By Gary M Gartsman
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Sample text
Knot pusher. One-handed knot using a knot pusher. 35 36 Section One The Basics Figure 1-151 One-handed knot using a knot pusher. Figure 1-154 One-handed knot using a knot pusher. Figure 1-152 One-handed knot using a knot pusher. Figure 1-155 One-handed knot using a knot pusher. Figure 1-153 One-handed knot using a knot pusher. Figure 1-156 One-handed knot using a knot pusher. Chapter 1 Making the Transition Figure 1-157 One-handed knot using a knot pusher. Figure 1-160 One-handed knot using a knot pusher.
Pull on the post limb and release all tension on the other limb. The knot will slide down to the soft tissue without locking, enabling you to approximate the soft tissue. Past-point and lock the second throw. Finish the remaining throws, and complete the knot. There are dozens of types of sliding knots, but it is necessary to learn only one. If you wish to learn more at a later date, you can always do so. After placing the suture through the soft tissue, grasp both ends and confirm that it slides freely.
This allows me to compare the examination under anesthesia with the examination documented in the office. For patients with glenohumeral instability, I can compare the patient’s report of which activities or motions produce pain to the amount of translation observed during examination under anesthesia. The patient record also includes a summary of the pertinent findings on magnetic resonance imaging, ultrasonography, and computed tomography, allowing me to compare these to the findings at arthroscopy.