Download Free Medical Shoulder - Anatomy and Arthroscopy PowerPoint Presentation

Shoulder - Anatomy and Arthroscopy PowerPoint Presentation

DOWNLOAD MEDICAL POWERPOINT PRESENTATION

About This Presentation

Description : Check out this medical presentation on Orthopaedics, which is titled "Shoulder - Anatomy and Arthroscopy", to know about the Anatomy and Arthroscopy of the Shoulder.

Tags : Orthopaedics, Shoulder, Anatomy, Arthroscopy

Published on : Aug 18, 2021 | Views : 3298 | Downloads : 15

Shareable Url :

Embed Code :

Comment

Transcript

Slide 1-

Shoulder Anatomy and Arthroscopy Mohsen Mardani-Kivi M.D. GUMS
Slide 2-

Shoulder Anatomy
Slide 3-

Greatest ROM No inherent bony stability Relies on soft tissues for stability Many injuries involve the soft tissues (rotator cuff, labrum) Little glenoid bone stock Shoulder Anatomy
Slide 4-

Shoulder Anatomy
Slide 5-

Rotator Cuff- dynamic stabilizer passive muscle tension ligament tightening compression of articular surface GHL- static stabilizer Shoulder Anatomy
Slide 6-

Ligaments SGLH MGHL IGHL PIGHL CAL CHL
Slide 7-

ppt slide no 7 content not found
Slide 8-

Rotator Cuff
Slide 9-

Rotator Cuff
Slide 10-

Subacromial Bursa
Slide 11-

MRI for shoulder Axial plane Bankart Lesion, BT Sagittal oblique plane Coronal oblique plane Rotator cuff, SLAP
Slide 12-

Shoulder MRI Coronal Oblique View
Slide 13-

Shoulder MRI, Sagital Oblique View
Slide 14-

Rotator cuff tear
Slide 15-

Muscles comprising rotator cuff Supraspinatus Infraspinatus Teres Minor Subscapularis
Slide 16-

Cause: the rotator cuff can be torn from a single traumatic injury. A cuff tear may also happen at the same time as another injury to shoulder,such as a fracture or dislocation. Most tears, however, are the result of overuse of these muscles and tendons over a period of years. People who are especially at risk for overuse are those who engage in repetitive overhead motions. These include participants in sports such as baseball, tennis, weight lifting, and rowing.
Slide 17-

…. injury to 1 or more of the 4 muscles in the shoulder. Rotator cuff tears are most common in people who are over the age of 40. Younger people tend to have rotator cuff tears following acute trauma or repetitive overhead work or sports activity. Rotator cuff tear may often happen as a result of wear and tear.
Slide 18-

Symptoms: Pain on the lateral aspect of the shoulder Often worse at night When lifting the arm may radiate to deltoid insertion Weakness, instability, tenderness (There may be increase in the pain and weakness experienced when elevating or rotating the arm) Atrophy or thinning of the muscles about the shoulder
Slide 19-

ppt slide no 19 content not found
Slide 20-

ppt slide no 20 content not found
Slide 21-

ppt slide no 21 content not found
Slide 22-

How is it diagnosed? Diagnosis of a rotator cuff tear is based on the symptoms and physical examination. X-rays, and imaging studies, such as MRI or ultrasound, are also helpful. An MRI can sometimes tell how large the tear is, as well as its location within the tendon itself or where the tendon attaches to bone. Shoulder pain is variable and does not always correspond to the size of the tear.
Slide 23-

ppt slide no 23 content not found
Slide 24-

A complete tear of the supraspinatus resulting in a shift upwards of the head of the humerus
Slide 25-

Glenohumeral Joint Anterior Instability
Slide 26-

Glenohumeral Joint Anterior Instability Mechanism/Etiology Hill-Sachs Lesion Bankart Lesion
Slide 27-

Glenohumeral Joint Anterior Instability Mechanism/Etiology Hill-Sachs Lesion Bankart Lesion
Slide 28-

Bankart Lesion Traumatic avulsion of anterior/inferior labrum Cadaver studies have shown that 4 o’clock region is weakest part of labrum
Slide 29-

SLAP Lesions Superior Labrum Anterior to Posterior Tear Labral Fraying (21%) Labral Avulsion (55%) Bucket Handle Tear (9%) Bucket Handle Tear into Biceps Tendon (10%)
Slide 30-

SLAP Lesion: Type I
Slide 31-

SLAP Lesion: Type II
Slide 32-

SLAP Lesion Variants: Type II
Slide 33-

SLAP Lesion: Type III
Slide 34-

SLAP Lesion: Type IV
Slide 35-

“Complex” SLAP Lesions V. Type II + Bankart VI. Type II + Unstable radial or flap tears Type II + Extension into MGHL
Slide 36-

Sub-acromial Bursitis
Slide 37-

Impingement Syndrome
Slide 38-

Patient Position Beach chair (the most common) Lateral
Slide 39-

ppt slide no 39 content not found
Slide 40-

Patient Position
Slide 41-

Patient Position
Slide 42-

Basic Instrument Arthroscope 30° and 70° scopes Arthroscope sheath with matching sharp and blunt trochars Punches, Graspers, Seizers, Probes Suture passers, Knot pusher
Slide 43-

Instrumentation #11 scalpel blade Skin marking pencil 18 g. needle 20 cc syringe (if insufflating) 76 mm plastic cannula with a rubber dam Motorized shaver with soft tissue and bone shaving blades Suction punch Suture punch
Slide 44-

Anchor Sutures Metal Anchor Suture 5, 6.5 Bio Anchor Suture 5, 6.5 Knotless Anchor Suture; push lock
Slide 45-

Arthroscopic Portals
Slide 46-

Arthroscopic Portals
Slide 47-

Arthoscopic surgery for shoulder surgery 1- Arthroscopic Bankart repair (one row repair) 2-Casiope Repair (double Bankart row repair) 3-All arthroscopic Latarjet procedure 4- Capsular shift 5-Rotator interval closure Repair of HAGEL lesion Repair of SLAP lesion
Slide 48-

Arthroscopic Rotaor cuff Surgery Arthroscopic Subacromion decompression Arthroscopic Acropmioplasty rotator cuff repair -one row -double row Arthoscopic surgery for shoulder surgery
Slide 49-

ppt slide no 49 content not found
Slide 50-

Actual DOUBLE ROW Technique
Slide 51-

ppt slide no 51 content not found
Slide 52-

Arthroscopic Tendon Transfer Latissmos dorsi transfer for rotator cuff deficiency, irreparable tears Arthroscopic priscapular bursectomy
Slide 53-

AC Joint Arthroscopic Surgery Arthroscopic AC arthroplasty Arthroscopic AC instability reconstruction
Slide 54-

ppt slide no 54 content not found
Slide 55-

ppt slide no 55 content not found
Slide 56-

ppt slide no 56 content not found
Slide 57-

ppt slide no 57 content not found
Slide 58-

ppt slide no 58 content not found
Slide 59-

ppt slide no 59 content not found