- Step-by-step strategies are illustrated with extraordinary full-color intraoperative photos and drawings that display how you can practice each one technique.
- Each medical challenge is mentioned within the comparable concise structure: definition, anatomy, actual checks, pathogenesis, ordinary heritage, actual findings, imaging and diagnostic reports, differential analysis, non-operative administration, surgical administration, pearls and pitfalls, postoperative care, results, and complications.
- Detailed descriptions of surgical anatomy assist you grasp even the main not easy and hugely technical procedures.
- Extensive use of bullet issues and a hugely templated structure permit for fast and simple reference.
- Ideal for speedy preoperative evaluate of the stairs of a technique, even if a well-known regular or a brand new and evolving technique.
Now with the print variation, benefit from the bundled interactive booklet variation, which are downloaded for your pill and phone or accessed on-line and comprises positive factors like:
- Complete content material with stronger navigation
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- Highlighting tool for simpler reference of key content material in the course of the text
- Ability to take and proportion notes with associates and colleagues
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Additional resources for Operative Techniques in Shoulder and Elbow Surgery
Tech Shoulder Elbow Surg 2004;5:5-12. four. Jost B, Puskas GJ, Lustenberger A, et al. Outt:oou: of pectoralis significant move for the remedy of irreparable subscapularis tears. J BOD. C Joint Surg Am 2003;85A:1944--1951. five. Klepps S, Galatz LM, Yamaguchi ok. Subcoracoid pectoralis significant move: a salvage approach for irreparable subscapularis deficiency. Tech Shoulder Elbow Surg 2001;2:92-99. 6. Klepps SJ, Goldfarb C, Flatow E, et al. Anatomic overview of the subcoracoid pectoralis significant move in human cadavers. J Shoulder Elbow Surg 2001;10:453-459. 7. Resch H, Povacz P, Ritter E, et al. move of the pectoralis significant muscle for the remedy of irreparable mpture of the subscapularis tendon. J BOD. C Joint Surg Am 2000;82:372-382. eight. Wirth MA, Rockwood CA Jr. Operative therapy of irreparable rupture: of the subscapularis. J Bone Joint Surg Am 1997;79A:722-731. bankruptcy Acute fix and Reconstruction of Sternoclavicular Dislocation 12 ------------------------------------------i---------------------------------------------------------------.. t Steven P. Kalandiak, Edwin E. Spencer, Jr. , Michael A. Wirth, and Charles A. Roclcwood DEFINfi10N • Sternoclavicular dislocation is among the rarest dislocations, yet one such a lot shoulder surgeons will stumble upon numerous instances in the course of a profession (more in a convention with major publicity to . high-energy trauma). • Sternoclavicular dislocations represented three% of a senes of 1603 accidents of the shoulder girdle said by way of Cave et al. 6 • the genuine ratio of anterior to posterior dislocations is unknown, considering such a lot experiences specialize in the rarer posterior sort. Estimates diversity from a ratio of 20 anterior dislocations to every posterior by means of Nettles and lin. scheid,tY in a sequence of 60 sufferers (57 anterior and three posterior), to a ratio of roughly 3 to at least one (135 anterior and 50 posterior) in our series23 of 185 nerve-racking sternoclavicular accidents. • now not all sternoclavicular dislocations require surgical procedure. keeping off irrelevant sufferer choice, combating ~d ware-related problems, and repairing or reconstruct10g the pill and the rhomboid ligament if the medial clavicle has been resected require certain emphasis. • even supposing this zone should be an intimidating one as a result surrounding anatomic buildings, a well informed and cautious physician can deal with this joint appropriately and reliably produce reliable effects. ANATOMY • The epiphysis of the medial clavicle is the final epiphysis of the lengthy bones to seem and the final to shut. It doesn't ossify until eventually the 18th to twentieth 12 months, and it as a rule fuses with the shaft of the clavicle round age 23 to twenty-five. 14•15 as a result, many sternoclavicular "dislocations" in teens are in truth physeal fractures. • The articular floor of the medial clavicle is way greater than that of the sternum. it's bulbous and concave entrance to again and convex vertically, making a saddle-type joint with the curved clavicular notch of the sternum. l4. 1S • A small aspect at the inferior point of the medial clavicle articulates with the very best element of the 1st rib in 2.