Download e-book for iPad: Advanced Arthroscopy by Roger N. Chams, Stephen J. Snyder (auth.), James C. Y. Chow

By Roger N. Chams, Stephen J. Snyder (auth.), James C. Y. Chow M.D. (eds.)

ISBN-10: 0387215417

ISBN-13: 9780387215419

ISBN-10: 1468495135

ISBN-13: 9781468495133

Arthroscopic surgical procedure is the technically tough technique that calls for the skillful use of gentle tools and familiarity with fiberoptic tools and video gear. targeting the most up-tp-date, "cutting-edge," leading edge, and complicated arthroscopic innovations for wrist and hand, elbow, shoulder, hip, knee, ankle and foot, backbone, in addition to laser purposes in arthroscopy, and place of work arthroscopy, complex Arthroscopy provides the orthopaedic health practitioner with the distinctive systems had to remain aggressive. With contributions from leaders within the orthopaedic/arthroscopic surgical procedure uniqueness, complete colour arthroscopic perspectives and customized illustrations detailing advanced techniques for rotator cuff tear, TFCC fix, meniscus fix, ACL reconstruction, intraarticular fractures etc, this quantity is for each training orthopaedic surgeon.

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1t is best evaluated radiographically with an AP view with the arm in extern al rotation. 5. Supraspinatus outlet view (right shoulder, anterior to right). It is important to remember that the subacromial bursa is an anterior structure. It extends from the anterior one-half to one-third of the acromion to just medial to the AC joint to 1 to 2 cm anterior to the acromion and 2 to 3 cm laterally (Fig. 7). " This curtain frequently "closes" as one backs the scope posteriorly to get a larger field of view of the subacromial bursa.

Arthroseopy 1995;11:715-719. 26. Gallino M, Vatiston B, Annaratone G, et al. Coracoacromiol ligament: a comparative arthroseopic and anatomie study. Arthroseopy 1995; 11 :564-567. 27. Esch JC, Baker CL. Rotator euff disease and impingement. In: Whippie TL, ed. Arthroseopie surgery-the shoulder and elbow. Philadelphia: JB Lippincott, 1993:161-163. 28. Roekwood CA Jr. Shoulder funetion following decompression and irrepairable euff Iesions. Orthop Trans 1984;8:92. 29. Wuh HCK, Snyder SJ. Modified c1assifieation of the supraspinatus outlet view based on the configuration and the anatomical thickness of the acromion.

The concept of secondary impingement originates with Codman,13 who proposed an intrinsic tendinous degeneration as the essentiallesion in rotator cuff disease. The microvaseular studies by Rathbun and McNab,14 Moseley and Goldie, 15 and Rothman and Parke 16 support this concept. This vascular compromise results in tissue devitalization characterized as "angiofibroblastic hyperplasia" by NirschlP The subsequent pain and weakness of the supraspinatus compromises its function as a humeral head depressor and allows the upward humeral migration forces of the deltoid to dominate, producing a secondary impingement of the cuff into the acromion.

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Advanced Arthroscopy by Roger N. Chams, Stephen J. Snyder (auth.), James C. Y. Chow M.D. (eds.)


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