Utilizing a case-based format complemented with schematic figures and operative photographs, this book presents all aspects of the surgical management of shoulder instability, including instability with and without glenoid and/or humeral head bone loss.
The first section covers the essentials of the anatomy, physical examination and imaging techniques for the shoulder. The following three sections, illustrated with unique clinical case material, present anterior, posterior and multidirectional instability respectively, discussing the decision-making process required for these challenging patients. Techniques described include arthroscopic and open soft tissue stabilization, arthroscopic and open Bankart and Latarjet techniques, and arthroscopic and open bone block techniques. Concluding sections present special cases, future directions and evolving concepts.
With contributions from leaders in the field, Management of Shoulder Instability: A Case-Based Guide is a valuable resource for orthopedic and sports medicine surgeons, residents and fellows, as well as allied health care colleagues (PAs, NPs, ATCs) who specialize in the treatment of shoulder instability patients.
Part I: General Topics.
Chapter
1. Shoulder Anatomy and
Biomechanics.- Chapter
2. Shoulder Arthroscopy Patient Positioning and
Portal Placement.
Chapter
3. Physical Examination and Classification of
Shoulder Instability: A Case-based guide.
Chapter
4. Glenoid Bone Loss How
to Measure.- Chapter
5. Humeral Head bone loss How to measure for treatment
decisions.- Part II: Anterior shoulder instability.
Chapter
6. The Bankart
repair in lateral decubitus: indications, technique, and limits.- Chapter
7.
The Bankart repair in beach chair: indications, technique, and
limits.-Chapter
8. The HAGL Lesion: Recognition and Arthroscopic Surgical
Technique.
Chapter
9. The HAGL Lesion: when to go Open, and how to do
it.- Chapter
10. THE HAGL LESION: RECOGNITION AND SURGICAL
TECHNIQUE.- Chapter
11. The ASA procedure: partial subscapularis tenodesis
with Bankart repair.- Chapter
12. The Bony Bankart: Strategies to Incorporate
the Bone.
Chapter
13. The Remplissage: Indications and Surgical Technique.-
Chapter
14. Treatment of Subcritical bone loss: The Distal Clavicle
Autograft.
Chapter
15. The Open Bankart with a Lateral Capsular Shift.-
Chapter
16. The Open Bankart Repair with a Medial Capsular Shift: Indications
and Technical Tips.- Chapter
17. The Open Bankart: through a subscapular
split.
Chapter
18. Glenoid bone loss: the Latarjet, the open
approach.- Chapter
19. The arthroscopic Latarjet: Technical tips and keys to
success.- Chapter
20. Glenoid Bone Loss: The Fresh Distal Tibial Allograft,
Logistics, Graft Preparation, and Open Approach.
Chapter
21. The frozen
distal tibial allograft: Justification and an all-arthroscopic approach.-
Chapter
22. The Iliac crest J Bone graft: justification and technical
pearls.
Chapter
23. Glenoid Fracture: Tips for Reduction and Fixation.-
Chapter
24. The Deep Hill Sachs lesion: Open bone grafting with allograft.-
Chapter
25. The Massive Hill Sachs Lesion: Metal Replacement. Part III:
Posterior shoulder instability.
Chapter
26. Arthroscopic Posterior Bankart
Repair in the Lateral Position.
Chapter
27. Posterior Bankart Repair in the
Beach Chair Position.- Chapter
28. RHAGL: Arthroscopic Approach.
Chapter
29.
Posterior Instability with the Reverse Hill-Sachs Lesion: The Arthroscopic
McLaughlin (Reverse Remplissage) and Open Humeral Head Elliptical
Osteochondral Allograft (Bio Humi).
Chapter
30. Posterior Shoulder
Instability with Bone Deficiency: Distal Tibia/ Distal Clavicle/ ICBG/
Scapular Spine.
Chapter
31. Glenoid osteotomy for severe glenoid
retroversion and posterior instability.
Chapter
32. Posterior Instability
Outcomes Over the Last 20 years Where Are We Now?.- Part IV:
Multidirectional instability.
Chapter
33. The open inferior capsular shift
for MDI (Multi-Directional Instability).
Chapter
34. The Arthroscopic Pan
Capsular Plication for Multidirectional Shoulder Instability.
Chapter
35.
Allograft Additions to the Multidirectional Shoulder.- Part V: Special
Cases.
Chapter
36. Instability Due to Subscapularis Deficiency:
Reconstructive Options.
Chapter
37. Subscapularis Deficiency: Anterior
Capsular Reconstruction.- Part VI: Future Directions.
Chapter
38. Evolving
Concepts in the Treatment of Glenohumeral Instability and Glenoid Bone Loss.-
Chapter
39. Epilogue_What the Future Holds: Controversies for the Next
Edition.
Rachel M. Frank, MD, Department of Orthopedic Surgery, University of Colorado School of Medicine, Denver, CO, USA
John M. Tokish, MD, Department of Orthopedic Surgery, Mayo Clinic, Phoenix, AZ, USA