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Related Concept Videos

Muscles of the Shoulder01:23

Muscles of the Shoulder

The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
Disorders of the Skeletal Muscle01:28

Disorders of the Skeletal Muscle

The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular tachycardia.
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:

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Reverse Total Shoulder Arthroplasty
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Published on: July 5, 2011

Complex shoulder disorders: evaluation and treatment.

Pietro M Tonino1, Christian Gerber, Eiji Itoi

  • 1Loyola University Medical Center, Maywood, IL 60153, USA.

The Journal of the American Academy of Orthopaedic Surgeons
|March 7, 2009
PubMed
Summary
This summary is machine-generated.

Managing complex shoulder disorders like massive rotator cuff tears and instability requires careful evaluation. Treatment choices vary, from surgical interventions to conservative approaches, depending on the specific condition and patient factors.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Shoulder Reconstruction

Background:

  • Shoulder disorders present significant clinical challenges, particularly in revision cases.
  • Common difficult conditions include massive rotator cuff tears, atraumatic instability, and adhesive capsulitis.

Purpose of the Study:

  • To outline diagnostic and treatment considerations for challenging shoulder conditions.
  • To provide guidance on surgical and non-surgical management strategies.

Main Methods:

  • Review of clinical decision-making for specific shoulder pathologies.
  • Discussion of treatment algorithms for rotator cuff tears, instability, and capsulitis.

Main Results:

  • Functional status assessment is crucial for massive rotator cuff tears.
  • Inferior capsular shift is recommended for failed non-surgical treatment of atraumatic instability.
  • Revision arthroscopic stabilization is feasible with good tissue quality.
  • Arthroscopic release is indicated for idiopathic adhesive capsulitis unresponsive to conservative care.
  • Arthroscopic débridement and biceps tenotomy may be suitable for subscapularis repair in unmotivated patients.

Conclusions:

  • Tailored treatment strategies are essential for optimizing outcomes in complex shoulder disorders.
  • Careful patient selection and management are critical for revision and challenging cases.