Evaluation of patients with shoulder disorders often presents challenges. Among the most troublesome are revision surgery in patients with massive rotator cuff tear, atraumatic shoulder instability, revision arthroscopic stabilization surgery, adhesive capsulitis, and bicipital and subscapularis injuries. Determining functional status is critical before considering surgical options in the patie...

The various types of suture anchors have become widely accepted in the orthopaedic shoulder surgery. The common uses being for Bankarts repair and rotator cuff repair. The use of suture anchors in orthopaedic surgery for indications other than shoulder surgery is sparsely reported in the literature. We report on our observations from a single centre following use of anchors outside the shoulder...

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...

A review of the literature regarding anesthesia for shoulder surgery was performed. Current anesthetic techniques available include regional, general, or a combination of regional and general. We discuss each of these techniques, with an emphasis on regional (specifically interscalene block), in detail. Current evidence supports both regional and general anesthesia to be safe and efficient tech...

PURPOSE assessment of the clinical efficacy of isolated arthroscopic mini-Mumford surgery, associated with shoulder surgery in patients with degenerative disease of the acromioclavicular joint. MATERIALS AND METHODS 52 patients (group A) underwent isolated arthroscopic mini-Mumford and 84 (group B) additional arthroscopic surgery of rotator cuff and/or long head of biceps. They were evaluated...

Shoulder rotator cuff surgery is one of the most common orthopedic surgeries performed today, particularly in adults over the age of 65. To restore range-of-motion after this surgery, physical therapy exercises are important, but are often not completed in full due to long recovery times, overly-optimistic patient expectations, and the cost of clinical appointments. We present an application th...

Persistent shoulder pain after surgery for rotator cuff disease may be caused by conditions that are either extrinsic or intrinsic to the shoulder. Extrinsic causes of persistent shoulder pain include cervical radiculopathy, suprascapular neuropathy, abnormalities of scapular rotation (due to long-thoracic or spinal-accessory neuropathy), and adjacent or metastatic neoplasms. Causes of persiste...

Background: This study was conducted to evaluate the clinical outcomes of acromioclavicular joint (ACJ) fixation with hook plate (HP) and continuous loop double endobutton fixation (CLDE) in treatment of the acute acromioclavicular joint (ACJ) dislocation. Methods: In this retrospective study, 8 patients with HP and 9 patients with CLDE fixations were compared for acute ACJ dislocations. ...

Background:   To assess the outcome of the remplissage arthroscopic surgical method in patients with anterior shoulder dislocation associated with Hill-Sachs lesion.     Methods:   Ten patients with anterior shoulder dislocations and Hill-Sachs lesions were entered into this study and were operated on by the remplissage arthroscopic surgical method. They were followed up 22 months after surgery...