Shoulder ArthroplastyLouis U. Bigliani, Evan L. Flatow The indications and use of shoulder arthroplasty has dramatically increased over the last decade, and this trend will continue in the future. The average age of our population is increasing, yet there is a strong desire to remain active and viable. The majority of people will not accept limitation of a joint function that compromises their life styles if a reasonable surgical solution is available. Our knowledge of disease processes has broadened and improved our understanding about how best to manage these problem’s cli- cally. Technology and innovation have provided us with options that were not possible before. However, a successful shoulder arthroplasty depends not only on knowledge and modern technology but also on sound clinical judgment, accurate surgical technique, and appropriate postoperative rehabilitation. This book provides a comprehensive approach to dealing with the most common indications for shoulder arthroplasty. In addition, it p- vides insight into some of the more complex problems. Detailed inf- mation concerning preoperative evaluation, approaches, technology, surgical technique, and postoperative therapy will allow the surgeon to make decisions that will help his patient remain active. We thank the contributing authors for their work and commitment to this project. We appreciate the time they took from their practices and more importantly their families to complete this volume and provide an extraordinary text. |
From inside the book
Results 1-5 of 40
Page 1
... medial wear, periarticular ero- sions, and osteopenia. The osteopenia may be secondary to the inflam- matory disease itself or to medications associated with the disease. 1 Surgical Approaches and Preoperative Evaluation Kevin J Setter ...
... medial wear, periarticular ero- sions, and osteopenia. The osteopenia may be secondary to the inflam- matory disease itself or to medications associated with the disease. 1 Surgical Approaches and Preoperative Evaluation Kevin J Setter ...
Page 9
... medial sagittal images (Figure 1.7). A careful preoperative history and physical examination should reveal significant comorbidities. If there is any question, the patient is referred to their primary care physician or cardiologist for ...
... medial sagittal images (Figure 1.7). A careful preoperative history and physical examination should reveal significant comorbidities. If there is any question, the patient is referred to their primary care physician or cardiologist for ...
Page 13
... medially and retract it laterally with the deltoid , as it has less contributories from the pectoralis from the medial side . Less bleeding is encountered if the vein remains laterally with the deltoid . The undersurface of the deltoid ...
... medially and retract it laterally with the deltoid , as it has less contributories from the pectoralis from the medial side . Less bleeding is encountered if the vein remains laterally with the deltoid . The undersurface of the deltoid ...
Page 15
... medial. The clavipectoral fascia is then incised lateral to the conjoint tendon. It is important to recognize that ... medially. The coracoid and the coracoacromial ligament are then iden- tified. The leading edge of the CA ligament is ...
... medial. The clavipectoral fascia is then incised lateral to the conjoint tendon. It is important to recognize that ... medially. The coracoid and the coracoacromial ligament are then iden- tified. The leading edge of the CA ligament is ...
Page 16
... medial to the bicep tendon. The subscapularis is removed with the anterior capsule as a single unit. This is done to preserve length. An anterior capsulectomy is later performed to correct the ante- rior soft tissue contracture (Figure ...
... medial to the bicep tendon. The subscapularis is removed with the anterior capsule as a single unit. This is done to preserve length. An anterior capsulectomy is later performed to correct the ante- rior soft tissue contracture (Figure ...
Contents
Humeral Component | 21 |
Glenoid Component Preparation and Soft Tissue | 37 |
Special Issues | 63 |
Arthroplasty for Proximal Humerus Fractures | 86 |
Revision Shoulder Arthroplasty and Related | 117 |
Arthroplasty and Rotator Cuff Deficiency | 149 |
Rehabilitation of Shoulder Arthroplasty | 167 |
Index | 209 |
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Common terms and phrases
acromion active elevation allograft anatomic articular assessment avascular necrosis axillary nerve biceps Bigliani LU bone deficiency Bone Joint Surg bone stock capsular cement cephalic vein clavipectoral fascia Clin Orthop contracture coracoacromial arch coracoid cuff tear arthropathy deltoid dislocation distal eccentric erosion exposure external rotation Figure Flatow forward elevation four-part fractures function glenohumeral joint glenoid bone glenoid component glenoid vault greater tuberosity hemiarthroplasty humeral component humeral head humeral head replacement humeral stem implantation incision inferior insertion instability intraoperative lateral lesser tuberosity loosening malunion medial muscle neck Neer nonunion Orthopaedic osteoarthritis osteotomy pain relief pathology pectoralis major performed placed plasty position preoperative prosthesis prosthetic replacement proximal humerus fractures radiograph range of motion reaming resurfacing retractor retroversion rheumatoid arthritis rheumatoid patient rotator cuff repair rotator cuff tear scapular Shoulder Elbow Surg subacromial superior Supine FF supine position surgeon surgical sutures technique tion total shoulder arthroplasty total shoulder replacement treatment w/stick