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Few areas in orthopaedics have witnessed the type of exponential growth that has characterized the current field of arthroscopic shoulder surgery. Certainly a debt of gratitude is owed the early pioneers (both open and arthroscopic), whose pas sion and skill fostered today's phenomenon. Rapid advances in imaging, electronic communication, instrumentation, and implant technology, have "suddenly" per mitted arthroscopic access to problems once exclusively the province of the open surgeon. Pioneering work by Lanny Johnson, Dick Caspari, Harv Ellman (and oth ers) further facilitated the application of these emerging technologies into a prac tical and useful new skill set. Today, with few exceptions, most shoulders re quiring surgical intervention can be thoroughly assessed, and in many cases, definitively treated arthroscopically. Yet, and perhaps a consequence of the rather rapid evolution of these tech niques, few single-source references are available for either the "would be" shoul der arthroscopist or the experienced clinician looking to hone his/her arthroscopic skills about the shoulder. The purpose of this text is to address this deficiency and provide the orthopaedic and arthroscopic community with a single definitive "how to" technical reference on operative shoulder arthroscopy. In keeping with this initiative, our goal was to assemble a group of authors who themselves were responsible for developing the techniques described, learning firsthand how "they do it. " We are indebted to these contributors for their time and effort, and be lieve they have provided a wealth of valuable information that will enhance our technical understanding.
Sommario
Section One Anatomy/Technique.- 1 Diagnostic Shoulder Arthroscopy in the Lateral Decubitus Position.- 2 Diagnostic Shoulder Arthroscopy Technique: Beach Chair Position.- 3 Arthroscopic Shoulder Anatomy.- 4 Arthroscopic Knot Tying in Shoulder Repair Surgery.- Section Two Glenohumeral Pathology.- 5 Arthroscopic Treatment of the Arthritic Shoulder.- 6 Synovectomy for Synovial Disease.- Section Three SLAP and Biceps Lesions.- 7 Treatment of SLAP Lesions.- 8 Arthroscopic Biceps Tenodesis.- Section Four Instability.- 9 Using the Suretac Technique for Arthroscopic Treatment of Anterior Instability.- 10 Arthroscopic Anterior Capsulolabral Shoulder Stabilization Using the Suture Anchor Technique.- 11 Arthroscopic Treatment of Posterior Instability.- 12 Multidirectional Instability: Suture Plication Technique.- 13 Arthroscopic Treatment of Multidirectional Instability: Thermal Technique.- 14 Arthroscopic Anterior Shoulder Stabilization Using Knotless Suture Anchors.- Section Five Stiffness.- 15 Arthroscopic Treatment of the Stiff or Frozen Shoulder.- Section Six Subacromial Pathology and Rotator Cuff Tears.- 16 Arthroscopic Subacromial Decompression.- 17 Arthrosopic Treatment of Partial-Thickness Rotator Cuff Tears.- 18 Arthroscopic Repair of Full-Thickness Tears of the Rotator Cuff.- 19 Arthroscopic Management of Massive Rotator Cuff Tears.- 20 Arthroscopic Repair of the Subscapularis Tendon.- 21 Arthroscopic Management of Calcific Tendonitis.- Section Seven Acromioclavicular Joint.- 22 Arthroscopic Distal Clavicle Resection: The "Indirect" Subacromial Approach.- 23 Acromioclavicular Resection: Direct "Superior" Approach.- Section Eight Rehabilitation.- 24 Rehabilitation Following Operative Shoulder Arthroscopy.- Section Nine Complications.- 25 Complications in ShoulderArthroscopy.
Riassunto
From a step-by-step overview on set-up and positioning to the complex considerations in managing massive cuff tears, this technique-oriented text provides invaluable information on the cutting edge procedures used on the range of shoulder pathology treated arthroscopically. These treatments include: Impingement, AC and Glenohumeral Arthritis, Synovial Disease, Calcific Tendonitis, Traumatic and Atraumatic Instability, and the post-traumatic Stiff or Frozen Shoulder. This comprehensive, practical volume is enhanced with over 250 striking color illustrations detailing the surgical technique from positioning to closure. The chapter format gives introductory comments about disease/disorder, clinical presentation, surgical indications/patient selection and more. The DVD contains several distinct æmoviesÆùover three fully-narrated hours of the authorsÆ techniques in high-quality video format.
