By Thomas J. Gill MD, Richard J. Hawkins MD
Written by way of across the world well-known grasp surgeons, this publication is a complete, useful consultant to prevention, prognosis, and administration of issues in shoulder surgical procedure. significant sections concentrate on open and arthroscopic surgical procedure, and every part contains chapters on particular tactics, equivalent to surgical procedure for anterior shoulder instability, surgical procedure for posterior/multidirectional instability, rotator cuff fix, arthroplasty, fracture administration, arthrodesis, subacromial decompression, acromioclavicular joint resection, and thermal capsulorrhaphy. for every technique, the authors talk about the complete variety of strength problems and current their most popular methods to prevention, analysis, and remedy of those difficulties. greater than two hundred illustrations supplement the textual content.
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Additional info for Complications of Shoulder Surgery: Treatment and Prevention
Sample text
Surgical release can be accomplished either open or arthroscopically. In general, the more extracapsular contracture that exists, the less effective arthroscopic release will be. Recurrent Instability or New Anterior Instability after Posterior Surgery The incidence of recurrence after open posterior instability repair is variably reported in the literature (25). Recurrence after soft tissue procedures has seen the widest range. Boyd et al. 27 of patients treated with posterior capsular plication.
Oper Tech Sports Med 1993;1:301-310. 4. Neer CS II, Foster CR. Inferior capsular shift for involuntary inferior and multidirectional instability of the shoulder. J Bone Joint Surg Am 1980;62:897-907. 5. Bowen MK, Warren RF. Recurrent posterior subluxation: open surgical treatment. In: Warren RF, Craig EV, Altchek DW, eds. The Unstable Shoulder. Philadelphia: Lippincott-Raven Press 1999:237-247. 6. Yamaguchi K, Flatow EL. Management of multidirectional instability. Clin Sports Med 1995;14:885-902.
Nevertheless, the utilization of bony procedures with hardware can lead to malunion, nonunion, loss of fixation, or osteonecrosis of the glenoid in glenoid osteotomy. All of these complications are rare, and to our knowledge no data exist in the literature on the true incidence in posterior shoulder stabilization procedures. Rather, sound clinical evaluation and routine follow-up are the tools of the prepared surgeon. 28 shoulder, or failure of expected postoperative progression should all alert the physician that further evaluation is necessary.