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PASTA Bridge - A New Technique in PASTA Repairs: A Clinical Evaluation
E-Poster at the Arthroscopy Association of North America Annual Meeting 2012 - PASTA Bridge - A New Technique in PASTA Repairs: A Clinical Evaluation
Proximal Biceps
This document provides information about a new arthroscopic biceps tenodesis technique. It summarizes a study comparing 14 patients who underwent the new technique to 9 patients who had a biceps tenotomy. The new technique resulted in significantly less pain and higher function scores at various points as measured by questionnaires, though it carries a small risk of needing to be converted to a tenotomy if the fixation pulls out. The technique was found to be easy to perform and yielded better outcomes than tenotomy while avoiding complications of proximal fixation methods.
A Clinical Evaluation of a New Arthroscopic Biceps Tenodesis Technique
This document describes a study that evaluated a new arthroscopic biceps tenodesis technique. The study compared 14 patients who underwent the new technique to 9 control patients who had a traditional tenodesis or tenotomy. The new technique resulted in significantly less pain and better function scores compared to the control group at several post-op intervals based on questionnaires. Both groups had similar range of motion recovery and time to return to work/discharge. No failures of the tenodesis occurred with the new technique. The conclusion is that this new arthroscopic technique is easy, reproducible, and yields better outcomes than other approaches while avoiding their complications.
Posterior Instability
This document provides information on posterior instability of the shoulder. It discusses the mechanism of injury, incidence, diagnosis through x-rays, keys to success including portal placement and fixation options. Positioning for repair in beach chair position is described along with portals for posterior stabilization and techniques for suture passing and fixation using suture anchors, suture lassos, and knots. Additional stabilization techniques and potential complications are briefly touched upon.
Recommended
PASTA Bridge - A New Technique in PASTA Repairs: A Clinical Evaluation
E-Poster at the Arthroscopy Association of North America Annual Meeting 2012 - PASTA Bridge - A New Technique in PASTA Repairs: A Clinical Evaluation
Proximal Biceps
This document provides information about a new arthroscopic biceps tenodesis technique. It summarizes a study comparing 14 patients who underwent the new technique to 9 patients who had a biceps tenotomy. The new technique resulted in significantly less pain and higher function scores at various points as measured by questionnaires, though it carries a small risk of needing to be converted to a tenotomy if the fixation pulls out. The technique was found to be easy to perform and yielded better outcomes than tenotomy while avoiding complications of proximal fixation methods.
A Clinical Evaluation of a New Arthroscopic Biceps Tenodesis Technique
This document describes a study that evaluated a new arthroscopic biceps tenodesis technique. The study compared 14 patients who underwent the new technique to 9 control patients who had a traditional tenodesis or tenotomy. The new technique resulted in significantly less pain and better function scores compared to the control group at several post-op intervals based on questionnaires. Both groups had similar range of motion recovery and time to return to work/discharge. No failures of the tenodesis occurred with the new technique. The conclusion is that this new arthroscopic technique is easy, reproducible, and yields better outcomes than other approaches while avoiding their complications.
Posterior Instability
This document provides information on posterior instability of the shoulder. It discusses the mechanism of injury, incidence, diagnosis through x-rays, keys to success including portal placement and fixation options. Positioning for repair in beach chair position is described along with portals for posterior stabilization and techniques for suture passing and fixation using suture anchors, suture lassos, and knots. Additional stabilization techniques and potential complications are briefly touched upon.
Enhancing SLAP repairs with Fibrin-PRP clots
Presentation at the Western Orthopaedic Association Annual Meeting 2009 - Enhancing SLAP repairs with Fibrin-PRP clots
PASTA Bridge - A New Technique in PASTA Repairs: A Biomechanical Evaluation o...
PASTA Bridge - A New Technique in PASTA Repairs: A Biomechanical Evaluation o...Alan M. Hirahara, M.D., FRCSC
E-Poster at the Arthroscopy Association of North America Annual Meeting 2012 - PASTA Bridge - A New Technique in PASTA Repairs: A Biomechanical Evaluation of Construct Strength vs. Suture AnchorsShoulder Instability & Labral Repairs (SLAP Repairs)
This document provides an overview of shoulder labral repair and stabilization procedures. It discusses key steps like portal placement, suture management and fixation options. Specific techniques are demonstrated for SLAP repairs, anterior stabilizations using suture anchors and pushlocks, and posterior stabilizations. Potential complications like a lost suture or wire are also briefly covered. The document serves as a reference for orthopedic surgeons on the technical aspects of arthroscopic shoulder stabilization and labral repair surgeries.
PASTA Repair
This document provides information about PASTA (Partial Articular Supraspinatus Tendon Avulsion) lesions and repair techniques. It discusses methods for determining the size of PASTA lesions, current recommendations for repair vs. debridement, and repair options. It then describes a new PASTA repair technique called the "PASTA Bridge", which does not require knot tying. Preliminary results of a clinical study comparing the PASTA Bridge technique to trans-tendon repair show no significant differences in pain or function scores between the groups, and a lower failure rate for the PASTA Bridge. The PASTA Bridge is proposed as an easy, percutaneous alternative to other PASTA repair methods.
Ultrasound Guided Injections - Lower Extremity
This document provides an overview of ultrasound-guided injection procedures for the lower extremities performed by Dr. Alan Hirahara, including injections for the knee, hip, muscles, foot and ankle. It lists various conditions that can be treated with injections such as knee effusions, patellar tendonopathy, plantar fasciitis and Achilles tendon injuries. Images are also included showing ultrasound views and techniques for different injection approaches.
Anterolateral Ligament (ALL)
Presentation on the Anterolateral Ligament (ALL) with information on diagnosis with ultrasound and treatment using an ultrasound guided, percutaneous, reconstruction and an internal brace
SLAP & PASTA Lesions 01-2013
SLAP & PASTA lesions presentation at Results Physical Therapy Education Forum, Sacramento, CA January 2013
Ultrasound - Hip
This document provides an overview of ultrasound techniques for examining the hip. It discusses using ultrasound to view structures like the hip joint, labrum, muscles like the sartorius and rectus femoris, and the femoral nerve bundle. For each structure, it provides tips on patient positioning and transducer orientation as well as the equivalent MRI imaging plane. It also shows examples of pathologies like a labral tear or adductor strain visible on ultrasound. The document aims to describe the ultrasound technique for comprehensively examining the anterior, medial, lateral and posterior aspects of the hip.
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Enhancing SLAP repairs with Fibrin-PRP clots
Presentation at the Western Orthopaedic Association Annual Meeting 2009 - Enhancing SLAP repairs with Fibrin-PRP clots
PASTA Bridge - A New Technique in PASTA Repairs: A Biomechanical Evaluation o...
PASTA Bridge - A New Technique in PASTA Repairs: A Biomechanical Evaluation o...Alan M. Hirahara, M.D., FRCSC
E-Poster at the Arthroscopy Association of North America Annual Meeting 2012 - PASTA Bridge - A New Technique in PASTA Repairs: A Biomechanical Evaluation of Construct Strength vs. Suture AnchorsShoulder Instability & Labral Repairs (SLAP Repairs)
This document provides an overview of shoulder labral repair and stabilization procedures. It discusses key steps like portal placement, suture management and fixation options. Specific techniques are demonstrated for SLAP repairs, anterior stabilizations using suture anchors and pushlocks, and posterior stabilizations. Potential complications like a lost suture or wire are also briefly covered. The document serves as a reference for orthopedic surgeons on the technical aspects of arthroscopic shoulder stabilization and labral repair surgeries.
PASTA Repair
This document provides information about PASTA (Partial Articular Supraspinatus Tendon Avulsion) lesions and repair techniques. It discusses methods for determining the size of PASTA lesions, current recommendations for repair vs. debridement, and repair options. It then describes a new PASTA repair technique called the "PASTA Bridge", which does not require knot tying. Preliminary results of a clinical study comparing the PASTA Bridge technique to trans-tendon repair show no significant differences in pain or function scores between the groups, and a lower failure rate for the PASTA Bridge. The PASTA Bridge is proposed as an easy, percutaneous alternative to other PASTA repair methods.
Ultrasound Guided Injections - Lower Extremity
This document provides an overview of ultrasound-guided injection procedures for the lower extremities performed by Dr. Alan Hirahara, including injections for the knee, hip, muscles, foot and ankle. It lists various conditions that can be treated with injections such as knee effusions, patellar tendonopathy, plantar fasciitis and Achilles tendon injuries. Images are also included showing ultrasound views and techniques for different injection approaches.
Anterolateral Ligament (ALL)
Presentation on the Anterolateral Ligament (ALL) with information on diagnosis with ultrasound and treatment using an ultrasound guided, percutaneous, reconstruction and an internal brace
SLAP & PASTA Lesions 01-2013
SLAP & PASTA lesions presentation at Results Physical Therapy Education Forum, Sacramento, CA January 2013
Ultrasound - Hip
This document provides an overview of ultrasound techniques for examining the hip. It discusses using ultrasound to view structures like the hip joint, labrum, muscles like the sartorius and rectus femoris, and the femoral nerve bundle. For each structure, it provides tips on patient positioning and transducer orientation as well as the equivalent MRI imaging plane. It also shows examples of pathologies like a labral tear or adductor strain visible on ultrasound. The document aims to describe the ultrasound technique for comprehensively examining the anterior, medial, lateral and posterior aspects of the hip.
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PASTA Bridge - A New Technique in PASTA Repairs: A Biomechanical Evaluation o...
PASTA Bridge - A New Technique in PASTA Repairs: A Biomechanical Evaluation o...
Shoulder Instability & Labral Repairs (SLAP Repairs)
Shoulder Instability & Labral Repairs (SLAP Repairs)