OVERVIEW Chapter synopsis Acromioclavicular joint injuries are among the most common shoulder injuries. Classification and indication for surgical or nonsurgical treatment are based on clinical and radiologic findings. Recent surgical techniques allow for anatomic reconstruction of the unstable joint. Important…
OVERVIEW Chapter synopsis Biceps tenodesis is an effective treatment for pathologies of the long head of the biceps tendon. This chapter presents a technique for a mini-open subpectoral biceps tenodesis using a technique with an all-suture anchor preloaded with needles.…
OVERVIEW Chapter synopsis Biceps tenodesis is an effective treatment for pathology of the long head of the biceps tendon. Recent evidence has seen an increase in the number of biceps tenodeses performed. This chapter discusses arthroscopic methods for performing tenodesis,…
OVERVIEW Chapter synopsis Scapulothoracic fusion is a complex procedure that is used in salvage situations. Indication for this procedure include facioscapulohumeral dystrophy or conditions that lead to periscapular muscle or nerve injury that cause significant winging. Pain and loss of…
OVERVIEW Chapter synopsis Scapulothoracic bursitis, crepitus, dyskinesis, and winging are related conditions of the shoulder that are frequently seen together in different combinations. Crepitus, or snapping scapula, may be asymptomatic or may be seen with bursitis. Nonoperative treatment is often…
OVERVIEW Chapter synopsis The arthroscopic management of stiff shoulder pathology is detailed. The diagnosis, imaging, indications for operative treatment, and specific technique of arthroscopic capsular release, along with aftercare, are detailed. Important points Patients that have not responded to appropriate…
OVERVIEW Chapter synopsis Osteoarthritis resulting in pain and functional limitations is a significant and growing problem with an aging population. Many treatment options exist, ranging from conservative treatment and physical therapy to total shoulder arthroplasty. Although arthroplasty procedures are effective…
OVERVIEW Chapter synopsis Suprascapular nerve compression at the suprascapular notch and spinoglenoid notch can cause a significant shoulder pathology. This can be surgically managed with arthroscopy, open release of the transverse suprascapular ligament (TSL), or excision of a pathology in…
OVERVIEW Chapter synopsis Superior labrum, anterior-to-posterior, lesions, a.k.a. “SLAP” lesions, continue to present problems both in terms of making an accurate diagnosis of a symptomatic SLAP lesion and in terms of decision-making as to the ideal treatment. This chapter discusses…
OVERVIEW Chapter synopsis High failure rates after rotator cuff repair have encouraged the search for biologics that may stimulate improved healing. This chapter will consider a number of different biologic approaches to augmenting rotator cuff repairs. Key cytokines and growth…