Important Points ▪ There is a shift away from SLAP (superior labrum anterior and posterior) repair toward biceps tenodesis. ▪ The biceps–labrum complex (BLC) can be divided into three anatomic locations: inside (the superior labrum and biceps anchor), junction (the…
Indications for Surgery Sternoclavicular joint injuries are rare, and indications for their surgery are also rare. Fractures of the medial end of the clavicle are usually not sports related, are the result of vehicular trauma, and rarely need surgery (…
Anatomy, Epidemiology, and Etiology Although injuries to the sternoclavicular joint are relatively rare in athletes, team physicians must be vigilant for such injuries because they represent one of the few potentially life-threatening injuries in sports. The sternoclavicular joint is a…
Background ▪ Distal fractures of the clavicle (DCFs) are defined as fractures of the lateral third of the clavicle and are classified by their relationship to the acromioclavicular (AC) and coracoclavicular (CC) ligaments. ▪ DCFs account for approximately 15% to…
Percutaneous Pinning Connor G. Ziegler, MD Robert A. Arciero, MD Abstract Midshaft clavicle fractures which require reduction and internal fixation can be managed using two primary approaches. Open reduction and internal fixation with one or more plates is one approach and intramedullary…
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…