BACKGROUND We aimed to establish values and parameters using multislice reconstruction in axial computerized tomography (CT) in order to quantify the erosion of the glenoid cavity in cases of shoulder instability. METHODS We studied two groups using CT. Group I had normal subjects and Group II had patients with shoulder instability. We measured values of the vertical segment, the superior hor...

BACKGROUND Chondrolysis has been reported as a sequela of arthroscopic shoulder surgery. Although the causes have yet to be fully elucidated, basic science and clinical evidence suggest a multifactorial origin. Surgical treatment in young patients with glenohumeral chondrolysis is particularly challenging, with little outcome data. HYPOTHESIS Glenohumeral chondrolysis has several causes and p...

Hospital for Special Surgery COMMONLY MISSED DIAGNOSES OF THE SHOULDER WITH MRI 1. Early glenohumeral osteoarthritis a. Etiologies b. Sites c. Differentiation from osteochondral defect, glenoid bare area [1] Brophy RH, Marx RG. Osteoarthritis following shoulder instability. Clin Sports Med 2005(24);47-56. [2] Patzer T, Lichtenberg S, Kircher J, et al. Influence of SLAP lesions on chondral lesio...

To review the diagnostic performance of ultrasonography (US) and magnetic resonance imaging (MRI) for the detection of rotator-cuff tears, we performed a retrospective audit of patients who underwent shoulder arthroscopy at Hinchingbrooke hospital. The diagnostic accuracies of US for full and partial-thickness tears were 82% and 28% respectively. Those of MRI were 82% and 81% respectively. Thes...

Arthroscopic shoulder surgery can be performed in both the beach chair and lateral decubitus positions. The beach chair position is a reliable, safe, and effective position to perform nearly all types of shoulder arthroscopic procedures. The advantages of the beach chair position include the ease of setup, limited brachial plexus stress, increased glenohumeral and subacromial visualization, ane...

The objective of this study was to asses the physiological impact of fluid gained during routine shoulder arthroscopy. Included in this study were 40 consecutive patients undergoing an arthroscopic procedure of the shoulder. The weight, hemoglobin, hematocrit, and physiologic observations were compared pre- and postsurgery and correlated to the duration of the procedure and the amount of fluid ...

Distension of joint with fluid is often used to facilitate insertion of arthroscope. This may prove difficult at times in the shoulder joint, as unlike the knee, it is deeply situated, making extravasation of fluid outside the capsule, a common occurrence. This is especially true in very tight joints and is often a problem for beginners. We describe here a very effective and simple technique wh...

Successful postoperative pain management after arthroscopic shoulder surgery allows patients to go home earlier, decreases the potential for hospital readmission, and facilitates rehabilitation. Optimal pain control considers the physiological and psychological states of the patient, the resulting alterations due to the surgery, and the technical and economic resources available during recovery...