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Management of the Unstable Shoulder: Arthroscopic and Open Repairpresents orthopedic surgeons, sports medicine specialists, therapist 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 DVD to illustrate step by step techniques on performing arthroscopic and open repairs.Sections Inside Include: bull; Patient selection for choosing arthroscopy and open treatment options bull; Treatment of athletes from high school to professional levels bull; Illustrated Techniques to Treat the Unstable Shoulder bull; Complex Situations in Shoulder Instability bull; Revision surgery for the failed repair bull; Rehabilitation of the AthleteInsideManagement of the Unstable Shoulder: Arthroscopic and Open Repair, Dr. Jeffrey Abrams, along with 15 internationally recognized contributors, narrows in on why modern day arthroscopy has become an excellent examination to visualize and treat essential lessons associated with instability. Foreword section with contributions from Dr. James Andrews and Dr. Richard Hawkins provides insight on the management of the high profile athlete.With vivid color images throughout the book and an instructive DVD on shoulder reconstruction,Management of the Unstable Shoulder: Arthroscopic and Open Repairis designed to provide the most up-to-date information on both arthroscopic and open techniques that a surgeon needs 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 Repairis the ideal book for orthopedic surgeons, sports medicine physicians, upper extremity surgeons, and those in training.
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
About the Editor
Foreword by James R. Andrews, MD
Foreword by Richard J. Hawkins, MD
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.
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