Management of the Unstable Shoulder: Arthroscopic and Open Repair

by Jeffrey Abrams (Editor)

Overview

Management of the Unstable Shoulder: Arthroscopic and Open Repair presents orthopedic surgeons, sports medicine specialists, therapists, and trainers with state-of-the-art treatment options, such as anatomic repair and precise rehabilitation techniques that will then enable them to provide athletes with the best chance of returning to their sport. The text is accompanied by an instructive video website to illustrate step-by-step techniques on performing arthroscopic and open repairs. Sections Inside Include: Patient selection for choosing arthroscopy and open treatment options Treatment of athletes from high school to professional levels Illustrated techniques to treat the unstable shoulder Complex situations in shoulder instability Revision surgery for the failed repair Rehabilitation of the athlete Inside Management of the Unstable Shoulder: Arthroscopic and Open Repair, Dr. Jeffrey S. Abrams, along with 44 internationally recognized contributors, narrows in on why modern day arthroscopy has become an excellent examination to visualize and treat essential lesions associated with instability. Foreword section with contributions from Dr. James R. Andrews and Dr. Richard J. Hawkins provides insight into the management of the high profile athlete. With vivid color images throughout the book and an instructive website on shoulder reconstruction, Management of the Unstable Shoulder: Arthroscopic and Open Repair is designed to provide the most up-to-date information on both arthroscopic and open techniques that a surgeon will need to properly repair an unstable shoulder. Here, you will find references to all of the modern day approaches to address complex situations that you may encounter in your community. Management of the Unstable Shoulder: Arthroscopic and Open Repair is the ideal book for orthopedic surgeons, sports medicine physicians, upper extremity surgeons, and those in training.

Product Details

ISBN-13:	9781617111648
Publisher:	SLACK, Incorporated
Publication date:	02/15/2011
Sold by:	Barnes & Noble
Format:	eBook
Pages:	336
File size:	21 MB
Note:	This product may take a few minutes to download.

About the Author

Jeffrey S. Abrams, MD graduated with honors from the Rensselaer Polytechnic Institute and received his MD degree from SUNY, Upstate Medical Center in Syracuse, New York. He served his surgical internship at Santa Barbara Cottage Hospital, and his orthopaedic residency at Thomas Jefferson University Hospital in Philadelphia, Pennsylvania.   

Dr. Abrams has served on the staff of Alfred I. DuPont Institute in Wilmington, Delaware, doing research on childhood cervical, hip, and knee disorders. He has completed a Shoulder Fellowship at the University of Western Ontario under the direction of Richard J. Hawkins, MD a Sports Medicine Fellowship in Aspen, Colorado, and the Hughston Sports Medicine Hospital in Columbus, Georgia under Dr. James R. Andrews.   

Since moving to Princeton, New Jersey, Dr. Abrams continues to be involved in education on shoulder injuries and sports medicine. He lectures internationally and has been invited to lecture and perform surgery in Canada, South America, Asia, and Europe. He has served on the Continued Medical Education Committee for American Academy of Orthopaedic Surgeons, is on the Board of Directors for the Arthroscopy Association of North America, and is President-elect of the American Shoulder and Elbow Surgeons.   

Dr. Abrams is among the first surgeons to perform rotator cuff repairs and stabilization surgery using arthroscopy. As an inventor, he has assisted multiple surgical companies on equipment designs to perform minimally-invasive surgery. He has served on the Board of Directors for arthroscopy education at the Orthopaedic Learning Center in Chicago. He is currently on the editorial staff of four orthopaedic periodicals, section editor forOrthopaedic Knowledge Update, has written over 50 chapters in orthopedic textbooks, and is editor of Arthroscopic Rotator Cuff Surgery: A Practical Approach to Management.  

Dr. Abrams has served as a program chairman for the American Shoulder and Elbow Surgeons Summer Institute, Biennial Meeting, Comprehensive Meetings; Arthroscopy Association of North America Annual Meeting, and the Orthopaedic Learning Center. As a co-chairman with Dr. Robert Arciero, the Management of the Unstable Shoulder: Arthroscopic and Open Repairs occurred in October 2008 at the Orthopaedic Learning Center.   

Dr. Abrams is currently an attending surgeon in the Department of Surgery at the University Medical Center at Princeton in Princeton, New Jersey. He is a Clinical Professor at Seton Hall University School of Graduate Medicine, Department of Orthopaedic Surgery in Orange, New Jersey. He joined Princeton Orthopaedic and Rehabilitative Associates in 1986, and headed up shoulder surgery at Sports Medicine Princeton. He continues to serve as an orthopaedic consultant to Princeton University, College of New Jersey, Mercer Community College, as well as local public and private schools. In addition, he is a consultant to the National Hockey League, National Football League, Major League Baseball, International Skating Federation, and the United States Tennis Association.

Table of Contents

Dedication
Acknowledgments
About the Editor
Contributing Authors
Foreword by James R. Andrews, MD
Foreword by Richard J. Hawkins, MD
Introduction
 
Section I              Arthroscopic Techniques to Treat the Unstable Shoulder
Chapter 1             Patient Selection: Nonoperative, Arthroscopic, and Open Options
                               Matthew Bollier, MD and Robert A. Arciero, MD
 
Chapter 2            Patient’s Preparation, Positioning, and Portals for Arthroscopic Stabilization
               
Part I: Advantages of the Lateral Decubitus Position
                Jason Sullivan, MD and Guido Marra, MD
               
Part II: Advantages of the Beach Chair Position
CDR Matthew T. Provencher, MD, MC, USN; ENS Sean McIntire, MC, USN; Tistia Gaston, PA-C; and Daniel J. Solomon, MD
 
Chapter 3            Arthroscopic Bankart Repair: A Reproducible Technique
                              Richard Ryu, MD and Jeffrey S. Abrams, MD
 
Chapter 4            Knotless Suture Anchor Techniques to Repair the Unstable Shoulder
                              Raymond Thal, MD
 
Chapter 5            When We Should Consider Posterior Plication Sutures and Interval Plication
                              Mark T. Wichman, MD
 
Chapter 6            Techniques to Repair the Multidirectionally Unstable Shoulder
                               Marcus S. Briones, MD; Michael J. Pagnani, MD; William J. Mallon, MD; and John H. Flint, MD
 
Chapter 7            Posterior Shoulder Instability: Recognition and Arthroscopic Treatment
                              Richard L. Angelo, MD
 
Section II            Special Situations in Shoulder Instability
Chapter 8            The Best Treatment for the First-Time Dislocator
                              Drew Fehsenfeld, MD, PhD and Robert A. Arciero, MD
 
Chapter 9            Treatment Decisions in the Elite Athlete
                              Todd C. Moen, MD and Gordon W. Nuber, MD
 
Chapter 10          Assessment of Bone Loss in the Chronic, Recurrent, Unstable Shoulder
                              Anshu Singh, MD; Travis G. O’Brien, BA; Jianhua Wang, MD;and Jon J. P. Warner, MD
 
Chapter 11          Applying a Soft Tissue Repair in a Chronic Unstable Shoulder With Bone Loss
                              Robert T. Burks, MD
 
Chapter 12          Arthroscopic Latarjet Graft Technique
                              Laurent Lafosse, MD and Simon Boyle, MSc, FRCS (Tr and Orth)
 
Chapter 13          Treatment of Superior Labral Tears in the Unstable Shoulder
                              Joseph P. DeAngelis, MD and John E. Kuhn, MD
 
Chapter 14          Arthroscopic Revision Surgery and Treatment of Complications in Shoulder Stabilization
                              Jeffrey S. Abrams, MD
 
Section III            Arthrotomy and Repair of the Unstable Shoulder
Chapter 15          Bankart Repair and Capsule Shift
                              J. Douglas Haltom, MD and Gary W. Misamore, MD
 
Chapter 16          Subscapularis Tears and Capsular Deficiency in Shoulder Instability
                               Bojan Zoric, MD and Peter J. Millett, MD, MSc
 
Chapter 17          Techniques to Bone Graft the Deficient Anterior Glenoid Rim
                               Michael J. DeFranco, MD; Monica Morman, MD; Travis G. O’Brien, BA; Laurence D. Higgins, MD; and Jon J. P. 
                               Warner, MD
 
Chapter 18          Hill-Sachs Injuries of the Shoulder: When Are These Important and How Should I Manage Them?
                              CDR Matthew T. Provencher, MD, MC, USN; LT Matthew Rose, MD, MC, USN; and William Peace, MD
 
Chapter 19          Mini-Open and Arthroscopic Repair of the Humeral Anterior Capsular Avulsion
                              Drew Fehsenfeld, MD, PhD; Augustus D. Mazzocca, MS, MD; and Robert A. Arciero, MD
 
Chapter 20          Open Surgical Approach for Posterior Stabilization
                               Luke S. Oh, MD and Scott P. Steinmann, MD
 
Section IV           Rehabilitation of the Athlete
Chapter 21          Dislocation During the Athletic Season: Treatment Options
                              Daniel D. Buss, MD and Aimee S. Klapach, MD
 
Chapter 22          A Dynamic Approach to a Postoperative Rehabilitative Program for the Surgically Stabilized Shoulder
                              John M. Tokish, MD and Erick J. Kozlowski, ATC
 
Financial Disclosures
Index

 

Editorial Reviews

Reviewer: Mark R Hutchinson, MD (University of Illinois at Chicago College of Medicine)
Description: Management of the unstable shoulder is a dynamic field that continues to change with new and improved techniques and approaches. This wonderful book from Jeff Abrams and his colleagues details the current state of the art for addressing this complex problem with arthroscopic or open techniques. The book leans towards an arthroscopic approach, but then again, the orthopedic community has been trending that way for many years and the book simply reflects that.
Purpose: The goal is obviously to provide a concise and efficient reference on how to address this challenging problem. The book can serve as a guide and update for surgeons who commonly perform these procedures, and I guarantee they will gather numerous pearls that change their practice. It also is so thorough that it can serve as complete reference for residents or fellows in training who want to get a broad picture of how to best approach this problem. The editor and authors have done a tremendous job of achieving their goals.
Audience: The target audience is clearly orthopedic surgeons who wish to improve treatment of this occasionally challenging problem. The book will be of great value to residents in training, fellows, surgeons, and even shoulder specialists who want to keep up with the most recent techniques. Dr. Abrams has long ago established himself as a key educator, particularly in arthroscopic techniques. He has brought together authors for each chapter who are the current leaders and innovators in the field.
Features: The 22 chapters and 14 videos cover the broad gamut of shoulder instability. The pictures, line drawings, and videos are excellent and make it possible for readers to understand exactly what they should be accomplishing at the time of surgery. I love the currency of the book, as it brings readers up to date, especially if they have been stuck in their old ways for the past 5-10 years. Those just learning the techniques will learn how to do them right the first time.
Assessment: This is an excellent contribution to the field and I would agree with James Andrews, who states in the foreword, "Management of the Unstable Shoulder: Arthroscopic and Open Repair is an exceptional and unrivaled contribution to the continuing evolution of unstable shoulder management and treatment. I believe it will be an indispensible and informative addition to orthopaedic libraries everywhere." Thanks, Dr. Andrews, I couldn't have said it better myself.

Doody's Review Service

"The book can serve as a guide and update for surgeons who commonly perform these procedures, and I guarantee they will gather numerous pearls that change their practice. The pictures, line drawings, and videos are excellent and make it possible for readers to understand exactly what they should be accomplishing at the time of surgery. This is an excellent contribution to the field and I would agree with James Andrews, who states in the foreword, "Management of the Unstable Shoulder: Arthroscopic and Open Repair is an exceptional and unrivaled contribution to the continuing evolution of unstable shoulder management and treatment. I believe it will be an indispensible and informative addition to orthopaedic libraries everywhere.”  Thanks, Dr. Andrews, I couldn’t have said it better myself."  

— Mark R. Hutchinson, MD, University of Illinois at Chicago College of Medicine, Doody Enterprises, Inc.

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