Specialists

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Stiffness

Stiffness after surgery for open anterior instability is infrequently noted in literature and the incidence of this complication is probably under-reported. Certain repairs were designed to limit external rotation and hence the risk of recurrence, so loss of motion was not considered a complication.

In some settings (e.g., capsular reconstruction or revision surgery), limited external […]

Revision and Complex Problems

Revision instability surgery is the most technically challenging of all open shoulder surgery. Nevertheless, it can also be the most satisfying, if basic principles are observed. When nonanatomic repairs need to be revised, the normal tissue planes are often distorted. This adds significant technical complexity to the procedure and increases the potential risk for complications. […]

Absolute Indications for Open Surgery

Absolute indications for open stabilization procedures include significant degrees of glenoid or humeral bone loss, capsular deficiencies, or irreparable rotator cuff tears, particularly those of the subscapularis. In individuals with significant anterior glenoid erosion, an osseous reconstruction should be performed.

In the rare case where a large humeral head defect (Hill-Sachs lesion) plays a […]

Acromioclavicular Joint Separation

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Basics Description AC joint injuries range from a mild sprain of the supporting ligaments to a complete separation of the AC joint. The AC joint is a diarthrodial joint formed by the distal clavicle and the medial facet of the acromion. Interposed in the joint is a fibrocartilaginous disc, which helps distribute the […]