By Kenneth J. Koval, Joseph D. Zuckerman
The atlas depicts each step of every approach, with succinct, bulleted textual content that covers anatomy, class, equipment/instruments, sufferer positioning, incision, pearls and pitfalls, surgical process, and strategy. The DVD video demonstrates maneuvers which are tough to teach with nonetheless photos.
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Extra resources for Atlas of Orthopaedic Surgery: A Multimedia Reference
46 Atlas of Orthopaedic Surgery - A Multimedia Reference FIGURE 1-24. View from the posterior portal. Abduction and internal rotation of the arm while the camera is directed posteriorly can allow for full visualization of the insertions of all of the rotator cuff tendons. It is important to be able to visualize the entire insertion to adequately assess the extent of any evident tears. 47 Atlas of Orthopaedic Surgery - A Multimedia Reference FIGURE 1-25. View from posterior portal. Placement of a cannula in the rotator interval portal.
The arthroscope cannula is removed from the glenohumeral and the camera replaced with the semiblunt trocar. The cannula is then placed in the subacromial space through the posterior portal by sliding directly under the posterior edge of the acromion. Use a sliding-type motion to direct the cannula off the lateral edge of the acromion, sweeping the bursa off the undersurface of the acromion. It can be an effective way to quickly improve visualization in the subacromial space. 13 45 Atlas of Orthopaedic Surgery - A Multimedia Reference The camera is then placed within the subacromial space.
View of the biceps tendon from the posterior portal. The long head of the biceps tendon should be followed along its course to document any fraying or instability. Abduction of the arm, accompanied by rotation of the arthroscope should allow for visualization of the tendon as it enters into 42 Atlas of Orthopaedic Surgery - A Multimedia Reference the bicipital groove. FIGURE 1-20. View of the long head of the biceps from the posterior portal. The arm can be further abducted allowing the arthroscope to visualize the tendon as it exits from the shoulder into the arm through the bicipital groove.
Atlas of Orthopaedic Surgery: A Multimedia Reference by Kenneth J. Koval, Joseph D. Zuckerman