Curbside Consultation of the Shoulder : 49 Clinical Questions.

Cover -- Half Title -- Title Page -- Copyright Page -- Dedication -- Table of Contents -- About the Editors -- Contributing Authors -- Preface -- Section I: Physical Examination Questions -- Question 1 What Are the Physical Examination Findings That Lead You to a Diagnosis of Glenohumeral Internal Rotation Deficit in the Throwing Athlete and What Nonoperative Treatment Options Have Led to Improvement of the Condition? -- Question 2 What Physical Examination Tests or Findings and Radiographs Do You Use to Diagnose Subacromial Impingement, and When Do You Utilize Subacromial Injections? -- Question 3 What Are the Physical Examination Findings (Signs and Symptoms, Pertinent Positives and Negatives) That Direct You Toward a Diagnosis of Superior Labrum Anterior to Posterior Lesion? -- Section II: Imaging Questions -- Question 4 A 19-Year-Old Male Has Suffered Four Recurrent Dislocations During Sporting Activity. He Has Been Able to Self-Reduce the Last Two Episodes. What Is the Advanced Imaging Study of Choice? -- Question 5 What Are the Radiographic Views Necessary to Evaluate Osteoarthritis of the Shoulder? Are These Adequate Prior to Total Shoulder Arthroplasty, or Is an Advanced Imaging Study (Computed Tomography Scan, Magnetic Resonance Imaging) Indicated? -- Question 6 What Is the Imaging Modality To Best Diagnose a Superior Labrum Anterior to Posterior Tear and What Does It Look Like? -- Section III: Sports Questions -- Question 7 How Do You Manage the Long Head of Biceps Tendon in a 28-Year- Old Weekend Athlete With a Type IV Superior Labrum Anterior to Posterior Lesion That Involves Tearing Into the Biceps and Affects at Least 25% of the Tendon Thickness?.

Question 8 A Volleyball Hitter Has Weakness of External Rotation and Visible Atrophy of the Infraspinatus. What Are the Potential Causes, What Are the Indications for Suprascapular Nerve Decompression, and What Is the Operative Approach? -- Question 9 After a "Stinger" During a Football Game, There Is Weakness of the Deltoid, Rotator Cuff, and Biceps and Triceps. Why Did This Happen and When Would You Allow Him to Return to Play Again? -- Question 10 When Is the Patient Allowed to Return to Contact Sports After an Arthroscopic Instability Repair for Recurrent Anterior Instability? -- Question 11 What Is the Treatment for a Patient Who Presents With a "Squeaking" Shoulder 4 Months After an Arthroscopic Labral Repair Performed With a Bioabsorbable Tack? -- Section IV: Pediatric Questions -- Question 12 A 14-Year-Old Pitcher Presents With Shoulder and Arm Pain. It Is Midseason. There Is No Instability, and the Pain Is Primarily Over the Lateral Deltoid. Radiographs Reveal Widening of the Lateral Aspect of the Proximal Humeral Physis. What Is the Diagnosis and Treatment Strategy? -- Question 13 How Do You Treat a 14-Year-Old Female Who Can Voluntarily Sublux the Shoulder Posteriorly and Anteriorly, and Has a Sulcus Sign? -- Section V: Trauma Questions -- Question 14 A 16-Year-Old Hockey Player Has a Collision With His Arm Forcibly Extended. A Magnetic Resonance Imaging Scan Reveals a Lesser Tuberosity Fracture With 2 to 3 mm of Elevation and 2 mm of Medial Displacement. Is This Due to the Apophysis of the Lesser Tuberosity? And How Do You Diagnose and Manage Traumatic Fractures of the Lesser Tuberosity of the Humerus? -- Question 15 What Are the Indications for Open Reduction And Internal Fixation of an Isolated Greater Tuberosity Fracture, and What Approach and Operative Technique Are Appropriate?.

Question 16 What Are the Indications for Open Reduction And Internal Fixation of an Acute Fracture of the Midshaft Clavicle? -- Question 17 What Are the Indications for Open Reduction and Internal Fixation, and Indications for Hemiarthroplasty in the Treatment of Proximal Humerus Fracture? -- Question 18 What Are the Indications for Surgery in a Symptomatic Surgical Neck Nonunion, and Which Option (Open Reduction and Internal Fixation or Arthroplasty) Would You Choose? -- Section VI: Reconstruction Questions -- Question 19 What Are the Indications and Options for Glenoid Resurfacing in Young Patients With Glenohumeral Degenerative Joint Disease? -- Question 20 What Are Your Indications for Repair of an Acute Pectoralis Major Tendon Tear and What Is Your Preferred Method of Fixation? -- Question 21 A 40-Year-Old Laborer Has Shoulder Pain. An Electromyograph Reveals Chronic Denervation of the Serratus Anterior Muscle Without Reinnervation. What Is Your Preferred Treatment for a Patient With Chronic Symptomatic Winging of the Shoulder Due to Serratus Anterior Palsy? -- Question 22 How Do You Manage A Symptomatic Superior Labrum Anterior to Posterior II Tear In Someone Older Than 45 Years of Age? Tenotomy, Repair, or Tenodesis? -- Question 23 What Are the Indications for Conservative Treatment Versus Core Decompression Versus Arthroplasty in Avascular Necrosis of the Humeral Head? -- Question 24 A 70-Year-Old Patient Is Referred With a Magnetic Resonance Imaging Report That States a Supraspinatus Tear and Significant Degenerative Changes of the Glenohumeral Joint. Do You Counsel the Patient for Rotator Cuff Repair, Total Shoulder Replacement With Cuff Repair, or a Reverse Shoulder Replacement?.

Question 25 How Do You Work Up the Clinical Situation of Aseptic Loosening Versus Possible Occult Infection in a Total Shoulder With Incomplete 2-mm Lucent Lines Around the Cemented Glenoid? -- Question 26 A Patient With Shoulder Degenerative Joint Disease and in Need of a Shoulder Arthroplasty Has a Significant Loss of External Rotation at the Side of -15 Degrees Under Anesthesia. What Are the Options for Subscapularis Management, and What Approach Would Be Appropriate? -- Question 27 What Are the Relative Indications for Reverse Total Shoulder Arthroplasty? -- Question 28 There Is Atrophy of the Trapezius After Lymph Node Biopsy 18 Months Ago in the Posterior Cervical Triangle. What Are the Surgical Options and Techniques to Address Trapezius Muscle Palsy? -- Question 29 What Is the Best Arthroplasty Option in a Shoulder With Rheumatoid Arthritis? -- Question 30 What Are the Indications for a Hemiarthroplasty Versus an Osteochondral Allograft in a Patient With a Locked Posterior Dislocation and Large Reverse Hill-Sachs Lesion? -- Question 31 What Is the Management of Symptomatic Subscapularis Deficiency After Previous Shoulder Surgery? -- Section VII: Rotator Cuff Questions -- Question 32 When Is It Appropriate to Begin Resistive Strengthening Exercises After the Repair of a 3.5-cm Supraspinatus Tear? -- Question 33 What Are the Indications for an Arthroscopic Subacromial Decompression in a Weekend Athlete With Shoulder Pain? -- Question 34 A 35-Year-Old Has Subacromial Impingement Symptoms. At Arthroscopy, a Hypermobile Meso-Acromiale-Unfused Acromial Epiphysis-Was Found. How Do You Manage a Patient With a Symptomatic OS Acromiale (Meso-Acromion) That Is Due to an Unfused Acromial Epiphysis? -- Question 35 What Are the Indications for Long Head of Biceps Tenodesis Versus Tenotomy in a Patient Undergoing Rotator Cuff Repair?.

Question 36 What Are the Indications for Débridement Versus Repair of a Partial Articular-Side Tendon Avulsion Lesion? -- Question 37 What Are the Indications to Utilize a Rotator Cuff Augmentation Patch in the Repair of a Large or Massive Rotator Cuff Tear? -- Question 38 Magnetic Resonance Imaging Shows a 1-cm Supraspinatus Tear With 5 mm of Retraction and No Atrophy of the Muscle. What Are the Indications for Conservative Management Versus Surgical Intervention in a 55-Year-Old Golfer With Night Pain and Inability to Play Golf? -- Section VIII: Instability Questions -- Question 39 How Do You Evaluate a Patient for a Posterior Dislocation After a Shoulder Trauma? If Dislocated, What Is Your Preferred Treatment? -- Question 40 At Arthroscopy for Anterior Instability, There Is an "Inverted-Pear" Glenoid, or 20% to 25% Loss of the Anteroinferior Glenoid. What Would Be the Best Reconstructive Option With This Intraoperative Finding? -- Question 41 What Are the Typical Findings in a Patient With Posterior Instability and What Are the Indications for Open Versus Arthroscopic Posterior Instability Repair in a High School Offensive Lineman? -- Question 42 How Do You Manage a High School Quarterback Who Dislocates His Throwing Shoulder (First Time Dislocation) in the First Game of the Season? And How Do You Manage a College Division 1 Quarteback Who Dislocates His Shoulder in the First Game of the Season? -- Question 43 What Are the Preferred Management Options and Work-Up for an Individual Who Presents 1 Year After a Failed Arthroscopic Instability Repair? -- Question 44 What Is the Optimal Placement of Suture Anchors in an Arthroscopic Anterior Instability Repair and How Much Capsular Tissue Should Be Tensioned in the Capsulolabral Repair? -- Question 45 How Do You Manage an Axillary Nerve Palsy After a Shoulder Dislocation?.

Question 46 When Is Arthroscopic Closure of the Rotator Interval Indicated in the Setting of Shoulder Instability-Anterior, Posterior, Multidirectional?.

Curbside Consultation of the Shoulder: 49 Clinical Questions provides quick answers to the thorny questions most commonly posed during a "curbside consultation" between orthopedic surgical colleagues.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.