– See: Arthroscopic Acromioplasty – Lateral portal: – used for visualization of, or for insertion of instruments into, subacromial space, (usually for arthroscopic acromioplasty or for calcific tendinitis); calcific tendinitis); – the key to lateral portal placement is that it must allow triangulation over the entire undersurface of the anterior acromion; – if the portal is … Read more
– Technique: – best visualization of the shoulder joint is through the posterior portal; – portal usually is located 1.5-3 cm distal & 1-2 cm medial to postero-lateral tip of acromion; – further refine the proper location of the portal by finding the soft spot, using deep palpation of the … Read more
– Discussion: – shoulder arthroscopy / acute dislocations / recurrent anterior instability / multidirectional instability / posterior instability – drive through sign: – refers to the ability to pass the arthroscope easily between the humeral head and the glenoid at level of anterior band of inferior glenohumeral ligament; – considered diagnostic of shoulder laxity or instability; – ref: Clinical significance of the arthroscopic … Read more
ankle arthroscopy elbow arthroscopy hip arthroscopy arthroscopy of the knee joint shoulder arthroscopy – arthroscopic rotator cuff repair wrist arthroscopy Additional Informaton The Effect of Irrigation Solution at Different Temperatures on Articular Cartilage Metabolism Supraphysiologic Temperature Enhances Cytotoxic Effects of Bupivacaine on Bovine Articular Chondrocytes in … Read more
– See: Open Acromioplasty – Discussion and Indications: – objective good to excellent results may be achieved in over 70% of patients, and subjective satisfactory results are achieved in over 90% of patients; – shoulder arthroscopy is indicated in cases of impingement syndrome and questionable rotator cuff tear repair, since the shoulder … Read more
– Discussion, Indications and Outcomes: – impingement syndrome – open acromioplasty – what exactly does an acromioplasty do? – [Subacromial denervation as a treatment modality for patients with subacromial pathology] – Radiographs – Initial Set Up: – prior to inserting instruments into subacromial space it is helpful to prevent subacromial bleeding … Read more
– Discussion: – these fractures by definition are associated w/ vascular trauma, and have a high prevalence of infection: – its important to assess viability of the limb, both w/ common sense, as well as w/ objective criteria such as the MESS; – main controversy is whether tp procede on with vascular repair, frx … Read more
– See: – Total Hip Replacement Menu: – Anastomosis of Lower Limb Arteries – Nerve Injuries in THR: – Acetabular Screw Placement: – Discussion: – arterial injuries have been reported in 0.1% to 0.2% of all total hip replacements; … Read more
– Discussion: – in middle of the arm, ulnar nerve pierces medial intermuscular septum and descends in front of the medial head of the triceps; – in 70-80% of individuals, nerve passes under arcade of Struthers; – the arcade is a thin aponeurotic band extending from medial head of … Read more
– See: – Orthofix – Over Distraction of Wrist Joint – Positioning: – supine, hand table, flouro; – prep for contralateral iliac crest (ipsilateral w/ less personel); – Frame Configuration: – Lateral Frame: – 45 deg Oblique Frame: … Read more