By Frederick A. Matsen III MD, Steven B. Lippitt MD
This complete, new consultant sincerely provides the foundations of either general and irregular shoulder mechanics and indicates clinicians how you can effectively practice a number of methods. The authors concentrate on time-tested strategies and the elemental instruments each doctor has at their disposal...instead of these that want targeted, advanced, or pricey gear. Over 1,400 great unique illustrations exhibit each very important step.Provides the medical foundations upon which shoulder surgical procedure has to be dependent, permitting the health care professional to make variations in line with a patient's particular mechanical situation.Describes approaches which have been regularly profitable in coping with mechanical difficulties of the shoulder.Features 1,400 illustrations by way of a shoulder medical professional who's additionally a certified artist correctly painting either anatomic positive aspects and step by step procedures.Uses a constant structure all through for simple reference.
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Additional resources for Shoulder Surgery: Principles and Procedures
Sample text
5–6). A B C Figure 5–6. Internal rotator strengthening The muscles of internal rotation are strengthened by exercising them against isometric resistance, against elastic tubing, and against weights. (From Matsen FA, Lippitt SB, Sidles JA, et al [eds]: Practical Evaluation and Management of the Shoulder. Philadelphia: WB Saunders, 1994, p. ) 25 26 CHAPTER 5 Principles of Postsurgical Rehabilitation 2. External rotator strengthening: The external rotators are strengthened by the patient’s flexing the elbow to 90 degrees and rotating the humerus away from the body against isometric resistance or the resistance of elastic tubing or weights (Fig.
Figure 6–12. Spot welds Adhesions from the external to the internal surface of the humeroscapular motion interface can restrict the range and smoothness of motion. Figure 6–13. Postacromioplasty adhesions Resection of the undersurface of the acromion exposes bleeding bone, which may lead to the formation of motionrestricting spot welds across the humeroscapular motion interface. 45 46 CHAPTER 6 Principles of Glenohumeral Mobility Glenohumeral rotation can also be limited by contact between the edge of the tuberosities and the edge of the glenoid—a phenomenon known as internal abutment (Fig.
Many important shoulder functions take place in the range of motion where the ligaments are lax. A Figure 6–2. The rotational laxity is affected by the starting position and orientation of the humerus. (Modified from Rockwood CA, Matsen FA [eds]: The Shoulder, 2nd ed. Philadelphia: WB Saunders, 1998, p. ) PART II Mobility 1500 N-mm torque 1000 N-mm 500 N-mm No Tension in Capsule B Hand behind head Lift gallon to head level Place coin on shelf Lift pint to shoulder level Wash opposite shoulder Wash opposite shoulder Tuck in shirt C Figure 6–2.
