Complex shoulder disorders: Evaluation and treatment

Pietro M. Tonino, Christian Gerber, Eiji Itoi, Giuseppe Porcellini, David Sonnabend, Gilles Walch

研究成果: Article査読

28 被引用数 (Scopus)

抄録

Evaluation of patients with shoulder disorders often presents challenges. Among the most troublesome are revision surgery in patients with massive rotator cuff tear, atraumatic shoulder instability, revision arthroscopic stabilization surgery, adhesive capsulitis, and bicipital and subscapularis injuries. Determining functional status is critical before considering surgical options in the patient with massive rotator cuff tear. When nonsurgical treatment of atraumatic shoulder stability is not effective, inferior capsular shift is the treatment of choice. Arthroscopic revision of failed arthroscopic shoulder stabilization procedures may be undertaken when bone and tissue quality are good. Arthroscopic release is indicated when idiopathic adhesive capsulitis does not respond to nonsurgical treatment; however, results of both nonsurgical and surgical treatment of posttraumatic and postoperative adhesive capsulitis are often disappointing. Patients not motivated to perform the necessary postoperative therapy following subscapularis repair are best treated with arthroscopic debridement and biceps tenotomy.

本文言語English
ページ(範囲)125-136
ページ数12
ジャーナルJournal of the American Academy of Orthopaedic Surgeons
17
3
DOI
出版ステータスPublished - 2009 3月
外部発表はい

ASJC Scopus subject areas

  • 外科
  • 整形外科およびスポーツ医学

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