Conflict of Interest. New Strategies in Rotator Cuff Repair. Objectives. Learner Outcome
|
|
|
- Carol Craig
- 6 years ago
- Views:
Transcription
1 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 reasonably be expected to affect significantly my views on the subject on which I am are presenting, other than the following: Learner Outcome Incorporate strategies that improve patient outcomes related to shoulder conditions and corrective surgical procedures Objectives 1. Anatomy of Shoulder 2. Signs and Symptoms of Rotator Cuff Tear 3. Surgical Technique 4. Post Op Rehab 1
2 Anatomy of Shoulder Anatomy of Shoulder Anatomy of Shoulder Anatomy of Shoulder SITS SUBSCAPULARIS; INFRASPINATUS; TERES MINOR; SUPRASPINATUS. These muscle and the musculotendinous rotator cuff stabilize the humeral head in the glenoid. 2
3 Anatomy of Shoulder The RTC lies under the acromion process with a bursal fluid sac between them which acts as a cushion. The RTC moves as a unit during movement of the shoulder. Rotator Cuff Dr. Patel likens the RTC to a piece of twine. Over time it unravels. Nearly everyone in their sixties have a RTC tear. But not all tears are symptomatic. Patient presents to clinic Pain At rest Lifting or lowering arm Pain at night Weakness Lifting / rotating arm Crepitus/ crackling in certain positions 3
4 Images Images Xrays obtained 1. Will not show soft tissue 2. May show bone spur Images Images MRI (Magnetic Resonance Imaging) ordered A. Confirm rotator cuff tear 1. Old vs new tear 2. Intensity of tear (involvement; retracted) 4
5 Images Repair vs Reconstruction ALWAYS ASSUME THAT YOU CAN REPAIR!! Dr. Patel s motto. A. Repair 1. Acute tear (Trauma ex: fall; MVA) 2. Small tear or large that is flexible/stretchable Repair vs Reconstruction B. Reconstruction 1. > 1 year chronicity a. bone spurs b. repetition (overuse; overhead) c. lack of blood supply 2. Retracted 3. Scarred in Superior Capsular Reconstruction What?!?! SCR (Superior capsular reconstruction) is rebuilding an irrepairable rotator cuff. With What?!?! Mature extracellular dermal matrix (Cadaver dermis graft) 5
6 Dermal Matrix Goal What is the overall goal? A. The rotator cuff keeps the humeral head centered on the deltoid when the arm is raised. B. If there is no rotator cuff, then humerus rubs on acromion, which leads to arthritis, which leads to a reverse total shoulder arthroplasty (rtsa). C. Not making a new rotator cuff. Just augmenting the cuff to buy a few years before getting a rtsa. Arthroscopic superior capsular reconstruction A. Patient is positioned in the beach chair position B. Surgeon looks into the shoulder with the arthroscope and determines if the tear is repairable or not. C. Decision is made to perform an SCR. Arthroscopic superior capsular reconstruction A. Subacromial bursa debridement is performed along with a biceps tenotomy or tenodesis. If patient had a previous RTC repair, then old sutures are removed. B. The graft will be attached medially to the glenoid and laterally on the humerus. C. The superior labrum is identified. Two anchors are placed just medially of the labrum percutaneously, anteriorly and posteriorly. 6
7 The superior labrum is identified. Two anchors are placed just medially of the labrum percutaneously, anteriorly and posteriorly. When placing the humeral (tuberosity) anchors, one will be placed in the anterior rotator cuff footprint and one in the posterior footprint. Anchors 7
8 Graft Measurments Arthroscopic superior capsular reconstruction A. Measurements are taken for the graft 1. The distance between the glenoid anchors is first. X 1 2. Next is the distance between the tuberosity anchors. X 2 3. Next is medial to lateral on posterior anchors. Y 1 4. Last is medial to lateral on anterior anchors. Y 2 Arthroscopic superior capsular reconstruction Graft Preparation A. Graft is presented sterilely to the back table. B. The anchor measurements are then marked on the graft. C. The graft is then cut to size with a 5mm border from the markings. This gives the graft a nice perimeter so the sutures do not cut through the graft. Arthroscopic superior capsular reconstruction D. Two holes are punched at the lateral anchor markings for easier suture passing. E. The graft will be passed through a 12 mm plastic, pliable cannula. All sutures from the anchors are pulled through this cannula. Suture management is imperative at this time! F. The graft is then slid into the cannula by a pulley mechanism and introduced to the prepared rotator cuff bed. 8
9 Arthroscopic superior capsular reconstruction G. The graft is then sutured down. The anterior side is not necessarily additionally anchored. If overconstrained, possible decreased range of motion (ROM). 9
10 Images F. Patient is placed in a shoulder immobilizer with an abduction pillow and taken to PACU. 10
11 Whatever Works Rehabilitation Rehabilitation A. Only pendulums to shoulder and AROM to wrist and elbow for the first 4 6 weeks. Rehab Maxine Formal Physical Therapy rotator cuff repair protocol will begin after the 6 weeks, determined by the surgeon. 11
12 THANK YOU!!! Thank you for your time! 12
Management 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
11/13/2017. 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,
Massive 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
Shoulder Arthroscopy Lab Manual
Shoulder Arthroscopy Lab Manual Dalhousie University Orthopaedic Program May 5, 2017 Skills Centre OBJECTIVES 1. Demonstrate a competent understanding of the arthroscopic anatomy and biomechanics of the
Fully Torn Rotator Cuff Repair
Fully Torn Rotator Cuff Repair A torn rotator cuff is a common condition that can cause shoulder pain, weakness, and loss of mobility. If the tear is severe enough, surgical intervention is often necessary
Rotator Cuff Repair TRENDS OF REPAIRS. Evolution of Arthroscopic Repair. Shoulder Girdle. Rotator Cuff Repair 8/29/2013
Rotator Cuff Repair Indications, Patient Selection, Outcomes James C. Vailas, M.D. New Hampshire Orthopaedic Center September 14, 2013 New Hampshire Musculoskeletal Institute 20 th Annual Symposium Evolution
Rehabilitation Guidelines for Large Rotator Cuff Repair
Rehabilitation Guidelines for Large Rotator Cuff 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
STATE OF CONNECTICUT ETHICS BOARD NONE ARTHREX INC ARTHREX INC
Rationale, Biomechanics,Early Results after Superior Capsular Reconstruction Augustus D Mazzocca MS, MD Director of the New England Musculoskeletal Institute Chairman Department of Orthopaedic Surgery
Common 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
MUSCLES 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
Labral Tears. Fig 1: Intact labrum and biceps tendon
Labral Tears What is it? The shoulder joint is a ball and socket joint, with the humeral head (upper arm bone) as the ball and the glenoid as the socket. The glenoid (socket) is a shallow bone that is
Office Orthopedics. No conflict of interest No financial disclosures 1/31/2018
Office Orthopedics Amin Afsari DO Orthopedic Hand and Upper Extremity Surgery Orthopedic Institute of Wisconsin Midwest Orthopedic Specialty Hospital 1 No conflict of interest No financial disclosures
SHOULDER 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
SHOULDER 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
Dr. Denard s Rehabilitation Protocols Arthroscopic Shoulder Surgery
2780 E. Barnett Rd Medford, OR 97530 541-779-6250 Dr. Denard s Rehabilitation Protocols Arthroscopic Shoulder Surgery These rehabilitation protocols are based on current studies detailing healing time
UPPER EXTREMITY INJURIES. Recognizing common injuries to the upper extremity
UPPER EXTREMITY INJURIES Recognizing common injuries to the upper extremity ANATOMY BONES Clavicle Scapula Spine of the scapula Acromion process Glenoid fossa/cavity Humerus Epicondyles ANATOMY BONES Ulna
Rehabilitation 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
Shoulder Ultrasonography as a Diagnostic Tool for Rotator Cuff Disease
Shoulder Ultrasonography as a Diagnostic Tool for Rotator Cuff Disease Jay D Keener, MD Associate Professor Shoulder and Elbow Service Washington University Disclosure No relevant financial disclosures
ANATOMIC 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
The 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
Part II: Rotator Cuff Repair, Day of Surgery and Postoperative Course
Part II: Rotator Cuff Repair, Day of Surgery and Postoperative Course Benjamin W. Sears, MD 303-321-1333 western-ortho.com denvershoulder.com Day of Surgery Most patients will undergo outpatient surgery
Shoulder Surgery. Gregory M. Behm, MD Ravalli Orthopedics & Sports Medicine
Shoulder Surgery The purpose of this handout is to help you understand the way I perform shoulder surgeries and to help you plan for the recovery. Below are some general items that apply to most surgeries
Shoulder 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
Anatomy 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
The 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
Review 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:
Rehabilitation 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
Superior Capsular Reconstruction. Dr. Abigail Hamilton, MD
Superior Capsular Reconstruction Dr. Abigail Hamilton, MD BACKGROUND Most rotator cuff tears in young active patients are treated surgically, with good to excellent results in the vast majority of patients.
Biceps Tenodesis Protocol
Biceps Tenodesis Protocol A biceps tenodesis procedure involves cutting of the long head of the biceps just prior to its insertion on the superior labrum and then anchoring the tendon along its anatomical
ROTATOR CUFF INJURIES / IMPINGEMENT SYNDROME
ROTATOR CUFF INJURIES / IMPINGEMENT SYNDROME Shoulder injuries are common in patients across all ages, from young, athletic people to the aging population. Two of the most common problems occur in the
The 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
Rotator Cuff Repair Protocol for tear involving Subscapularis Tendon with or without Pectoralis Major Tendon Transfer
Rotator Cuff Repair Protocol for tear involving Subscapularis Tendon with or without Pectoralis Major Tendon Transfer D. WATTS, MD Precautions: BASIS Tendon healing back to bone is a slow process that
ROTATOR CUFF DISORDERS/IMPINGEMENT
ROTATOR CUFF DISORDERS/IMPINGEMENT 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
Type II SLAP lesions are created when the biceps anchor has pulled away from the glenoid attachment.
Arthroscopic Superior Labral (SLAP) Repair Protocol-Type II, IV, and Complex Tears The intent of this protocol is to provide the clinician with a guideline of the post-operative rehabilitation course of
Shoulder Anatomy and a preface on the Shoulder Arthroscopy.
Shoulder Anatomy and a preface on the Shoulder Arthroscopy www.fisiokinesiterapia.biz Shoulder Anatomy Shoulder Anatomy Greatest ROM No inherent bony stability Relies on soft tissues for stability Many
Shoulder 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.
Reverse 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)
Mr. Siva Chandrasekaran Orthopaedic Surgeon MBBS MSpMed MPhil (surg) FRACS
Shoulder Arthroscopy Arthroscopy is a procedure that orthopaedic surgeons use to inspect, diagnose, and repair problems inside a joint. The word arthroscopy comes from two Greek words, "arthro" (joint)
Indication, Positioning Portals, Diagnostic Arthroscopy- Shoulder
Indication, Positioning Portals, Diagnostic Arthroscopy- Shoulder { DR SHEKHAR SRIVASTAV Sr.Consultant & Dy. Director- DITO, Sant Parmanand Hospital, Delhi Shoulder Anatomy Greatest ROM No inherent bony
Shoulder Injury Evaluation.
Shoulder Injury Evaluation www.fisiokinesiterapia.biz Basic Anatomy & Kinesiology 3 Bone Structures Clavicle Scapula Humerus Evaluation Principles Always follow a standard progression Determine the target
The Shoulder. Jill Inouye Primary Care Sports Medicine Family Medicine Resident School February 26, 2014
The Shoulder Jill Inouye Primary Care Sports Medicine Family Medicine Resident School February 26, 2014 Objectives Review shoulder anatomy Explain and demonstrate shoulder physical exam Diagnosis and management
A Patient s Guide to Cuff (Rotator) Tear Arthropathy
A Patient s Guide to Cuff (Rotator) Tear Arthropathy 20295 NE 29th Place, Ste 300 Aventura, FL 33180 Phone: (786) 629-0910 Fax: (786) 629-0920 admin@instituteofsports.com DISCLAIMER: The information in
Shoulder Instability. Fig 1: Intact labrum and biceps tendon
Shoulder Instability What is it? The shoulder joint is a ball and socket joint, with the humeral head (upper arm bone) as the ball and the glenoid as the socket. The glenoid (socket) is a shallow bone
( 1 ) Ball and socket. Shoulder capsule. Rotator cuff.
Shoulder Arthroscopy Page ( 1 ) Arthroscopy is a procedure that orthopaedic surgeons use to inspect, diagnose, and repair problems inside a joint. The word arthroscopy comes from two Greek words, arthro
Massive Rotator Cuff Tears Arthroscopic Treatments
Massive Rotator Cuff Tears Arthroscopic Treatments Brian D. Busconi, MD Chief of Sports Medicine & Arthroscopy UMass Memorial Medical Center Brian.Busconi@umassmemorial.org Disclosures Consultant Arthrex
Reverse Total Shoulder Rehabilitation Protocol
Reverse Total Shoulder Rehabilitation Protocol The Reverse Ball and Socket Arthroplasty is a new implant design for severely damaged shoulders. It is generally used for rotator cuff tear arthropathy, and
FUNCTIONAL ANATOMY OF SHOULDER JOINT
FUNCTIONAL ANATOMY OF SHOULDER JOINT ARTICULATION Articulation is between: The rounded head of the Glenoid cavity humerus and The shallow, pear-shaped glenoid cavity of the scapula. 2 The articular surfaces
Rotator Cuff Repair Anterior Open Approach Large Tear < 3 cm
Rotator Cuff Repair Anterior Open Approach Large Tear < 3 cm ** It is the treating therapist s responsibility along with the referring physician s guidance to determine the actual progression of the patient
SLAP Lesions Assessment & Treatment
SLAP Lesions Assessment & Treatment Kevin E. Wilk,, PT, DPT Glenoid Labral Lesions Introduction Common injury - difficult to diagnose May occur in isolation or in combination SLAP lesions: Snyder: Arthroscopy
Shoulder 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
P.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
Rotator Cuff Tears. Christopher Jones, MD
Rotator Cuff Tears Christopher Jones, MD Why this article? Most people find going to see the doctor an emotional experience which is made more stressful when surgery is a consideration. Hopefully this
D 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
Shoulder Instability
Shoulder Instability The shoulder is your body s most flexible joint. It is designed to let the arm move in almost any direction. But this flexibility has a price, making the joint prone to injury. The
Shoulder 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
Mr. Siva Chandrasekaran Orthopaedic Surgeon MBBS MSpMed MPhil (surg) FRACS. Rotator Cuff Tears
Rotator Cuff Tears A rotator cuff tear is a common cause of pain and disability among adults. A torn rotator cuff will weaken your shoulder. This means that many daily activities, like combing your hair
DK7215-Levine-ch12_R2_211106
12 Arthroscopic Rotator Interval Closure Andreas H. Gomoll Department of Orthopedic Surgery, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts, U.S.A. Brian J. Cole Departments
Rotator Cuff Tears. Anatomy. Description
Rotator Cuff Tears A rotator cuff tear is a common cause of pain and disability among adults. In 2008, close to 2 million people in the United States went to their doctors because of a rotator cuff problem.
Reverse Total Shoulder Arthroplasty Protocol
General Information: Reverse Total Shoulder Arthroplasty Protocol Reverse or Inverse Total Shoulder Arthroplasty (rtsa) is designed specifically for the treatment of glenohumeral (GH) arthritis when it
REVERSE SHOULDER REPLACEMENT
REVERSE SHOULDER REPLACEMENT The Reverse Shoulder Replacement is designed specifically for the use in shoulders with a deficient rotator cuff and arthritis, as well as other difficult shoulder reconstructive
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
www.simonmoyes.com+ www.shoulder-arthroscopy.co.uk Impingement)and)Rotator)Cuff) Tears) Presented+by+Mr+Simon+Moyes+ Shoulder)Experience) RNOH)shoulder)unit) Visi7ng)fellow)Royal)North)Shore,)Sydney) RNOH)shoulder)fellow)
Rotator Cuff Tears. Dr. Anthony Levenda September, 2017
Rotator Cuff Tears Dr. Anthony Levenda September, 2017 Rotator cuff tears come in a variety of shapes and sizes. No two are exactly the same, and as such, they are not all treated the same. It is important
Shoulder Arthroscopy Curriculum
ARTHRO Mentor 1 Description All those with an interest in the shoulder should develop a basic level of proficiency and should be able to perform a thorough diagnostic exam, looking from both the anterior
Arthroscopic Labral Repair Protocol-Type II, IV, and Complex Tears:
Arthroscopic Labral Repair Protocol-Type II, IV, and Complex Tears: The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that
Arthroscopy / MRI Correlation Conference. Department of Radiology, Section of MSK Imaging Department of Orthopedic Surgery 7/19/16
Arthroscopy / MRI Correlation Conference Department of Radiology, Section of MSK Imaging Department of Orthopedic Surgery 7/19/16 Case 1: 29 YOM with recurrent shoulder dislocations Glenoid Axial T1FS
Intern Arthroscopy Course 2015 Shoulder Arthroscopy Cases
Intern Arthroscopy Course 2015 Shoulder Arthroscopy Cases Mary Lloyd Ireland, M.D. University of Kentucky Dept. of Orthopaedic Surgery & Sports Medicine Lexington, KY Broken screw s/p Bristow procedure
The Repair and Rehab of the Rotator Cuff. Toby B. Husserl, MD ABOS, AAOS, ABIME Orthopedic Surgeon
The Repair and Rehab of the Rotator Cuff Toby B. Husserl, MD ABOS, AAOS, ABIME Orthopedic Surgeon Introduction The Rotator Cuff The natural history of the Cuff - Rotator Cuff Shoulder DESIGN: Is a joint
Small Rotator Cuff Repair
Small Rotator Cuff Repair 1. Defined a. Surgical repair of the rotator cuff (most commonly supraspinatus muscle) utilizing sutures b. May be done arthroscopically or open. c. May be done in conjunction
Shoulder 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
US finding of the shoulder (with live demonstration) 인제의대상계백병원 안재기
US finding of the shoulder (with live demonstration) 인제의대상계백병원 안재기 Shoulder US Biceps tendon & Rotator Cuff Long Head of Biceps Tendon Subscapularis tendon Supraspinatus tendon Infraspinatus tendon Teres
Musculoskeletal Ultrasound. Technical Guidelines SHOULDER
Musculoskeletal Ultrasound Technical Guidelines SHOULDER 1 Although patient s positioning for shoulder US varies widely across different Countries and Institutions reflecting multifaceted opinions and
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE INTERVENTIONAL PROCEDURES PROGRAMME Interventional procedure overview of superior capsular augmentation for massive rotator cuff tears The rotator cuff
Diagnosis and Treatment of Common Shoulder Disorders
Diagnosis and Treatment of Common Shoulder Disorders NAOEM Oct 14 th, 2017 Michael Codsi, M.D. www.drcodsi.com Learning Objectives SLAP tears diagnosis, imaging and treatment How to diagnose rotator cuff
Orthopaedic Management of Shoulder Dysfunction. Marc J Breslow, MD Illinois Bone and Joint Institute Morton Grove/Des Plaines/Highland Park
Orthopaedic Management of Shoulder Dysfunction Marc J Breslow, MD Illinois Bone and Joint Institute Morton Grove/Des Plaines/Highland Park Introduction Shoulder has largest range of motion of all joints
Vol 3, 2008 CEC ARTICLE: Special Medical Conditions Part 2: Shoulder Maintenance and Rehab C. Eggers
Vol 3, 2008 CEC ARTICLE: Special Medical Conditions Part 2: Shoulder Maintenance and Rehab C. Eggers SHOULDER GIRDLE STABILIZATION Knowledge of the anatomy and biomechanics of the shoulder girdle is essential
Biceps Tenotomy Protocol
Biceps Tenotomy Protocol A biceps tenotomy procedure involves cutting of the long head of the biceps just prior to its insertion on the superior labrum. A biceps tenotomy is typically done when there is
A Patient s Guide to Impingement Syndrome
A Patient s Guide to Impingement Syndrome Glendale Adventist Medical Center 1509 Wilson Terrace Glendale, CA 91206 Phone: (818) 409-8000 DISCLAIMER: The information in this booklet is compiled from a variety
Rehabilitation 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
Large/Massive Rotator Cuff Repair
Large/Massive Rotator Cuff Repair 1. Defined a. Suturing of tears within the rotator cuff (most commonly supraspinatus muscle). Massive RCR usually involve more than the supraspinatus. b. May be done arthroscopically
JuggerKnot Soft Anchor 1.5 mm with Percutaneous Instrumentation for Low Profile/Trans-Cuff PASTA Repair
JuggerKnot Soft Anchor 1.5 mm with Percutaneous Instrumentation for Low Profile/Trans-Cuff PASTA Repair Surgical Technique by Shabi Kahn, MD One Surgeon. One Patient. Over 1 million times per year, Biomet
Rotator cuff injuries are commonly attributed to repetitive
[ Orthopaedics ] Massive Rotator Cuff Tear in an Adolescent Athlete: A Case Report Kimberly A. Turman, MD,* Mark W. Anderson, MD, and Mark D. Miller, MD Full-thickness rotator cuff tears in the young athlete
The Current State of Rotator Cuff Repairs
Conflict of Interest Slide The Current State of Rotator Cuff Repairs Gerald R. Williams, Jr, MD John M. Fenlin, Jr, MD Professor of Shoulder and Elbow Surgery Royalties Depuy: shoulder arthroplasty DJO:
The 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
MRI of the Shoulder What to look for and how to find it? Dr. Eric Handley Musculoskeletal Radiologist Cherry Creek Imaging
MRI of the Shoulder What to look for and how to find it? Dr. Eric Handley Musculoskeletal Radiologist Cherry Creek Imaging MRI of the Shoulder Benefits of Ultrasound: * Dynamic * Interactive real time
Physical Examination of the Shoulder
General setup Patient will be examined in both the seated and supine position so exam table needed 360 degree access to patient Expose neck and both shoulders (for comparison); female in gown or sports
Leeds-Kuff Patch TM. For Rotator Cuff Reinforcement. Surgical Technique Manual
Leeds-Kuff Patch TM For Rotator Cuff Reinforcement Surgical Technique Manual 0086 Introduction Leeds-Kuff Patch TM This technique utilizes a non-absorbable polyester patch which is sutured over the torn
Biceps Tenodesis Protocol
Robert K. Fullick, MD 6400 Fannin Street, Suite 1700 Houston, Texas 77030 Ph.: 713-486-7543 / Fx.: 713-486-5549 Biceps Tenodesis Protocol The intent of this protocol is to provide the clinician with a
I have no relevant disclosures pertaining to this talk.
Bryan Houseman, D.O., ATC Orthopaedic Trauma and Fracture Surgeon New Hampshire Orthopaedic Center September 10, 2016 I have no relevant disclosures pertaining to this talk. From Rockwood & Green, 8 th
Tendinosis & Subacromial Impingement Syndrome. Gene Desepoli, LMT, D.C.
Tendinosis & Subacromial Impingement Syndrome Gene Desepoli, LMT, D.C. What is the shoulder joint? Shoulder joint or shoulder region? There is an interrelatedness of all moving parts of the shoulder and
Rotator Cuff Tears Our approach
Rotator Cuff Tears Our approach Terry R. Malone EdD., PT, ATC Professor of Physical Therapy University of Kentucky Nothing to disclose only wish Deep Musculature & Glenoid RC Insertion Data The RC insertion
Acromioplasty. 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
Biceps 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
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
A Patient s Guide to Rotator Cuff Tears
A Patient s Guide to Rotator Cuff Tears 2350 Royal Boulevard Suite 200 Elgin, IL 60123 Phone: 847.931.5300 Fax: 847.931.9072 DISCLAIMER: The information in this booklet is compiled from a variety of sources.
1. The coordinated action of a scapular upward rotation and humeral abduction is known as the:
1 1. The coordinated action of a scapular upward rotation and humeral abduction is known as the: a. Carrying angle of the arm b. Scapulohumeral rhythm c. Glenohumeral capsular pattern d. Abduction resistance
SLAP repair. An information guide for patients. Delivering the best in care. UHB is a no smoking Trust
SLAP repair An information guide for patients Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
No Financial Disclosures
Rehabilitation Following Total and Reverse Shoulder Arthroplasty, PT, DPT, SCS, CSCS No Financial Disclosures Total Shoulder Arthroplasty Arthritic shoulder increasing in prevalence More active as we age
Reverse Total Shoulder Protocol
Marion Herring, M.D. OrthoVirginia PH: (804) 270-1305 FX: (804) 273-9294 www.orthovirginia.com Reverse Total Shoulder Protocol General Information: Reverse Total Shoulder Arthroplasty (rtsa) is designed
GUIDELINES FOR REHABILITATION Arthroscopic Rotator Cuff Repair
Indications: Tearing of the rotator cuff tendon(s) insertion on the humerus. Procedure: Arthroscopic repair: Tear Size: supraspinatus, infraspinatus, subscapularis tendons. biceps tenodesis or tenotomy