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By Andreas B. Imhoff, Jonathan B. Ticker, Freddie H. Fu

content material: part I: creation and Imaging Secton II: easy options part III: Glenohumeral Instabiligy part VI: particular Arthroscopic Techniques

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Agneskirchner J, Fredrich H, Imhoff AB. Acromion reconstruction after total arthroscopic acromionectomy: salvage procedure using a bone graft. Arthroscopy 2001; 17/5: E18:1–4. 75. De Simoni C, Ledermann Th, Imhoff A. Holmium YAG-Laser beim ‘Outlet Impingment’ der Schulter – Mittelfristige Ergebnisse. Orthopäde 1996; 25: 84–90. 76. Imhoff A, ed. Schulterarthroskopie. Deutsche Ausgabe, Uebersetzung und Bearb. In: Bunker T, Wallace A, eds. Shoulder Arthroscopy unter Mitarbeit von S. Plaschy und mit einem Geleitwort von A.

99. Debski RE, McMahon PJ, Thompson WO et al. A new dynamic testing apparatus to study glenohumeral motion. J Biomech 1995; 28: 869–74. 100. Kohn D. The clinical relevance of glenoid labrum lesions. Arthroscopy 1987; 3: 223–30. 101. Keyes EL. Anatomical observations on senile changes in the shoulder. J Bone Joint Surg 11935; 7A: 953–60. 3 Physical examination of the shoulder Andreas Burkart and Andreas B Imhoff Introduction Inspection With an appropriate history and careful physical examination one can reach a working diagnosis for patients with shoulder discomfort.

5. 6. 3). Internal rotation can be measured by a rule, starting from C7 down to the tip of the thumb. Common reference points that the thumb reaches are the greater trochanter, buttock, superior gluteal fold, and various spinous processes of the lumbar and thoracic vertebrae. Internal rotation can also be measured in the 90° abducted position. Muscle testing Testing of muscle strength evaluates the integrity of the musculotendinous unit and the neuromuscular elements. Muscle strength is rated by the following grading system: 0 = No palpable contraction; 1 = Muscle contracts, but part normally motorized does not move, even without gravity; 2 = Muscle moves the part but not against gravity; 3 = Muscle moves the part through a range against gravity; 4 = Muscle moves the part even against added resistance; 5 = Normal strength against full resistance.

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