By H. Maurer, M. Lener (auth.), Dr. Herbert Resch, Dr. Emil Beck (eds.)
Both the analysis and the present healing probabilities of the shoulder joint and the subacromial area are defined in specific element during this booklet. The anatomy of the shoulder joint from an arthroscopic point of view is usually in brief defined. The diagnostic a part of the publication supplies an outline of the person constructions within the glenohumeral joint in addition to the subacromial house in regards to their pathologic adjustments, and unique awareness is targeted on differentiating among fit and pathologic struc§ tures. The healing half provides a close description of the Bankart refixation tools effectively utilized through the authors which come with a suturing procedure, a refixation procedure utilizing absorbable tacks and an extra-articular screw fixation method; moreover the innovations of subacromial decompression, the elimination of calcium deposits and the resection of the lateral finish of the clavicle are defined intimately. From the dialogue concerning the symptoms for arthroscopy and/or arthroscopic treatment, the publication then is going directly to show info on positioning, draping, worthy tools and, eventually, the acting the arthroscopic intervention itself. hence, all of the information that are required for arthroscopy of the shoulder are given.
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Extra resources for Arthroscopy of the Shoulder: Diagnosis and Therapy
Impingement syndrome. If the rotator cuff is sonographically and arthrographically intact and the LA~test positive, and the patient has failed to respond to conservative treatment after 6 months, acromioplasty is indicated. Prior to this intervention a so-called secondary impingement with damage to the limbus at the antero-superior rim of the socket should be excluded by means of arthroscopy (see Chap. 3). Nonspecific pain in the shoulder refractory to treatment. This is one of the few indications for initially only performing diagnostic arthroscopy.
39). An antero-superior separation of the glenoid labrum was found mainly in throwing athletes by Andrews (Figs. 40-42). He considered the cause to be extreme traction on the long biceps tendon in the third phase of throwing and the braking action of the forced elbow extension . P. lesion (Superior Labrum, both Anterior and Posterior ). The joint lip may be detached in a hood-like manner and pulled cranially by the traction of the tendon, like a bucket handle (Fig. 43). Evaluating the age of all these injuries is difficult and only possible indirectly.
P Posterior portal (scope), llateral portal, ap anterior portal, a • • • • tip of acromion, c coracoid tip subscapularis bursa and the evaluation of the posterior limbus from the standard posterior portal for the scope, however, the 70° scope is very useful. Therefore it should always be available as a reserve instrument. Probe. Palpation of the joint and subacromial space is imperative. In particular, detachments of the labrum can often not be diagnosed by inspection alone. It is only after manipulation with the probe that the lesion becomes visible.