Upper limb-arthroscopy
•Download as PPSX, PDF•
2 likes•1,202 views
This document discusses upper limb arthroscopy of the shoulder, elbow, wrist, and trapezio-metacarpal joints. For the shoulder, common indications are rotator cuff pathology and instability. For the elbow, indications include removal of loose bodies, joint debridement, and capsular release. For the wrist, arthroscopy is used for diagnostic purposes, prior to ligament reconstruction to confirm cartilage status, styloidectomy, and joint debridement for TFCC tears. Radial styloidectomy can be performed arthroscopically or openly to relieve pain from impingement of the radial styloid.
Report
Share
Report
Share
Recommended
My UNID experience in lumbar arthrodesis for degenerative spine diseases
Dr. Triffaux presented on their experience using the UNID system for planning degenerative spine surgeries. Key points included:
1) The UNID system allows detailed preoperative planning to restore sagittal balance and lordosis while minimizing risks.
2) Case examples demonstrated how the UNID guided surgical strategies like DLIF placement and fixation levels to decompress the spine and correct alignment issues.
3) Outcomes of the first 10 UNID cases showed good correction of parameters and no complications, indicating the value of individualized planning for degenerative spine procedures.
Acj excision watanabe india
This document discusses the anatomy and surgical procedure of AC joint excision. It begins by describing the anatomy of the AC joint, including the fibrocartilage discs and ligaments. It then discusses the indications for AC joint excision as symptomatic osteoarthritis or painful osteolysis. The key diagnostic test is an accurate intra-articular injection of the AC joint under ultrasound guidance. Surgical options include open excision or arthroscopic excision through superior or bursal portals. The procedure involves completely excising the inferior clavicle and osteophytes while preserving the postero-superior capsule to avoid instability. Thorough assessment and complete excision are important to address symptoms and avoid pitfalls like incomplete resection or post-
Rare scapular injuries
Glenoid fractures are rare shoulder fractures, especially when combined with Acromion Fractures. This PPT presents one such case and dual approach for treatment
Positioning for shoulder arthroscopy
Christopher M. Aland MD discusses shoulder arthroscopy procedures and positions. Shoulder arthroscopy can be performed in either the beach chair or lateral decubitus position, with recent modifications to both. The lateral decubitus position involves using a standard table with supports for the axilla, head, and sides. The beach chair position uses a standard table with back support and mechanical or manual leg support and head positioning, allowing for conversion to an open procedure or posterior inferior access if needed.
BD135/BD139 Transistor Data sheet
This document provides information on NPN silicon transistor types BD135 and BD139, including their marking, description, internal schematic diagram, absolute maximum ratings, thermal data, electrical characteristics, SOT-32 mechanical data, and applications in audio amplifiers and drivers utilizing complementary or quasi-complementary circuits. The complementary PNP types are BD136 and BD140. Key specifications include maximum voltages, currents, power dissipation, gain, and saturation voltage.
Rehabilitation following a reversed total shoulder arthroplasty nwulg 28.2.12
This document discusses the rehabilitation of reverse total shoulder replacements (rTSR). It notes that rTSR rehabilitation differs from traditional shoulder replacements by focusing initially on stability and deltoid rehabilitation, addressing scapular control, and emphasizing restoration of external rotation. Key points include immobilizing the shoulder initially, progressing to active-assisted then active range of motion, addressing movement deficits, and advancing to functional exercises while monitoring for complications like scapular notching. The goal is improved pain relief and movement, though some patients may have poor outcomes requiring additional support strategies.
Shoulder arthroscopy
basic arthroscopy set up,positionnig and portals .this presentation is for education purpose only .all the copyrights are owned by original authors and not by me.
Current Concepts in Shoulder Replacement
J.R. Rudzki gave a presentation on current concepts in shoulder replacement. He discussed the anatomy of the shoulder joint and causes of shoulder arthritis. Treatment options were reviewed, including arthroplasty when conservative measures fail. Surgical techniques for hemiarthroplasty and total shoulder arthroplasty were outlined. Clinical studies showed that both procedures improve function, though total arthroplasty may provide better outcomes. Complications were noted to occur in about 5% of cases. Emerging concepts around reverse total shoulder arthroplasty for rotator cuff arthropathy were presented.
Recommended
My UNID experience in lumbar arthrodesis for degenerative spine diseases
Dr. Triffaux presented on their experience using the UNID system for planning degenerative spine surgeries. Key points included:
1) The UNID system allows detailed preoperative planning to restore sagittal balance and lordosis while minimizing risks.
2) Case examples demonstrated how the UNID guided surgical strategies like DLIF placement and fixation levels to decompress the spine and correct alignment issues.
3) Outcomes of the first 10 UNID cases showed good correction of parameters and no complications, indicating the value of individualized planning for degenerative spine procedures.
Acj excision watanabe india
This document discusses the anatomy and surgical procedure of AC joint excision. It begins by describing the anatomy of the AC joint, including the fibrocartilage discs and ligaments. It then discusses the indications for AC joint excision as symptomatic osteoarthritis or painful osteolysis. The key diagnostic test is an accurate intra-articular injection of the AC joint under ultrasound guidance. Surgical options include open excision or arthroscopic excision through superior or bursal portals. The procedure involves completely excising the inferior clavicle and osteophytes while preserving the postero-superior capsule to avoid instability. Thorough assessment and complete excision are important to address symptoms and avoid pitfalls like incomplete resection or post-
Rare scapular injuries
Glenoid fractures are rare shoulder fractures, especially when combined with Acromion Fractures. This PPT presents one such case and dual approach for treatment
Positioning for shoulder arthroscopy
Christopher M. Aland MD discusses shoulder arthroscopy procedures and positions. Shoulder arthroscopy can be performed in either the beach chair or lateral decubitus position, with recent modifications to both. The lateral decubitus position involves using a standard table with supports for the axilla, head, and sides. The beach chair position uses a standard table with back support and mechanical or manual leg support and head positioning, allowing for conversion to an open procedure or posterior inferior access if needed.
BD135/BD139 Transistor Data sheet
This document provides information on NPN silicon transistor types BD135 and BD139, including their marking, description, internal schematic diagram, absolute maximum ratings, thermal data, electrical characteristics, SOT-32 mechanical data, and applications in audio amplifiers and drivers utilizing complementary or quasi-complementary circuits. The complementary PNP types are BD136 and BD140. Key specifications include maximum voltages, currents, power dissipation, gain, and saturation voltage.
Rehabilitation following a reversed total shoulder arthroplasty nwulg 28.2.12
This document discusses the rehabilitation of reverse total shoulder replacements (rTSR). It notes that rTSR rehabilitation differs from traditional shoulder replacements by focusing initially on stability and deltoid rehabilitation, addressing scapular control, and emphasizing restoration of external rotation. Key points include immobilizing the shoulder initially, progressing to active-assisted then active range of motion, addressing movement deficits, and advancing to functional exercises while monitoring for complications like scapular notching. The goal is improved pain relief and movement, though some patients may have poor outcomes requiring additional support strategies.
Shoulder arthroscopy
basic arthroscopy set up,positionnig and portals .this presentation is for education purpose only .all the copyrights are owned by original authors and not by me.
Current Concepts in Shoulder Replacement
J.R. Rudzki gave a presentation on current concepts in shoulder replacement. He discussed the anatomy of the shoulder joint and causes of shoulder arthritis. Treatment options were reviewed, including arthroplasty when conservative measures fail. Surgical techniques for hemiarthroplasty and total shoulder arthroplasty were outlined. Clinical studies showed that both procedures improve function, though total arthroplasty may provide better outcomes. Complications were noted to occur in about 5% of cases. Emerging concepts around reverse total shoulder arthroplasty for rotator cuff arthropathy were presented.
Shoulder arthroplasty & Physiotherapy
Dr. Satyendra Bhattacharyya's document discusses the history and procedure of shoulder arthroplasty. It begins with the first documented shoulder replacement in 1894, but focuses on developments starting in 1951 by Dr. Charles Neer, who created the first hemi-arthroplasty and total shoulder replacement. The document then discusses factors that influence arthroplasty outcomes, indications for the procedure for conditions like osteoarthritis and rheumatoid arthritis, and details each step of the surgical procedure. It concludes by describing postoperative rehabilitation protocols.
Tsr presentation slides
This document provides information about total shoulder replacement surgery. It discusses the anatomy of the shoulder joint and causes for replacement such as arthritis. The surgical procedure is described including removing damaged bone and inserting artificial components. Experimental plans are outlined for a clinical trial comparing a new device to an existing one by measuring range of motion outcomes over time. Statistical analysis methods including power analysis, normality tests, and parametric/nonparametric tests are proposed to analyze the data.
Knee arthroscopic Surgery in delhi by Dr. Shekhar Srivastav
Knee arthroscopic Surgery in delhi by Dr. Shekhar Srivastav - Dr. Shekhar Srivastav is an Orthopedic Surgeon attached to Sant Parmanand Hospital, Delhi with special interest in Knee & Shoulder surgery. After obtaining his M.S. Orthopedics degree he has undergone training in various centers in India and Abroad which has helped him in understanding the Orthopedics problems and their Management. He did his AO/ ASIF fellowship at University Hospital, Salzburg, Austria in 2006 and recieved training in Arthroscopy & Sports Medicine at TUM, Munich (Germany) & Rush Orthopedics Centre, Chicago( USA). He has an experience of more than fifteen years of diagnosing and treating Orthopedics & Trauma patients.
Current Concepts in Treatment of Proximal Humerus Fractures
This document discusses treatment options for proximal humerus fractures, including surgical and nonsurgical approaches. It summarizes several studies comparing outcomes of locking plate fixation versus nonoperative treatment, finding an advantage in function but also higher reoperation rates for plating. Hemiarthroplasty is presented as an alternative for nonreconstructable fractures, though outcomes are variable and depend on factors like tuberosity healing. Technical considerations for hemiarthroplasty are reviewed, including the importance of restoring proper version and head size to optimize function and avoid complications.
Proximal humerus fracture Management
This document discusses the classification and anatomy of proximal humeral fractures. It provides details on:
1) Neer's classification system which categorizes fractures based on displacement of fragments into 1, 2, 3, or 4-part fractures or fracture-dislocations.
2) Important anatomical factors like the relationship between the articular head and tuberosities which impact fracture patterns.
3) Pre-operative planning involves accurate imaging like radiographs and CT scans to identify fracture characteristics to guide treatment.
Thoraco Lumbar Spine Injury
This document discusses the anatomy and physiology of the thoracolumbar spine and classifies different types of thoracolumbar spine injuries. It describes the anatomy of the spinal cord, blood supply, and biomechanics of the thoracic and lumbar regions. Various injury mechanisms are outlined including compression fractures, burst fractures, and chance fractures. Imaging techniques like x-rays, CT, and MRI are discussed. The Denis three-column theory and TLICS classification system are introduced to classify injuries as stable or unstable. Non-operative and surgical treatment options are provided based on the injury classification.
Thoraco lumbar fractures of spine
This document discusses thoracolumbar fractures of the spine. It begins by describing the anatomy of the spine and functional spinal units. It then discusses the physiological anatomy of the thoracic and lumbar spine. It describes the etiology, classifications including the Denis three-column theory and AO/MAGREL classification, clinical presentations, investigations including x-rays, CT and MRI, and classifications of spinal instability for thoracolumbar fractures.
Proximal humerus fractures
- Humeral fractures are common, especially in older adults, with the surgical neck being the most common site. Most fractures are nondisplaced and can be treated nonsurgically.
- Displaced fractures, fractures with rotator cuff injuries, and those in poor bone quality patients may require surgical treatment like open reduction and internal fixation using plates or pins.
- Complications can include malunion, nonunion, avascular necrosis, and arthritis, so careful follow up is needed after surgical treatment of humeral fractures.
Spinal injury ppt
Spinal cord injuries can cause partial or complete loss of motor and sensory function below the site of injury. There are several types of spinal cord injuries including complete and incomplete injuries. Risk factors include men, young adults, seniors, and those active in sports. Causes include trauma, bullet wounds, and falls. Symptoms depend on the injury level but may include paralysis, numbness, loss of bowel/bladder control. Diagnostic tests include imaging like CT, MRI to determine injury level and severity. Complications can include autonomic dysreflexia, pressure sores, loss of sexual function. Treatment involves stabilizing the spine, managing complications, and long-term rehabilitation.
Reverse Total Shoulder Replacement, Final
The document discusses reverse total shoulder arthroplasty (rTSA), including:
- The procedure reverses the ball and socket of the shoulder joint.
- It was approved for use in the US in 2004.
- The new design moves the center of rotation medially and inferiorly, increasing deltoid tension and function as the primary shoulder elevator.
- Indications include severe rotator cuff deficiency or previous TSA failure. Contraindications include infection or inadequate bone stock. Potential complications range from minor issues like stiffness or hematoma to more serious problems like prosthesis loosening or nerve damage.
Proximal humerus fractures anatomy and classification
The document provides an overview of the anatomy and pathophysiology of proximal humerus fractures. It describes the bones that make up the shoulder girdle, including the humerus, scapula, and clavicle. Common fractures are then classified according to the Neer system based on the number of displaced bone fragments. Types include one-part, two-part, three-part, and four-part fractures, as well as fracture-dislocations. Factors like fragment displacement, head viability, and risk of osteonecrosis are discussed for each fracture pattern. The presentation concludes with a call for new classification systems that incorporate more fracture characteristics identified on imaging.
Extern conference-sani
1. The document describes a 43-year-old Thai woman who presented to the hospital after slipping and injuring her right elbow.
2. Physical examination revealed tenderness and limited range of motion of the right elbow due to pain and mild swelling. X-rays showed a fracture of the right radial neck.
3. The patient was diagnosed with a complex right elbow dislocation with a radial neck fracture. She underwent closed reduction with placement in a posterior long arm splint.
PROCEDURES
This document lists procedures and skills totals for different specialty areas and levels of training. It shows the number of second assists, first assists, and solo procedures completed. Specialties included are general surgery, orthopedics, OB/GYN, genitourinary, cardiothoracic, neurology, peripheral, oral/maxillofacial, ophthalmology, plastic and reconstructive surgery. Totals are provided for basic, intermediate and advanced levels of training within each specialty.
ACL INJURIES
This document provides an overview of anterior cruciate ligament (ACL) injuries, including:
1) The anatomy, functions, and mechanisms of ACL injury. Common symptoms include the knee popping out and difficulty walking. Physical exams include the anterior drawer test and Lachman's test.
2) MRI is the best imaging method, showing primary signs like an absent ACL or secondary signs like bone bruises.
3) Treatment options include non-operative management for mild injuries or reconstruction using autografts like the patellar tendon or hamstring tendons. Proper technique and rehabilitation are important for success.
4) Complications can include limited motion, pain, and failure, which may be due to
Open Reduction of carpal bone fractures
This document discusses open reduction of carpal bone fractures. It begins by describing the carpal arcs and Amsterdam wrist rules for determining when X-rays are needed. It then discusses specific fractures of the scaphoid bone including classification, recommended imaging views, symptoms, treatment criteria involving casting or surgery, and surgical techniques for open reduction and percutaneous screw fixation. It also covers lunate dislocations, including pathoanatomy, imaging views, complications of nonoperative vs operative management, and surgical techniques. Brief sections discuss fractures of the triquetrum, pisiform, and hamate bones.
sanjeeb.pptx
This document outlines the principles of amputation, including indications, types, preoperative evaluation, operative techniques, postoperative care, and complications. It defines amputation as the trans-osseous removal of a limb or part of a limb. The document discusses the history of amputation and how techniques have improved over time with advances like anesthesia, antibiotics, and aseptic practices. Key aspects of performing amputations like flap design, vessel ligation, and bone cutting are described. The importance of postoperative care, rehabilitation, and avoiding complications is also emphasized.
De Bortoli N. La Manometria del Tratto Superiore. ASMaD 2016
DOTT. NICOLA DE BORTOLI - 1° Giornata Master ECM in Gastroenterologia 2016 (11/11/2016) - Fondazione Santa Lucia - Sala Congressi - Roma
Sito: www.asmad.net
Canale Youtube: https://youtu.be/ejLwZULp5zE
Patellar fx 5502004
This document discusses a case of a 51-year-old Thai man who was injured in a motorcycle accident, falling and striking his right knee on the ground. On examination, he had swelling and abrasions on his right knee with limited range of motion. Imaging showed a patellar fracture. The document then reviews anatomy of the patella, mechanisms of patellar injury, signs and symptoms of patellar fractures, imaging studies for diagnosis, classifications of patellar fractures, and treatment options which include non-operative management, open reduction and internal fixation, partial or complete patellectomy.
Ext conference ธนวัฒน์
A 62-year-old Thai woman presented to the emergency department after fainting and hitting her head 30 minutes prior. She reported being hit on the right side of her head by her husband which caused her to lose consciousness and fall, injuring her right elbow. On examination, she had deformity and tenderness of the right elbow with limited range of motion due to pain. X-rays revealed a lateral dislocation of the right elbow. The elbow was closed reduced and placed in a splint in flexion for follow up.
Updated PCL, PLC and Knee Dislocation for Postgraduate Orthopaedic Course in ...
Updated PCL, PLC and Knee Dislocation for Postgraduate Orthopaedic Course in ...Professor Deiary Kader
The document discusses the posterior cruciate ligament (PCL) and posterolateral corner (PLC) of the knee. It provides details on the anatomy, mechanisms of injury, clinical assessment, treatment, and complications for injuries to these structures. For PCL injuries, the strongest ligament in the knee, treatment involves conservative management for isolated acute injuries or reconstruction for chronic symptomatic injuries. For PLC injuries, addressing all injured ligaments is important as isolated treatment can fail. Reconstruction of the lateral collateral ligament, popliteus tendon, and popliteofibular ligament is recommended for chronic complete injuries.Αρθροσκόπηση του Καρπού, απο την Κλινική Εξέταση στις Σύνθετες Επεμβάσεις- Wr...
Review of the clinical exam, radiologic findings and operative treatment of common wrist conditions treated with wrist arthroscopy
Ομιλία στο Σεμινάριο Χειρουργικής του Χεριού, Ιωάννινα 30 Οκτ- 1 Νοε, 2014. "Ανασκόπηση της Αρθροσκόπησης στο Χέρι".
Rotator cuff Tear and its management
Rotator cuff tear is a very common orthopedic condition, which causes shoulder pain and stiffness. The slides are on rotator cuff tears and its management by open repair, mini open repair & by arthroscopy
More Related Content
Viewers also liked
Shoulder arthroplasty & Physiotherapy
Dr. Satyendra Bhattacharyya's document discusses the history and procedure of shoulder arthroplasty. It begins with the first documented shoulder replacement in 1894, but focuses on developments starting in 1951 by Dr. Charles Neer, who created the first hemi-arthroplasty and total shoulder replacement. The document then discusses factors that influence arthroplasty outcomes, indications for the procedure for conditions like osteoarthritis and rheumatoid arthritis, and details each step of the surgical procedure. It concludes by describing postoperative rehabilitation protocols.
Tsr presentation slides
This document provides information about total shoulder replacement surgery. It discusses the anatomy of the shoulder joint and causes for replacement such as arthritis. The surgical procedure is described including removing damaged bone and inserting artificial components. Experimental plans are outlined for a clinical trial comparing a new device to an existing one by measuring range of motion outcomes over time. Statistical analysis methods including power analysis, normality tests, and parametric/nonparametric tests are proposed to analyze the data.
Knee arthroscopic Surgery in delhi by Dr. Shekhar Srivastav
Knee arthroscopic Surgery in delhi by Dr. Shekhar Srivastav - Dr. Shekhar Srivastav is an Orthopedic Surgeon attached to Sant Parmanand Hospital, Delhi with special interest in Knee & Shoulder surgery. After obtaining his M.S. Orthopedics degree he has undergone training in various centers in India and Abroad which has helped him in understanding the Orthopedics problems and their Management. He did his AO/ ASIF fellowship at University Hospital, Salzburg, Austria in 2006 and recieved training in Arthroscopy & Sports Medicine at TUM, Munich (Germany) & Rush Orthopedics Centre, Chicago( USA). He has an experience of more than fifteen years of diagnosing and treating Orthopedics & Trauma patients.
Current Concepts in Treatment of Proximal Humerus Fractures
This document discusses treatment options for proximal humerus fractures, including surgical and nonsurgical approaches. It summarizes several studies comparing outcomes of locking plate fixation versus nonoperative treatment, finding an advantage in function but also higher reoperation rates for plating. Hemiarthroplasty is presented as an alternative for nonreconstructable fractures, though outcomes are variable and depend on factors like tuberosity healing. Technical considerations for hemiarthroplasty are reviewed, including the importance of restoring proper version and head size to optimize function and avoid complications.
Proximal humerus fracture Management
This document discusses the classification and anatomy of proximal humeral fractures. It provides details on:
1) Neer's classification system which categorizes fractures based on displacement of fragments into 1, 2, 3, or 4-part fractures or fracture-dislocations.
2) Important anatomical factors like the relationship between the articular head and tuberosities which impact fracture patterns.
3) Pre-operative planning involves accurate imaging like radiographs and CT scans to identify fracture characteristics to guide treatment.
Thoraco Lumbar Spine Injury
This document discusses the anatomy and physiology of the thoracolumbar spine and classifies different types of thoracolumbar spine injuries. It describes the anatomy of the spinal cord, blood supply, and biomechanics of the thoracic and lumbar regions. Various injury mechanisms are outlined including compression fractures, burst fractures, and chance fractures. Imaging techniques like x-rays, CT, and MRI are discussed. The Denis three-column theory and TLICS classification system are introduced to classify injuries as stable or unstable. Non-operative and surgical treatment options are provided based on the injury classification.
Thoraco lumbar fractures of spine
This document discusses thoracolumbar fractures of the spine. It begins by describing the anatomy of the spine and functional spinal units. It then discusses the physiological anatomy of the thoracic and lumbar spine. It describes the etiology, classifications including the Denis three-column theory and AO/MAGREL classification, clinical presentations, investigations including x-rays, CT and MRI, and classifications of spinal instability for thoracolumbar fractures.
Proximal humerus fractures
- Humeral fractures are common, especially in older adults, with the surgical neck being the most common site. Most fractures are nondisplaced and can be treated nonsurgically.
- Displaced fractures, fractures with rotator cuff injuries, and those in poor bone quality patients may require surgical treatment like open reduction and internal fixation using plates or pins.
- Complications can include malunion, nonunion, avascular necrosis, and arthritis, so careful follow up is needed after surgical treatment of humeral fractures.
Spinal injury ppt
Spinal cord injuries can cause partial or complete loss of motor and sensory function below the site of injury. There are several types of spinal cord injuries including complete and incomplete injuries. Risk factors include men, young adults, seniors, and those active in sports. Causes include trauma, bullet wounds, and falls. Symptoms depend on the injury level but may include paralysis, numbness, loss of bowel/bladder control. Diagnostic tests include imaging like CT, MRI to determine injury level and severity. Complications can include autonomic dysreflexia, pressure sores, loss of sexual function. Treatment involves stabilizing the spine, managing complications, and long-term rehabilitation.
Reverse Total Shoulder Replacement, Final
The document discusses reverse total shoulder arthroplasty (rTSA), including:
- The procedure reverses the ball and socket of the shoulder joint.
- It was approved for use in the US in 2004.
- The new design moves the center of rotation medially and inferiorly, increasing deltoid tension and function as the primary shoulder elevator.
- Indications include severe rotator cuff deficiency or previous TSA failure. Contraindications include infection or inadequate bone stock. Potential complications range from minor issues like stiffness or hematoma to more serious problems like prosthesis loosening or nerve damage.
Proximal humerus fractures anatomy and classification
The document provides an overview of the anatomy and pathophysiology of proximal humerus fractures. It describes the bones that make up the shoulder girdle, including the humerus, scapula, and clavicle. Common fractures are then classified according to the Neer system based on the number of displaced bone fragments. Types include one-part, two-part, three-part, and four-part fractures, as well as fracture-dislocations. Factors like fragment displacement, head viability, and risk of osteonecrosis are discussed for each fracture pattern. The presentation concludes with a call for new classification systems that incorporate more fracture characteristics identified on imaging.
Viewers also liked (11)
Knee arthroscopic Surgery in delhi by Dr. Shekhar Srivastav
Knee arthroscopic Surgery in delhi by Dr. Shekhar Srivastav
Current Concepts in Treatment of Proximal Humerus Fractures
Current Concepts in Treatment of Proximal Humerus Fractures
Proximal humerus fractures anatomy and classification
Proximal humerus fractures anatomy and classification
Similar to Upper limb-arthroscopy
Extern conference-sani
1. The document describes a 43-year-old Thai woman who presented to the hospital after slipping and injuring her right elbow.
2. Physical examination revealed tenderness and limited range of motion of the right elbow due to pain and mild swelling. X-rays showed a fracture of the right radial neck.
3. The patient was diagnosed with a complex right elbow dislocation with a radial neck fracture. She underwent closed reduction with placement in a posterior long arm splint.
PROCEDURES
This document lists procedures and skills totals for different specialty areas and levels of training. It shows the number of second assists, first assists, and solo procedures completed. Specialties included are general surgery, orthopedics, OB/GYN, genitourinary, cardiothoracic, neurology, peripheral, oral/maxillofacial, ophthalmology, plastic and reconstructive surgery. Totals are provided for basic, intermediate and advanced levels of training within each specialty.
ACL INJURIES
This document provides an overview of anterior cruciate ligament (ACL) injuries, including:
1) The anatomy, functions, and mechanisms of ACL injury. Common symptoms include the knee popping out and difficulty walking. Physical exams include the anterior drawer test and Lachman's test.
2) MRI is the best imaging method, showing primary signs like an absent ACL or secondary signs like bone bruises.
3) Treatment options include non-operative management for mild injuries or reconstruction using autografts like the patellar tendon or hamstring tendons. Proper technique and rehabilitation are important for success.
4) Complications can include limited motion, pain, and failure, which may be due to
Open Reduction of carpal bone fractures
This document discusses open reduction of carpal bone fractures. It begins by describing the carpal arcs and Amsterdam wrist rules for determining when X-rays are needed. It then discusses specific fractures of the scaphoid bone including classification, recommended imaging views, symptoms, treatment criteria involving casting or surgery, and surgical techniques for open reduction and percutaneous screw fixation. It also covers lunate dislocations, including pathoanatomy, imaging views, complications of nonoperative vs operative management, and surgical techniques. Brief sections discuss fractures of the triquetrum, pisiform, and hamate bones.
sanjeeb.pptx
This document outlines the principles of amputation, including indications, types, preoperative evaluation, operative techniques, postoperative care, and complications. It defines amputation as the trans-osseous removal of a limb or part of a limb. The document discusses the history of amputation and how techniques have improved over time with advances like anesthesia, antibiotics, and aseptic practices. Key aspects of performing amputations like flap design, vessel ligation, and bone cutting are described. The importance of postoperative care, rehabilitation, and avoiding complications is also emphasized.
De Bortoli N. La Manometria del Tratto Superiore. ASMaD 2016
DOTT. NICOLA DE BORTOLI - 1° Giornata Master ECM in Gastroenterologia 2016 (11/11/2016) - Fondazione Santa Lucia - Sala Congressi - Roma
Sito: www.asmad.net
Canale Youtube: https://youtu.be/ejLwZULp5zE
Patellar fx 5502004
This document discusses a case of a 51-year-old Thai man who was injured in a motorcycle accident, falling and striking his right knee on the ground. On examination, he had swelling and abrasions on his right knee with limited range of motion. Imaging showed a patellar fracture. The document then reviews anatomy of the patella, mechanisms of patellar injury, signs and symptoms of patellar fractures, imaging studies for diagnosis, classifications of patellar fractures, and treatment options which include non-operative management, open reduction and internal fixation, partial or complete patellectomy.
Ext conference ธนวัฒน์
A 62-year-old Thai woman presented to the emergency department after fainting and hitting her head 30 minutes prior. She reported being hit on the right side of her head by her husband which caused her to lose consciousness and fall, injuring her right elbow. On examination, she had deformity and tenderness of the right elbow with limited range of motion due to pain. X-rays revealed a lateral dislocation of the right elbow. The elbow was closed reduced and placed in a splint in flexion for follow up.
Updated PCL, PLC and Knee Dislocation for Postgraduate Orthopaedic Course in ...
Updated PCL, PLC and Knee Dislocation for Postgraduate Orthopaedic Course in ...Professor Deiary Kader
The document discusses the posterior cruciate ligament (PCL) and posterolateral corner (PLC) of the knee. It provides details on the anatomy, mechanisms of injury, clinical assessment, treatment, and complications for injuries to these structures. For PCL injuries, the strongest ligament in the knee, treatment involves conservative management for isolated acute injuries or reconstruction for chronic symptomatic injuries. For PLC injuries, addressing all injured ligaments is important as isolated treatment can fail. Reconstruction of the lateral collateral ligament, popliteus tendon, and popliteofibular ligament is recommended for chronic complete injuries.Αρθροσκόπηση του Καρπού, απο την Κλινική Εξέταση στις Σύνθετες Επεμβάσεις- Wr...
Review of the clinical exam, radiologic findings and operative treatment of common wrist conditions treated with wrist arthroscopy
Ομιλία στο Σεμινάριο Χειρουργικής του Χεριού, Ιωάννινα 30 Οκτ- 1 Νοε, 2014. "Ανασκόπηση της Αρθροσκόπησης στο Χέρι".
Rotator cuff Tear and its management
Rotator cuff tear is a very common orthopedic condition, which causes shoulder pain and stiffness. The slides are on rotator cuff tears and its management by open repair, mini open repair & by arthroscopy
Degenerative arthritis-of-the-elbow
Degenerative arthritis of the elbow can have primary or secondary causes such as trauma, fracture, dislocation, or sepsis. Patients typically present as male, aged 50-60, with discomfort, stiffness, and possibly locking and effusions in the elbow. Pain is usually activity-related and localized to the olecranon fossa, while stiffness commonly causes loss of flexion and extension. Investigations like plain X-rays and CT scans can reveal ossification in the fossae and osteophyte formation. Arthroscopy may be used to detect and remove loose bodies. Initial treatment focuses on advice, analgesia, activity modification, and NSAIDs, though operative options exist for advanced cases.
Degenerative arthritis-of-the-elbow
Degenerative arthritis of the elbow can have primary or secondary causes such as trauma, fracture, dislocation, or sepsis. Patients typically present as male, aged 50-60, with discomfort, stiffness, and possibly locking and effusions in the elbow. Pain is usually activity-related and localized to the olecranon fossa, while stiffness commonly causes loss of flexion and extension. Investigations like plain X-rays and CT scans can reveal ossification in the fossae and osteophyte formation. Arthroscopy may be used to detect and remove loose bodies. Initial treatment focuses on advice, analgesia, activity modification, and NSAIDs, though operative options exist for advanced cases.
Principles of amputation
This document outlines the principles of amputation, including definitions, indications, types, pre-operative evaluation, operative techniques, post-operative care, and complications. It notes that amputation is an ancient procedure that should be viewed not as a failure of treatment, but as the first step towards allowing a patient to return to a more comfortable life. The document emphasizes the multidisciplinary nature of amputation and importance of both surgical and post-operative care in achieving the best outcomes for patients.
Larynx
This document provides information on laryngeal carcinoma including epidemiology, clinical features, workup, staging, and treatment approaches. It discusses the anatomy of the larynx and describes the different subsites of laryngeal cancer including supraglottic, glottic, and subglottic. Treatment depends on the stage but may include surgery such as cordectomy or laryngectomy as well as radiation therapy with or without chemotherapy. Several important clinical trials established concurrent chemoradiation as the standard of care for advanced laryngeal cancer to improve larynx preservation rates.
ESCRS14 - Femtosecond Laser Assisted Cataract Surgery With or Without Ophthal...
This study investigated the impact of using ophthalmic viscosurgical devices (OVDs) during femtosecond laser-assisted cataract surgery (FLACS) on postoperative visual acuity, endothelial cell count, and corneal thickness. Sixty-four patients underwent FLACS with OVDs and 64 underwent FLACS without OVDs, maintaining the anterior chamber with an irrigation handpiece. While best corrected visual acuity was similar between groups, avoiding OVDs resulted in less endothelial cell loss and lower postoperative intraocular pressure. The use of OVDs during FLACS does not seem to affect visual improvement but may increase endothelial cell loss and intraocular pressure after surgery.
Wrist arthroscopy metsovo 2011
This document discusses wrist arthroscopy techniques and indications. It covers management of scapholunate ligament injuries, triangular fibrocartilage complex tears, and distal radius fractures. Key points include:
- Arthroscopic debridement and repair are used for acute vs chronic scapholunate ligament injuries.
- Central triangular fibrocartilage complex tears are debrided while peripheral tears can be repaired arthroscopically or openly.
- Ulnocarpal impaction syndrome is treated with wafer resection or ulna shortening osteotomy.
- Arthroscopy can aid reduction and detection of injuries for some distal radius fractures.
Percutaneous transhepatic choledochography
Percutaneous transhepatic cholangiography (PTC) is a radiographic technique used to visualize the biliary tree. It can be used diagnostically when other imaging methods like MRCP or ERCP have been unsuccessful. PTC involves inserting a needle into the liver under imaging guidance and injecting contrast dye to outline the biliary ducts. It is indicated when ERCP has failed or is not possible, to evaluate biliary obstructions or leaks, or as the first step in percutaneous biliary interventions like stent placement. Potential complications include bile leakage, peritonitis, bleeding, and cholangitis.
Surgical procedures & most used Sets.pdf
Surgical procedure
and intervention
Procedures and treatments help to diagnose, treat and manage your organ
condition. Sometimes, procedures help to give your doctor more information
about your organ condition.
There are many different types of procedures and treatments for body organ
disease. Depending on the severity of your organ condition, you may need more
than one procedure and surgical treatment.
Similar to Upper limb-arthroscopy (20)
De Bortoli N. La Manometria del Tratto Superiore. ASMaD 2016
De Bortoli N. La Manometria del Tratto Superiore. ASMaD 2016
Updated PCL, PLC and Knee Dislocation for Postgraduate Orthopaedic Course in ...
Updated PCL, PLC and Knee Dislocation for Postgraduate Orthopaedic Course in ...
Αρθροσκόπηση του Καρπού, απο την Κλινική Εξέταση στις Σύνθετες Επεμβάσεις- Wr...
Αρθροσκόπηση του Καρπού, απο την Κλινική Εξέταση στις Σύνθετες Επεμβάσεις- Wr...
D. Ihsan Rotator Cuff Disorders-4 (Muhadharaty).pptx
D. Ihsan Rotator Cuff Disorders-4 (Muhadharaty).pptx
ESCRS14 - Femtosecond Laser Assisted Cataract Surgery With or Without Ophthal...
ESCRS14 - Femtosecond Laser Assisted Cataract Surgery With or Without Ophthal...
More from melbourneshouldersurgeon
Shoulder impingement
Shoulder impingement is a common condition that causes pain, especially with overhead activities or sleeping on the involved side. Diagnosis is usually made based on examination findings like positive Neer and Hawkins impingement signs and plain X-rays, though other imaging like MRI or ultrasound may be used. Initial treatment involves NSAIDs, physiotherapy including scapular strengthening and posterior capsular stretching, and sub-acromial injections. If non-operative treatment fails after 3 months, arthroscopic surgery may be considered as it offers less morbidity, faster recovery, and direct visualization of the joint compared to open surgery.
Rcd osteo
This document discusses the current surgical management and rehabilitation of rotator cuff disease. It covers various surgical techniques for partial thickness tears, full thickness tears, and massive tears, including arthroscopic and open approaches. For massive tears, options discussed include debridement, repair, tendon transfers such as latissimus dorsi or pectoralis major, and reconstruction. The rehabilitation process is described in phases focusing initially on protection and range of motion, followed by strengthening exercises over 4 to 6 months.
Posterior gleno-humeral-instability
Posterior glenohumeral instability accounts for 2-12% of shoulder instability cases and can be overlooked due to mild symptoms. It can be congenital or acquired from repetitive stress injury or trauma. Examination involves tests like the posterior drawer test and posterior apprehension test. Treatment begins with physiotherapy but surgery is indicated for recurrent instability. Surgical options include arthroscopic capsular shift or open techniques like posterior capsulorrhaphy. Post-operative rehabilitation involves restricted motion initially and a gradual return to sport over 3-6 months. Complications can include loss of motion or nerve injuries.
Occ health-presentation
This document discusses evidence-based treatment options for rotator cuff problems. It reviews the prevalence of rotator cuff issues, natural history studies on asymptomatic and symptomatic tears, and various treatment approaches including non-operative options like exercise, manual therapy, and corticosteroid injections. It also examines surgical treatment variables and outcomes. The conclusions recommend a trial of non-operative care including physical therapy exercises targeting range of motion, stretching, and strengthening before considering surgery, which may be indicated if non-operative treatments fail or an MRI confirms a tear.
Hand injuries
The document discusses various hand injuries, including fractures, dislocations, and ligament injuries. It provides details on evaluating and treating different types of injuries through examination, imaging, and both nonsurgical and surgical techniques. Metacarpal and phalangeal fractures are generally first treated nonsurgically, while displaced or unstable fractures may require open reduction and internal fixation. Thumb injuries like Bennett's fractures and collateral ligament tears often benefit from surgical repair to restore anatomy and avoid long-term issues. Evaluation involves assessing injury mechanism, swelling, deformity, range of motion, and imaging findings to determine appropriate treatment.
Common Upper Limb Fractures
1. Common upper limb fractures include fractures of the clavicle, proximal humerus, distal radius, and scaphoid.
2. Clavicle fractures most often occur in the middle third and are usually treated non-surgically with a sling. Surgical treatment is indicated for open fractures or displaced fractures.
3. Proximal humerus fractures are more common in the elderly and young. Treatment depends on the degree of displacement, with minimally displaced fractures treated non-surgically and more displaced fractures requiring surgical fixation.
More from melbourneshouldersurgeon (6)
Upper limb-arthroscopy
- 1. UPPER LIMB ARTHROSCOPY
- 2. JOINTS Shoulder Elbow Wrist Trapezio-metacarpal
- 3. SHOULDER Indications rotator cuff pathology instability
- 4. SHOULDER
- 5. SHOULDER
- 6. ELBOW Indications removal of loose body joint debridement capsular release
- 7. WRIST Indications diagnostic tool prior to LWF to confirm cartliage OK styloidectomy joint debridement TFCC tear
- 8. WRIST Arthroscopic debridement radial styloidectomy
- 11. Radial Styloidectomy 2 May be performed arthroscopically or open Used to relieve pain caused by impingement of the tip of the radial styloid & malpositioned distal scaphoid Symptomatic relief without formal reconstructive surgery (Does not treat cause of malalignment)
- 12. OTHER 1ST CMCJ
- 13. OK Procedure Ingenious operation Fenestrate olecranon fossa Debride anterior & posterior osteophytes plus remove LB