Os Acromiale Rupture Associated with a Massive Rotator Cuff Tear Causing Deltoid Insufficiency and Superior Escape of the Humeral Head by Gregory J. Pinkowsky,

Slides:

Advertisements

Similar presentations

Reverse Total Shoulder Arthroplasty for Recurrent Shoulder Dislocation in an Elderly Patient by Daniel J. Shubert, and Sarah B. Shubert JBJS Case Connect.

Advertisements

Fracture of a BIOLOX Delta Ceramic Femoral Head Articulating Against a Polyethylene Liner by Anneliese D. Heiner, and Craig R. Mahoney JBJS Case Connect.

MRI of the Elbow: Techniques and Spectrum of Disease by Ashvin K. Dewan, A. Bobby Chhabra, A. Jay Khanna, Mark W. Anderson, and Lance M. Brunton J Bone.

Combined Glenoid and Humeral Head Reconstruction with Allografts by Anthony Yi, Mike Zusmanovich, Ryan Jahn, Diego Villacis, and George F. Rick Hatch JBJS.

Management of Massive Irreparable Rotator Cuff Tears: The Role of Tendon Transfer*† by Jon J. P. Warner J Bone Joint Surg Am Volume 82(6): June.

Shoulder Anatomy. This is an axial T1 MRI image at the top of the shoulder. All structures look dark because of fat suppression. We use fat suppression.

Arthroscopic Treatment of Suprascapular Neuropathy from a Suprascapular Notch Cyst Using a Lateral Subacromial Approach by Justin J. Mitchell, Ryan R.

Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Instability of the Shoulder: Complex Problems and Failed Repairs. Part I.

Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Failed Repair of the Rotator Cuff. Evaluation and Treatment of Complications*†

Deltoid Compartment Syndrome After Prolonged Lateral Decubitus Positioning by Todd R. Borenstein, Eric Cohen, Matthew McDonnell, Robin N. Kamal, and Roman.

THE ACROMIOCLAVICULAR (AC) JOINT

THE SHOULDER GIRDLE Chapter 4.

Tenodesis of the Long Head of the Biceps: A Review of Indications, Techniques, and Outcomes by Brian C. Werner, M. Tyrrell Burrus, Mark D. Miller, and.

Arthroscopic Single-Row Versus Double-Row Repair for Full-Thickness Posterosuperior Rotator Cuff Tears by Kevin M. Roth, Ryan J. Warth, Jared T. Lee, Peter.

Dynamic MRI Reveals Soft-Tissue Compression Causing Progressive Myelopathy in Postlaminectomy Patients by Sarah Stamm, John W. McClellan, Annie Knierim,

Irreparable Rotator Cuff Tears: What to Do and When to Do It; the Surgeon's Dilemma by David M. Dines, Daniel P. Moynihan, Joshua S. Dines, and Peter McCann.

by George C. Balazs, Elizabeth M. Polfer, and Jefferson W. Jex

Hamstring Injuries in Athletes: Diagnosis and Treatment by Mohammad M. Alzahrani, Sultan Aldebeyan, Fahad Abduljabbar, and Paul A. Martineau JBJS Reviews.

Mimickers of Cervical Radiculopathy by Bennett D. Grimm, Eric B. Laxer, Joshua C. Patt, and Bruce V. Darden JBJS Reviews Volume 2(11):e2 November 11, 2014.

Reverse Total Shoulder Arthroplasty: Current Concepts, Results, and Component Wear Analysis by D. Nam, C.K. Kepler, A.S. Neviaser, K.J. Jones, T.M. Wright,

Double-Bundle Posterior Cruciate Ligament Reconstruction Technique with Use of Endoscopic Femoral Graft Placement by Robert F. LaPrade, and Casey M. Pierce.

Ch. 21 Shoulder.

Lipoma Arborescens of the Knee Treated with Arthroscopic Synovectomy by Andrzej Jurkiewicz, Przemysław Krakowski, and Agnieszka Korolczuk JBJS Case Connect.

Rotator Cuff Tear Arthropathy: Evaluation, Diagnosis, and Treatment by Denis Nam, Travis G. Maak, Bradley S. Raphael, Christopher K. Kepler, Michael B.

by P. M. WATERS, and B. A. TAYLOR

MRI-Arthroscopy Correlation: The Knee by Matthew D. Milewski, Timothy G. Sanders, and Mark D. Miller J Bone Joint Surg Am Volume 93(18): September.

Neurovascular Injury Following Traumatic Posterior Shoulder Dislocation in an Adolescent Contact Athlete by Aaron J. Bois, and Anne K. Dzus JBJS Case Connect.

Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Magnetic Resonance Imaging of the Shoulder*† by RICHARD J. HERZOG J Bone.

Complications Associated with FAST-FIX All-Inside Meniscal Repair by Ryan C. Rauck, Sameer Jain, and David C. Flanigan JBJS Case Connect Volume 5(3):e62.

Late Neurovascular Compromise Secondary to a Malunited Clavicular Fracture in a Preadolescent by Sekinat Kassim, and John F. Lovejoy JBJS Case Connect.

Acute Multifocal Osteomyelitis Following Acupuncture by Zachary C. Landman, and C. Benjamin Ma JBJS Case Connect Volume 2(1):e1 January 11, 2012 ©2012.

Extensive Heterotopic Ossification After Arthroscopic Rotator Cuff Repair by Brad Aspey, Howard Young Park, and Roger Ostrander JBJS Case Connect Volume.

Subscapular Abscess in a Nine-Year-Old Female Patient by Juan M. Giugale, Patrick P. Bosch, and Jan S. Grudziak JBJS Case Connect Volume 5(1):e13 February.

Carbon Fiber Arrow Injuries to the Wrist: More Than Meets the Eye by Karin L. Ljungquist, and Lawrence M. Lubbers JBJS Case Connect Volume 4(2):e36 May.

Iatrogenic Meniscus Posterior Root Injury Following Reconstruction of the Posterior Cruciate Ligament by Nicholas I. Kennedy, Max P. Michalski, Lars Engebretsen,

by Matjaz Veselko, and Matej Kastelec

Shoulder Osteology X-ray Muscles CT/MRI.

Massive Tears of the Rotator Cuff by Asheesh Bedi, Joshua Dines, Russell F. Warren, and David M. Dines J Bone Joint Surg Am Volume 92(9): August.

Pyogenic Sacroiliac Arthritis Resulting in Septic Shock in a Postpartum Patient: A Rare Problem with a Rare Organism by Michael D. Baratz, Erica Gupta,

Tendon Transfer Options About the Shoulder in Patients with Brachial Plexus Injury by Bassem Elhassan, Allen T. Bishop, Robert U. Hartzler, Alexander Y.

Multifocal Osteonecrosis of the Capitella and Femoral Condyles After Stem Cell Transplantation and Corticosteroid Treatment for Acute Lymphocytic Leukemia.

Glenohumeral Arthrodesis After Failed Prosthetic Shoulder Arthroplasty by Jason J. Scalise, and Joseph P. Iannotti JBJS Essent Surg Tech Volume os-91(Supplement.

Posterior Shoulder Dislocations and Fracture-Dislocations by C. Michael Robinson, and Joseph Aderinto J Bone Joint Surg Am Volume 87(3): March 1,

Elbow Injuries in the Throwing Athlete by Ronak M. Patel, T. Sean Lynch, Nirav H. Amin, Stephen Gryzlo, and Mark Schickendantz JBJS Reviews Volume 2(11):e4.

Endoscopic Treatment of Greater Trochanteric Pain Syndrome of the Hip

Anatomical Reconstruction for Chronic Posterolateral Instability Combined with Posterior Cruciate Ligament Reconstruction by Sung-Jae Kim, Sung-Hwan Kim,

Chapter- 3.  Student must recall structural features / landmarks in different images of Shoulder joint & Upper Limb.  Student must Distinguish between.

by Keith M. Baumgarten, and Matthew J. McKenzie

Avulsion of the Proximal Hamstring Origin by David G. Wood, Iain Packham, S. Paul Trikha, and James Linklater J Bone Joint Surg Am Volume 90(11):

Reverse Delta-III Total Shoulder Replacement Combined with Latissimus Dorsi Transfer by Christian Gerber, Scott D. Pennington, Erich J. Lingenfelter, and.

Scapular Winging: A Great Masquerader of Shoulder Disorders

Does a Critical Rotator Cuff Tear Stage Exist? by Joo Han Oh, Bong Jae Jun, Michelle H. McGarry, and Thay Q. Lee J Bone Joint Surg Am Volume 93(22):

Treatment of Proximal Humeral Fractures by Andrew Jawa, and David Burnikel JBJS Reviews Volume 4(1):e3 January 12, 2016 ©2016 by The Journal of Bone and.

Does Subacromial Injection of a Local Anesthetic Influence Strength in Healthy Shoulders? by Mazda Farshad, Michèle Jundt-Ecker, Reto Sutter, Martin Schubert,

Comminuted Fractures of the Radial Head: Comparison of Resection and Internal Fixation by Masayoshi Ikeda, Kazuhiro Sugiyama, Chonte Kang, Tomonori Takagaki,

Diagnostic and Management Strategies for Multiligament Knee Injuries by M. Tyrrell Burrus, Brian C. Werner, Justin W. Griffin, F. Winston Gwathmey, and.

Verrucous Hemangioma of the Plantar Surface of the Foot by Scott M. Haskins, and Naomi N. Shields JBJS Case Connect Volume 4(1):e10 January 22, 2014 ©2014.

Correction of a Femoral Head Fracture Malunion with Surgical Dislocation of the Hip by James R. Ross, and John C. Clohisy JBJS Case Connect Volume 2(4):e71.

Shoulder Injuries in the Throwing Athlete by Sepp Braun, Dirk Kokmeyer, and Peter J. Millett J Bone Joint Surg Am Volume 91(4): April 1, 2009 ©2009.

The Shoulder Skills Lab: Palpations. Instructions 1.Palpate the anatomical structures on your partner 2.Label the structures using various colors 1.Use.

Shoulder Osteology X-ray Muscles CT/MRI.

Ultrasound, MRI, and CT findings in rotator cuff tear

The Geometric Classification of Rotator Cuff Tears: A System Linking Tear Pattern to Treatment and Prognosis James Davidson, M.D., Stephen S. Burkhart,

Rotator Cuff Tears at the Musculotendinous Junction: Classification and Surgical Options for Repair and Reconstruction Peter J. Millett, M.D., M.Sc.,

Arthroscopic Glenohumeral Arthrodesis With O-Arm Navigation

The “Double-Pulley” Technique for Arthroscopic Fixation of Partial Articular-Side Bony Avulsion of the Supraspinatus Tendon: A Rare Case of Bony PASTA.

Surgical Technique to Repair Musculotendinous Junction Tear of Supraspinatus Using Lateral-Row Anchors to Avoid Cut-Through Bancha Chernchujit, M.D.Ortho.,

Arthroscopic Repair of a Posterior Bony Humeral Avulsion of the Glenohumeral Ligament With Associated Teres Minor Avulsion Patrick A. Smith, M.D., Clayton.

Surgical Technique to Repair Musculotendinous Junction Tear of Supraspinatus Using Lateral-Row Anchors to Avoid Cut-Through Bancha Chernchujit, M.D.Ortho.,

Gregory Gasbarro, M.D., Lionel Neyton, M.D. Arthroscopy Techniques

Presentation transcript:

Os Acromiale Rupture Associated with a Massive Rotator Cuff Tear Causing Deltoid Insufficiency and Superior Escape of the Humeral Head by Gregory J. Pinkowsky, and April D. Armstrong JBJS Case Connect Volume 4(1):e17 February 12, 2014 ©2014 by The Journal of Bone and Joint Surgery, Inc.

Gregory J. Pinkowsky, and April D. Armstrong JBJS Case Connect 2014;4:e17 ©2014 by The Journal of Bone and Joint Surgery, Inc.

Gregory J. Pinkowsky, and April D. Armstrong JBJS Case Connect 2014;4:e17 ©2014 by The Journal of Bone and Joint Surgery, Inc.

This clinical photograph of the defect along the anterior aspect of the shoulder (arrow) at the origin of the deltoid muscle was taken while the patient was attempting shoulder abduction. Gregory J. Pinkowsky, and April D. Armstrong JBJS Case Connect 2014;4:e17 ©2014 by The Journal of Bone and Joint Surgery, Inc.

Coronal T2-weighted fat-suppressed MRI (left) indicates a full-thickness rotator cuff tear with substantial retraction; a large effusion is present. Gregory J. Pinkowsky, and April D. Armstrong JBJS Case Connect 2014;4:e17 ©2014 by The Journal of Bone and Joint Surgery, Inc.

The posterolateral view shows that the suture was placed through the os acromiale fragment with the attached deltoid muscle fibers. Gregory J. Pinkowsky, and April D. Armstrong JBJS Case Connect 2014;4:e17 ©2014 by The Journal of Bone and Joint Surgery, Inc.

The os acromiale fragment is outlined in yellow, the attached deltoid muscle fibers are outlined in black, and the lateral aspect of the acromioclavicular joint is outlined in white. Gregory J. Pinkowsky, and April D. Armstrong JBJS Case Connect 2014;4:e17 ©2014 by The Journal of Bone and Joint Surgery, Inc.

Intraoperative photograph taken from the superior view. Gregory J. Pinkowsky, and April D. Armstrong JBJS Case Connect 2014;4:e17 ©2014 by The Journal of Bone and Joint Surgery, Inc.

The intact posterior part of the acromion is outlined in black, and the displaced os acromiale piece is outlined in gray. Gregory J. Pinkowsky, and April D. Armstrong JBJS Case Connect 2014;4:e17 ©2014 by The Journal of Bone and Joint Surgery, Inc.

Gregory J. Pinkowsky, and April D. Armstrong JBJS Case Connect 2014;4:e17 ©2014 by The Journal of Bone and Joint Surgery, Inc.

Gregory J. Pinkowsky, and April D. Armstrong JBJS Case Connect 2014;4:e17 ©2014 by The Journal of Bone and Joint Surgery, Inc.

Gregory J. Pinkowsky, and April D. Armstrong JBJS Case Connect 2014;4:e17 ©2014 by The Journal of Bone and Joint Surgery, Inc.

Final clinical photographs revealing full forward elevation and approximately 130° of shoulder abduction. Gregory J. Pinkowsky, and April D. Armstrong JBJS Case Connect 2014;4:e17 ©2014 by The Journal of Bone and Joint Surgery, Inc.