The Hip - book

Shoulder Capsule / Static Stabilizers of Shoulder

– Discussion:     – w/ in joint capsule, variable ligs (superior, middle, & IGHL), are primary components of static restraint in glenohumeral joint.     – glenoid version:             – Biomechanical Evaluation of Glenoid Version and Dislocation Direction on the Influence of Anterior Shoulder Instability and                       Development of Hill-Sachs Lesions – Scapulohumeral Ligaments: (5 … Read more

Shoulder, Clavicle, and Humerus Procedures

    23030     I&D ABSCESS SHOULDER     23031     I&D BURSA SHOULDER     23035     I&D W/CORTEX OPEN SHOULDE     23036     ARTHROTOMY W/SUCT. SHOULD     23036     I&D W/ SUCTION SHOULDER     23040     ARTHROTOMY SHOULDER     23044     ARTHROTOMY STERNOCLAV … Read more

Shoulder Arthroplasty: Humerus Preparation and Component Insertion:

– See: Total Shoulder Replacement – Technique:     – deliver the proximal humerus:            – anteriorly dislocate the humeral head by extending, abducting, and externally rotating the arm;            – a blunt Homan retractor is then placed behind the humeral head to maintain its dislocated position; … Read more

Shoulder Capsule

– Discussion:     – see Static Stabilizers     – because of shallow socket of GHJ, stability is conferred by capsle, ligaments, & muscle rather than bone;     – capsule is somewhat loose & approx double size of humeral head, allowing for extensive range of motion;     – shoulder capsule maintains a … Read more

Shin Splints / Medial Tibial Stress Syndrome

– Discussion:     – a complex syndrome characterized by exercise induced pain in mid leg;     – contributing factors include varus hindfoot, excessive forefoot pronation, genu valgum, excessive femoral anteversion, & external tibial torsion;     – may encompasses a wide spectrum of disorders including periostitis near origin of soleus & FDL muscle … Read more

Shoulder Arthrography

– Discussion:     – normally no communication exists between the shoulder joint and the subacromial bursae;     – when radiopaque dye is injected into the shoulder and is subsequently demonstrated in the subacromial bursa, a rotator cuff tear is present; – Indications:     – for dx of complete rotator cuff tears, adhesive capsulitis, … Read more