Conservative management of shoulder injuries:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2000
|
| Schriftenreihe: | The orthopedic clinics of North America
31,2 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XI S., S. 159 - 350 zahlr. Ill., graph. Darst. |
Internformat
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| 245 | 1 | 0 | |a Conservative management of shoulder injuries |c Richard J. Friedman, guest ed. |
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| 300 | |a XI S., S. 159 - 350 |b zahlr. Ill., graph. Darst. | ||
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| 490 | 1 | |a The orthopedic clinics of North America |v 31,2 | |
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| 650 | 7 | |a Conservatieve therapie |2 gtt | |
| 650 | 7 | |a Lichamelijk letsel |2 gtt | |
| 650 | 7 | |a Schouders |2 gtt | |
| 650 | 2 | |a Épaule - traumatismes | |
| 650 | 4 | |a Shoulder |x Wounds and injuries | |
| 650 | 4 | |a Shoulder |x injuries | |
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Datensatz im Suchindex
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| adam_text | a VVSI KVATlVi; MANAGEMENT OF SHOULDER INJURIES
CONTENTS
Preface xi
Richard J. Friedman
Anatomy and Biomechanics of the Shoulder 159
Andreas M. Haider, Eiji Itoi, and Kai Nan An
The anatomies and biomechanics of the glenohumeral joint and the scapu
lothoracic articulation are the subjects of this article. The anatomies of bones,
joints, ligaments, and muscles are described in detail, and current biome
chanical concepts concerning motion, stability, and force are presented.
Morphologic and biomechanical changes in pathologic conditions briefly are
described.
Acromioclavicular Joint Injuries 177
Henry D. Clarke and Peter D. McCann
Injuries to the acromioclavicular joint are common, and most can be treated
nonoperatively. Appropriate treatment depends on accurate diagnosis and
appreciation of the classification of these various injuries. Descriptions of
the commoner acromioclavicular joint injuries, details of the nonoperative
treatment, and indications for surgical treatment are reviewed.
Conservative Management of Sternoclavicular Injuries 189
George L. Yeh and Gerald R. Williams, Jr
Injuries to the sternoclavicular joint are rare because of its strong ligamen
tous support. Because of the strong forces involved and the proximity of the
joint to the great vessels and other mediastinal structures, however, ster¬
noclavicular injuries can be very serious and potentially life threatening.
Sternoclavicular injuries include traumatic sprains and dislocations, atru
amatic spontaneous dislocations, and epiphyseal fractures in patients under
25 years of age. Diagnosis is made by history, physical examination, and
radiographic studies such as the CT scan. Conservative management con¬
sists of benign neglect and closed or percutaneous reduction and immobi¬
lization. If the injury is treated acutely, conservative management often pro¬
duces good long term results.
THE ORTHOPEDIC CLINICS OF NORTH AMERICA
VOLUME 31 • NUMBER 2 • APRIL 2000 yii
Fractures About the Shoulder: Conservative Management 205
Brodie E. McKoy, Christopher V. Bensen, and Langdon A. Hartsock
Fractures about the shoulder are a frequent occurrence. The clavicle and the
proximal humerus are fractured much more often than the scapula. Appro¬
priate diagnosis of these injuries and any associated injuries is essential. The
vast majority of these fractures may be treated conservatively with good
functional results.
Shoulder Dislocations in the Young Patient 217
Edmond Cleeman and Evan L. Flatow
Shoulder dislocations are often seen in young patients, particularly those
patients involved in collision sports. A conservative approach to treating
these injuries includes protection from early re injury, rehabilitation, and
gradual return to athletics and use. It is important to recognize associated
injuries such as fractures and nerve injuries. Surgical management is con¬
sidered early for the small subgroup with the highest risk of recurrence:
young athletes suffering a first traumatic dislocation returning to competi¬
tive athletics. Late operative repair is reserved for those who fail extensive
nonoperative management.
Shoulder Dislocations in Patients Older Than 40 Years of Age 231
Larry R. Stayner, Jeffrey Cummings, John Andersen,
and Christopher M. Jobe
Shoulder dislocations in patients over 40 years of age are common and are
frequently associated with serious injuries to adjacent structures. Associated
injuries such as brachial plexus injury, rotator cuff tear, axillary artery injury,
fractures about the shoulder, and recurrent dislocation can make shoulder
dislocations challenging problems for the clinician. Early diagnosis and
treatment of associated injuries and treatment complications are the main¬
stays in prevention of morbidity and, even, mortality.
The Painful Shoulder in the Throwing Athlete 241
David W. Altcheck and Michael Levinson
Successful nonoperative treatment of shoulder injuries in the throwing ath¬
lete requires a team approach. The physician, physical therapist, and athletic
trainer work together with the athlete to determine a diagnosis and design
a treatment protocol. Injury recovery requires restoration of muscle strength
and balance followed by a careful return to a throwing program.
The Painful Shoulder in the Swimming Athlete 247
Marilyn M. Pink and James E. Tibone
Given the popularity of swimming and the high risk of injury associated
with the sport, many clinicians come into contact with the swimmer s shoul¬
der. This article describes the mechanism of injury, diagnostic tools, and
subtle signs of injury for sioimmer s shoulder. It focuses on conservative treat¬
ment for the injury, including methods for stretching and strengthening and
eliminating acute inflammation.
viii CONTENTS
Posterior Shoulder Instability 263
Steve A. Petersen
Understanding the anatomic restraints to posterior shoulder instability and
the resulting pathophysiology helps the treating physician make a correct
diagnosis and formulate an appropriate treatment plan. A nonoperative pro¬
gram directed at reducing pain and increasing stability through compre¬
hensive shoulder strengthening methods has generally been successful in
treating recurrent posterior shoulder subluxation. Surgical options for treat¬
ment are reserved for those patients who fail to recognize improvement after
six months of therapy and have no evidence of a psychological disturbance
as the cause of their posterior instability.
Multidirectional Instability of the Glenohumeral Joint 275
Yuehuei H. An and Richard J. Friedman
The concept of multidirectional instability (MDI) was introduced as an im¬
portant clinical entity in 1980. Previously, it had received little mention in
the literature and was not considered to be clinically relevant. MDI is a
symptomatic glenohumeral subluxation or dislocation occurring in more
than one direction. The basic pathology of this condition is a loose and
redundant joint capsule. Most patients with MDI can be treated successfully
by conservative methods, such as patient education, a shoulder girdle
strengthening program, or modification of the patient s routine activity.
Shoulder Impingement 285
David S. Morrison, Brad S. Greenbaum, and Andy Einhorn
Understanding the pathophysiology and treatment of rotator cuff disorders
is the key to understanding all other aspects of shoulder rehabilitation. Im¬
pingement rehabilitation focuses on strengthening the humeral head de¬
pressors, while ignoring the deltoid and supraspinatus muscles. Later treat¬
ment includes specific retraining of scapular balancing muscles. The final
phase of treatment includes strengthening the prime humeral movers in
positions that avoid further stress to the injured rotator cuff tendons and,
last of all, specifically strengthening the supraspinatus muscle.
Nonoperative Treatment of Rotator Cuff Tears 295
James K. Mantone, Wayne Z. Burkhead, Jr, and Joseph Noonan, Jr
Rotator cuff tears and subacromial impingement are second only to acro
mioclavicular joint disorders as the most common causes of shoulder pain.
Although most orthopedic surgeons are willing to initially treat shoulder
impingement syndrome conservatively, they are reluctant to manage rotator
cuff tears especially full thickness tears nonoperatively. The purpose of
this article is to explain the biomechanical rationale of nonoperative treat¬
ment, review the literature pertaining to nonoperative treatment of full
thickness rotator cuff tears, and describe a nonoperative treatment program.
Tendon Ruptures About the Shoulder 313
Robert Daniel Travis, Robert Doane, and Wayne Z. Burkhead, Jr
Although degeneration and strain of musculotendinous structures are fre¬
quent causes of shoulder pain, sudden violent injuries in young individuals
can lead to complete musculotendinous ruptures. Some of these conditions
lend themselves well to nonoperative treatment. This article will enable the
physician to determine the clinical diagnosis and formulate a treatment plan
CONTENTS ix
for each patient as an individual. Some patients may be satisfied with an
accurate diagnosis only, while others demand more aggressive operative
care.
Nerve Lesions About the Shoulder 331
Robert D. Leffert
The shoulder is the most mobile joint in the body. Because it serves as a way
station for the nerves supplying the upper limb, it creates a potential for
nerve lesions that may be caused or significantly influenced by the complex
dynamics of the shoulder girdle. This article presents the most commonly
encountered lesions as well as an algorithm for their diagnosis and treat¬
ment.
Index 347
Subscription Information Inside back cover
x CONTENTS
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| spelling | Conservative management of shoulder injuries Richard J. Friedman, guest ed. Philadelphia [u.a.] Saunders 2000 XI S., S. 159 - 350 zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier The orthopedic clinics of North America 31,2 Appareil locomoteur Conservatieve therapie gtt Lichamelijk letsel gtt Schouders gtt Épaule - traumatismes Shoulder Wounds and injuries Shoulder injuries Konservative Therapie (DE-588)4120594-7 gnd rswk-swf Schultergelenkverletzung (DE-588)4053565-4 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Schultergelenkverletzung (DE-588)4053565-4 s Konservative Therapie (DE-588)4120594-7 s DE-604 Friedman, Richard J. Sonstige oth The orthopedic clinics of North America 31,2 (DE-604)BV000001089 31,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008972696&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Conservative management of shoulder injuries The orthopedic clinics of North America Appareil locomoteur Conservatieve therapie gtt Lichamelijk letsel gtt Schouders gtt Épaule - traumatismes Shoulder Wounds and injuries Shoulder injuries Konservative Therapie (DE-588)4120594-7 gnd Schultergelenkverletzung (DE-588)4053565-4 gnd |
| subject_GND | (DE-588)4120594-7 (DE-588)4053565-4 (DE-588)4143413-4 |
| title | Conservative management of shoulder injuries |
| title_auth | Conservative management of shoulder injuries |
| title_exact_search | Conservative management of shoulder injuries |
| title_full | Conservative management of shoulder injuries Richard J. Friedman, guest ed. |
| title_fullStr | Conservative management of shoulder injuries Richard J. Friedman, guest ed. |
| title_full_unstemmed | Conservative management of shoulder injuries Richard J. Friedman, guest ed. |
| title_short | Conservative management of shoulder injuries |
| title_sort | conservative management of shoulder injuries |
| topic | Appareil locomoteur Conservatieve therapie gtt Lichamelijk letsel gtt Schouders gtt Épaule - traumatismes Shoulder Wounds and injuries Shoulder injuries Konservative Therapie (DE-588)4120594-7 gnd Schultergelenkverletzung (DE-588)4053565-4 gnd |
| topic_facet | Appareil locomoteur Conservatieve therapie Lichamelijk letsel Schouders Épaule - traumatismes Shoulder Wounds and injuries Shoulder injuries Konservative Therapie Schultergelenkverletzung Aufsatzsammlung |
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