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Laceration Wounds & Cuts

Laceration Wound

Laceration Wound

What is a Laceration Wound?

A laceration is a wound that occurs when skin, tissue, and/or muscle is torn or cut open. Lacerations may be deep or shallow, long or short, and wide or narrow. Most lacerations are the result of the skin hitting an object, or an object hitting the […]

Treatment Options

The past treatment of pectoralis major ruptures has been controversial. There have been studies advocating conservative treatment, some operative repair , and several have included both in their descriptions . More recently, most authors advocate early repair of these injuries . The pectoralis major functions to adduct, forward flex, and internally rotate the shoulder.

Several […]

Pectoralis Major Tendon Ruptures

Key Points

The pectoralis major muscle demonstrates two distinctively different parts—the clavicular head and the sternal head. The clavicular head arises from the medial clavicle and upper sternum. It is supplied by the pectoral nerve off of the lateral cord and the deltoid branch of the thoraco-acromial artery. The sternal head arises from the sternum, […]

Early Osteoarthritis

Separate consideration should be given to the arthroscopic management of the early osteoarthritic shoulder. The disease in young patients is a challenging clinical problem. Non-surgical treatment options include physical therapy, therapeutic modalities, intra-articular corticosteroid injections, activity modification, and nonsteroidal anti-inflammatory medications .

There is a substantial amount of literature to support the use of the […]

Treatment Alternatives

In the past, the most common treatment for many if not most of the articular cartilage lesions that were seen in the shoulder (and other joints) was simple debridement and symptomatic management. Today’s aim, however, is to restore durable hyaline cartilage through a practical and minimally invasive approach (preferably arthroscopic), that is associated with minimal […]

Diagnosis of Cartilage Lesions

Much effort has been directed at the development of imaging techniques that effectively diagnose cartilage lesions in the shoulder. The thrust of the research has employed a variety of magnetic resonance imaging techniques to delineate not only the actual lesions, but also something about their physiology.

It is well established that cartilage functions as the […]

The Bio-Tenodesis Screw System

We perform all arthroscopic shoulder procedures in the lateral decubitis position under general anesthesia. Five to 10 pounds of balanced suspension are used with the arm in 20 degrees to 30 degrees of abduction and 20 degrees of forward flexion (Star Sleeve Traction System, Arthrex, Inc., Naples, FL). Diagnostic glenohumeral arthroscopy is performed through a […]

Clinical Evaluation-Physical Findings

Distinguishing anterior shoulder pain caused by biceps tendon disorders as opposed to subacromial impingement can be difficult, as these two entities usually co-exist. Although there are some exam maneuvers, which attempt to isolate the biceps tendon, there is still a fair amount of overlap and the definitive diagnosis of isolated biceps tendon pathology is extremely […]

Biceps Instability

Biceps instability takes the form of either frank dislocation or more subtle subluxation. As noted previously, the primary restraining structures holding the LHB in the bicipital groove are the medial sling and subscapularis tendon. Habermayer and Walch divided LHB dislocations into extra-articular or intra-articular. The much less common extra-articular dislocations dislodge from the bicipital groove […]

Basic Science-Anatomy

The anatomy of the LHB has been thoroughly examined and little controversy exists in this realm. The LHB originates at and around the supraglenoid tubercle. Although it is intra-articular, it is extrasynovial. Its blood supply is dependant on the portion of tendon in question.

The proximal and middle portions receive blood supply from branches of […]