Introduction Proximal humeral fractures (PHFs) account for nearly 6% of all fractures. They have an overall incidence of 40 in 100,000 patients. This number is predicted to triple by 2030 with a growing elderly population leading to an increase in…
Conflicts of Interest: The position of PCN at the Steadman Philippon Research Institute is supported by Arthrex. PJM is a consultant for and receives royalties from Arthrex, Medbridge, and Springer; owns stock in VuMedi; receives support from the Steadman Philippon…
Introduction Posterior shoulder dislocations are uncommon and potentially challenging traumatic injuries. Their incidence is around 1.1 per 100,000 population per year, which accounts for about 2% to 5% of all shoulder dislocations. Traumatic injuries such as falls, motor vehicle accidents, or…
Indications for Arthroscopic Latarjet Contraindications to arthroscopic Latarjet include presence of breast implants (due to the position and trajectory of the M portal) and prior coracoid harvest. The procedure is more challenging after prior open shoulder surgery due to the…
Introduction The treatment of the significant Hill-Sachs lesion (HSL) continues to evolve. One option that has gained popularity is a transfer of the infraspinatus/posterior capsule directly into the Hill-Sachs defect. Originally described by Connolly in 1972 as an open procedure,…
Introduction Owing to the unique anatomy and range-of-motion (ROM) demands of the shoulder, coordination of several static and dynamic stabilizers is necessary to maintain shoulder stability. This coordination can be disrupted, most commonly secondary to acute traumatic dislocation or atraumatic…
Introduction Anterior instability represents over 70% of glenohumeral instability with a yearly incidence approaching 3% in high-risk populations. , Males sustain 70%–80% of instability episodes with subluxations being more common than frank dislocations. , About half (47%) of all dislocations…
Introduction Scapulothoracic dissociation is a rare and devastating injury of the shoulder girdle. Originally described by Oreck et al. in 1984, the injury was defined as a complete separation of the acromioclavicular (AC) joint with lateral displacement of the scapula and…
Introduction Segmental injury patterns about the shoulder have earned the name “floating shoulder” and “double disruptions” of the shoulder suspensory complex because they frequently consist of two radiographically distinct skeletal and/or ligamentous injuries about the shoulder girdle. The cumulative instability…
Introduction This chapter builds on a new perspective of operative intervention in cases of marked displacement of scapular fractures, based on surgical indications covered in the last chapter ( Table 16.1 ). These surgical indications should be assessed with measurements…