Shoulder and Elbow Injuries in Athletes Prevention, Treatment and Return to Sport

Description

Thorough and concise, this practical reference provides a unique, on-field management approach to all athletic injuries to the shoulder and elbow, as well as nonoperative and operative treatment options, including arthroscopy and open surgery. Focusing on high-performance athletes, leading authorities in the field demonstrate how to provide pain relief, restore function, and return the athlete to sport and to prior level of performance in a safe and timely fashion.

Table of Contents:

Part I. Shoulder

Section I. Shoulder Instability, Rehabilitation, and Return to Sport

1. Anterior Shoulder Instability
a. Epidemiology, Mechanism of Injury, History, Physical Examination, and Imaging for Anterior Stability
b. Lateral Decubitus or Beach Chair
c. Arthroscopic Capsulolabral Repair/Reconstruction in the Beach Chair Position
d. Open Stabilization: Bankart and Capsular Shift, HAGL Repair
e. Glenoid Bone Loss: Open Latarjet
f. Glenoid Bone Loss: Arthroscopic LatArjet
g. Glenoid Bone Loss: Bone Graft Options: Iliac Crest, Distal Tibial Allograft
h. Glenoid Bone Loss: Bone Graft Options Distal Clavicle
i. Glenoid Bone Loss: Arthroscopic Bone Block
j. Arthroscopic Repair of Osseous Bankart Lesions
k. Humeral Head Bone Loss: Soft Tissue -- Remplissage
l. Humeral Head Bone Loss: Bone Graft Options -- Humeral Head Allograft
m. Bipolar Lesions: Pathomechanics, Evaluation and Surgical Approaches
n. Outcomes
o. International Perspective: France
p. International Perspective: Italy
q. International Perspective: Japan
r. Revision Anterior Stabilization: Work-up, Indications, and Outcomes

2. Posterior Shoulder Instability
a. Epidemiology, Mechanism of Injury, History, Physical Examination, and Imaging
b. Arthroscopic Posterior Capsulolabral Reconstruction and Posterior HAGL Repair and Outcomes
c. Open Posterior Capsulolabral Repair and Reconstruction
d. Arthroscopic Posterior Glenoid Bone Graft Options
e. Humeral Head Bone Loss: McLaughlin and Neer Transfers
f. Revision Posterior Stablilization: Work-up, Indications, and Outcomes

3. Multidirectional Shoulder Instability
a. Epidemiology, Mechanism of Injury, History, and Physical Examination, Imaging
b. Arthroscopic Capsular Plication and Shift
c. Open Capsular Shift

4. Shoulder Instability Rehabilitation and Return to Sport
a. Post-operative Rehabilitation: Anterior Stabilization
b. Post-operative Rehabilitation: Posterior Stabilization and Multidirectional Instability
c. Return to Sport

Section II. Rotator Cuff Injury

5. Overview

6. Rotator Cuff Contusion
a. Non-operative Treatment including Injections, Rehabilitation and Indications for Surgery
b. Arthroscopic Management

7. Full Thickness Posterior Rotator Cuff Tear
a. Arthroscopic Posterosuperior Rotator Cuff Repair for Full Thickness Tears
b. Outcomes
c. Suprascapaular Nerve: When to Decompress?

8. Isolated Subscapularis Tendon Tear
a. Physical Examination and Imaging
b. Surgical Treatment: Arthroscopic Repair
c. Surgical Treatment: Open Repair

9. Revision Repair
a. Posterior Cuff
b. Subscapularis: Pectoralis Major Transfer

10. Physical Therapy and Rehabilitation

Section III. Acromioclavicular Joint Injury

11. Overview

12. Surgical Treatment
a. Surgical Treatment: Arthroscopic
b. Surgical Treatment: Open
c. Outcomes
d. Post-Operative Rehabilitation and Return to Sport

Section IV. Clavicle Fractures

13. Overview

14. Surgical Treatment Options: Mid-Shaft Fracture
a. Surgical Treatment: Percutaneous Pinning
b. Surgical Treatment: ORIF with Plate FIxation

15. Treatment Options: Distal Fractures

Section V. Sternoclavicular Joint Injury

16. Overview

17. Treatment

Section VI. Biceps Labral Complex Injury

18. Overview

19. Treatment
a. Labral Repair
b. Labral Tear, Spinoglenoid Cyst, and Suprascapular Neuropathy
c. Biceps Tenotomy, Tenodesis, Transfer, Rehabilitation, and Return to Sport

Section VII. Pectoralis Major Injury

20. Overview

21. Treatment

Section VIII. Injuries of the Throwing Shoulder

22. Epidemiology, Mechanism of Injury, HIstory, and Physical Examination, Imaging, Work-up, and Indications for Surgery

23. Arthroscopic and Open Labral and/or Rotator Cuff Surgery

24. Throwing Programs and Return to Sport

25. Prevention in Youth Sports (Early Sports Specialization): Injuries of the Throwing Shoulder

Part II. Elbow

Section IX. Elbow Instability

26. Medial: Ulnar Collateral Ligament Injury
a. Epidemiology, Anatomy, Mechanism of Injury, History, and Physical Examination, Imaging
b. Surgical Treatment and Outcomes:  i. Posteromedial mpingement: Debridement     ii. UCL Reconstruction
c. Prevention in Youth Sports (Early Sports Specialization)
d. Rehabilitation and Return to Sport

27. Lateral: Posterolateral Rotary Instability

Section X. Elbow Tendon Injuries

28. Medial: Flexor/Pronator Tendon Injury

29.  Lateral: Extensor Carpi Radialis Brevis Tendon Injury

30. Distal Bicep Tendon Injury
a. Epidemiology, Anatomy, Mechanism of Injury, History, and Physical Examination, Imaging
b. Surgical Treatment, Outcomes, Rehabilitation, and Return to Sport

31. Triceps Tendon Injury

XI. Elbow Articular Cartilage and Bone Injuries

32. Osteochondritis Dissecans of the Capitellum