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Capsular shift procedures are used for multidirectional shoulder instability. The principle of the procedure is to detach the capsule from the neck of the humerus and shift it to the opposite side of the calcar (inferior portion of the neck…
The Bankart procedure is indicated when the labrum and capsule are separated from the glenoid rim or the capsule is thin; it is, however, technically difficult. Keys to the success of this procedure are: (1) maximizing healing potential by abrading…
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Open repair of acute Achilles tendon ruptures remains the gold standard of operative treatment, especially for athletic individuals, because of the historically low rate of reruptures, high rate of return to sports, and decreased complication rates with newer techniques. Advocates…
Transepiphyseal replacement of anterior cruciate ligament using quadruple hamstring grafts The transepiphyseal reconstruction of the anterior cruciate ligament using quadruple hamstring grafts procedure described by Anderson is indicated in patients in Tanner stage III of development. The procedure is not…
Most anterior cruciate ligament (ACL) reconstructions are currently done arthroscopically because of the advantages of smaller skin and capsular incisions, less extensor mechanism trauma, improved viewing of the intercondylar notch for placement of the tunnel and attachment sites, less postoperative…
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Fluoroscopically guided facet joint injections are commonly considered the gold standard for isolating or excluding the facet joint as a source of spine or extremity pain. They also may help focus treatment on a specific spinal segment and provide adequate…