By Kenneth J. Koval, Joseph D. Zuckerman
The atlas depicts each step of every technique, with succinct, bulleted textual content that covers anatomy, type, equipment/instruments, sufferer positioning, incision, pearls and pitfalls, surgical technique, and process. The DVD video demonstrates maneuvers which are tough to teach with nonetheless photos.
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Additional resources for Atlas of Orthopaedic Surgery: A Multimedia Reference
If the table rests too close to the posterior portal site, visualization of the lateral aspect of the glenohumeral joint, including the rotator cuff insertion may be significantly restricted. 31 Atlas of Orthopaedic Surgery - A Multimedia Reference FIGURE 1-11. The beach chair position. It is critical that the entire arm is draped free to allow the surgeon to move the limb at will. The patient should be in a semireclined position to allow the surgeon access to both the anterior and posterior surfaces of the shoulder.
Excessive distal placement of this portal risks injury to the axillary nerve which lies approximately 5 cm distal to the acromion. 21 SURGICAL APPROACH AND PROCEDURE The procedure begins with a thorough, systematic arthroscopic evaluation of the glenohumeral joint. The articular surface of the rotator cuff is carefully inspected and partialor full-thickness tears are identified (Fig. 2-10). A suture marker can be used to better assess the extent of a tear. A monofilament suture is placed through a spinal needle passed percutaneously across the area in question (Fig.
Abduction and internal rotation of the arm while the camera is directed posteriorly can allow for full visualization of the insertions of all of the rotator cuff tendons. It is important to be able to visualize the entire insertion to adequately assess the extent of any evident tears. 47 Atlas of Orthopaedic Surgery - A Multimedia Reference FIGURE 1-25. View from posterior portal. Placement of a cannula in the rotator interval portal. Cannulae should be used in all open portals to ease exchange of instruments and to prevent the leakage of excess arthroscopy fluid into the surrounding soft tissue.
Atlas of Orthopaedic Surgery: A Multimedia Reference by Kenneth J. Koval, Joseph D. Zuckerman