Specialists

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The Rotator Cuff

Key Points The majority of symptomatic rotator cuff disease patients respond to a nonoperative program emphasizing the restoration of normal biomechanics, unrestricted motion, and functional force couples.Early surgical management should be considered for acute rotator cuff tears in physiologically young and very active individuals.

The ability to recognize the complex layered anatomy in addition to […]

Evaluation-Imaging

Several tests may be necessary to rule out other causes of shoulder pain, because isolated axillary nerve injury and quadrilateral space syndrome are rare. Plain radiographs typically are ordered, but these are useful in these cases only with a history of trauma that is consistent with a possible proximal humerus fracture, scapular neck fracture, or […]

Impingement Syndrome

Impingement can be defined as a trapping of the soft tissues in the subacromial space, between the acromion and the humeral head. The entrapment of the soft tissues when moving the shoulder may lead to a painful reaction. Athletes, including tennis players, swimmers, throwers, and weightlifters, who make repetitive movements of the arms above the […]

Spine Fusion

Basics Description Spine fusion is a surgical procedure that causes 2 or more vertebral levels to be joined with solid bony healing in the spine. It is performed to correct spinal instability from traumatic, degenerative, or iatrogenic causes and to prevent spinal deformity progression. Epidemiology Incidence Over the last 2 decades, the incidence of […]

Aneurysmal Bone Cyst

Basics Description Destructive, painful, lytic bone lesions occurring in young patients May occur primarily in bone (de novo) or develop within another benign bone lesion Can be locally aggressive and can cause a bone to balloon as a result of aneurysmal cystic expansion Occurs most often at the proximal ends of long bones and […]

Acromioclavicular Joint Arthritis

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Basics Description The AC joint can become a source of pain in the shoulder, often because of degenerative osteoarthritis, posttraumatic arthritis, or distal clavicle osteolysis. Diagnosing problems of the AC joint: Best diagnosed with pain on palpation, reproduction of pain with cross-body adduction, and diagnostic injections Plain radiographs, especially the Zanca view, or […]