– 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
– See: – Chondral and Osteochondral Injuries of the Knee / Articular Cartilage: Injury and Potential for Repair: / Osteoarthritis – Enchondral Ossification – Discussion: – hyaline cartilage caps ends of bones that form synovial joints; – in other hyaline cartilage structures, surrounding perichondrium contains both capillaries for nutrition and the cells that become … Read more
– Technique: – disimpaction of posterior facet: – if the posterior facet is impacted down into the cancellous bone, it should be elevated en mass w/ use of an osteotome; – it is important to elevated the posterior facet along … 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
– 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
– See: Brachial Plexus Injury – Indications: – shoulder paralysis: – may include paralytic dislocation or combined rotator cuff / deltoid paralysis (in which case shoulder arthroplasty would be contra-indicated); – as a requirement for shoulder fusion, the muscles of forearm and hand need to be functional as do the serratus anterior and trapezius; – the … Read more
– Discussion: – Total Shoulder Arthroplasty: (considerations: hemiarthroplasty vs TSA) – Reverse arthroplasty – Indications: – indicated for end stage DJD or RA shoulder involvement; – contra-indications to shoulder arthroplasty include combined rotator cuff / deltoid paralysis and recent joint infection; – in these rare circumstances, arthrodesis may be considered; – may occur as … Read more
– Discussion: – it is not a separate ligament but is condensation of fibers of origin of popliteus and helps form the arcuate complex: – arcuate ligament is a Y shaped condensation of fibers that courses from the fibular head, over the popliteus, to insert on the posterior capsule; … Read more
– Discussion: – involves tearing of both anterior SI ligaments of floor of pelvis (sacrotuberous and sacrospinous); – involves a widened anterior SI joint & injury to anterior ring (usually a symphysis diastasis) best seen on the Inlet view; – may be bilateral or unilateral; – this … Read more
– Discusison: – w/ application of severe AP force, hemipelvis rotates externally until posterior iliac wing contacts posteior sacrum; – continued force rips posterior SI ligaments, completely dissconecting hemipelvis from the sacrum; – APC III have highest rate of assoc injury, including retroperitoneal bleeding; – by definition then, an … Read more