Presentation on theme: "New Technique in Shoulder Surgery for Sports Injury Dennis Crawford MD, PhD Assistant Professor Surgical Director, Sports Medicine Program Department of."— Presentation transcript:
New Technique in Shoulder Surgery for Sports Injury Dennis Crawford MD, PhD Assistant Professor Surgical Director, Sports Medicine Program Department of Orthopedics & Rehabilitation Oregon Health Sciences University Center for Health & Healing Portland Oregon
Shoulder Surgery: State of the Art ‘07 All Arthroscopic All Arthroscopic –Stabilization for dislocation –Stabilization for instability –Rotator cuff repairs –SLAP repairs –Biceps tendon repair –Capsular release Internal Rotation contracture Internal Rotation contracture Frozen Shoulder Frozen Shoulder Open Open –Clavicle fixation Improved outcomes Improved outcomes
Definitions Instability Instability –Failure of the dynamic and static mechanisms of joint biomechanics to maintain a functional position of two articulating surfaces Subluxation Subluxation –Partial, transient loss of articulating congruency Dislocation Dislocation –Complete loss of articulating congruency
Shoulder Dislocations First time dislocators First time dislocators –< 20 yrs > 75% redislocation rate > 75% redislocation rate –20-30 yrs 30-50% redislocation rate 30-50% redislocation rate Arthroscopic repair Arthroscopic repair –Out-patient –Reduce re-dislocation rate <2-5% <2-5% –Return to Sports 3-6 months 3-6 months
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