Introduction ▪ Clavicle fractures are common and potentially devastating injuries in athletes that may result in complete loss of the competitive season. ▪ Approximately 20% to 45% of all clavicle fractures are attributed to sport-related activity with cycling and contact…
Surgical Treatment: Arthroscopic Erik M. Fritz, MD Brooke M. DelVecchio, PT, DPT, OCS Jonas Pogorzelski, MD, MHBA, Peter J. Millett, MD, MSc Abstract Acromioclavicular joint injuries that require surgery may be managed using arthroscopic and open techniques. This chapter reviews the indications, techniques, complications…
Introduction ▪ The most widely used classification is , which is based on severity of injury. ▪ Clinical evaluation is especially important in assessing posterior dislocations and scapulothoracic dyskinesia. ▪ Imaging should always include standard shoulder views, including an axillary…
Postoperative Physical Therapy and Rehabilitation Brooke M. Delvecchio, PT, DPT, OCS Paul E. Westgard, PT, DPT, OCS, SCS, CSCS Helen Bradley, PT, MSc, SCS, CSCS Abstract This Chapter reviews the factors, biologic healing, early and delayed range of motion, and guidelines of rotator…
Posterior Cuff Kyle R. Duchman, MD Brian R. Wolf, MD, MS Abstract It is very common for patients to experience loss of structural integrity following a primary rotator cuff repair. Causes of failure after the primary repair can include biologic failure, technical…
Physical Examination and Imaging David Bernholt, MD Robert H. Brophy, MD Abstract Isolated tears of the subscapularis can occur through forced external rotation or by anterior shoulder dislocation. Tears can be full or partial and are associated with weakness of internal rotation…
Arthroscopic Posterosuperior Rotator Cuff Repair for Full-Thickness Tears Matthew P. Noyes, MD Patrick J. Denard, MD Stephen S. Burkhart, MA, MD Abstract This chapter provides a thorough review of the advancements in tear recognition that have facilitated the improved techniques which have resulted…
Nonoperative Treatment, Including Injections, Rehabilitation, and Indications for Surgery James J. Kinderknecht, MD Abstract Sports-related injuries to the rotator cuff are fairly common, especially partial tears, which are most often traumatic injuries but can also be due to “overuse” of the…
Introduction ▪ Rotator cuff tears are common in throwers and contact athletes. ▪ A thorough knowledge of shoulder anatomy is essential to translating patient history, physical examination, and imaging findings into a treatment plan. ▪ In the athletic population, the…
Postoperative Rehabilitation: Anterior Stabilization Terrance A. Sgroi, PT, DPT, SCS, MTC Abstract The shoulder is an inherently unstable ball and socket joint that places that places high demands on the glenohumeral joint, so the rehabilitation process following an arthroscopic anterior shoulder…