ISSN:1523-9896    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

An all-arthroscopic rotator cuff repair is a challenging procedure that can be successfully performed for treatment of supraspinatus and infraspinatus tendon tears. Often, tears of the subscapularis tendon do not involve the entire tendon, and retraction of the torn edge is within 1 to 2 cm of its attachment site. Occasionally, the entire tendon is torn and retracted medially to the glenoid. This article outlines the examination, preoperative planning, complications, and details the steps necessary to perform this procedure on all types of subscapularis tears.

ISSN:1523-9896    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Osteoporosis can compromise internal fixation of fractures and nonunions of the humeral shaft in older patients. Nonunions may be particularly problematic due to disuse osteoporosis,1instability at the nonunion site, prior operative fixations, and bony defects.2–4Several techniques have been suggested for improving internal fixation of osteoporotic bone. Initial success with fixed-angled implants such as the blade plate5–8has led to the development of screws that are fixed rigidly to the plate.9,10The option of such “locked” screws has been incorporated into the dynamic compression plate in the so-called Locking Compression Plate (Synthes, Paoli, Pennsylvania). The Locking Compression Plate has proved particularly useful for internal fixation of the humerus in osteoporotic patients.

ISSN:1523-9896    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Rotator interval lesions comprise a range of pathology, each requiring specific diagnostic and surgical techniques to accurately identify and appropriately treat patients. Rotator interval lesions can be separated into 4 types:Type I: RI contractureType II: RI laxity associated with glenohumeral instabilityType III: Traumatic injury; type IIIa tear, type IIIb coracoid impingementType IV: Bicipital instability involving CHL, SGHL, subscapularisThis article provides historical background on the development of knowledge of the function of the rotator interval and addresses each type of lesion's examination, imaging, and treatment methods.

ISSN:1523-9896    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1523-9896    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

As the role of the long head of the biceps tendon becomes increasingly recognized as a component of rotator cuff pathology, indications for biceps tenodesis have expanded. Historical techniques of biceps tenodesis often have been tedious, involving keyholes and/or transosseous sutures. We have been using a technically simple technique for biceps tenodesis employing a bioabsorbable interference screw since 1995 with excellent clinical success. This article details that technique.

ISSN:1523-9896    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

The design of the Copeland surface replacement arthroplasty has evolved over the past 20 years but the basic concept and design of the surface replacement, including minimal removal of bone and cementless fixation, has remained constant. The indications and surgical technique have been refined over this period. The surface replacement prosthesis has demonstrated clinical results at least equal to those of conventional stemmed prostheses. The specific advantages of a surface replacement over a stemmed prosthesis include minimal bone resection, which aids revision surgery, and the absence of a stem avoids shaft stress fractures. The indications, surgical technique and results of the Copeland surface replacement arthroplasty are presented.

ISSN:1523-9896    

出版商:OVID    

年代:2003

数据来源: OVID