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Are you suffering from Hip Bursitis?

Hip Bursitis

Hip Bursitis

Pain along the side of the hip is still a common spot for bursitis (also known as greater trochanter pain syndrome. A large tendon passes over the bony bump on the side of the hip called the greater trochanter.

Inflammation in the bursa (a protective gel sac) between the tendon and […]

Basic Science-Anatomy and Biomechanics

The humerus is the largest bone of upper extremity. The proximal humerus is composed of the humeral head, the greater and lesser tuberosities, the anatomic and surgical necks of the humerus. The humeral head is the most proximal, ball-like region of the humerus that is retroverted (28 to 40 degrees) and articulates with the glenoid […]

Soft Tissue Tenodesis Technique

Suture tenodesis to soft tissue has been advocated due to its simplicity. Two methods have been described. One involves open treatment of suturing the biceps tendon to the transverse humeral ligament and the arthroscopic technique involves suturing the tendon to the CHL or the anterior supraspinatus tendon.

The arthroscopic suture tenodesis technique begins with standard […]

Biceps Tendon Rupture

Although acute ruptures of the LHB do occur, they are more commonly the end result of chronic biceps tendinitis. Acute ruptures can occur with a violent force placed on the LHB such as with a fall on an outstretched hand. Another traumatic event, which can cause significant damage to the LHB, is rapid deceleration of […]

Massive Rotator Cuff Tears

These tears usually exceed 4 to 5 cm in dimension, but can be deceiving. Clearly a tear retracted in a lateral to medial direction of 5 cm presents as a very challenging repair whereas a tear extending 5 cm in an anterior to posterior direction without significant retraction is a much easier surgical problem to […]

Impingement: Primary

Impingement of the tendinous portion of the rotator cuff as it passes under the coracoacromial arch is a classic cause of rotator cuff injury. The impingement syndrome, as originally described by Neer, encompasses a spectrum of pathologic changes involving the rotator cuff and associated bony changes within the coracoacromial arch, affecting primarily those 40 years […]

Basic Science-Anatomy and Biology

The rotator cuff consists of the supraspinatus, infraspinatus, teres minor, and subscapularis muscles, all of which arise from the scapula and insert into the proximal humerus. The subscapularis muscle is innervated by the upper and lower scapular nerves, and arises from the anterior surface of the scapula, inserting into the lesser tuberosity.

The nerve supply […]

Anesthesia and Positioning for Arthroscopy

Interscalene regional blockade has been effective in providing early postoperative pain relief and in decreasing overall narcotic requirements following surgery . Following adequate preoperative anesthesia, the choice of patient position (either beach-chair or lateral decubitus) must be tailored to the surgeon such that comprehensive visualization and repair of the pathologic structures are not compromised.

Lateral […]

Principles of Instability Surgery

The goal of treatment in both open and arthroscopic instability surgery is twofold: to restore the labrum to its anatomic attachment site and to re-establish the appropriate tension to the inferior capsuloligamentous complex of the joint. Cadaveric studies have shown that both the labrum and the capsule must be injured for a dislocation to occur.

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Anatomy

The glenohumeral joint is formed by a unique articulation between a larger and nearly spherical humeral head with a shallow and much smaller glenoid. Minimal bony constraints combined with a unique anatomical architecture and functional arrangements allow the shoulder joint to have the largest range of motion in the body.

Despite its minimally constrained […]