By H. Maurer, M. Lener (auth.), Dr. Herbert Resch, Dr. Emil Beck (eds.)
Both the prognosis and the present healing probabilities of the shoulder joint and the subacromial house are defined in particular element during this publication. The anatomy of the shoulder joint from an arthroscopic standpoint can be in short defined. The diagnostic a part of the ebook supplies an outline of the person buildings within the glenohumeral joint in addition to the subacromial house in regards to their pathologic alterations, and distinctive recognition is concentrated on differentiating among fit and pathologic struc§ tures. The healing half supplies a close description of the Bankart refixation tools effectively utilized by means of the authors which come with a suturing method, a refixation procedure utilizing absorbable tacks and an extra-articular screw fixation procedure; moreover the concepts of subacromial decompression, the elimination of calcium deposits and the resection of the lateral finish of the clavicle are defined intimately. From the dialogue in regards to the symptoms for arthroscopy and/or arthroscopic treatment, the e-book then is going directly to show details on positioning, draping, worthy tools and, ultimately, the acting the arthroscopic intervention itself. therefore, all of the info that are required for arthroscopy of the shoulder are given.
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Additional info for Arthroscopy of the Shoulder: Diagnosis and Therapy
The incision for the standard anterior portal is made immediately lateral to the tip of the coracoid, the probe entering the joint cranial to the subscapularis tendon. Arthroscopic examination We recommend initial puncture and filling of the joint with a thin puncture needle using Ringer's solution (30 ml) for the less experienced. This enables determination of the plane of entry into the joint, ensures correct positioning of the cannula through aspiration of the joint and minimizes the danger of intraarticular injuries when inserting the arthroscopic sheath into the joint [11, 13].
Upper part of body stabilized by flexible, padded support 26 Preparation for arthroscopy Fig. 20. Arthroscopic elbow brace (according to Resch) Fig. 21. Patient in lateral recumbent position with multidirectional swivel table for instruments 3 Preparation for arthroscopy Fig. 22. Half-sitting position ("beach-chair" position) Fig. 23. Half-sitting position. Posterior view. The whole shoulder readily accessible 27 Preparation for arthroscopy 28 Fig. 24. Sheath of scope with "rubber diaphragm" as seal against back flow of irrigation fluid small or female patients.
Reciprocating file (reciprocating saw, Hall/Zimmer). We use this compressed air operated file for removal of the cancellous bone from the undersurface of the acromion as an alternative to the "acromionizer". Osteophytes on the undersurface of the lateral clavicle can also be removed with this instrument. A variety of different files are available, thus allowing accurate control of the extent of the bony resection (Chap. 7). Tapered or oval burr, 6 mm "Acromionizer" (Concept). This is a shaver attachment specially designed for acromioplasty with a 1 cm oval burr (Fig.