By Stephen J. Snyder MD, Michael Bahk MD, Joseph Burns MD, Visit Amazon's Mark Getelman MD Page, search results, Learn about Author Central, Mark Getelman MD, , Ronald Karzel MD
Key gains Include:
- NEW emphasis on outcomes
- NEW authorship from SCOI surgical specialists, led via shoulder arthroscopy pioneer Stephen Snyder
- NEW case studies with examples of evaluation and remedy choices
- Coverage of issues together with: diagnostic methods, strategies for SLAP lesions, shoulder instability, anterior instability with bone loss, methods for rotator cuff disorder and trauma, and post-op rehab recommendations
- Full-color photographs and diagrams reveal operative suggestions and instruments, sufferer positions, working room environment
- Complete content material with better navigation
- A strong seek that attracts effects from content material within the publication, your notes, or even the web
- Cross-linked pages, references, and extra for simple navigation
- Highlighting device for simpler reference of key content material in the course of the text
- Ability to take and proportion notes with pals and colleagues
- Quick reference tabbing to avoid wasting your favourite content material for destiny use
- Over a hundred interactive videos
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Extra resources for Shoulder Arthroscopy
Also, Ethibond sutures are much cheaper than the high-strength sutures. 37 (c) 2015 Wolters Kluwer. All Rights Reserved. 38 SCOI Shoulder Arthroscopy Fiberwire Fiberwire became available to orthopedic surgeons in 2001 from the Arthrex company. It is a composite suture with a braided polyester outer sleeve and a strong inner core of polyethylene. It was the first “high-strength” suture, as its composite nature gave the #2 suture a significant strength increase similar to a #5 Ethibond suture. Although it did not have the favorable sliding characteristics of Ethibond, the added durability made Fiberwire a better alternative for use in anchors.
It is important to be familiar with the posterior bursal curtain as it is often the tissue that obstructs visualization when the scope is initially inserted. If the arthroscope is introduced only part of the way into the posterior portal, the bursa is not entered, resulting in the tip being located behind the curtain. Sometimes the posterior curtain will be thick and scarred in chronic subacromial disease and must be removed to better visualize the subacromial space. The posterior end of the lateral bursal shelf attaches to the posterior bursal curtain, and it too may need to be debrided to allow adequate visualization of the posterolateral bursal space.
In addition, the MLSP is an ideal viewing location to see the extra-articular and extra bursal portions of the biceps tendon as it passes out of the intratubercular groove and down the arm. While visualizing from this portal and shaving the overlying bursa from the anterior mid-glenoid portal (AMGP), we can easily reach the suprapectoral area and perform an arthroscopic biceps tenodesis (see Chapter 7, Biceps Surgery). After the completion of the 8-point bursal evaluation, the surgeon has evaluated all the visible anatomy of the shoulder and can begin the subacromial reconstruction or debridement as needed.