– Discussion: – impingement syndrome describes pain in subacromial space when the humerus is elevated or internally rotated; – during humeral flexion, the supraspinatus tendon and bursa become entrapped between the anteroinferior corner of the acromion (and CA ligament) and the greater tuberosity; – this syndrome is thought to precipitate … Read more
– Discussion: – w/ in joint capsule, variable ligs (superior, middle, & IGHL), are primary components of static restraint in glenohumeral joint. – glenoid version: – Biomechanical Evaluation of Glenoid Version and Dislocation Direction on the Influence of Anterior Shoulder Instability and Development of Hill-Sachs Lesions – Scapulohumeral Ligaments: (5 … Read more
– Anterior Portal: – anterior portal is usually used for introduction of instruments; – this portal is placed under arthroscopic visualization from the posterior portal; – the needle is placed halfway between the AC joint and the lateral aspect of the coracoid; – this … Read more
– Discussion: – may be indicated for shoulder instability; – in the report by Greis PE, et al, the authors evaluated 4 cases in which axillary nerve injury which was observed after radiofrequency capsular shrinkage of the shoulder; – authors conclude that injury to the … Read more
– Discussion: – normally no communication exists between the shoulder joint and the subacromial bursae; – when radiopaque dye is injected into the shoulder and is subsequently demonstrated in the subacromial bursa, a rotator cuff tear is present; – Indications: – for dx of complete rotator cuff tears, adhesive capsulitis, … Read more
– See: – Bursae of the Knee – Septic Arthritis – Diff Dx: – referred pain from the hip – osteochondritis dissecans – traumatic internal derangement – distal femoral or proximal tibial osteomyelitis – septic bursitis: – … Read more
– See: – septic arthritis – general orders and treatment – Discussion: – septic arthritis of the hip is a surgical emergency; – it is essential that dx be made ASAP to prevent joint damage; – if any pus is obtained from arthrotomy, … Read more
– Diff Dx: – reactive transient synovitis (toxic synovitis) – in the report by Kocher MS et al., the authors sought to distinguish transient synovitis vs sepsis on the basis of lab data and patient history; – independent clinical predictors between … Read more
– Clinical Manifestations: – may have fevers, rash, & iritis, which can resemble symptoms of JRA. – pulmonary dz, erythema nodosum, abdominal pain, liver enlargement, and perihilar adenopathy may also be present. – labs: elevated ACE serum level is considered to be the activity marker of the disease – … Read more