<span>Derived from Sam W. Wiesel and Todd J. Albert’s four-volume Operative Techniques in Orthopaedic Surgery, this single-volume resource contains a comprehensive, authoritative review of operative techniques in shoulder and elbow surgery. In one convenient place, you’ll find the entire Shoulder an
Operative Techniques: Shoulder and Elbow Surgery
✍ Scribed by Donald H. Lee, Robert J. Neviaser
- Publisher
- Elsevier
- Year
- 2018
- Tongue
- English
- Leaves
- 725
- Series
- Operative Techniques
- Edition
- 2
- Category
- Library
No coin nor oath required. For personal study only.
✦ Synopsis
Part of the practical, highly illustrated Operative Techniques series, this fully revised title by Drs. Donald H. Lee and Robert J. Neviaser brings you up to speed with must-know surgical techniques in today’s technically demanding shoulder and elbow surgery. Step-by-step, evidence-based guidance walks you through both common and unique cases you’re likely to see in your practice, while tips, pearls, and pitfalls help you optimize outcomes.
Features full-color intraoperative photos and detailed illustrations alongside expert technical guidance on instrumentation, placement, step-by-step instructions and more. A bulleted, highly templated format allows for quick understanding of surgical techniques.
Retains the clear organization of the first edition with each chapter covering case history/indications, physical exam, imaging, surgical technique, tips, pearls and pitfalls, post-operative management and references for further reading.
Includes new and comprehensive coverage of nerve transfers for shoulder and elbow restoration after upper trunk brachial plexus injuries, thoracic outlet syndrome, suprascapular nerve neuropathy, closed treatment of shoulder dislocations, and more.
Provides access to nearly 70 videos online, including new videos on the surgical treatment of scapular fractures, arthroscopic distal clavicle resection, radiocapitellar replacement, endoscopic cubital tunnel release, and much more.
Expert Consult™ eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.
✦ Table of Contents
Cover
Operative Techniques: Shoulder and Elbow Surgery
Copyright
Dedication
Contributors
Preface
Foreword
1 - Acromioplasty
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1
Instrumentation/Implantation
Step 2
Instrumentation/Implantation
Step 3
Instrumentation/Implantation
Step 4
Postoperative Care and Expected Outcomes
2 - Rotator Cuff Repair: Open Technique for Partial-Thickness or Small or Medium Full-Thickness Tears
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Acromioplasty
Instrumentation/Implantation
Tear Assessment
Releases
Humeral Preparation
Tendon Preparation
Repair of Partial Tears
Alternative Approach to Partial-Thickness Tears
Placement of Sutures
Tying of Sutures
Deltoid Repair
Postoperative Care and Expected Outcomes
3 - Rotator Cuff Repair: Arthroscopic Technique for Partial-Thickness or Small or Medium Full-Thickness Tears
Indications
Examination/Imaging
Surgical Anatomy
Muscles/Tendons (Fig. 3.4)
Nerves (Fig. 3.5)
Vessels
Positioning
Portals/Exposures
Instrumentation
Procedure
Step 1: Diagnostic Arthroscopy
Instrumentation/Implantation
Step 2: Subacromial Decompression and Acromioplasty
Step 3: Identification of Tear Characteristics and Tear Mobilization
Instrumentation/Implantation
Step 4: Tuberosity Preparation and Anchor Placement
Instrumentation/Implantation
Step 5: Suture Passage
Instrumentation/Implantation
Step 6A: Repair Techniques for Partial-Thickness Tears
Instrumentation/Implantation
Step 6B Single-Row Anchor Repair for Small Full-Thickness Tears
Step 6C Dual-Row Anchor Repair for Medium Full-Thickness Tears
Step 7: Knot Tying
Instrumentation/Implantation
Postoperative Care and Expected Outcomes
Postoperative Complications
4 - Open Repair of Rotator Cuff Tears
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Arthroscopic Subacromial Decompression and Mini-Open Cuff Repair
Open Repair
Procedure: Mini-Open Repair
Step 1
Step 2
Step 3
Procedure: Open Repair
Step 1
Step 2
Step 3
Step 4
Procedure: Open Reconstruction—Grafting
Step 1
Step 2
Subscapularis Transfer
Transfer of the Teres Minor and Subscapularis
Latissimus Dorsi Transfer
Postoperative Care and Expected Outcomes
5 - Arthroscopic Repair of Massive Rotator Cuff Tears
Indications
Examination/Imaging
Physical Examination
Imaging Studies
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1
Step 2
Step 3
Step 4
Step 5
Step 6
Step 7
Postoperative Care and Expected Outcomes
6 - Operative Fixation of Symptomatic Os Acromiale
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1: Preparation of the Pseudarthrosis
Step 2: Bone Grafting and Provisional Fixation
Step 3: Cannulated Screw Placement
Instrumentation/Implantation
Step 4: Tension Band
Instrumentation/Implantation
Postoperative Care and Expected Outcomes
7 - Humeral Head Resurfacing Arthroplasty
Indications
Examination/Imaging
Physical Examination
Imaging Studies
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1: Preparation of Humeral Head
Step 2: Insertion of Component
Step 3: Wound Closure
Postoperative Care and Expected Outcomes
8 - Humeral Hemiarthroplasty With Biologic Glenoid Resurfacing
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Deltopectoral Approach
Procedure
Step 1: Subscapularis Release With Lesser Tuberosity “Fleck” Osteotomy
Step 2: Humeral Osteotomy
Glenoid Surface Preparation
Suture Placement
Graft Preparation
Graft Fixation
Humeral Preparation
Implantation of Humeral Prosthesis
Dual-Row Subscapularis Repair
Biceps Tenodesis
Wound Closure
Postoperative Care and Expected Outcomes
Postoperative Controversies
9 - Total Shoulder Arthroplasty
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1: Humeral Preparation
Instrumentation/Implantation
Step 2: Glenoid Prosthetic Arthroplasty
Instrumentation/Implantation
Step 3: Soft Tissue Balancing and Completion of the Humerus
Instrumentation/Implantation
Step 4: Arthrotomy and Soft Tissue Closure
Postoperative Care and Expected Outcomes
10 - Rotator Cuff Tear Arthroplasty: Open Surgical Treatment With Reverse Shoulder
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1: Humeral Stem Preparation
Step 2: Preparing the Glenoid
Step 3: Inserting the Glenoid Baseplate
Step 4: Inserting the Humeral Stem and Repairing the Subscapularis
Postoperative Care and Expected Outcomes
11 - Open Unconstrained Revision Shoulder Arthroplasty
Indications
Examination/Imaging
History
Physical Examination
Basic Laboratory Evaluation
Plain Radiographs
Imaging Studies
Surgical Anatomy
Positioning
Portals/Exposures
Deltopectoral Approach: Superficial
Deltopectoral Approach: Deep
Procedure: Arthroscopic Cases
Step 1: Portals
Step 2: Evaluation for a Loose Component
Step 3: Removal of Glenoid Component
Procedure: Open Surgical Approach
Step 1
Step 2: Arthrotomy
Step 3: Humeral Head Inspection, Exposure, and Extraction
Step 4: Humeral Extraction
Step 5: Glenoid Exposure, Inspection, and Extraction
Step 6: Glenoid Revision
Step 7: Humeral Revision
Aseptic Humeral Reimplantation
Step 8: Closure
Postoperative Care and Expected Outcomes
12 - Closed Treatment of Shoulder Dislocations
Indications
Positioning
Postoperative Care and Expected Outcomes
13 - Arthroscopic Treatment of Traumatic Anterior Instability of the Shoulder
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1: Diagnostic Arthroscopy
Step 2
Step 3
Additional Steps
Postoperative Care and Expected Outcomes
14 - Open Treatment of Anterior-Inferior Multidirectional Instability of the Shoulder
Indications
Examination/Imaging
Ipsilateral Shoulder
Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1: Capsular Release
Step 2: Glenoid Exposure
Step 3: Capsular Shift
Step 4: Closure
Postoperative Care and Expected Outcomes
15 - Arthroscopic Treatment of Multidirectional Instability of the Shoulder
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1: Examination Under Anesthesia and Portal Placements
Step 2: Posterior Capsulorrhaphy
Step 3: Anterior Capsulorrhaphy
Step 4: Rotator Interval Closure
16 - Anterior Glenohumeral Instability Associated With Glenoid or Humeral Bone Deficiency: The Latarjet Procedure
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1
Step 2
Step 3
Step 4
Instrumentation/Implantation
Step 5
Postoperative Care and Expected Outcomes
Complications
17 - Open Treatment of Posterior-Inferior Multidirectional Shoulder Instability
Indications
Examination/Imaging
Physical Examination
Plain Radiographs
Magnetic Resonance Imaging
Computed Tomography
Surgical Anatomy
Positioning
Portals/Exposures
Exposure Alternatives
Procedure
Step 1
Step 2
Step 3
Step 4
Procedure Alternatives
Postoperative Care and Expected Outcomes
Complications
18 - Arthroscopic Treatment of Posterior-Inferior Multidirectional Instability of the Shoulder
Indications
Examination/Imaging
Physical Examination
Plain Radiographs
Magnetic Resonance Imaging
Examination Under Anesthesia
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1
Step 2
Step 3
Instrumentation/Implantation
Step 4
Step 5
Step 6
Postoperative Care and Expected Outcomes
19 - Open Bankart Procedure for Recurrent Anterior Shoulder Dislocation
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1
Instrumentation
Step 2
Step 3
Instrumentation/Implantation
Step 4
Instrumentation/Implantation
Postoperative Care and Expected Outcomes
20 - Mini-Open Biceps Tenodesis
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1
Step 2
Step 3
Postoperative Care and Expected Outcomes
21 - Arthroscopic Biceps Tenodesis
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1: Glenohumeral Exploration and Tenotomy of the Long Head of the Biceps Tendon
Step 2: Identification and Opening of the Bicipital Groove
Step 3: Biceps Exteriorization and Preparation
Step 4: Drilling the Humeral Socket
Step 5: Passing the Transhumeral Pin
Instrumentation/Implantation
Step 6: Interference Screw Fixation
Instrumentation/Implantation
Postoperative Care and Expected Outcomes
22 - Superior Labrum Anterior-Posterior Lesion: Arthroscopic Reconstruction of the Superior Labrum and Biceps Anchor
Indications
Examination/Imaging
3-Pack Examination
Traditional Tests
Miscellaneous Tests
Plain Radiographs
Magnetic Resonance Imaging
Surgical Anatomy
Glenoid Labrum
Superior Labrum
Biceps Anchor
Intraarticular LHBT
Bicipital Tunnel
Positioning
Portals/Exposures
Procedure
Step 1
Step 2
Step 3
Postoperative Care and Expected Outcomes
23 - Treatment of the Unstable Shoulder With Humeral Head Bone Loss
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure: Allograft Reconstruction
Step 1
Step 2
Step 3
Step 4
Postoperative Care and Expected Outcomes
Expected Outcomes for Allograft Reconstruction
Expected Outcomes for Partial Resurfacing Arthroplasty
Complications
24 - Open Distal Clavicle Excision
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1: Exposure and Identification
Step 2: Resection
Step 3: Closure
Postoperative Care and Expected Outcomes
25 - Arthroscopic Distal Clavicle Resection
Indications
Examination/Imaging
Plain Radiographs
Magnetic Resonance Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Direct Approach
Indirect Approach
Procedure: Direct Approach
Step 1
Step 2
Step 3
Procedure: Indirect Approach (Video 25.1)
Step 1
Step 2
Step 3
Postoperative Care and Expected Outcomes
26 - Open Treatment of Acute and Chronic Acromioclavicular Dislocations With Soft Tissue Repair and Reconstruction
Indications
Acute Injury
Chronic Injury
Examination/Imaging
Physical Examination
Imaging Studies
Surgical Anatomy
Clavicle
Acromion
Acromioclavicular Joint
Acromioclavicular Ligaments
Coracoclavicular Ligaments
Muscular Anatomy
Neurologic Anatomy
Vascular Anatomy
Positioning
Portals/Exposures
Procedure
Step 1: Skin Incision and Surgical Dissection
Step 2: Exposure of the Acromioclavicular Joint
Step 3: Coracoclavicular Exposure
Step 4: Tendon Graft Preparation for Chronic Reconstruction
Acute Repair
Chronic Reconstruction
Acute Repair
Chronic Reconstruction
Acute Repair
Chronic Reconstruction
Step 8: Deltotrapezial and Acromioclavicular Repair
Complications
Postoperative Care and Expected Outcomes
27 - Sternoclavicular Joint Reconstruction Using Semitendinosus Graft
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Procedure
Step 1: Semitendinosus Autograft Harvesting
Step 2: Exposure of the Sternoclavicular Joint
Step 4: Creation of Tunnels in Clavicle and Manubrium
Step 5: Passing and Securing the Graft
Postoperative Care and Expected Outcomes
28 - Open Reduction and Internal Fixation of Acute Midshaft Clavicular Fractures
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1
Step 2
Step 3
Step 4
Postoperative Care and Expected Outcomes
29 - Intramedullary Fixation of Clavicle Fractures
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1
Step 2
Step 3
Instrumentation/Implantation
Step 4
Postoperative Care and Expected Outcomes
30 - Operative Treatment of Two-Part Proximal Humerus Fractures
Indications
Examination/Imaging
Surgical Anatomy
Osseous Structures
Soft Tissues: Muscles, Tendons, and Ligaments
Soft Tissues: Nerves and Vessels
Positioning
Portals/Exposures
Instrumentation
Procedure: Orif of Surgical Neck Fracture with Locking Plate Through Deltopectoral Approach
Step 1: Superficial Dissection
Step 2: Deep Dissection
Step 3: Provisional Reduction and Fixation
Instrumentation/Implantation
Step 4: Final Fixation
Procedure: Orif of Greater Tuberosity Fracture Through Superior Approach
Step 1: Superficial Dissection
Step 2: Deep Dissection
Step 3: Provisional Reduction and Fixation
Instrumentation/Implantation
Step 4: Final Fixation and Deltoid Closure
Procedure: Orif of Lesser Tuberosity Fracture Through Deltopectoral Approach
Step 1: Superficial Dissection
Step 2: Deep Dissection
Step 3: Provisional Reduction and Fixation
Step 4: Final Fixation
Postoperative Care and Expected Outcomes
31 - Open Reduction and Internal Fixation of Three- and Four-Part Proximal Humerus Fractures
Indications
Examination/Imaging
Plain Radiographs
Computed Tomography (CT)
Surgical Anatomy
Positioning
Portals/Exposures
Instrumentation
Procedure
Step 1
Step 2
Instrumentation/Implantation
Step 3
Instrumentation/Implantation
Step 4
Instrumentation/Implantation
Step 5
Postoperative Care and Expected Outcomes
32 - Percutaneous Fixation of Proximal Humeral Fractures
Notes
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1
Step 2
Step 3
Step 4
Instrumentation/Implantation
Step 5
Postoperative Care and Expected Outcomes
33 - Hemiarthroplasty for Proximal Humeral Fracture
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1: Implant Selection
Step 2: Mobilization of the Tuberosities
Step 3: Placement of Prosthesis
Step 4: Reconstruction of Tuberosities
Step 5: Closure
Postoperative Care and Expected Outcomes
34 - Surgical Treatment of Scapular Fractures
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Anterior Deltopectoral Approach
Posterior Approach
Superior or Anterior-Superior Approach
Approach by Fracture Type
Procedure
Step 1: Fracture Exposure
Step 2: Fracture Fixation
Step 3: Wound Closure
Postoperative Care and Expected Outcomes
35 - Surgical Approaches to the Shoulder
BASIC ANATOMY
Surgical Anatomy
Positioning
Procedure
Step 1: Skin Incision, Deltoid, and Pectoralis Major Exposure
Surgical Anatomy
Positioning
Procedure
Step 1: Skin Incision and Deltoid Exposure
Step 2: Deltoid Split and Posterior Rotator Cuff Exposure
Step 3: Rotator Cuff Split and Posterior Joint Capsule Exposure
Step 4: Arthrotomy
Positioning
Procedure
Step 1: Skin Incision and Posterior Deltoid/Rotator Cuff Exposure
Step 2: Elevation of Posterior Deltoid and Rotator Cuff
Step 3: Use of “Limited Windows” to Expose Scapular Borders
36 - Arthrodesis of the Shoulder
Indications
Contraindications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1
Step 2
Step 3
Step 4
Step 5: For Situations With Proximal Humeral Bone Loss
Postoperative Care and Expected Outcomes
Complications
37 - Open and Arthroscopic Suprascapular Nerve Decompression
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure: Arthroscopic Suprascapular Nerve Decompression
Step 1
Step 2
Step 3
Step 4
Procedure: Open Suprascapular Nerve Decompression
Step 1
Step 2
Postoperative Care and Expected Outcomes
38 - Scapular Surgery
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1
Step 2
Step 3
Step 4
Step 5
Step 6
Step 7
Postoperative Care and Expected Outcomes
Postoperative Care
Expected Outcomes (Kuhn et al., 1995; Elhassan and Wagner, 2015)
39 - Adhesive Capsulitis
Indications
Examination/Imaging
Idiopathic Adhesive Capsulitis
Posttraumatic Adhesive Capsulitis
Surgical Anatomy
Positioning
Portals/Exposures
Procedure: Idiopathic Adhesive Capsulitis
Step 1
Step 2
Step 3
Procedure: Posttraumatic Adhesive Capsulitis
Step 1
Step 2
Step 3
Postoperative Care and Expected Outcomes
40 - Arthroscopic Treatment of Calcific Tendinitis in the Shoulder
Indications
Examination/Imaging
Detailed History
Clinical Examination
Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Posterior Portal (Fig. 40.5A)
Anterior Portal (see Fig. 40.5E)
Lateral Portal (see Fig. 40.5C)
Superior Portal
Procedure
Step 1
Step 2
Step 3
Step 4
Postoperative Care and Expected Outcomes
41 - Nerve Transfers for Shoulder and Elbow Restoration After Upper Trunk Brachial Plexus Injuries
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Procedure
Step 1: Exposure of the Musculocutaneous Nerve
Step 2: Exposure of the Donor Nerves
Step 3: Microsurgical Nerve Coaptation
Postoperative Care and Expected Outcomes
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1: Exposure of the Suprascapular Nerve
Step 2: Exposure of the Spinal Accessory Nerve
Step 3: Exposure of the Axillary Nerve
Step 4: Exposure of the Triceps Branches from the Axillary Nerve
Step 5: Microsurgical Nerve Coaptation
Postoperative Care and Expected Outcomes
42 - Thoracic Outlet Syndrome
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1
Step 2: Brachial Plexus Neurolysis
Step 3: Rib Resection
Step 4: Hemostasis
Step 5: Search for Pleural Tear
Additional Steps
Postoperative Care and Expected Outcomes
43 - Suprascapular Nerve Neuropathy
Indications
Examination & Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1
Step 2
Step 3
Step 4
Postoperative Care and Expected Outcomes
44 - Surgical Approaches to the Elbow
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Anterior Approach
Anterolateral Exposure
Anterior Approach
Anterolateral Approach
Anterior Approach
Anterolateral Approach
Anterior Approach
Postoperative Care and Expected Outcomes
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
EDC Split
Kaplan
Kocher
EDC Split
Kaplan
Kocher
EDC Split
Kaplan
Kocher
Postoperative Care and Expected Outcomes
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1
Hotchkiss Over-the-Top
FCU Split
Hotchkiss Over-the-Top
FCU Split
Hotchkiss Over-the-Top
FCU Split
Step 4
Postoperative Care and Expected Outcomes
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1
Step 2
Triceps-Splitting Approach
Paratricipital Approach
Olecranon Osteotomy
Step 3
Triceps Splitting
Olecranon Osteotomy
Paratricipital Approach (Fig. 44.21)
Postoperative Care and Expected Outcomes
45 - Arthroscopy of the Elbow: Setup and Portals
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Anterior Portals (Fig. 45.2)
Posterior Portals (see Fig. 45.2)
Procedure
Step 1: Joint Distention
Step 2: Anterior Joint Arthroscopy
Step 3: Posterior Joint Arthroscopy
Step 4: Closure
Postoperative Care and Expected Outcomes
46 - Elbow Arthritis and Stiffness: Open Treatment
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1
Step 2
Step 3
Step 4
Postoperative Care and Expected Outcomes
47 - Elbow Arthritis and Stiffness: Arthroscopic Treatment
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1: Preparation
Step 2: Anterior Capsulectomy and Debridement
Step 3: Posterior Joint Debridement and/or Capsulotomy
Step 4: Closure
Postoperative Care and Expected Outcomes
48 - Radial Head Fractures: Radial Head Replacement
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1
Step 2
Step 3
Postoperative Care and Expected Outcomes
49 - Total Elbow Arthroplasty
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Procedure
Step 1: Setup
Step 2: Exposure
Step 3: Triceps Elevation
Step 4: Humeral Preparation
Step 5: Ulnar Preparation
Step 6: Implantation
Step 7: Triceps Management
Postoperative Care and Expected Outcomes
50 - Total Elbow Arthroplasty for the Treatment of Distal Humerus Fractures
Indications
Examination/Imaging
Surgical Anatomy
Implant Design
Positioning
Portals/Exposures
Triceps Management
Triceps Reflecting (Bryan-Morrey)
Paraolecranon
Paratricipital
Triceps Splitting
Triceps Turndown
Procedure
Step 1: Manage Ulnar Nerve and Remove Fractured Articular and Condylar Fragments
Step 2: Select Correct Implant Size
Step 3: Radial Head Management
Step 4: Ulnar Preparation
Step 5: Humeral Preparation
Step 6: Trial Reduction
Step 7: Canal Preparation, Cement Technique, and Implant Insertion
Step 8: Closure
Postoperative Care and Expected Outcomes
Expected Outcomes
Complications
51 - Radiocapitellar Replacement
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1: Performing Deep Lateral Dissection
Step 3: Finding the Center of Rotation for the Distal Humerus
Step 4: Making Capitellar Cuts for Resurfacing
Step 5: Trialing the Capitellar Component
Step 7: Implanting the Final Capitellar Component
Step 8: Preparing the Radius for Implantation
Postoperative Care and Expected Outcomes
Immediate
Early
Intermediate
Long Term
52 - Revision Total Elbow Arthroplasty
Indications
Modes of Failure
Revision Options
Other Options
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Preferred Method
Procedure
Step 1: Joint Exposure and Implant Removal
Step 2: Placement of Antibiotic Spacers
Step 3A: Revision Arthroplasty Implant Options
Stem Failure
Articular Coupling Failure
Instability
Step 3E: Revision of Periprosthetic Fractures
Step 3F: Revision of Failed Implant with Massive Bone Loss
Step 4: Closure
Postoperative Care and Expected Outcomes
53 - Open Treatment of Medial Epicondylitis
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1: Procedure: Longitudinal Split and Approximation of the Flexor Carpi Radialis Tendon
Step 2
Step 3
Step 4
Postoperative Care and Expected Outcomes
54 - Lateral Epicondylitis: Arthroscopic and Open Treatment
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Arthroscopic Treatment
Open Treatment
Portals/Exposures
Arthroscopic Treatment
Open Treatment
Procedure: Arthroscopic Treatment
Step 1
Step 2
Procedure: Open Treatment
Step 1
Step 2
Step 3
Postoperative Care and Expected Outcomes
55 - Repair of Distal Biceps Tendon Ruptures
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1: Procurement of the Biceps Tendon
Step 2: Preparation of the Bicipital Tuberosity
Step 3: Tendon Preparation
Step 4: Securing the Endobutton
Step 5: Passage and Deployment of the Endobutton
Postoperative Care and Expected Outcomes
56 - Repair and Reconstruction of the Ruptured Triceps
Indications
Examination/Imaging
Physical Examination
Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure: Primary Repair—Anatomic Reattachment of the Triceps Tendon to Bone Through Drill Holes
Step 1
Step 2
Step 3
Alternative Double-Row Knotless Suture Anchor Repair Technique
Step 4
Procedure: Tendon Graft for Chronic Triceps Ruptures
Step 1
Step 2
Step 3
Procedure: Anconeus Rotation Flap
Step 1
Step 2
Step 3
Procedure: Achilles Tendon Allograft
Step 1
Step 2
Postoperative Care and Expected Outcomes
Primary Repair
Other Repairs
Expected Outcomes
57 - Endoscopic Cubital Tunnel Release
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1
Step 2
Step 3
Step 4
Step 5
Step 6
Step 7
Step 8
Postoperative Care and Expected Outcomes
58 - Submuscular Ulnar Nerve Transposition
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1: Neurolysis
Step 2: Flexor Pronator Mass Preparation and Incision
Step 3: Ulnar Nerve Transposition
Step 4: Transposition Assessment
Step 5: Closure
Postoperative Care and Expected Outcomes
59 - Surgical Decompression for Radial Tunnel Syndrome
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Thompson’s Approach (EDC/ECRB)
Brachialis Splitting
Interval Between Brachioradialis and ECRL
Step 2: Decompression
Step 3: Wound Closure
Postoperative Care and Expected Outcomes
60 - Distal Humerus Fractures, Including Isolated Distal Lateral Column and Capitellar Fractures
Indications
Distal Humerus Fractures
Isolated Distal Lateral Column and Capitellar Fractures
Examination/Imaging
Surgical Anatomy
Isolated Distal Lateral Column and Capitellar Fractures
Positioning
Distal Humerus Fractures
Isolated Distal Lateral Column and Capitellar Fractures
Portals/Exposures
Posterior Approaches
Lateral Approaches
Kocher Approach
Kaplan Approach
Procedure: Distal Humerus Fractures
Overview
Step 1
Step 2
Step 3
Procedure: Isolated Distal Lateral Column and Capitellar Fractures
Step 1
Step 2
Step 3
Step 4
Postoperative Care and Expected Outcomes
Distal Humerus Fractures
Complications
Outcomes
Isolated Distal Lateral Column and Capitellar Fractures
61 - Radial Head Fractures: Open Reduction and Internal Fixation
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1: The Fracture Site Is Exposed and Fracture Fragments Are Identified
Step 2: Provisional Fracture Fragment Reduction
Step 3: Definitive Fracture Fixation
Step 4: Address Associated Ligamentous Injury
Postoperative Care and Expected Outcomes
62 - Open Treatment of Complex Traumatic Elbow Instability
Indications
Examination/Imaging
Physical Examination
Imaging Studies
Surgical Anatomy
Bony Injuries
Medial Elbow Injuries (Fig. 62.8)
Lateral Elbow Injuries
Anatomy to Be Addressed
Positioning
Portals/Exposures
Skin Incision
Lateral Exposure
Other Considerations
Medial Exposure
Procedure: “Terrible Triad” injury
Step 1: Lateral Exposure
Step 2: Anterior Stability—Coronoid
Step 3: Repair or Replace Radial Head
Step 5: Reduction and Tensioning
Step 6: Assess Stability
Procedure: Trans-Olecranon Fracture-Dislocation (Anterior Olecranon Fracture-Dislocation)
Step 1: Exposure
Step 2: Reduction
Step 3: Fixation
Procedure: Dorsal Exposure, Reduction, and Plating of Posterior Olecranon Fracture-Dislocations (Monteggia Fractures)
Step 1: Exposure
Step 2: Assess Radial Head and Neck
Step 3: Reduce and Fix Ulna
Step 4: Test Stability
Procedure: Anteromedial Coronoid Facet Fracture–Posteromedial Rotatory Instability
Step 1: Exposure of Coronoid
Step 2: Fracture Fixation
Postoperative Care and Expected Outcomes
63 - Surgical Reconstruction of Longitudinal Radioulnar Dissociation (Essex-Lopresti Injury)
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1: Diagnostic and Therapeutic Arthroscopy
Step 2: Ulnar Shortening Osteotomy
Step 3: Interosseous Membrane Reconstruction
Step 4: Closure
Postoperative Care and Expected Outcomes
64 - Ulnar Collateral Ligament Reconstruction Using the Modified Jobe Technique
Indications
Examination/Imaging
Conventional Radiography
Stress Radiography
Magnetic Resonance Imaging (MRI) Arthrography
Diagnostic Elbow Arthroscopy
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1
Step 2
Step 3
Step 4
Step 5
Postoperative Care and Expected Outcomes
65 - Lateral Ulnar Collateral Ligament Reconstruction
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1
Step 2
Step 3
Step 4
Step 5
Postoperative Care and Expected Outcomes
66 - Elbow Coverage: Principles of Soft Tissue Reconstruction
Indications
Presurgical Planning
Indications
Examination/Imaging
Surgical Anatomy
Positioning and Marking
Procedure
Step 1: Flap Elevation
Step 2: Flap Inset
Step 3: Donor Site Closure and Dressing
Postoperative Care
Indications
Examination/Imaging
Surgical Anatomy
Positioning and Marking
Surgical Technique
Step 1
Step 2: Flap Inset
Step 3: Donor Site Closure and Dressing
Postoperative Care
Indications
Surgical Anatomy
Positioning and Marking
Procedure
Step 1: Flap Elevation
Step 2: Flap Inset
Step 3: Donor Site Closure and Dressing
Postoperative Care
Indications
Surgical Anatomy
Positioning and Marking
Procedure
Step 1: Flap Elevation
Step 2: Flap Inset
Step 3: Donor Site Closure and Dressing
Postoperative Care
Indications
Examination/Imaging
Surgical Anatomy
Positioning and Marking
Procedure
Step 1: Flap Elevation
Step 2: Flap Inset
Step 3: Closure
Postoperative Care
Indications
Surgical Anatomy
Positioning And Marking
Procedure
Step 1: Flap Elevation
Step 2: Flap Inset and Postoperative Care
Step 3: Closure
Postoperative Care
Indications
Surgical Anatomy
Positioning And Marking
Procedure
Step 1: Flap Elevation
Step 2: Flap Inset
Step 3: Closure
Postoperative Care
67 - Operative Treatment of Olecranon Bursitis
Indications
Examination/Imaging
Surgical Anatomy
Positioning
Portals/Exposures
Procedure
Step 1: Bursal Drainage and Resection
Step 2: Removal of Olecranon Osteophyte (If Present)
Step 3: Wound Closure
Postoperative Care and Expected Outcomes
68 - Treatment of Osteochondritis Dissecans of the Elbow
Indications
Examination/Imaging
Plain Radiographs
Panner Disease
Magnetic Resonance Imaging
Computed Tomography
Arthroscopy
Surgical Anatomy
Positioning
Supine-Suspended Position
Pros
Cons
Prone Position
Pros
Cons
Lateral Decubitus Position
Pros
Cons
Portals/Exposures
Anterior Portals
Anterolateral Portal
Proximal Anterolateral Portal
Anteromedial Portal
Proximal Anteromedial Portal
Posterior Portals
Proximal Posterolateral Portal
Posterolateral Portal
Posterior Portal
Proximal Posterior Portal
Direct Lateral Portal
Accessory Direct Lateral Portal
Procedure
Step 1
Step 2
Step 3
Step 4
Step 5
Microfracture and Retrograde Drilling of the Osteochondritis Dissecans
Osteochondral Grafting
Postoperative Care and Expected Outcomes
✦ Subjects
Shoulder and Elbow Surgery; Physical Medicine & Rehabilitation; Orthopedics; Orthopedic Surgery
📜 SIMILAR VOLUMES
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