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 57
Page 1
... placed or if any special considerations are necessary for proper placement. Proper technique during the approach during TSA aids in exposure, proper positioning of components, and appropriate soft tissue balancing. Etiology The most ...
... placed or if any special considerations are necessary for proper placement. Proper technique during the approach during TSA aids in exposure, proper positioning of components, and appropriate soft tissue balancing. Etiology The most ...
Page 9
... placed on the cassettes to normalize radiographic magnification. For the AP radiograph, the arm should be positioned in 20 to 30 degrees of external rotation for optimal evaluation of the greater tuberosity in rela- tion to the ...
... placed on the cassettes to normalize radiographic magnification. For the AP radiograph, the arm should be positioned in 20 to 30 degrees of external rotation for optimal evaluation of the greater tuberosity in rela- tion to the ...
Page 12
... placed before the patient is taken to the operating room . General anesthesia may be adminis- tered for an incomplete block or the desires of the patient and anes- thetist . Often the block does not cover the T1 and T2 dermatomes and ...
... placed before the patient is taken to the operating room . General anesthesia may be adminis- tered for an incomplete block or the desires of the patient and anes- thetist . Often the block does not cover the T1 and T2 dermatomes and ...
Page 13
... placed and the deltopectoral interval identified ( Figure 1.11 ) . The cephalic vein should be identified and preserved whenever possible . Most often it is easier to dissect the vein medially and retract it laterally with the deltoid ...
... placed and the deltopectoral interval identified ( Figure 1.11 ) . The cephalic vein should be identified and preserved whenever possible . Most often it is easier to dissect the vein medially and retract it laterally with the deltoid ...
Page 15
... placed deep to the deltoid once this space has been properly identified. The superior aspect of the pectoralis major tendon is identified. If additional exposure is neces- sary or for patients with limited external rotation, the upper 1 ...
... placed deep to the deltoid once this space has been properly identified. The superior aspect of the pectoralis major tendon is identified. If additional exposure is neces- sary or for patients with limited external rotation, the upper 1 ...
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