By Sam W. Wiesel MD, Gerald R. Williams Jr. MD, Matthew L. Ramsey MD, Brent B. Wiesel MD
Operative innovations in Shoulder and Elbow Surgery includes the chapters at the shoulder and elbow from Sam W. Wiesel’s Operative ideas in Orthopaedic Surgery and gives full-color, step by step reasons of all operative approaches. Written via specialists from top associations worldwide, this fantastically illustrated quantity specializes in mastery of operative techniques and likewise offers an intensive figuring out of ways to choose the simplest process, how you can stay away from problems, and what results to expect.
The ordinary layout is perfect for speedy preoperative assessment of the stairs of a technique. every one approach is damaged down step-by-step, with full-color intraoperative images and drawings that show find out how to practice each one approach. large use of bulleted issues and tables permits quickly and straightforward reference.
Each medical challenge is mentioned within the similar structure: definition, anatomy, actual assessments, pathogenesis, common heritage, actual findings, imaging and diagnostic stories, differential analysis, non-operative administration, surgical administration, pearls and pitfalls, postoperative care, results, and problems. to make sure that the fabric absolutely meets citizens’ wishes, the textual content used to be reviewed by way of a Residency Advisory Board.
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Additional resources for Operative Techniques in Shoulder and Elbow Surgery
A. The line of release after the ulnar nerve has been identified and protected. lith capsule Annular ligament RG 10 • (continued) B. The olecranon has been osteotomized and the triceps swept from medial to lateral in continuity with the anconeus and forearm far cia. c. Closure with sutures placed through bone and the distal extensor mechanism is done with interrupted sutures. odter Approach • The extensile Kocher approach and the Mayo modification of the extensile Kocher approach provide sequentially greater exposure from the initial Kocher approach.
Flexor Digitorum Profundus • Originates from the proximal ulna distal to the elbow joint and is involved in flexion of the distal interphalangeal joints Chapter Surgical Approaches to the Shoulder and Elbow 2 -----------------------------------------------+---------------------------------------------------------------~ Joseph A. Abboud, Matthew L Ramsey, and Gerald R. Williams f SHOULDER APPROACHES ANTERIOR APPROACH TO 1HE SHOUlDER Indkations • • • • Surgical stabilization for recurrent dislocations Subscapularis and biceps tendon repair Shoulder arthroplasty Fracture fixation Incisions • Anterior shoulder can be approached through two different incisions.
Process of the scapula; it runs distally and laterally in the line of the deltopectoral interval to the insertion of the deltoid muscle on the lateral aspect of the humerus, about halfway down its shaft. • The incision should be continued distally as far as n«:essary, following the lateral border of the biceps muscle (FIG 4A). • A horizontal incision is made along the scapular spine ex- Surgical Dissection • The origin of the deltoid is identified on the scapular spine. There are three ways to manage the deltoid during posterior exposures: Detach the origin on the scapular spine Split the deltoid muscle along the length of its fibers Elevate the deltoid from the inferior margin • The plane between the deltoid muscle and the underlying infraspinatus muscle is identified.