By Thomas J. Gill MD, Richard J. Hawkins MD
Written by way of the world over famous grasp surgeons, this e-book is a complete, sensible consultant to prevention, analysis, and administration of issues in shoulder surgical procedure. significant sections specialise in open and arthroscopic surgical procedure, and every part comprises chapters on particular methods, comparable to surgical procedure for anterior shoulder instability, surgical procedure for posterior/multidirectional instability, rotator cuff fix, arthroplasty, fracture administration, arthrodesis, subacromial decompression, acromioclavicular joint resection, and thermal capsulorrhaphy. for every process, the authors speak about the whole diversity of capability issues and current their most well liked techniques to prevention, prognosis, and remedy of those difficulties. greater than two hundred illustrations supplement the textual content.
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Additional resources for Complications of Shoulder Surgery: Treatment and Prevention
5) included 27 patients with a minimum 2-year follow-up. In all, 37 percent of patients had no, slight, or moderate pain, and 76% of patients had a reduction in pain. Seven patients had a third attempt to repair the rotator cuff and three of those patients went on to have a shoulder fusion. Overall, only four patients were considered to have a good result. Bigliani et al. (4) reported slightly better results in their series of revision cuff repairs. Thirteen patients had attempts at mobilization and repair of the detached deltoid origin in addition to revision repair of the rotator cuff.
Rotational humeral osteotomy and glenohumeral arthrodesis are salvage procedures in the patient for whom more traditional methods of stabilization have failed (Fig. 2-11) (49,50). The use of these procedures and their technical aspects are beyond the scope of this text. As with any case involving bony fixation, complications can be minimized by careful preoperative planning, the use of intraoperative fluoroscopy, the application of the principles of internal fixation, and appropriate postoperative rehabilitation.
Thus, when the sulcus sign is performed under anesthesia, it should be performed in neutral and full external rotation. A dampening of the sulcus sign in external rotation signifies a competent CHL, and careful consideration should be given to whether the RI warrants closure. Again, as mentioned previously, laxity must be differentiated from instability, and the key determinant is often subjective symptoms. A history of inferior instability, such as when picking up a piece of luggage is classic, and is analogous to posterior instability felt when reaching forward or anterior instability when in the abducted, externally rotated position.