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Tenotomy v tenodesis


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discussion for aana learning center course

Published in: Health & Medicine, Business
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Tenotomy v tenodesis

  1. 1. Christopher M. Aland MD Orthopedic and Sportsmedicine Center of Bucks County
  2. 2. Disclaimer <ul><li>I own stock in Arthrocare and Johnson and Johnson </li></ul><ul><li>I have no conflicts of interest that affect my ability to teach this course </li></ul>
  3. 3. What We Know <ul><li>Anatomy </li></ul><ul><li>Pathology </li></ul><ul><li>Variety of Options </li></ul>
  4. 4. What We Don’t <ul><li>Why it hurts </li></ul><ul><li>Where it hurts </li></ul><ul><li>Best option to treat </li></ul>
  5. 5. Tenotomy <ul><li>Fifty percent rule </li></ul><ul><li>Fix associated pathology </li></ul><ul><li>Variety of devices </li></ul><ul><li>Don’t leave a stump </li></ul><ul><li>Pre-op planning </li></ul>
  6. 6. Tenodesis <ul><li>Variety of Methods </li></ul><ul><li>Soft tissue </li></ul><ul><li>Semi soft </li></ul><ul><li>Subpectoral </li></ul><ul><ul><li> </li></ul></ul><ul><li>Bone </li></ul><ul><ul><li>Socket </li></ul></ul><ul><ul><li>Anchor </li></ul></ul>
  7. 7. Results <ul><li>Cosmetic </li></ul><ul><li>Age dependent </li></ul><ul><li>Activity dependent </li></ul><ul><li>Most studies fail to show significant difference </li></ul><ul><ul><li>Steadman </li></ul></ul><ul><ul><ul><li>Arthroscopy 1/2011 </li></ul></ul></ul>