By Kazuya Tamai, Eiji Itoi, Kenji Takagishi
With serious insights into anatomy and the newest technological know-how and study underlying pathogenesis, this booklet serves as a pragmatic and richly illustrated step by step finished consultant to effectively appearing shoulder surgical procedure, and different similar procedures.
Abundant diagnostic and remedy ways together with arthroscopy are supplied, and are meant to help starting and skilled orthopedic surgeons to extra enhance their abilities and facilitate the administration of sufferers with either acute and protracted shoulder accidents. The e-book presents full-color photographs and diagrams to obviously display operative recommendations and instruments for surgical procedure. Edited and written by way of pioneering researcher and surgeons, Advances in Shoulder surgical procedure bargains a useful advisor to fresh advances in shoulder surgical procedure and treatment.
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Additional info for Advances in Shoulder Surgery
The inlet of the suprascapular notch seems to be reasonable to ensure the nerve running space rather than harmful. As for clinical relevance, regarding suprascapular nerve neuropathy, there has been no evidence of compression of the suprascapular nerve localized in the suprascapular notch except 18 A. Nimura et al. for a ganglion or abnormal mass. If imaging of the suprascapular notch using threedimensional computed tomography or arthroscopy could be analyzed from the craniocaudal and mediolateral view, these might provide clues to reveal the etiology of suprascapular nerve neuropathy.
The levator scapulae, rhomboids, and latissimus dorsi act during downward rotation. The serratus anterior and pectoralis minor act during protraction. The rhomboid, middle trapezius, and latissimus dorsi act during retraction. Many researchers have been interested in these complex motions and the function of the scapula. Roentgenographic examinations showed the glenoid faced slightly downward at rest and the scapula rotated upward 50 –60 between 0 and 150 or maximum elevation [2, 43, 47]. Studies using the 3D electromagnetic device revealed that the upward rotation of the scapula started from 0 to 20 at rest, and totally rotated 50 – 60 in all three planes of the arm elevation, that is, the sagittal, scapular, and frontal planes [34, 44, 48, 49].
This study showed that contact phenomenon of the coracoacromial arch was observed during all motions. They surmised that physiological contact beneath the coracoacromial arch might be present in normal shoulders, and this repetitive contact of the coracoacromial ligament might lead to its degenerative change and proliferative acromial spurs. With the advent of arthroscopic surgeries, more partial subscapularis tears are being recognized during surgery. Which size of partial subscapularis tears should be treated surgically?