SLIDE 1 Doc, is it my Rotating Cup or Rotator Cuff?
Common Shoulder problems and examination
- Disclosures
- Research: NIH/NIAMS, AOSSM, AANA, Moximed,
Histogenics, Samumed
- Consultant: Zimmer, Stryker, Medacta
- Membership: AOSSM, AANA, ISAKOS
SLIDE 2
Shoulder pain Impingement Syndrome
SLIDE 3
Arthroscopic Decompression Rotator Cuff Tears
SLIDE 4
Rotator Cuff Tears Mini-open Rotator Cuff Repair
SLIDE 5
Rotator Cuff Repair Shoulder pain
SLIDE 6 Acromioclavicular joint
San Francisco – Center
Acromioclavicular Joint – separated shoulder
Left
SLIDE 8 Prognosis of First–time dislocation
SLIDE 9
Rarely to the back! Bankart Lesion
SLIDE 10
Shoulder pain Adhesive Capsulitis
SLIDE 11
Adhesive Capsulitis Shoulder pain
SLIDE 12 Internal Impingement / SLAP lesions
SLIDE 13
Internal Impingement ORIF of clavicle fractures
SLIDE 14 32 year old male, rugby player Non-operative management of central clavicle fractures
Sling or figure of 8 brace x 6 weeks
May take it off after 2 weeks except for when walking Figure of 8 brace may help shortened fractures
- Return to sports at 4-6 months (contact)
SLIDE 15 Clavicle Fx
18 year old college bound QB, landed on shoulder after tackle
Outcomes of clavicle ORIF
Authors Year Population Outcomes Complications Wentz, et al 1999, JOSci Athletes, delayed union 97 constant score none McKee 2008, JBJS Everyone 90% G to E 5% Mehhman et al. 2009, JPO Children 87% return to sports No complications
15% of hardware removal
SLIDE 16 Shoulder Osteoarthritis
Inflammatory arthritis Post-traumatic arthritis Rotator cuff tear arthritis
Normal Shoulder
Shoulder Osteoarthritis
SLIDE 17 Shoulder Replacement
SLIDE 18 Rotator cuff tear arthropathy
TSR
SLIDE 19
Grandmother fell at Church!!! Proximal humerus fracture
SLIDE 20
Summary Thank you
SLIDE 21 Impingement Syndrome - Extrinsic
- Force Couple at Scapulothoracic Joint
SLIDE 22
Scapula Winging – Trapezial Nerve Palsy
Pre operative Post operative Eden Lange Transfer
Scapula Winging – Long thoracic nerve
