I can now sleep, dress, drive, along with all the daily activities I was previously unable to do. HONcode standard for trustworthy health information. The shoulder is made up of two joints, the acromioclavicular joint and the glenohumeral joint. The floating shoulder is defined as ipsilateral fractures of the midshaft of the clavicle and the neck of the glenoid. Well, Dr. Millett is also a very empathetic and caring person with a fantastic team of assistants and supporting staff who all take extra time and attention to explain the details and answer any questions.The whole Steadman Clinic experience with Dr. Millett far exceeded all of my expectations. Dr. Millett reconstructed my casting shoulder a year ago. 174 "Wrist-ioint 177 Articulations of the Carpus . Injuries resulting from dysfunction are common and potentially debilitating. 179 Metacarpo-phalangeal Articulations . Glenoid Labrum - the shoulder joint is a ball and socket joint, but a shallow one, covering only about a third of the "ball" (head of the humerous). Arthroscopic Surgical Approaches and Intraarticular Anatomy of the Equine Shoulder Joint. 759. It is the tendon that enables you to lift your arm out to the side (an important movement for most daily tasks). Management of a Patient With an Isolated Greater Tuberosity Fracture and Rotator Cuff Tear, Percutaneous Treatment of Proximal Humerus Fractures, Achilles tendon allograft-augmented latissimus dorsi tendon transfer for the treatment of massive irreparable posterosuperior rotator cuff tears, Anatomy and Dimensions of Rotator Cuff Insertions, Anterior Capsular Reconstruction for Irreparable Subscapularis Tears, Arthroscopic Double-Row Transosseous Equivalent Rotator Cuff Repair with a Knotless Self-Reinforcing Technique, Arthroscopic Knotless, Double-Row, Extended Linked Repair for Massive Rotator Cuff Tears, Arthroscopic Pancapsular Shift With Labral Repair for Multidirectional Instability of the Shoulder, Arthroscopic Rotator Cuff Repair Instruments and Equipment: Setting Yourself Up for Success, Arthroscopic Rotator Cuff Repair: Rationale, Technique, and Results of Knotless Self-Reinforcing Double-Row Rotator Cuff Repair, Arthroscopic rotator cuff repair: Scientific rationale, surgical technique, and early clinical and functional results of a knotless self-reinforcing double-row rotator cuff repair system, Arthroscopic Single-Row Versus Double-Row Repair for Full-Thickness Posterosuperior Rotator Cuff Tears, Arthroscopic Single-Row Versus Double- Row Suture Anchor Rotator Cuff Repair, Arthroscopic Superior Capsule Reconstruction for Irreparable Rotator Cuff Tears, Arthroscopic Superior Capsular Reconstruction for Treatment of Massive Irreparable Rotator Cuff Tears: An Update of the Technique for 2020, Arthroscopically Assisted Latissimus Dorsi Transfer for Irreparable Rotator Cuff Tears, Association Between Acromial Index and Outcomes Following Arthroscopic Repair of Full-Thickness Rotator Cuff Tears, Biologics to Improve Healing in Large and Massive Rotator Cuff Tears: A Critical Review, Biomechanical Analysis of Two Tendon Posterosuperior Rotator Cuff Tear Repairs: Extended Linked Repairs and Augmented Repairs, Calcifying tendinitis of the rotator cuff with cortical bone erosion, Clinical and Imaging Outcomes After Arthroscopic Superior Capsule Reconstruction With Human Dermal Allograft for Irreparable Posterosuperior Rotator Cuff Tears: A Minimum 2-Year Follow-Up, Clinical and Structural Outcomes After Arthroscopic Repair of Full-Thickness Rotator Cuff Tears With and Without Platelet-Rich Product Supplementation: A Meta-analysis and Meta-regression, Clinical and structural outcomes after arthroscopic single-row versus double-row rotator cuff repair: a systematic review and meta-analysis of level I randomized clinical trials, Coracoplasty: Indications, Techniques, and Outcomes, Cost-Effectiveness of Arthroscopic Rotator Cuff Repair Versus Reverse Total Shoulder Arthroplasty for the Treatment of Massive Rotator Cuff Tears in Patients With Pseudoparalysis and Nonarthritic Shoulders, Double-row Rotator Cuff Repair Strategies. . A detailed discussion of the surgical anatomy … Glenohumeral joint - a shallow cavity (hole) in the scapula where the humerous sits. Sven OstermeierOrthopaedic Specialist Consultant for Shoulder Surgery, Certified Centre for Arthroplasty (Centre for Endoprosthesis), Orthopaedic Gelenk-Klinik is certified Centre for Endoprosthesis (EPZ). The head of the humerus is much larger than the glenoid fossa, giving the joint a wide range of movement at the cost of inherent instability. These are the clavicle and scapula. Clinical Results Following Non-operative Management for Grade III Acromioclavicular Joint Injuries: Does Eventual Surgery Affect Overall Outcomes? While the shoulder is often referred to as a singular joint, it is technically made up of 4 joints. Subacromial Bursa - this is found between the rotator cuff muscles and the larger surrounding muscles. Shoulder instability is a problem that occurs when the structures that surround the shoulder joint do not work to keep the ball tightly within its socket. The glenohumeral articulation is a versatile joint that requires a complex integration of bony ligamentous, musculotendinous and neurovascular sutures for proper function. A Systematic Review. While of the ball-and-socket variety, the shoulder-joint relies chiefly upon muscular support, and thus, while great latitude of movement is permitted, it also is prone to dislocation. Repair of Rotator Cuff Tears in the Elderly: Does It Make Sense? It has the greatest range of motion of any joint. Shoulder replacement is a surgical procedure in which all or part of the glenohumeral joint is replaced by a prosthetic implant. The majority of shoulder surgery is performed via the anterior or anterolateral aspect of the shoulder joint. Surgical Anatomy of the Sternoclavicular Joint: A Qualitative and Quantitative Anatomical Study, A Tensionable Suture-based Cerclage Is an Alternative to Stainless Steel Cerclage Fixation for Stabilization of a Humeral Osteotomy During Shoulder Arthroplasty, Arthroscopic Fixation of an Anterior Labroligamentous Periosteal Sleeve Avulsion (ALPSA) of the Shoulder, Complications and implant survivorship following primary reverse total shoulder arthroplasty in patients younger than 65 years: a systematic review, The effect of glenosphere lateralization and inferiorization on deltoid force in reverse total shoulder arthroplasty, Biomechanical and Histopathological Analysis of a Retrieved Dermal Allograft After Superior Capsule Reconstruction: A Case Report, Optimal management of symptomatic os acromiale: current perspectives, Nonoperative treatment of five common shoulder injuries: A critical analysis, Arthroscopic Repair of Humeral Avulsion of the Glenohumeral Ligament Lesion, Impact of Arthroscopic Lateral Acromioplasty on the Mechanical and Structural Integrity of the Lateral Deltoid Origin: A Cadaveric Study, The Effects of Arthroscopic Lateral Acromioplasty on the Critical Shoulder Angle and the Anterolateral Deltoid Origin: An Anatomic Cadaveric Study, Quantitative MRI characterization of arthroscopically verified supraspinatus pathology: comparison of tendon tears, tendinosis and asymptomatic supraspinatus tendons with T2 mapping, Technique and Outcomes of Arthroscopic Scapulothoracic Bursectomy and Partial Scapulectomy, The Influence of Arm and Shoulder Position on the Bear-Hug, Belly-Press, and Lift-Off Tests, Propionobacter acnes Infection as an Occult Cause of Postoperative Shoulder Pain, Chronic Plasma Cell Osteomyelitis of the Humerus Associated with Shigella and Flavobacterium, Coracoid Impingement-The Association Between Coracohumeral Interval Narrowing and Anterior Shoulder Pathologies, Factors Influencing Intra-Articular Fluid Temperature Profiles with Radiofrequency Ablation, Patient Expectations Before Arthroscopic Shoulder Surgery: Correlation with Patients’ Reasons for Seeking Treatment, The Steadman Philippon Research Institute. Article by RadiologyPics.com. World Class Surgeon with Amazing Facility and Staff, Medical Second Opinion Service – MRI/X-Ray Review, Acromioclavicular Joint Disorders Separation, Arthroscopic Acromioclavicular Joint Treatment With Coracoclavicular Fixation and Allograft Coracoclavicular Ligament Reconstruction for Acute Acromioclavicular Dislocations, Optimal Management of Acromioclavicular Dislocation: Current Perspectives, The acutely injured acromioclavicular joint – which imaging modalities should be used for accurate diagnosis? . Open Reconstruction of the Anterior Glenohumeral Capsulolabral Structures with Tendon Allograft in Chronic Shoulder instability, Repair of Floating Posterior Inferior Glenohumeral Ligament Lesions: Surgical Technique, Short-Term Outcomes After Knotless All-Suture Anchor Bankart Repair, The “Bony Bankart Bridge” Procedure: A New Arthroscopic Technique for Reduction and Internal Fixation of a Bony Bankart Lesion, Two-Year Outcomes of Open Shoulder Anterior Capsular Reconstruction for Instability from Severe Capsular Deﬁciency, Analysis of Interobserver and Intraobserver Variability in the Diagnosis and Treatment of SLAP Tears Using the Snyder Classification, Arthroscopic Knotless Modified McLaughlin Procedure for Reverse Hill-Sachs Lesions, Arthroscopic Repair of SLAP Lesions With a Bioknotless Suture Anchor, Biomechanical Comparison of Knotless All-Suture Anchors and Knotted All-Suture Anchors in Type II SLAP Lesions: A Cadaveric Study, Biomechanical Comparison of Subpectoral Biceps Tenodesis Onlay Techniques, Biomechanical In Vitro Validation of Intramedullary Cortical Button Fixation for Distal Biceps Tendon Repair, Conversion of Failed Proximal Long Head of the Biceps Tenodesis to Distal Subpectoral Tenodesis: Outcomes in an Active Population. 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