Covering the entire spectrum of operative shoulder arthroscopy, including both routine and complex shoulder procedures, Gartsman's Shoulder Arthroscopy, 3rd Edition, provides a straightforward, "classroom" approach that walks you through each step of these challenging surgeries. Two master surgeons in the field, Drs. Hussein Elkousy and T. Bradley Edwards, present clear explanations of the standard approach to each procedure, plus variations and complications that frequently arise. Focused, concise coverage includes review of anatomy, indications and contraindications, non-operative options, pre-operative assessment and imaging, and more.
- Provides a uniform, consistent approach to all aspects of shoulder arthroscopy, including "pearls" from the expert author team of Hussein Elkousy and T. Bradley Edwards.
- Includes new and revised content on bicep lesions and acromioclavicular joint pathology, arthroscopic diagnostic and management tools, rehabilitation and new non-metallic implants and knotless techniques.
- Contains more videos, techniques and images on how to address rotator cuff and labral pathology.
- Features superb intraoperative photographs and line drawings, as well as accompanying videos for dynamic clarification - all updated to offer the latest visual guidance in the field.
- Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.
Author(s): Hussein Elkousy, T. Bradley Edwards
Edition: 3
Publisher: Elsevier
Year: 2018
Language: English
Pages: 357
City: Philadelphia
Front Matter
Copyright Page
Dedication
Preface
Video Contents
I The Basics
1 Shoulder Arthroscopy Concepts and Tools
Abstract
Keywords
Arthroscopy Versus Open Repair
Technical Skills
Suture Anchors
Sutures Through Tendon
Suture Management
Arthroscopic Knot Tying (Video 1.1)
Knot-Tying Concepts
Knot Types
Knot-Tying Steps
Intellectual Skills
The Gradual Transition
Stage 1
Stage 2
Stage 3
Stage 4
Stage 5
Instrument Handling
Arthroscope
Needle-Passing Device
Shuttle Suture Passer
Knot Pusher
2 Operating Room Setup
Abstract
Keywords
Clinical Data
Setup and Preparation
Anesthesia
Patient Positioning
Lateral Decubitus Position
Sitting Position
Equipment
Arthroscope
Suture Passers
Soft Tissue Management
Suture Management
Sutures
Power Instruments
Cannulas
Thermal Instruments
Fluid Management
Transfer Rods
Anchors
Photography and Video Recording
Dedicated Team
3 Diagnostic Arthroscopy and Normal Anatomy
Abstract
Keywords
Diagnostic Glenohumeral Arthroscopy
Posterior Portals
Lateral Portals
Anterior Portals
Physical Examination
Arthroscopic Procedure (Videos 3.1 and 3.2)
Diagnostic Subacromial Space Arthroscopy
II Glenohumeral Joint Surgery
4 Glenohumeral Instability
Abstract
Keywords
Literature Review
Diagnosis
Patient History
Physical Examination
Radiographs
Nonoperative Treatment
Operative Treatment
Indications
Contraindications
Operative Approach
Operative Rationale
Intraoperative Decision Making and Indications
Débridement
Labrum Repair
Capsular Tensioning
Rotator Interval
Operative Technique
Posterior Repair (Videos 4.2–4.6)
Portal Placement
Scapular Neck and Tissue Preparation
Drill Holes
Suture Passing
Anterior-Inferior Repair (Videos 4.7–4.11)
Débridement
Insertion Tears
Bankart, Bone Fragment
Anterior Scapular Neck Preparation
Drill Holes
Anchor Insertion
Suture Passing
Shuttling the Suture
Knot Tying
Superior Labrum Repair (Video 4.12)
Capsular Shift (Videos 4.13–4.15)
Mutlidirectional Instability (MDI) Videos
Rotator Interval Repair (Video 4.16)
Rotator Cuff Lesions
Postoperative Management
Results
Operative Repair
Postoperative Scores and Shoulder Rating Systems
Range of Motion
Return to Sports Participation
Ligament Laxity
Complications
Latarjet (Videos 4.17 and 4.18)
Discussion
Bibliography
5 Biceps Tendon Lesions
Abstract
Keywords
Superior Labrum Anterior-to-Posterior Lesions
Anatomy
Making the Diagnosis
Management of SLAP Tears
Nonsurgical Treatment
Surgical Treatment
Type 1 Superior Labrum Anterior-to-Posterior Lesion
Type 2 Superior Labrum Anterior-to-Posterior Lesions
Type 3 Superior Labrum Anterior-to-Posterior Lesions
Type 4 Superior Labrum Anterior-to-Posterior Lesions
Operative Technique (Video 5.2)
Type 1 Superior Labrum Anterior-to-Posterior Lesions
Type 2 Superior Labrum Anterior-to-Posterior Lesions
Type 3 Superior Labrum Anterior-to-Posterior Lesions
Type 4 Superior Labrum Anterior-to-Posterior Lesions
Postoperative Treatment
Biceps Lesions Distal to the SLAP Lesion
Literature Review
Diagnosis
Indications for Treatment
Operative Technique
Soft Tissue Biceps Tenodesis Technique (Video 5.3)
Subacromial Techniques
Biceps Tenodesis—Suture Anchor Technique (Video 5.5).
Biceps Tenodesis—Interference Screw Technique (Figs. 5.118–5.123).
Tenotomy
Postoperative Treatment
Discussion
Bibliography
6 Stiffness
Abstract
Keywords
Literature Review
Clinical Presentation
Diagnosis
Indications for Surgery
Limitations of Arthroscopic Surgery
Operative Technique (Video 6.1)
Examination Under Anesthesia
Manipulation
Joint Entry
Rotator Interval
Anterior Capsule
Subacromial Space
Postoperative Care
7 Arthrosis
Abstract
Keywords
Diagnosis
Nonoperative Treatment
Indications for Surgery
Contraindications to Surgery
Osteoarthritis
Rheumatoid Arthritis
Avascular Necrosis
Chondrolysis
8 Periarticular Cysts and Suprascapular Nerve Compression
Abstract
Keywords
Literature Review
Diagnosis
Nonoperative Treatment
Indications for Surgery
Operative Technique
Suprascapular Nerve Decompression at the Suprascapular Notch (Lafosse Technique)
Variations of Technique
Postoperative Care
Suprascapular Nerve Decompression at the Spinoglenoid Ligament (Video 8.3)
Bibliography
9 Sepsis or Infection
Abstract
Keywords
Literature Review
Diagnosis
Operative Technique
Bibliography
III Subacromial Space Surgery
10 Impingement Syndrome
Abstract
Keywords
Diagnosis
Differential Diagnosis
Indications and Goals of Surgery
Literature Review
Arthroscopic Findings
Treatment
Operative Technique (Video 10.1)
Examination Under Anesthesia
Positioning
Landmarks
Glenohumeral Joint Entry and Findings
Subacromial Entry and Findings
Bursectomy
Coracoacromial Ligament
Acromioplasty
Hemostasis
Os Acromiale
Postoperative Management
Causes of Failure
Failure of Thought
Unrealistic Expectations
Improper Diagnosis
Technical Failure
Inadequate Decompression
Excessive Decompression
Lateral Acromial Resection
Comparison of Open and Arthroscopic Approaches
Coracoid Impingement (Video 10.2)
Bibliography
11 Partial-Thickness Rotator Cuff Tears
Abstract
Keywords
Literature Review
Diagnosis
Nonoperative Treatment
Indications for Surgery
Operative Technique
Operative Findings
Intraoperative Decision Making
Management of Partial-Thickness Tears (Video 11.1)
Internal Impingement Lesion
Postoperative Treatment
Bibliography
12 Full-Thickness Rotator Cuff Tears
Abstract
Keywords
Historical Review
Diagnosis
Management
Surgery Discussion
Operative Technique
Anesthesia
Positioning
Portals
Glenohumeral Joint
Subacromial Space
Tear Classification
Coracoacromial Ligament and Acromioplasty
Acromioclavicular Joint
Cuff Mobilization
Repair Site Preparation
Anchor Selection
Anchor Design
Anchor Material
Suture Selection
Repair of Avulsion or Crescent-Shaped Tears of the Supraspinatus
Single-Row Repair of Supraspinatus Tendon (Videos 12.1–12.4)
Suture Placement
Suture Passing
Needle-Passing Device Technique
Knot Tying (Video 12.5)
Double-Row Repair
Types and Contrast of Techniques
Technique for Double Row (Video 12.6)
Technique for Transosseous Equivalent (Video 12.7)
Longitudinal Tears (Videos 12.8 and 12.9)
Horizontal Cleavage Tears (Video 12.10)
Subscapularis Tears (Video 12.11)
Postoperative Treatment
Complications
Stiffness
Failure of Healing
Bibliography
13 Massive Rotator Cuff Tears
Abstract
Keywords
Literature Review
Operative Technique (Videos 13.1–13.4)
Visualization
Cuff Mobilization and Tear Classification
Repair Sequence
Suture Management
Margin Convergence
Subscapularis Tears
Postoperative Management
Bibliography
14 Irreparable Rotator Cuff Tears
Abstract
Keywords
Literature Review
Diagnosis
Nonoperative Treatment
Indications for Surgery
Contraindications to Surgery
Operative Technique
Glenohumeral Joint
Subacromial Space
Postoperative Management
Complications
Bibliography
15 Acromioclavicular Joint Pathology
Abstract
Keywords
Literature Review
Diagnosis
Painful Conditions
Instability
Differential Diagnosis
Nonoperative Treatment
Injection
Indications for Surgery
Painful Conditions
Operative Technique (Video 15.1)
Postoperative Management
Complications
Instability
Operative Technique (Video 15.2)
Postoperative Management
Complications
Bibliography
16 Calcific Tendinitis
Abstract
Keywords
Literature Review
Diagnosis
Nonoperative Treatment
Indications for Surgery
Operative Technique (Video 16.1)
Postoperative Management
Complications
Bibliography
17 Fractures
Abstract
Keywords
Literature Review
Diagnosis
Nonoperative Treatment
Indications for Surgery
Contraindications to Surgery
Bibliography
18 Diagnostic Ultrasonography
Abstract
Keywords
Basic Terminology
The Basic Exam
Long Head of the Biceps Tendon
Subscapularis Tendon
Supraspinatus and Infraspinatus Tendons
Injections
Summary
Bibliography
19 Rehabilitation
Abstract
Keywords
Types of Exercises (Videos 19.1 and 19.2)
Surgical Procedures to Improve Motion
Surgical Procedures With No Repair and Intact Rotator Cuff
Irreparable Rotator Cuff Tears
Rotator Cuff Repair
Weeks 4 to 12
Week 12
Glenohumeral Joint Stabilization
Weeks 4 to 6 to Week 12
Week 12
Index
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
R
S
T
U
V
W
