Specialists

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Arthroscopic Capsular Release for Adhesive Capsulitis

Because adhesive capsulitis of the shoulder, by definition, is due only to a tight and thickened glenohumeral capsule, arthroscopic surgery seems ideal for the treatment of this problem. The capsule is best viewed, and more directly surgically addressed, by an intra-articular approach rather than an extra-articular, open surgical approach. Arthroscopy allows circumferential capsular release as […]

Open Surgery

Open surgery for instability remains an acceptable method of treatment when the surgeon lacks the equipment, experience, or technical expertise to perform an arthroscopic repair. Furthermore, open surgery is indicated in situations where current arthroscopic methods are likely to fail—namely, in the setting of large bone or soft tissue deficiencies or in the context of […]

Long Head of the Biceps

The long head of the biceps tendon has a variable origin, with 30% to 40% originating at the supraglenoid tubercle, 45% to 60% directly from the labrum, and 25% to 30% from both. It travels obliquely within the shoulder joint, then turns sharply to exit inferiorly beneath the transverse humeral ligament along the bicipital groove. […]

Managment-Operative Management

Surgical decision making is first dependent on whether a cyst is causing suprascapular nerve compression. If a ganglion cyst is present, then the cyst is a result of intra-articular pathology; in athletes, this frequently is because of a labral tear. The natural history of ganglion cysts about the shoulder is not known; however, it commonly […]

A Patient’s Guide to Femoroacetabular Impingement of the Hip

Introduction

Femoroacetabular impingement (FAI) occurs in the hip joint. Impingement refers to some portion of the soft tissue around the hip socket getting pinched or compressed. Femoroacetabular tells us the impingement is occurring where the femur (thigh bone) meets the acetabulum (hip socket). There are several different types of impingement. They differ slightly depending on […]

A Patient’s Guide to Hip Anatomy

Introduction

The hip joint is a true ball-and-socket joint. This arrangement gives the hip a large amount of motion needed for daily activities like walking, squatting, and stair-climbing.

Understanding how the different layers of the hip are built and connected can help you understand how the hip works, how it can be injured, and how […]

A Patient’s Guide to Shoulder Instability

Introduction

Shoulder instability means that the shoulder joint is too loose and is able to slide around too much in the socket. In some cases, the unstable shoulder actually slips out of the socket. If the shoulder slips completely out of the socket, it has become dislocated. If not treated, instability can lead to arthritis […]

A Patient’s Guide to Shoulder Anatomy

Introduction

The shoulder is an elegant piece of machinery. It has the greatest range of motion of any joint in the body. However, this large range of motion can lead to joint problems.

Understanding how the different layers of the shoulder are built and connected can help you understand how the shoulder works, how it […]

A Patient’s Guide to Labral Tears

Introduction

Since orthopedic surgeons began using a tiny TV camera called an arthroscope to diagnose and treat shoulder problems, they have discovered several conditions that no one knew existed. One of these conditions is an injury to a small structure in the shoulder called the labrum. A labral tear can cause pain and a catching […]

A Patient’s Guide to Biceps Tendonitis

Introduction

Biceps tendonitis, also called bicipital tendonitis, is inflammation in the main tendon that attaches the top of the biceps muscle to the shoulder. The most common cause is overuse from certain types of work or sports activities. Biceps tendonitis may develop gradually from the effects of wear and tear, or it can happen suddenly […]