Glenohumeral joint sepsis is an unusual indication for shoulder arthroscopy. Arthroscopy has greatly facilitated the management of this difficult condition. Treatment goals include acquiring fluid cultures and tissue biopsies to identify the infecting organism or organisms and determining the extent…
With the increased use of magnetic resonance imaging (MRI), we now diagnose more patients with periarticular shoulder cysts who are referred for care. It is unknown whether this represents a true increase in the incidence of cysts or merely reflects…
Articular cartilage pathology in the shoulder can present in many scenarios. The most common is some degree of osteoarthrosis or chondromalacia. The less common scenarios are avascular necrosis, rheumatoid arthritis, chondrolysis, and osteochondromatosis. The current arthroscopic treatment of these conditions…
There are three basic conditions that produce shoulder stiffness and are amenable to arthroscopic treatment: idiopathic adhesive capsulitis, posttraumatic stiffness, and postoperative stiffness. The treatment of the stiff, osteoarthritic shoulder is discussed in Chapter 7 . Idiopathic adhesive capsulitis is…
The long head of the biceps tendon has both intra-articular and extra-articular segments. Biceps lesions can occur at the supraglenoid attachment, intra-articularly (lateral to the supraglenoid attachment), or extra-articularly. Regardless of the specific site of pathology, the long head of…
Orthopedic surgeons have a fundamental desire to find a simple solution to glenohumeral instability, leading to various operative approaches. Despite the fact that Bankart and Perthes had independently described anterior labral pathology in the 1900s, surgeons in the mid-1900s observed…
Only with an understanding of normal glenohumeral joint and subacromial space anatomy can the surgeon appreciate which structures are damaged. Diagnostic Glenohumeral Arthroscopy Portal placement is critical, so it is important to take sufficient time to mark the portal sites…
This chapter covers the general organization of the operating room, anesthesia, patient positioning, as well as equipment and instruments. Clinical Data It is helpful to have a copy of the patient's record in the operating room. This allows the surgeon…
In the initial edition of this text, we approached teaching shoulder arthroscopy from the vantage point that a minority of the current surgeons in practice had trained in shoulder arthroscopy. We therefore titled the first chapter “Making the Transition.” However,…