By Aldo O., M.D. Perotto, Edward F. Delagi, John, M.D. Iazzetti, Daniel, M.D. Morrison
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Extra resources for Anatomical Guide For The Electromyographer: The Limbs And Trunk
The purpose of the screw is to protect the CA ligament transfer while it heals. The screw is removed at 10 to 12 weeks. Indications Indications include chronic Rockwood types III, IV, V, and VI injuries of the AC joint. Mechanism of Injury The injury is produced by a direct blow to the superior aspect of the shoulder. This drives the scapula and humerus inferiorly, first disrupting the AC ligaments and then disrupting the CC ligaments. Physical Examination 1. Tenderness and bruising over the AC joint.
Figure 6-2 A radio frequency probe facilitates tissue removal and control of bleeding. ) Figure 6-3 The anterior portal allows direct access to the acromioclavicular joint. 24 SECTION I THE SHOULDER Figure 6-4 Visualize the entire distal clavicle cortex to verify complete resection. ) Figure 6-6 The width of resection can be judged by comparison with an instrument. ) 6 AC JOINT RESECTION: ARTHROSCOPIC THREE PORTAL TECHNIQUE 25 2. Judicious use of bipolar electrocautery will greatly enhance visualization.
11. Upon completion of the arthroscopic subacromial decompression, the scope is placed through the lateral portal and the decompression is inspected. 36 SECTION I THE SHOULDER 12. The burr can be placed through the posterior portal and the "cutting block" technique may be used to complete the resection. Performed by placing the burr against the smooth undersurface of the posterior acromion then resecting from posterior to anterior, converting the acromion to a type 1 (Fig. 9-5). 13.
Anatomical Guide For The Electromyographer: The Limbs And Trunk by Aldo O., M.D. Perotto, Edward F. Delagi, John, M.D. Iazzetti, Daniel, M.D. Morrison
Categories: Physical Medicine Rehabilitation