My Orthopaedic Surgeon

Goldmine of orthopaedic scores and scoring systems. 10 surgeon based and 20 patient based scoring systems for all regions of the musculoskeletal system. Includes: Harris Hip Score, Knee Society Score, Oxford Knee Score, WOMAC, Cincinatti Knee Score, Tegner Lysholm, American Foot & Ankle Score AFAS, UCLA Shoulder Rating Scale, Mayo Elbow Score, DASH (Disabilities of Arm Shoulder & Hand) and several more.

The results of 50 shoulder arthroscopies are presented. A great variety of different lesions were seen. In 27 of the 50 cases the diagnosis was changed or refined. In particular, unexpected rotator cuff tears and radiolucent loose bodies were found. The presence of Bankart and Hill-Sachs lesions confirmed the diagnosis of recurrent dislocation in clinically subluxing patients with no radiological evidence of dislocation. Shoulder arthroscopy promises to increase diagnostic precision in patients with shoulder pain and may have therapeutic potential with minimal morbidity.
Shoulder arthroscopy. Bunker T. Ann R Coll Surg Engl. 1989 Jul;71(4):213-7.

15 min video illustrating - Arthroscopic Reverse Bony Bankart Repair for Posterior Glenohumeral Instability By: James P Bradley

Technique video - Arthroscopic Bristow - Latarjet By: Socrates Kalogrian

Archive Copy: - 1999 Annual Meeting Scientific Program. Management of the Stiff Shoulder
1. Post-traumatic Stiffness Evan L. Flatow, MD, New York, NY
2. Diabetic Stiff Shoulder Douglas T. Harryman II, MD, Seattle, WA
3. Idiopathic Adhesive Capsulitis James E. Tibone, MD, Los Angeles, CA
4. Post-Surgical Stiffness Jon J. P. Warner, MD, Boston, MA

See also:
- Arthroscopic Reconstruction
- Historic Operations:
- Revision Bankart Procedure
- Bankart Repair:
- reattachment of the capsule and glenoid labrum to the glenoid lip;
- subscapularis is carefully divided to expose the capsule, and is reapproximated without any overlap or shortening;
Wheeless' Textbook of Orthopaedics

Aims
Aim to restore anatomy of anterior glenoid, by reattachment of labrum & gentle imbrication of capsule & hence prevent recurrent dislocation.
Arthroscopic technique may be useful for relatively simple lesions in well trained hands. Inferior capsular shift may be added if inferior laxity is present.
Bristow procedure may be added for revision cases.

Arthroscopic Stabilization for Bankart, Buford Lesion and Posterior-Inferior Laxity By: Mark Getelman Channel: Depuy Mitek Shoulder Surgeons: Gene Wolf, Mark Getelman

Arthroscopic treatments improve function, strength, and range of motion in athletes with multidirectional shoulder instability, according to a report in the September issue of The American Journal of Sports Medicine. (Am J Sports Med 2009;37:1712-1720)
Though numerous arthroscopic techniques have been described for treatment of multidirectional shoulder instability, most studies have only looked at short-term outcomes.
Dr. Mathew W. Pombo from the Sports Medicine & Orthopedic Institute, Duluth, Georgia and colleagues evaluated 40 athletes (43 shoulders) at an average of 33.5 months after they underwent arthroscopic reconstruction for shoulder multidirectional instability.

Notes and illustrations on Positioning, Portal Placement and Arthroscopic techniques
Wheeless' Textbook of Orthopaedics

Conclusions: The results of this study indicate that women with rotator cuff pathology suffer from higher levels of pre- and post-operative disability and sex and gender qualities contribute to these differences. Gender-sensitive approach will help to identify existing differences between men and women which will help to promote more effective and tailored care by health professionals.
Disability and Satisfaction after Rotator Cuff Decompression or Repair: A Sex and Gender Analysis Helen Razmjou , Aileen M Davis , Susan B Jaglal , Richard Holtby and Robin R Richards BMC Musculoskeletal Disorders 2011, 12:66

5 min technique video - Distal Tibia Allograft Reconstruction for Glenoid Bone Loss By: Brian Cole

Intraosseous Ganglia of Glenoid from Journal of the Southern Orthopaedic Association Mordechai Kligman, MD, Moshe Roffman, MD Technion-Israel Institute of Technology, Haifa, Israel
Abstract A rare case of intraosseous ganglia of the glenoid in a 35-year-old woman is presented. The patient had painful right shoulder and no limit of motion. Radiographs and computed tomographic scans showed a large lytic lesion involving the entire glenoid bone. The patient was treated by curettage and autocorticocancellous bone graft. Six months after the operation, the patient has an excellent clinical outcome and radiologic sign of integration of the bone graft. Few cases of intraosseous ganglia of the glenoid have been reported, but none with the entire glenoid involvement. J South Orthop Assoc 9(3):216-218, 2000

A case of a 26-year-old male with symptoms resulting from loose bodies residing in a sublabral recess is presented. Operative intervention using the standard arthroscopic portals in addition to an accessory posterior portal was successful in removing the loose bodies and approximating the edges of the sublabral foramen.
Loose bodies in a sublabral recess: diagnosis and treatment. Kaplan K, Sahajpal DT, Jazrawi L. Bull Hosp Jt Dis. 2006;63(3-4):161-5.Full text available

Video presentation on a modification of the Laterjet procedure for shoulder instability using a mini plate.
Dr. Giovanni Di Giacomo