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New PDF release: Arthroscopy of the Shoulder: Diagnosis and Therapy

By H. Maurer, M. Lener (auth.), Dr. Herbert Resch, Dr. Emil Beck (eds.)

ISBN-10: 370919203X

ISBN-13: 9783709192030

ISBN-10: 3709192056

ISBN-13: 9783709192054

Both the analysis and the present healing chances of the shoulder joint and the subacromial house are defined in particular aspect during this booklet. The anatomy of the shoulder joint from an arthroscopic perspective can be in brief defined. The diagnostic a part of the e-book provides an outline of the person constructions within the glenohumeral joint in addition to the subacromial house with reference to their pathologic alterations, and designated recognition is targeted on differentiating among fit and pathologic struc§ tures. The healing half offers an in depth description of the Bankart refixation equipment effectively utilized by way of the authors which come with a suturing process, a refixation approach utilizing absorbable tacks and an extra-articular screw fixation approach; additionally the options of subacromial decompression, the elimination of calcium deposits and the resection of the lateral finish of the clavicle are defined intimately. From the dialogue concerning the symptoms for arthroscopy and/or arthroscopic remedy, the e-book then is going directly to show info on positioning, draping, beneficial tools and, eventually, the appearing the arthroscopic intervention itself. hence, the entire information that are required for arthroscopy of the shoulder are given.

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Extra resources for Arthroscopy of the Shoulder: Diagnosis and Therapy

Sample text

Originating from the supraglenoid tubercle of the scapula, the biceps tendon is not only connected macroscopically but also histologically to the superior portion of the glenoid labrum [15]. It runs in an antero-superior direction obliquely across the joint and disappears into the funnel-shaped entrance of the bicipital groove. On the posterior side it is encircled by a branch of the superior glenohumeral ligament [13] (Fig. 50). When intraarticular pressure is at physiological levels, the rotator cuff rests against the biceps tendon, but at arthroscopy the pressure is elevated and the cuff bulges out as the joint fills with irrigating solution especially when the muscles are simultaneously relaxed.

Bleeding spots at the site of rupture indicate a fresh lesion (Fig. 40). Frayed or rounded structures indicate chronic lesions. If a patient with impingement symptoms is found to have vascular injection and basal loosening of the superior glenoid labrum at arthroscopy as well as increased vascularization or even synovitis of the adjacent biceps tendon and rotator cuff, it can be made a diagnosis of so-called secondary impingement (Fig. 44). An assumption can be made that the labrum damage described above allows superior migration of the head and subsequent impingement under the acromion and the coracoacromialligament (see Chap.

47. Loose body in the axillary recess (site of predilection); the postero-inferior portion of the rim of the socket is visible 4 Diagnostic arthroscopy 49 Fig. 48. Postero-inferior rim of the socket with intact flat glenoid labrum; central cartilage damage of the glenoid surface Fig. 49. Glenoid surface with central cartilage damage (the cartilage covering is thinnest at this point); the glenoid labrum visible at the notch is intact 50 Diagnostic arthroscopy Fig. 50. Entrance of the biceps tendon into the intertubercular notch; surrounded by a branch of the superior glenohumeral ligament on the posterior side, medially the upper margin of the subscapularis tendon is still visible Fig.

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Arthroscopy of the Shoulder: Diagnosis and Therapy by H. Maurer, M. Lener (auth.), Dr. Herbert Resch, Dr. Emil Beck (eds.)

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