STATE OF CONNECTICUT ETHICS BOARD NONE ARTHREX INC ARTHREX INC
|
|
|
- Byron Gilmore
- 5 years ago
- Views:
Transcription
1 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 Grey-Gossling Endowed Chair Professor Shoulder and Elbow Surgery mazzocca@uchc.edu USA The following relationships exist and have been fully disclosed and approved by the STATE OF CONNECTICUT ETHICS BOARD 1.Royalties and stock options-none 2.Consulting income-arthrex INC 3.Research and educational support ARTHREX INC 4.Other support-educational and Research grants from OREF, Donaghue Foundation COMITTEES LEADERSHIP Program Chairman for the 2014 AOSSM International Sports Medicine Meeting Research Committee of the Arthroscopy Association of North America (AANA) 2010 to Present Continuing Education Committee of the American Shoulder and Elbow Surgeons (ASES) 2009 to Present Founder and Executive Committee Member of the New England Shoulder and Elbow Society (NESES) 2003 to Present Thanks to Adams CR, Cote MP, Dyrna F, Voss A, Obopilwe E, Apostolakos JM, Hirose T, Beitzel K, Romeo AA, Imhoff A, Porcellini G, Cerciello S, Spoliti M, Imhoff F, Scheiderer B, Shea KP, Steinman S, Morikawa D, & Arciero RA 1
2 Failed Rotator Cuff Repair (RCR) Algorithm Confirmed by MRI Arthrogram SYMPTOMATIC Pain with activity Night Pain & Awakening Weakness Loss of ROM ASYMPTOMATIC No pain Full ROM Happy Offer Operative Intervention Non-retracted tears No X-Ray changes Good muscle/tendon quality Proximal migration on X-ray >70 years with massive RC tear Horrible pain at rest Observe at 1 year intervals with repeat MRI Arthrogram Arthroscopic Revision RCR Reverse Ball and Socket > 1 primary RCR Young patient with retracted tear Changes on X-Ray SCR VS Allograft & bone marrow Chris Adams Indications based on the Hamada scale Active patients Minimal Arthritis, Pain, Low Hamada classification 76% success Hamada I and II-Selective Indications Avoid SCR if Subscap Garde III atrophy Burkhart 115 SCR with 2 failures 40 MRI at 1 year (82% healed graft) 9/10 patients reversed pseudoparalysis Use 3 anchors on the Glenoid side (Denard) Spacing and stay medial near base of coracoid Hamada Classification 2
3 Hamada Stage 4 0% Success Hamada Stage 3 33% Success Hamada Stage 2 69% Success Hamada Stage 1 82% Success Slide Courtesy of Dr CR Adams 2018 Preliminary Results of Arthroscopic Superior Capsule Reconstruction with Dermal Allograft. Fifty-nine patients with a mean age of 62.0 years had a minimum follow-up of 1 year. Twenty-five patients (42.4%) had a prior rotator cuff repair. The AHI was 6.6 mm at baseline and improved to 7.6 mm at 2 weeks postoperatively but decreased to 6.7 mm at final follow-up. Based on postoperative magnetic resonance imaging, 45% (9 of 20) of the grafts demonstrated complete healing. Forty-six (74.6%) cases were considered a success. Eleven patients (18.6%) underwent a revision procedure including 7 (12%) reverse shoulder arthroplasties. Denard et al 2018 Arthroscopy Evolution of SCR Cases Nov Present What have we learned clinically Patients Date of Surgery Overall Outcome 1 11/10/2015 Failed Revised to Reverse 5/10/ /17/2015 Failed Revised to Reverse 7/27/ /2/2016 Failed Revised to Reverse 5/3/ /9/2016 Weakness Rated at no more than 5lbs lifting 5 3/1/2016 Success because patient has no pain 6 3/29/2016 Success Patient has gone back to sports activities with some weakness 3 x 3.0 suturtak used on the glenoid 3 x 4.5 corkscrews used on glenoid due to suturtak pullout 7 3/29/2016 Failed Revised to Reverse 1/11/ /14/2016 Failed Patient is holding off on surgery 9 2/7/2017 Failed Revising to RTSA 10 5/9/2017 Patient Doing Well 11 5/16/2017 Patient Doing Well 12 7/25/2017 Patient Doing Well Started tying Aflex graft in 45º of abduction 13 8/1/2017 Patient Doing Well 14 8/22/2017 Patient Doing Well 15 10/18/2017 Patient Doing Well 16 12/5/2017 Patient Doing Well 3
4 2018 Dr Chris Adams Lessons Learned Patient selection is important no advanced arthritis The Larger the tear the worse outcomes Subscap needs to be intact Remove the superior labrum Make it tight-abduction critical-leave more graft lateral if nervous Very elastic graft Thicker Graft better Go Slow-Suture management-make sure not crossed Protect the graph (Slower Rehab) Consider Internal brace Superior Capsular Reconstruction Research How can we do better Part I Simulating Native Shoulder Motion 4
5 Native Shoulder Motion under Fluoroscopy restrained Scapula - Scapula Motion 70 Abduction. Native Shoulder Motion simulated with the UCONN Shoulder Simulator The bigger the tear the less motion 5
6 Simulated Rotator Cuff Tears results in reduction of Range of Motion NATIVE SSP TEAR MASSIVE TEAR Limited Range of Motion in Rotator Cuff Tear Simulations correspond to Superior Migration of Humeral Head and engaging of Greater Tuberosity with lateral acromion edge Dynamic Superior migration Fixed Superior migration SSP TEAR MASSIVE TEAR The bigger the tear the more force it takes for the deltoid 6
7 Worst Case Scenario Massive 3 Tendon Tear results in highest Deltoid Forces needed to Abduct the Arm Max Combined Force Native Massive Tear SCR increases motion and decreased force required by the deltoid Abduction Deltoid Force (N) Required at each Condition NATIVE Massive Tear Delt Only Delt + Cuff Delt Only Delt + Cuff SCR Loose SCR LOOSE SCR Tight SCR TIGHT 7
8 Simulated influence of Cuff tendon tears on maximum abduction angle N=9 90 As tight as you can, preserve Cuff! Abduction Angle ( ) Delt Only Delt + Cuff Delt Only Delt +Cuff Native + Cuff Massive Tear SCR Loose SCR Tight X-Ray Videos of Loose vs. Tight Tension SCR Same Specimen LOOSE GRAFT SCR PARTIAL ABDUCTION TIGHT GRAFT SCR FULL ABDUCTION SCR graft needs to be tight- Measure and fix in an abduction Shoulder angle of degrees 8
9 Supraspinatus tendon intact SCR 6 mm patch Ideas why a thicker patch works better 1. Spacer function increased acromio-humeral distance 2. Dual layer has a higher stiffness In combination both factors provide a more optimal humeral center of rotation 2018 SCR Take Home Facts 1. If Chronic Subscap Tear SCR not as successful 2. Hamada Class 1 and 2 indication for SCR, 3 use caution, 4 and 5 opt for Reverse 3. Measure and Fix graft with Shoulder in degrees of Motion 4. If you are going to Error make sure the patch is tighter not lose 5. A thicker patch has improved biomechanics but needs clinical evaluation 9
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,
Conflict 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
3/9/2018. Algorithm for Massive RCT s. Massive Rotator Cuff Tears: When is Reverse TSA the only option?
Massive Rotator Cuff Tears: When is Reverse TSA the only option? Anthony A. Romeo, MD Professor, Department of Orthopedics Head, Section of Shoulder and Elbow Surgery Team Physician, Chicago White Sox
Gregory P. Nicholson, M.D. Disclosures. Indications for Open RCR. Open RC Repairs 2015 and Role of Tendon Transfers. Associate Professor
Open RC Repairs 2015 and Role of Tendon Transfers Gregory P. Nicholson, M.D. Associate Professor Rush University Medical Center Chicago, Illinois Disclosures Research and Educational Support: Tornier,
How they begin 8/18/15. Arthroscopic Management of Complex RCT. Disclosures in AAOS Database
Arthroscopic Management of Complex RCT Brian J. Cole, MD, MBA Professor and Vice-Chairman, Department of Orthopedics Chairman, Department of Surgery, Rush OPH Team Physician, Chicago Whites Sox and Bulls
Point/Counterpoint: Single vs Double Row RCR. Disclosures. The Problem 09/24/2015. Todd M. Tupis M.D. None
Point/Counterpoint: Single vs Double Row RCR Todd M. Tupis M.D. Disclosures None The Problem Numerous studies show good to excellent functional results of arthroscopic RCR Healing rates range from 91%-10%
The 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
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
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
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
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
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
Options for the Irreparable RCT 3/9/2018. Your Patient has an Irreparable RC Tear: What Now? Asheesh Bedi, MD
Your Patient has an Irreparable RC Tear: What Now? Asheesh Bedi, MD Harold and Helen W. Gehring Professor Chief, Sports Medicine & Shoulder Surgery MedSport, Department of Orthopedic Surgery Head Team
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
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:
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
( 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
Considerations 3/9/2018. Asheesh Bedi, MD. I have no disclosures or conflicts of interest related to the content of this presentation.
Radiological Assessment of the Rotator Cuff What predicts outcomes? Asheesh Bedi, MD Harold and Helen W. Gehring Professor Chief, Sports Medicine & Shoulder Surgery MedSport, Department of Orthopedic Surgery
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
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)
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)
Superior Capsular Reconstruction: Clinical Outcomes After Minimum 2-Year Follow-Up
An Original Study Superior Capsular Reconstruction: Clinical Outcomes After Minimum 2-Year Follow-Up Alan M. Hirahara, MD, FRCSC, Wyatt J. Andersen, ATC, and Alberto J. Panero, DO Abstract Superior capsular
GOAL. Open Bankart: Why and How? 2/16/2017. Richard J. Hawkins, MD. Convince You That Open Bankart should be in our toolbox
Current Solutions in Shoulder & Elbow Surgery Tampa, Florida February 9 12, 2017 Open Bankart: Why and How? Richard J. Hawkins, MD Steadman Hawkins Clinic of the Carolinas Hawkins Foundation Greenville,
RCR or rtsa? Massive Rotator Cuff Tears without Arthritis in Patients Older than 65 Reverse Total Shoulder Arthroplasty or Rotator Cuff Repair?
Massive Rotator Cuff Tears without Arthritis in Patients Older than 65 Reverse Total Shoulder Arthroplasty or Rotator Cuff Repair? JESSE W. ALLERT, MD THOMAS SELLERS, MD PETER SIMON, PHD RACHEL CLARK,
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
Joseph P. Burns, M.D. Curriculum Vitae
Joseph P. Burns, M.D. Curriculum Vitae Business Address The Southern California Orthopedic Institute (SCOI) EDUCATION: 1990 1994 Yale University New Haven, Connecticut Bachelor of Arts Biology Extra curricular:
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
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
Chronic 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
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
Management 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
2/19/2014. Things I love. What s new in shoulder surgery? What s new in medicine? Outline. Focus on problem-based learning for medical school
Things I love What s new in shoulder surgery? Brian Feeley, MD. UCSF Sports Medicine What s new in medicine? Focus on problem-based learning for medical school Outline Shoulder basics Anatomy Differential
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
Rotator Cuff Repair Outcomes. Patrick Birmingham, MD
Rotator Cuff Repair Outcomes Patrick Birmingham, MD Outline Arthroscopic Vs. Mini-open Subjective Outcomes Objective Outcomes Timing Arthroscopic Vs. Mini-open Sauerbrey Arthroscopy 2005 Twenty-six patients
Anatomic Total Shoulder Arthroplasty: Optimizing Outcomes and Avoiding Complications
Anatomic Total Shoulder Arthroplasty: Optimizing Outcomes and Avoiding Complications Dr. Ryan T. Bicknell, MD, MSc, FRCSC Associate Professor Division of Orthopaedic Surgery, Departments of Surgery, Mechanical
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.
Body Planes. (A) Transverse Superior Inferior (B) Sagittal Medial Lateral (C) Coronal Anterior Posterior Extremity Proximal Distal
Body Planes (A) Transverse Superior Inferior (B) Sagittal Medial Lateral (C) Coronal Anterior Posterior Extremity Proximal Distal C B A Range of Motion Flexion Extension ADDUCTION ABDUCTION Range of Motion
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
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
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
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.
Shoulder Instability Latarjet Procedure
Explanation of Procedure and/or Diagnosis Anatomy The shoulder is a ball and socket joint and is the most mobile joint of the body. Its plays a major role in positioning your arm and hand in space. Because
what 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.
Current 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
Patient Presentation. Prevalence of Rotator Cu Tears. By Derek S. Shia, M.D.
Rotator Cu Tears By Derek S. Shia, M.D. Rotator cu tears are one of the most common orthopedic problems and e ect more than 17 million persons annually in the United States. The rotator cu is an essential
OBJECTIVES. Therapists Management of Shoulder Instability SHOULDER STABILITY SHOULDER STABILITY WHAT IS SHOULDER INSTABILITY? SHOULDER INSTABILITY
Therapists Management of Shoulder Instability Brian G. Leggin, PT, DPT, OCS Lead Therapist, Penn Therapy and Fitness at Valley Forge Adjunct Assistant Professor, Department of Orthopaedics, University
Rotator Cuff Tears: Surgical Treatment Options
Rotator Cuff Tears: Surgical Treatment Options The following article provides in depth information about surgical treatment for rotator cuff injuries, and is a continuation of the article "Rotator Cuff
Shoulder 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
Orthopaedic 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
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
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
Christopher A Brown, MD Sports Medicine Orthopedist. Duke Orthopedic Residency Sports Medicine Fellowship Stanford
Christopher A Brown, MD Sports Medicine Orthopedist Duke Orthopedic Residency Sports Medicine Fellowship Stanford Office Geneva Newark Opening Canandaigua and Penfield Topics Of Discussion Shoulder dislocation
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
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
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
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
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
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
A Patient s Guide to Anatomic Total Shoulder Replacement (Standard Shoulder Shoulder)
A Patient s Guide to Anatomic Total Shoulder Replacement (Standard Shoulder Shoulder) Introduction Yearly, there are approximately 50,000 shoulder replacements performed annually in the USA. Anatomic shoulder
Two-Year Outcomes Following Biologic Patch Augmentation for the Treatment of Massive Rotator Cuff Tears
Two-Year Outcomes Following Biologic Patch Augmentation for the Treatment of Massive Rotator Cuff Tears Maximilian Petri, MD Ryan J. Warth, MD Marilee P.Horan, MPH Joshua A. Greenspoon, BSc Peter J. Millett,
SHOULDER INSTABILITY
SHOULDER INSTABILITY Your shoulder is the most flexible joint in your body, allowing you to throw fastballs, lift a heavy suitcase, scratch your back, and reach in almost any direction. Your shoulder joint
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
Common 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
Management of Humeral Bone Loss in Anterior Shoulder Instability. Scott D. Mair, MD University of Kentucky Sports Medicine
Management of Humeral Bone Loss in Anterior Shoulder Instability Scott D. Mair, MD University of Kentucky Sports Medicine Disclosure Smith and Nephew Endoscopy fellowship support Importance Bone loss (glenoid
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
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
Orthopaedics. Shoulder Arthroscopy
Orthopaedics Shoulder Arthroscopy Shoulder Arthroscopy_PRINT.indd 1 5/10/2016 11:46:08 AM Understanding shoulder problems The shoulder is your body s most flexible joint. It is designed to let the arm
R. 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
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
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
WHAT 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
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
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 ROTATOR CUFF the science behind the disease
THE ROTATOR CUFF the science behind the disease Jerome Goldberg www.orthosports.com.au 29 31 Dora Street, Hurstville 160 Belmore Road, Randwick What do we know Many older people have RC tears Many people
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
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
06/Μαρ/2013 FUNCTION OF THE ROTATOR CUFF. ARTHROSCOPIC ROTATOR CUFF REPAIR Primarily to stabilize and centralize the humeral head GENERAL GUIDE LINES
FUNCTION OF THE ROTATOR CUFF ARTHROSCOPIC ROTATOR CUFF REPAIR Primarily to stabilize and centralize the humeral head GENERAL GUIDE LINES Achieved by balancing the force couples in coronal and transverse
SHOULDER 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
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
Reverse Total Shoulder
Rehabilitation Protocol: Reverse Total Shoulder Department of Orthopaedic Surgery Lahey Hospital & Medical Center, Burlington 781-744-8650 Lahey Outpatient Center, Lexington 781-372-7020 Lahey Medical
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
ROTATOR CUFF REPAIR: TIPS FOR THE DIFFICULT TEAR
ROTATOR CUFF REPAIR: TIPS FOR THE DIFFICULT TEAR Felix H. Savoie III, M.D. Lee C. Schlesinger Professor Shoulder, Elbow & Sports Surgery Tulane University, New Orleans, LA USA COI J&J Mitek: consultant
Jon JP Warner, MD Chief, MGH Shoulder Service Chair, Q&S Committee, MGOA Professor of Orthopedic Surgery
Jon JP Warner, MD Chief, MGH Shoulder Service Chair, Q&S Committee, MGOA Professor of Orthopedic Surgery Disclosures Wright Medical: Royalty on Rotator cuff implant; Consultant IMASCAP: Stock Smith and
Glenohumeral Capsule Tears in Baseball Pitchers
Glenohumeral Capsule Tears in Baseball Pitchers Christopher S. Ahmad, MD Professor Orthopedic Surgery Chief Sports Medicine Head Team Physician New York Yankees New York City Football Club Disclosure 1.
The ball-and-socket articulation at the glenohumeral joint is between the convex
SLAP Lesion Repair Emily Cotey, Emily Hurysz, and Patrick Schroeder Abstract SLAP lesion, which stands for Superior Labrum Anterior and Posterior, is a detachment tear of the superior labrum that originates
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
UNDERSTANDING ARTHROSCOPY
UNDERSTANDING ARTHROSCOPY Diagnosing and Treating Your Joint Problem Looking into a Problem Joint Whether you re taking a step or raising your hand, your joints help you move freely. A worn, torn, or injured
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
Patient 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
Rotator Cuff Tear. Multimedia Health Education USA. Holly Edmonds RN,Clnc 1006 Triple Crown Drive Indian Trial,NC28079
Disclaimer This movie is an educational resource only and should not be used to make a decision on Shoulder Acromioplasty. All decisions about Acromioplasty must be made in conjunction with your surgeon
Stiff Shoulder & Cuff Tear. Cause & Management for Shoulder Stiffness after AS Rotator Cuff Repair. Idiopathic Frozen Shoulders. Hiroyuki Sugaya, MD
Sports Medicine & Joint Center Funabashi Orthopaedic Hospital Cause & Management for Shoulder Stiffness after AS Rotator Cuff Repair Hiroyuki Sugaya, MD Stiff Shoulder & Cuff Tear Stiff shoulder associated
SLAP Lesions of the Shoulder
Arthroscopy: The Journal of Arthroscopic and Related Surgery 6(4):21&279 Published by Raven Press, Ltd. Q 1990 Arthroscopy Association of North America SLAP Lesions of the Shoulder Stephen J. Snyder, M.D.,
Jonathan C. Levy, MD
Jonathan C. Levy, MD Chief of Orthopedics Program Director, ASES Fellowship Holy Cross Hospital Fort Lauderdale, Florida USA Disclosure: Consultant, Royalties, & Research Support from DJO 72 year old
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
Dual Row Rotator Cuff Repair. Jeffrey Halbrecht,, MD
Dual Row Rotator Cuff Repair Jeffrey Halbrecht,, MD Why Dual Row? Poor structural integrity on f/u studies of single row repair Restore anatomy ( footprint) Stronger Repair? Faster rehab? Better results?
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
Rehabilitation Following Rotator Cuff Repair: When Should We Start and What Should We Do? Martin J. Kelley, PT, DPT, OCS. Dangerous Territory 3/9/2018
Rehabilitation Following Rotator Cuff Repair: When Should We Start and What Should We Do? Martin J. Kelley, PT, DPT, OCS Dangerous Territory Rotator Cuff/capsuloligamentous Complex 1 The Rotator Cuff Tear
Partial Thickness Rotator Cuff Tears: All-Inside Repair of PASTA Lesions in Athletes
Partial Thickness Rotator Cuff Tears: All-Inside Repair of PASTA Lesions in Athletes Thomas M. DeBerardino, MD Associate Professor, UConn Health Center Team Physician, Orthopaedic Consultant UConn Huskie
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