Access to the superior angle of the scapula during scapulothoracic arthroscopy with current standard portals can be difficult. A safe, effective alternative portal for scapulothoracic arthroscopy, located superior to the scapula, is described, which enables easier resection of the superomedial angle for treatment of the snapping scapula.
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http://dx.doi.org/10.1067/mse.2002.121767 | DOI Listing |
JBJS Case Connect
July 2024
Department of Orthopedic surgery, Hôpital Ambroise Paré, AP-HP, UVSQ University, Boulogne-Billancourt, France.
Case: A patient presented with complete coracoclavicular ligament ossification after an unnoticed acromioclavicular joint Rockwood Type IV dislocation. He had full passive range of motion in the glenohumeral joint but was disabled by a loss of both active (80°) and passive (90°) abduction due to insufficient passive scapulo-thoracic motion. He was treated with an arthroscopic osteotomy of the coracoclavicular ligament ossification.
View Article and Find Full Text PDFArthroscopic remplissage has been suggested as a means to decrease recurrent instability in arthroscopic Bankart repair surgery involving patients with significant Hill-Sachs lesions. Remplissage fills the Hill-Sachs lesion to prevent glenohumeral "engagement" and recurrent instability. Remplissage is not generally indicated in patients with smaller, nonengaging Hill-Sachs lesions.
View Article and Find Full Text PDFPosterior shoulder instability (PSI) is an uncommon condition, accounting for 2% to 12% of shoulder instability cases. However, PSI might be more common and possibly accounts for up to 24% of all young, active patients treated for shoulder instability. The etiology of PSI is complex and multifactorial, making accurate diagnosis, classification, and treatment challenging.
View Article and Find Full Text PDFThe Latarjet procedure was first described in 1954. It is a nonanatomic procedure that requires transfer of the coracoid process, together with the conjoint tendon, to the anterior glenoid margin. The aim is to prevent recurrent anterior shoulder dislocation through a "triple blocking" effect, which includes restoring bone loss, providing a dynamic sling effect, and performing capsulolabral repair.
View Article and Find Full Text PDFAm J Sports Med
May 2024
The Steadman Clinic, Vail, Colorado, USA.
Background: Snapping scapula syndrome (SSS) is a rare condition that is oftentimes debilitating. For patients whose symptoms are resistant to nonoperative treatment, arthroscopic surgery may offer relief. Because of the rarity of SSS, reports of clinical outcomes after arthroscopic SSS surgery are primarily limited to small case series and short-term follow-up studies.
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