fax: 847.931.9072 1 DISCLAIMER: The information in this booklet is compiled from a variety
More informationA Patient s Guide to Labral Tears
A Patient s Guide to Labral Tears 20295 NE 29th Place, Ste 300 Aventura, FL 33180 Phone: (786) 629-0910 Fax: (786) 629-0920 admin@instituteofsports.com DISCLAIMER: The information in this booklet is compiled
More informationGlenohumeral Joint. Glenohumeral Joint. Glenohumeral Joint. Glenohumeral Joint. Glenohumeral Joint. Glenohumeral Joint
The Shoulder Joint Chapter 5 The Shoulder Joint Manual of Structural Kinesiology R.T. Floyd, EdD, ATC, CSCS McGraw-Hill Higher Education. All rights reserved. 5-1 Shoulder joint is attached to axial skeleton
More informationArthroscopic Coracoclavicular Ligament Reconstruction for Acromioclavicular Joint Dislocation
Original Arthroscopic Coracoclavicular Ligament Reconstruction for Acromioclavicular Joint Dislocation Hiroshi Hashiguchi, Satoshi Iwashita, Kazumasa Abe, Kentaro Sonoki, Minoru Yoneda and Shinro Takai
More informationFumiaki Takase, Atsuyuki Inui, Yutaka Mifune, Tomoyuki Muto, Yoshifumi Harada, Takeshi Kokubu, and Masahiro Kurosaka
Case Reports in Orthopedics, Article ID 312968, 4 pages http://dx.doi.org/10.1155/2014/312968 Case Report Concurrent Rotator Cuff Tear and Axillary Nerve Palsy Associated with Anterior Dislocation of the
More informationCase Report Locked Superior Dislocation of the Acromioclavicular Joint
Volume 2013, Article ID 508219, 4 pages http://dx.doi.org/10.1155/2013/508219 Case Report Locked Superior Dislocation of the Acromioclavicular Joint Salma Eltoum Elamin, Apurv Sinha, and Mark Webb Department
More informationDisclaimer. Evaluation & Treatment of Shoulder and Elbow Pain in the Adult Patient. Objectives. Anatomy
Evaluation & Treatment of Shoulder and Elbow Pain in the Adult Patient William T. Crowe, RN-C, FNP, MSN, MBA Disclaimer! I, William T Crowe, have relevant financial relationships to be discussed, directly
More informationInjuries of the upper extremity
Injuries of the upper extremity Dep. of Traumatology M.Szebeny Egon Schiele Sternoclavicular dislocation Direction: towards the outside or inside (what is behind the dislocation!) Reduction? Retention?
More informationFixation of clavicle alone in floating shoulder injury : functional and radiological outcome
292 Acta Orthop. Belg., 2015, 83, 292-296 m. a. samy, a. e. darwish ORIGINAL STUDY Fixation of clavicle alone in floating shoulder injury : functional and radiological outcome Mohamed A. Samy, Amr E. Darwish
More informationR. Frank Henn III, MD. Associate Professor Chief of Sports Medicine Residency Program Director
R. Frank Henn III, MD Associate Professor Chief of Sports Medicine Residency Program Director Disclosures No financial relationships to disclose 1. Labral anatomy 2. Adaptations of the throwing shoulder
More informationADOLESCENT SPORTS INJURIES. Orthopaedics in Motion April 5, 2017 John Lammli, MD
ADOLESCENT SPORTS INJURIES Orthopaedics in Motion April 5, 2017 John Lammli, MD OVERVIEW: Shoulder Injuries Knee Injuries Leg/Ankle Injuries SHOULDER INJURIES Injuries to the shoulder girdle are vast and
More informationProximal Humerus Fractures/Dislocations.
Proximal Humerus Fractures/Dislocations www.fisiokinesiterapia.biz History/Demographics Bimodal: young-high energy, elderly-low energy(osteoporosis) 45% of all humerus fx. elderly females 4:1 over males
More informationREHABILITATION FOR SHOULDER FRACTURES & SURGERIES. Clavicle fractures Proximal head of humerus fractures
REHABILITATION FOR SHOULDER FRACTURES & SURGERIES Clavicle fractures Proximal head of humerus fractures By Dr. Mohamed Behiry Lecturer Department of physical therapy for Orthopaedic and its surgery. Delta
More informationGross Anatomy Questions That Should be Answerable After October 27, 2017
Gross Anatomy Questions That Should be Answerable After October 27, 2017 1. The inferior angle of the scapula of a woman who was recently in an automobile accident seems to protrude making a ridge beneath
More informationAnatomic AC Joint TightRope Fixation
Arthroscopic Anatomic Stabilization of Acute Acromioclavicular Joint Dislocation using the TightRope System Surgical Technique Anatomic AC Joint TightRope Fixation Background Disruption of the coracoclavicular
More informationAnkle Fracture in the Athlete: Should I scope? What about the Deltoid? Do I have to repair?
Ankle Fracture in the Athlete: Should I scope? What about the Deltoid? Do I have to repair? DAVID A PORTER, MDPHD METHODIST SPORTS MEDICINE/THE ORTHOPEDIC SPECIALISTS 201 PENNSYLVANIA PKWY INDIANAPOLIS,
More information2015 OPSC Annual Convention. syllabus. February 4-8, 2015 Hyatt Regency Mission Bay San Diego, California
2015 OPSC Annual Convention syllabus February 4-8, 2015 Hyatt Regency Mission Bay San Diego, California THURSDAY, FEBRUARY 5, 2015: 3:30pm - 4:30pm The Shoulder: 2 View or Not 2 View * Presented by Alexandra
More informationSHOULDER INJURIES Mr. McKay Athletic Training. References: BY. GA EUL JUNG
SHOULDER INJURIES Mr. McKay Athletic Training References: BY. GA EUL JUNG Shoulder Joint Bones of the Shoulder Ball & Socket joint consisting of: Scapula Humerus Clavicle Sternum Joints of the Shoulder
More informationShoulder Exam Break-out with Case Highlights. Teri Metcalf McCambridge, MD, FAAP, CAQSM Assistant Professor of Pediatrics and Orthopedics University
Shoulder Exam Break-out with Case Highlights. Teri Metcalf McCambridge, MD, FAAP, CAQSM Assistant Professor of Pediatrics and Orthopedics University of Maryland School of Medicine Faculty Disclosure Information
More information