= J. Martin Leland, M.D. @DrMartinLeland Orthopaedic Sports - - PowerPoint PPT Presentation
The True Arthroscopic Subacromial Decompression: 5 Tips in 5 Minutes = J. Martin Leland, M.D. @DrMartinLeland Orthopaedic Sports Surgeon & Medical Director of Sports Medicine University Hospitals Geauga Medical Center, Cleveland, OH
DrMartinLeland
@DrMartinLeland
Orthopaedic Sports Surgeon & Medical Director of Sports Medicine University Hospitals Geauga Medical Center, Cleveland, OH Associate Editor, Arthroscopy Journal Board of Directors, AANA
DrMartinLeland
The following conflicts exist:
1.
Consulting: ConMed
2.
Editorial Board: Arthroscopy Journal
3.
Board of Directors: AANA
4.
Research / Educational support - NONE
5.
Royalties and stock options - NONE
DrMartinLeland
I ALMOST NEVER do a subacromial
DrMartinLeland
1949: Armstrong – compression of RC
1972: Neer – cuff tears caused by
1986: Bigliani – classified acromial
DrMartinLeland
DrMartinLeland
Nirschl: Suspicious of subacromial
– Rotator cuff pathology caused by INTRINSIC
factors in the tissue itself
– Has shown results of partial rotator cuff
debridement WITHOUT subacromial decompression:
– 89% good to excellent results at 2-5 years – 81% good to excellent results at 5+ years
DrMartinLeland
Young patients – Scapular dyskinesis – Instability (including MDI) – Labral tears Older patients – Partial rotator cuff tears
don’t overlook superior subscap. tears
– Biceps pathology
DrMartinLeland
DrMartinLeland
1. Scope in the posterior portal, burr in the
Left Shoulder Lateral Medial Acromion Rotator Cuff
DrMartinLeland
2. ***Cutting Block: scope in the lateral
Left Shoulder Anterior Posterior Rotator Cuff
DrMartinLeland
DrMartinLeland
DrMartinLeland
DrMartinLeland
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