Gregory Nicholson, Matthew Provencher

Curbside Consultation of the Shoulder (eBook, PDF)

49 Clinical Questions

• Format: PDF

Produktbeschreibung

Curbside Consultation of the Shoulder: 49 Clinical Questions provides quick answers to the thorny questions most commonly posed during a "curbside consultation" between orthopedic surgical colleagues.

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Produktdetails

• Verlag: Taylor & Francis
• Seitenzahl: 236
• Erscheinungstermin: 1. Juni 2024
• Englisch
• ISBN-13: 9781040140567
• Artikelnr.: 70883484

Autorenporträt

Gregory P. Nicholson, MD is an Associate Professor of Orthopaedic Surgery at Rush University Medical Center in Chicago, Illinois. He is an author of numerous articles, papers, and chapters on conditions and injuries on the shoulder and elbow. He is a team physician for the Chicago White Sox baseball team. He is a member of the American Shoulder and Elbow Surgeons and American Orthopaedic Society for Sports Medicine.

Matthew T. Provencher, MD, LCDR, MC, USNR was born in New Hampshire, and completed his undergraduate education at the United States Naval Academy. There, he graduated with Distinction, was inducted into Phi Kappa Phi (National Honor Society), Tau Beta Pi (National Engineering Honor Soecity), Sigma Pi Sigma (National Physics Honor Society), and was named the Secretary of the Navy Distinguished Graduate. He was also a 4-year varsity oarsman and All-American at Navy. He completed his medical education at Dartmouth Medical School where he graduated with Honors and was elected to the Alpha Omega Alpha Honor Society. Matt completed his orthopaedic residency at the Naval Medical Center San Diego and his orthopaedic sports fellowship at Rush University under the direction of Bernard R. Bach, Jr, MD. Matt has been awarded the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) Science Award, the ISAKOS Richard Caspari Award (runner-up), the American Orthopaedic Society for Sports Medicine (AOSSM) Aircast Research Award, and was also both an AOSSM (Asia-Pacific) and an AOA John Fahey North American Traveling Fellow. Matt is currently the Assistant Director of Shoulder, Knee and Sports Surgery at the Naval Medical Center San Diego, a full-time academic practice. He is an active member of Arthroscopy Association of North America (AANA), AOSSM, ISAKOS, International Cartilage Repair Society (ICRS), and Society of Military Orthopaedic Surgeons (SOMOS).

Inhaltsangabe

Contents Dedication Acknowledgments About the Editors Contributing Authors
Preface SECTION I: PHYSICAL EXAMINATION QUESTIONS Question 1: What Are the
Physical Examination Findings That Lead You to a Diagnosis of Glenohumeral
Internal Rotation Deficit in the Throwing Athlete and What Nonoperative
Treatment Options Have Led to Improvement of the Condition? Dan Solomon, MD
Question 2: What Physical Examination Tests or Findings and Radiographs Do
You Use to Diagnose Subacromial Impingement, and When Do You Utilize
Subacromial Injections? Scott Youngblood, MD Question 3: What Are the
Physical Examination Findings (Signs and Symptoms, Pertinent Positives and
Negatives) That Direct You Toward a Diagnosis of Superior Labrum Anterior
to Posterior Lesion? Dan Solomon, MD SECTION II: IMAGING QUESTIONS Question
4: A 19-Year-Old Male Has Suffered Four Recurrent Dislocations During
Sporting Activity. He Has Been Able to Self-Reduce the Last Two Episodes.
What Is the Advanced Imaging Study of Choice? Justin W. Chandler and Alex
Creighton, MD Question 5: What Are the Radiographic Views Necessary to
Evaluate Osteoarthritis of the Shoulder? Are These Adequate Prior to Total
Shoulder Arthroplasty, or Is an Advanced Imaging Study (Computed Tomography
Scan, Magnetic Resonance Imaging) Indicated? Samer S. Hasan, MD, PhD and
David L. Saxton, MD Question 6: What Is the Imaging Modality To Best
Diagnose a Superior Labrum Anterior to Posterior Tear and What Does It Look
Like? Craig S. Mauro, MD and Mark W. Rodosky, MD SECTION III: SPORTS
QUESTIONS Question 7: How Do You Manage the Long Head of Biceps Tendon in a
28-Year-Old Weekend Athlete With a Type IV Superior Labrum Anterior to
Posterior Lesion That Involves Tearing Into the Biceps and Affects at Least
25% of the Tendon Thickness? Craig S. Mauro, MD and Mark W. Rodosky, MD
Question 8: A Volleyball Hitter Has Weakness of External Rotation and
Visible Atrophy of the Infraspinatus. What Are the Potential Causes, What
Are the Indications for Suprascapular Nerve Decompression, and What Is the
Operative Approach? Dan Solomon, MD Question 9: After a \u201cStinger\u201d
During a Football Game, There Is Weakness of the Deltoid, Rotator Cuff, and
Biceps and Triceps. Why Did This Happen and When Would You Allow Him to
Return to Play Again? Justin W. Chandler and Alex Creighton, MD Question
10: When Is the Patient Allowed to Return to Contact Sports After an
Arthroscopic Instability Repair for Recurrent Anterior Instability? K.
Blair Sampson, MD and Samer S. Hasan, MD, PhD Question 11: What Is the
Treatment for a Patient Who Presents With a \u201cSqueaking\u201d Shoulder
4 Months After an Arthroscopic Labral Repair Performed With a Bioabsorbable
Tack? Craig S. Mauro, MD and Mark W. Rodosky, MD SECTION IV: PEDIATRIC
QUESTIONS Question 12: A 14-Year-Old Pitcher Presents With Shoulder and Arm
Pain. It Is Midseason. There Is No Instability, and the Pain Is Primarily
Over the Lateral Deltoid. Radiographs Reveal Widening of the Lateral Aspect
of the Proximal Humeral Physis. What Is the Diagnosis and Treatment
Strategy? Christopher Dewing, MD, and Matthew T. Provencher, MD Question
13: How Do You Treat a 14-Year-Old Female Who Can Voluntarily Sublux the
Shoulder Posteriorly and Anteriorly, and Has a Sulcus Sign? Ed Glenn, MD
SECTION V: TRAUMA QUESTIONS Question 14: A 16-Year-Old Hockey Player Has a
Collision With His Arm Forcibly Extended. A Magnetic Resonance Imaging Scan
Reveals a Lesser Tuberosity Fracture With 2 to 3 mm of Elevation and 2 mm
of Medial Displacement. Is This Due to the Apophysis of the Lesser
Tuberosity? And How Do You Diagnose and Manage Traumatic Fractures of the
Lesser Tuberosity of the Humerus? G. Peter Maiers, II, MD and Samer S.
Hasan, MD, PhD Question 15: What Are the Indications for Open Reduction And
Internal Fixation of an Isolated Greater Tuberosity Fracture, and What
Approach and Operative Technique Is Appropriate? Anand Murthi, MD and Dori
Kelly Question 16: What Are the Indications for Open Reduction And Internal
Fixation of an Acute Fracture of the Midshaft Clavicle? Anand Murthi, MD
Question 17: What Are the Indications for Open Reduction And Internal
Fixation, and Indications for Hemiarthroplasty in the Treatment of Proximal
Humerus Fracture? James M. Paci, MD and Matthew G. Scuderi, MD Question 18:
What Are the Indications for Surgery in a Symptomatic Surgical Neck
Nonunion, and Which Option (Open Reduction and Internal Fixation Or
Arthroplasty) Would You Choose? Joseph Y. Choi, MD, PhD and Matthew G.
Scuderi, MD SECTION VI: RECONSTRUCTION QUESTIONS Question 19: What Are the
Indications and Options for Glenoid Resurfacing in Young Patients With
Glenohumeral Degenerative Joint Disease? Joseph Y. Choi, MD, PhD and
Matthew G. Scuderi, MD Question 20: What Are Your Indications for Repair of
an Acute Pectoralis Major Tendon Tear and What Is Your Preferred Method of
Fixation? Christopher Dewing, MD and Matthew T. Provencher, MD Question 21:
A 40-Year-Old Laborer Has Shoulder Pain. An Electromyograph Reveals Chronic
Denervation of the Serratus Anterior Muscle Without Reinnervation. What Is
Your Preferred Treatment for a Patient With Chronic Symptomatic Winging of
the Shoulder Due to Serratus Anterior Palsy? Chris Ahmad, MD and John Bell
Question 22: How Do You Manage A Symptomatic Superior Labrum Anterior to
Posterior II Tear In Someone Older Than 45 Years of Age? Tenotomy, Repair,
or Tenodesis? Clifford G. Rios, MD; Robert A. Arciero, MD; Anthony A.
Romeo, MD; and Augustus D. Mazzocca, MD Question 23: What Are the
Indications for Conservative Treatment Versus Core Decompression Versus
Arthroplasty in Avascular Necrosis of the Humeral Head? Sumant G. Krishnan,
MD and Kenneth C. Lin, MD Question 24: A 70-Year-Old Patient Is Referred
With A Magnetic Resonance Imaging Report That States a Supraspinatus Tear
and Significant Degenerative Changes of the Glenohumeral Joint. Do You
Counsel the Patient for Rotator Cuff Repair, Total Shoulder Replacement
With Cuff Repair, or a Reverse Shoulder Replacement? Michael Pearl, MD
Question 25: How Do You Work Up the Clinical Situation of Aseptic Loosening
Versus Possible Occult Infection in a Total Shoulder With Incomplete 2-mm
Lucent Lines Around the Cemented Glenoid? Gregory P. Nicholson, MD Question
26: A Patient With Shoulder DJD and in Need of a Shoulder Arthroplasty Has
a Significant Loss of External Rotation at the Side of -15 Degrees Under
Anesthesia. What Are the Options for Subscapularis Management, and What
Approach Would Be Appropriate? Michael Pearl, MD Question 27: What Are the
Relative Indications for Reverse Total Shoulder Arthroplasty? Michael
Pearl, MD Question 28: There Is Atrophy of the Trapezius After Lymph Node
Biopsy 18 Months Ago in the Posterior Cervical Triangle. What Are the
Surgical Options and Techniques to Address Trapezius Muscle Palsy? Scott
Youngblood, MD Question 29: What Is the Best Arthroplasty Option in a
Shoulder With Rheumatoid Arthritis? Matthew D. Williams, MD and T. Bradley
Edwards, MD Question 30: What Are the Indications for a Hemiarthroplasty
Versus an Osteochondral Allograft in a Patient With a Locked Posterior
Dislocation and Large Reverse Hill-Sachs Lesion? Michael Freehill, MD
Question 31: What Is the Management of Symptomatic Subscapularis Deficiency
After Previous Shoulder Surgery? Gregory P. Nicholson, MD SECTION VII:
ROTATOR CUFF QUESTIONS Question 32: When Is It Appropriate to Begin
Resistive Strengthening Exercises After the Repair of a 3.5-cm
Supraspinatus Tear? R. Michael Gross, MD and Joseph Carney, MD Question 33:
What Are the Indications for an Arthroscopic Subacromial Decompression in a
Weekend Athlete With Shoulder Pain? R. Michael Gross, MD and Joseph Carney,
MD Question 34: A 35-Year-Old Has Subacromial Impingement Symptoms. At
Arthroscopy, a Hypermobile Meso-Acromiale-Unfused Acromial Epiphysis-Was
Found. How Do You Manage a Patient With a Symptomatic Os Acromiale
(Meso-Acromion) That Is Due to an Unfused Acromial Epiphysis? Sumant G.
Krishnan, MD and Paul Jarman, MD Question 35: What Are the Indications for
Long Head of Biceps Tenodesis Versus Tenotomy in a Patient Undergoing
Rotator Cuff Repair? Clifford G. Rios, MD and Augustus D. Mazzocca, MD
Question 36: What Are the Indications for D\u00e9bridement Versus Repair of
a Partial Articular-Side Tendon Avulsion Lesion? Sumant G. Krishnan, MD and
John Reineck, MD Question 37: What Are the Indications to Utilize a Rotator
Cuff Augmentation Patch in the Repair of a Large or Massive Rotator Cuff
Tear? Matthew T. Provencher, MD and Gregory P. Nicholson, MD Question 38:
Magnetic Resonance Imaging Shows a 1-cm Supraspinatus Tear With 5 mm of
Retraction and No Atrophy of the Muscle. What Are the Indications for
Conservative Management Versus Surgical Intervention in a 55-Year-Old
Golfer With Night Pain and Inability to Play Golf? John-Erik Bell, MD and
Christopher S. Ahmad, MD SECTION VIII: INSTABILITY QUESTIONS Question 39:
How Do You Evaluate a Patient After a Shoulder Trauma for a Posterior
Dislocation? (The Patient Presents to You in the Sling 1 Week Later With
-15 Degrees of External Rotation.) And If Dislocated, What Is Your
Preferred Treatment? Anand Murthi, MD Question 40: At Arthroscopy for
Anterior Instability, There Is an \u201cInverted-Pear\u201d Glenoid, or 20%
to 25% Loss of the Anteroinferior Glenoid. What Would Be the Best
Reconstructive Option With This Intraoperative Finding? Matthew D.
Williams, MD and T. Bradley Edwards, MD Question 41: What Are the Typical
Findings in a Patient With Posterior Instability and What Are the
Indications for Open Versus Arthroscopic Posterior Instability Repair in a
High School Offensive Lineman? A. Dushi Parameswaran, MD and Matthew T.
Provencher, MD Question 42: How Do You Manage a High School Quarterback Who
Dislocates His Throwing Shoulder (First Time Dislocation) in the First Game
of the Season? And How Do You Manage a College Division 1 Quarteback Who
Dislocates Their Shoulder in the First Game of the Season? John-Erik Bell,
MD and Christopher S. Ahmad, MD Question 43: What Are the Preferred
Management Options and Work-Up for an Individual Who Presents 1 Year After
a Failed Arthroscopic Instability Repair? Rodney J. Stanley, MD and T.
Bradley Edwards, MD Question 44: What Is the Optimal Placement of Suture
Anchors in an Arthroscopic Anterior Instability Repair and How Much
Capsular Tissue Should Be Tensioned in the Capsulolabral Repair? Ed Glenn,
MD Question 45: How Do You Manage an Axillary Nerve Palsy After a Shoulder
Dislocation? Michael Freehill, MD Question 46: When Is Arthroscopic Closure
of the Rotator Interval Indicated in the Setting of Shoulder
Instability-Anterior, Posterior, Multidirectional? Matthew T. Provencher,
MD SECTION IX: ACROMIOCLAVICULAR QUESTION Chapter 47: How Do You Manage an
Acute Grade III Acromioclavicular Separation and When Do You Allow Return
to Work and/or Sport? What Are the Indications for Surgical Reconstruction
of AC Separation? Clifford G. Rios, MD and Augustus D. Mazzocca, MD Chapter
48: A Weightlifter Has Osteolysis of the Distal Clavicle on a Zanca View
Radiograph. The Pain Has Limited the Ability to Workout and Lift Weights.
How Do You Work-Up and Manage a Patient With Acromioclavicular Joint
Arthrosis? Justin W. Chandler and Alex Creighton, MD SECTION X: STIFFNESS
QUESTION Chapter 49: What Are the Indications for Manipulation Under
Anesthesia Versus Arthroscopic Release in a Patient With Stiffness After
Rotator Cuff Repair? And When Do You Consider Operative Intervention in a
Patient With Idiopathic Adhesive Capsulitis? Michael Freehill, MD Index