By Sam W. Wiesel MD, Gerald R. Williams Jr. MD, Matthew L. Ramsey MD, Brent B. Wiesel MD
Operative thoughts in Shoulder and Elbow Surgery comprises the chapters at the shoulder and elbow from Sam W. Wiesel’s Operative innovations in Orthopaedic Surgery and gives full-color, step by step reasons of all operative tactics. Written by way of specialists from prime associations all over the world, this fantastically illustrated quantity makes a speciality of mastery of operative techniques and in addition presents an intensive figuring out of ways to choose the simplest approach, how you can stay away from problems, and what results to expect.
The elementary structure is perfect for fast preoperative overview of the stairs of a process. every one approach is damaged down step-by-step, with full-color intraoperative pictures and drawings that exhibit tips on how to practice every one approach. large use of bulleted issues and tables permits quickly and simple reference.
Each scientific challenge is mentioned within the similar layout: definition, anatomy, actual assessments, pathogenesis, normal background, actual findings, imaging and diagnostic reviews, differential analysis, non-operative administration, surgical administration, pearls and pitfalls, postoperative care, results, and problems. to make sure that the cloth totally meets citizens’ wishes, the textual content used to be reviewed via a Residency Advisory Board.
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Additional info for Operative Techniques in Shoulder and Elbow Surgery
E. The capsule can be sharply excised in cases of capsular contracture. - 30 Section I ANATOMY AND APPROACHES Table 1 Indications and Recommended and Alternative Surgical Approaches Indication Recommended Approach Alternative Approach Total elbow arthroplasty Soft tissue reconstruction T intercondylar fracture Radial head fracture Capitellum fracture Coronoid fracture Extra-articular distal humerus fracture Monteggia fracture-dislocation Radioulnar synostosis excision Bryan-Morrey, extended Kocher Global MacAusland with chevron olecranon osteotomy Kocher Kaplan extended lateral approach Taylor and Scham Alonso-Liames Gordon Kocher or Gordon Gschwend et al, Campbell, and Wadsworth Kocher, Bryan-Morrey, and Hotchkiss Alonso-Liames Kaplan Kocher with or without Kaplan Hotchkiss Bryan-Morrey, Campbell Boyd Boyd or Henry ANTERIOR APPROACH TO THE ELBOW • Because of the vulnerability of the brachial artery and median nerve, the anterior medial approach to the elbow is not recommended.
This broad muscle has a complex origin. Medially, it arises from the medial epicondyle by way of the common flexor tendon and possibly from the ulnar collateral ligament and medial aspect of the coronoid. The lateral head is smaller and thinner and arises from the proximal two thirds of the radius. • The unique origin of the muscle forms a fibrous margin under which the median nerve and ulnar artery emerge as they exit from the cubital fossa. • The muscle is innervated by the median nerve with branches that originate before the median nerve enters the pronator teres.
BOW 17 Scapular spine Lateral Medial I FIG :J • A. Horizontal incision along the scapular spine allowing for the posterior approach to the shoulder. B. cadaveric specimen depicting the internervous plane between the infraspinatus and teres minor as well as the axillary nerve in the quadrangular space. (A: From Goss TP. Glenoid fractures: open reduction and internal fiXation. In: Widd, DA.. ed. Master Techniques in Orthopaedic Surgery: Fractures, ed 2. Philadelphia: Lippincott Williams & Wilkins, 1998:3-17; 1: Courtesy of Jesse A.