Blog Elements - Acta of Shoulder and Elbow Surgery

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Surgical treatment of shoulder instability using transsubscapularis transfer of the long biceps tendon

January 10, 2019/0 Comments/in Vol 3 | Issue 1| Jan-June 2019 /by ASESADMIN2016

Acta of Shoulder and Elbow Surgery | Volume 3 | Issue 1 | Jan- June 2019 | Page 13-15 | Yonder Archanjo Ching San Junior, Max RogÃcrio Freitas Ramos, Settings Luiz, Diogo Fagundes Henrique Pereira Alves, Paulo RogÃcrio Moritz Postigo Authors: Yonder Archanjo Ching San Junior[1], Max RogÃcrio Freitas Ramos[1], Settings Luiz[1], Diogo Fagundes Henrique […]

Evaluation of Complications of Shoulder Arthroscopy in the Treatment of Sub acromial Pathologies

January 10, 2019/0 Comments/in Vol 3 | Issue 1| Jan-June 2019 /by ASESADMIN2016

Acta of Shoulder and Elbow Surgery | Volume 3 | Issue 1 | Jan- June 2019 | Page 7-12 | Alexandre de Almeida, Nayvaldo Couto de Almeida, Rafael Filipini Carraro, Samuel Pante, Ana Paula Agostini, Daniel C Agostini Authors: Alexandre de Almeida [1], Nayvaldo Couto de Almeida [1], Rafael Filipini Carraro [2], Samuel Pante [1], […]

Surgical treatment of shoulder instability using transsubscapularis transfer of the long biceps tendon

January 10, 2019/0 Comments/in Vol 3 | Issue 1| Jan-June 2019 /by ASESADMIN2016

Evaluation of Complications of Shoulder Arthroscopy in the Treatment of Sub acromial Pathologies

January 10, 2019/0 Comments/in Vol 3 | Issue 1| Jan-June 2019 /by ASESADMIN2016

Full Sized Blog Element (Big Preview Pic)

Surgical treatment of shoulder instability using transsubscapularis transfer of the long biceps tendon

January 10, 2019/0 Comments/in Vol 3 | Issue 1| Jan-June 2019 /by ASESADMIN2016

Authors: Yonder Archanjo Ching San Junior[1], Max RogÃcrio Freitas Ramos[1], Settings Luiz[1], Diogo Fagundes Henrique Pereira Alves[1], Paulo RogÃcrio Moritz Postigo [1].

[1] Consultório: Av. Paisagista José Silva de Azevedo Neto, 200 – Bloco 7
(Ecology) Sala 330 – Barra da Tijuca
Clínica Le Sage: Rua da Assembléia, 10 – Sala 1215 – Centro – Rio de
Janeiro

Address of Correspondence
Dr. Yonder Archanjo Ching San Junior,
Ortopedia e Traumatologia – Cirurgia do Ombro e Cotovelo
Email: yondersanjr@gmail.com

Abstract

Objectives: To describe the long bicepstendon transfer technique for the treatment of anterior shoulder instability.
Method: The long tendon of the biceps brachiiwas detached from the supraglenoid tubercle and transferred to the anterior edge of the glenoid cavity using subscapularis tenotomy, reproducing the slingeffect and increasing the anterior bone block.
Results: The technique is easy to perform and minimises the risks of coracoid process transfer.
Conclusion: Transfer of the long tendon of the biceps brachii is an option for the treatment of glenohumeral instability.
Keywords: Joint instability/pathology, Joint instability/surgery, Shoulder joint/pathology, Shoulder joint/surgery, Cadaver

References

1. Lech O, Freitas JR, Piluski P, Severo A. LuxaçãoRecidivante do Ombro: do papiro de Edwin Smith à capsuloplastiatérmica. Rev Bras Ortop 2005;40(11/12):625-37
2. Burkhart SS, DeBeer JF, Tehrany AM, Parten PM. Quantifying glenoid bone loss arthroscopically in shoulder instability. Arthroscopy 2002;18(5):488-91
3. Burkhart SS, DeBeer JF. Traumatic Glenoumeral Bone Defects and Their Relationship to Failure of Arthroscopic Bankart Repairs: Significance of the Inverted-Pear Glenoid and the Humeral Engaging Hill-Sachs Lesion. Arthroscopy 2000;16(7):677-94
4. Lo IKY, Parten PM, Burkhart SS. The Inverted Pear Glenoid: an Indicator of Significant Glenoid Bone Loss. Arthroscopy 2004;20(2):169-174
5. De Wilde LF, Berghs BM, Audenaert E, Sys G, Van Maele GO, Barbaix E. About the variability of the shape of the glenoid cavity. SurgRadiolAnat2004;26:54-59
6. Vogt S, Eckstein F, Scon M, Putz R. Preferential direction of the collagen fibrils in the subchondral bone of the hip and shoulder joint. Ann Anat1999;181:181-89
7. Fealy S, Rodeo SA, Dicarlo EF, O’Brien SJ. The developmental anatomy of the neonatal glenoumeral joint. J Shoulder Elbow Surg2000;9:217-222
8. Aigner F, Longato S, Fritsch H, Kralinger F. Anatomical Considerations Regarding the “Bare Spot” of the Glenoid Cavity. SurgRadiolAnat (2004)26:308-311
9. Huysmans PE, Haen PS, Kidd M, Dhert WJ, Willems JW. The shape of the inferior part of the glenoid: a cadaveric study. J Shoulder Elbow Surg 2006;15(6):759-763
10. JJ, Baker CL, Uribe J. The incidence of Hill-Sachs Lesions in Initial Anterior Shoulder Dislocations. Arthroscopy 1989;5(4):254-257
11. Burkhart SS, DeBeer JF, Barth JRH, Criswell T, Roberts C, Richards DP. Results of Modified Latarjet Reconstruction in Patients With Anterior Instability and Significant Bone Loss. Arthroscopy 2007;23(10):1033-1041
12. Sturzenegger, M., Béguin, D., Grünig, B. et al. Muscular strength after rupture of the long head of the biceps. Arch. Orth. Traum. Surg. 1986; 105(18): 225-29
13. Kelly, AM., Drakos, MC., Fealy, S., Taylor, SA., O’Brien, SJ. Arthroscopic Release of the Long Head of the Biceps Tendon. Am Jour Sport Med. 2005;33(2): 208-13
14. Elser, F., Braun, S. Dewing, CB. Giphart, JE., Millett PJ. Anatomy, Function, Injuries, and Treatment of the Long Head of the Biceps Brachii Tendon. Arthroscopy 2011; 27(4): 581-92
15. Karlsson J. In reparable rotator cuff tears with lesions of the long head of the biceps brachii tendon, tenotomy did not differ from tenodesis in terms of function or pain. JBJS. 2017; 99(4):351.
16. JC Garcia Jr, Nunes CV, Raffaelli MDP, Sasaki AD, Salem SH, Rowinski S, Pina M. Long Head of Biceps- a Vestigial Structure? Acta of Shoulder and Elbow Surgery Jan – June 2017;2(1):22-27
17. Taylor SA, Ramkumar PN, Fabricant PD, Dines JS, Gausden E, White A, Conway JE, O’Brien SJ. The clinical impact of bicipital tunnel decompression during long head of the biceps tendon surgery: a systematic review and meta-analysis. Arthroscopy. 2016; 32(6):1155-64.
18. Winston BA, Robinson K, Crawford D. “Monocept”: A Brief Report of Congenital Absence of the Long Head of the Biceps Tendon and Literature Review. Case reports in orthopedics. 2017;2017.
19. JC Garcia Jr, AM Cardoso Jr, MB D. Mello. Arthroscopic Long Head Biceps Tenodesis in Coracoid associated with its Transfer to the Conjoined Tendon. Acta of Shoulder and Elbow Surgery Jan – June 2017;2(1):7-10

How to Cite this article: Junior Y A C S, Ramos M R F, Luiz S, Alves D F P, Postigo P R M. Surgical treatment of shoulder instability using transsubscapularis transfer of the long biceps tendon. Acta of Shoulder and Elbow Surgery Jan – June 2019;3(1):13-15

(Abstract Full Text HTML) (Download PDF)

Evaluation of Complications of Shoulder Arthroscopy in the Treatment of Sub acromial Pathologies

January 10, 2019/0 Comments/in Vol 3 | Issue 1| Jan-June 2019 /by ASESADMIN2016

Authors: Alexandre de Almeida [1], Nayvaldo Couto de Almeida [1], Rafael Filipini Carraro [2], Samuel Pante [1], Ana Paula Agostini [3], Daniel C Agostini [4].

[1] Department of Orthopaedic, Pompeia Hospital, Caxias do Sul, RS, Brazil
[2] Second Year Fellowship Resident at Pompeia Hospital, Caxias do Sul, RS, Brazil
[3] Department of Pediatrics, Caxias do Sul University, Caxias do Sul, RS, Brazil
[4] Department of Radiology, General Hospital, Caxias do Sul, RS, Brazil

Address of Correspondence
Dr. Alexandre de Almeida,
Rua Vitório Buzelatto, 222/601. Caxias do Sul, RS, Brazil.
Zip: 95020290.
E-mail: alealmeida19613@gmail.com

Abstract

Objectives: to analyze the prevalence of complications of arthroscopic shoulder surgery for the treatment of sub acromial pathologies and verify if it is affected by sex, age, obesity, smoking habit or by the surgeon’s learning curve.
Methods: from Aug 2001 to Oct 2017, 1322 shoulders were treated for sub acromial pathologies by arthroscopic technique. One surgeon operated all the cases of subacromial pathologies. Exclusion criteria were revision surgeries and insufficient medical records, resulting in a total of 1246 patients.
Results: The analysis of the sample showed a significant predominance (p<0.0001) of the female patients (60.5%). The group of female patients had the highest age (p<0.001). There were complications in 197 patients. The prevalence of complications was 15.8%. Analyzing the female patients separately, a prevalence of complications of 16.5% was verified, while the male patients had 14.8% (p=0.432). Statistical analysis showed a higher prevalence of complications in younger patients (p=0.036). Obese patients (25.8% of the sample) had 13.4% of complications, while non-obese patients had 16.7% (p=0.161). The analysis of complications according to smoking habits did not show a higher prevalence of complications when comparing smokers and nonsmokers (p=0.492). The most frequent complication found in the study was stiffness, with 63 cases (32.5% of the complications). We found 36 cases of stiffness (6.3%) in the immobilized group with a common sling, while the immobilized group with a neutral rotation cushion of the MS presented 27 cases of stiffness (4%). The reduction of 2.3% with the use of sling in neutral rotation was not considered significant (p = 0.066). We analyzed the first 400 arthroscopic cases with the last 400 cases operated. 20.8% of complications were found in the first 400 cases operated and 10.5% in the last 400 cases (p<0.001).
Conclusion: The prevalence of complications of arthroscopic shoulder surgery for the treatment of sub acromial disorders was 15.8%. It was not possible to demonstrate sex, obesity and smoking as risk factors for shoulder arthroscopy complications. It was possible to demonstrate that the age under 65 years and the surgeon’s learning curve significantly affect the prevalence of complications after shoulder arthroscopy.
Keywords: shoulder, arthroscopy, complications.

References

1. Noud PH, Esch J. Complications of Arthroscopic Shoulder Surgery. Sports Med Arthrosc Rev _ Volume 21, Number 2, June 2013.
2. Martin CT, Gao Y, Pugely AJ, Wolf BR. 30-day morbidity and mortality after elective shoulder arthroscopy: a review of 9410 cases. J Shoulder Elbow Surg. 2013 Dec;22(12):1667-1675.e1.
3. Dal Molin FF, Mothes FC, Feder MG. Eficácia do aprendizado da videoartroscopia em modelos sintéticos / Effectiveness of the videoarthroscopy learning process in synthetic shoulder modelss. Rev. bras. ortop; 47(1): 83-91, jan.-fev. 2012.
4. Alvand A, Auplish S, Gill H, Rees J. Innate Arthroscopic Skills in Medical Students and Variation in Learning Curves. J Bone Joint Surg Am. 2011 Oct 5;93(19):e115(1-9).
5. Henn III RF, Shah N, Warner JJP, Gomoll AH. Shoulder Arthroscopy Simulator Training Improves Shoulder Arthroscopy Performance in a Cadaveric Model. Cartilage Repair Center, Brigham and Women’s Hospital, Chestnut Hill, Massachusetts, U.S.A. Accepted: February 12, 2013; Published Online: April 15, 2013
6. Andersen C, Winding TN, Vesterby MS. Development of simulated arthroscopic skills. A randomized trial of virtual-reality training of 21 orthopedic surgeons. Acta Orthop. 2011 Feb; 82(1): 90–95.
7. Frank RM, Erickson B, Frank JM, Bush-Joseph CA, Bach Jr. BR, Cole BJ, Romeo AA, Provencher MT, Verma NN. Utility of Modern Arthroscopic Simulator Training Models. Published online: December 02, 2013
8. Editorial da Julie A. Dodds…
9. Marecek GS, Saltzman MD. Complications in Shoulder Arthroscopy. Orthopedics. July 2010 – Volume 33 • Issue 7: 492-497.
10. Lo IKY, Burkhart SS. Immediate Postoperative Fluid Retention and Weight Gain After Shoulder Arthroscopy. Volume 21, Issue 5 , Pages 605-610, May 2005.
11. Pereira ES, Ejnisman B, Archetti Netto N, Skaf AY. Roturas Completas do Manguito Rotador: Tratamento Cirúrgico. Sociedade Brasileira de Ortopedia e Traumatologia Colégio Brasileiro de Radiologia. Projeto Diretrizes. Associação Médica Brasileira e Conselho Federal de Medicina. 2007; 1-7.
12. Youm T, Murray DH, Kubiak EN, Rokito AS, Zuckerman JD. Arthroscopic versus mini-open repair: a comparison of clinical outcomes and patient satisfaction. J Shoulder Elbow Surg 2005;14:455-9.
13. H. Vastamäki, M. Vastamäki. Postoperative stiff shoulder after open rotator cuff repair: a 3- to 20-year follow-up study. Scandinavian Journal of Surgery 103: 263–270, 2013.
14. Warner JJ, Allen AA, Marks PH, et al. Arthroscopy release of postoperative capsular contracture of the shoulder. J Bone Joint Surg A. 1997;79:1151-1158.
15. Rubenstein WJ, Pean CA, Colvin AC. Shoulder Arthroscopy in Adults 60 or Older: Risk Factors That Correlate With Postoperative Complications in the First 30 Days. Arthroscopy. 2017 Jan;33(1):49-54.
16. Shields E, Thirukumaran C, Thorsness R, Noyes K, Voloshin I. An analysis of adult patient risk factors and complications within 30 days after arthroscopic shoulder surgery. Arthroscopy. 2015 May;31(5):807-15.
17. Berjano P, Gonzalez BG, Olmedo JF, Perez-Espana LA, Munilla MG. Complications in arthroscopic shoulder surgery. Arthroscopy. 1998;14:785–788
18. Rains DD, Rooke GA, Wahl CJ. Pathomechanisms and Complications Related to Patient Positioning and Anesthesia During Shoulder Arthroscopy. Arthroscopy Volume 27, Issue 4 , Pages 532-541, April 2011.
19. Dippmann C, Winge S, Nielsen HB. Severe cerebral desaturation during shoulder arthroscopy in the beach-chair position. Arthroscopy. 2010 Sep;26(9 Suppl):S148-50.
20. GOMIDE LC, SANTOS CERG, PEREIRA CJ, CARVALHO LCC, QUEIROZ SAS, LUCIANO RC, PEREIRA DB. Extravasamento de líquido no mediastino e derrame pleural durante artroscopia de ombro: relato de caso. Rev Bras Ortop. 2007;42(8):266-8
21. Borgeat A, Bird P, Ekatodramis G, Dumont D. Tracheal compression caused by periarticular fluid accumulation: a rare complication of shoulder surgery. J Shoulder Elbow Surg. 2000;9(5):443-5.
22. Hynson JM, Tung A, Guevara JE, Katz JA, Glick JM, Shapiro WA. Complete airway obstruction during arthroscopic shoulder surgery. Anesth Analg. 1993;76(4):875-8.
23. Hynson JM, Tung A, Guevara JE, Katz JA, Glick JM, Shapiro WA. Complete airway obstruction during arthroscopic shoulder surgery. Anesth Analg. 1993;76:875–878.
24. Almeida A, Stangherlini E, Roveda G, Valin MR, Almeida NC. Avaliação da retenção hídrica com a técnica do soro fisiológico em suspensão durante a artroscopia do ombro. Rev Bras Ortop. 2007;42(10):343-8.
25. Manjuladevi M, Gupta S, Upadhyaya KV, Kutappa AM. Postoperative airway compromise in shoulder arthroscopy: A case series. Indian J Anaesth. 2013 Jan;57(1):52-5.
26. Edwards SG. Acromioclavicular stability: a biomechanical comparison of acromioplasty to acromioplasty with coplaning of the distal clavicle. Arthroscopy. 2003;19:1079–1084.
27. Barber FA. Long-term results of acromioclavicular joint coplaning. Arthroscopy. 2006;22:125–129.
28. Hariri A, Nourissat G, Dumontier C, Doursounian L.Pulmonary embolism following thrombosis of the brachial vein after shoulder arthroscopy. A case report. Orthop Traumatol Surg Res. 2009 Sep;95(5):377-9.
29. Anderson AF, Alfrey D, Lipscomb AB Jr. Acute pulmonary edema, an unusual complication following arthroscopy: a report of three cases. Arthroscopy. 1990;6(3):235-7.
30. Weber SC, Abrams JS, Nottage WM. Complications associated with arthroscopic shoulder surgery. The Journal of Arthroscopic and Related Surgery, Vol 18, No 2 (February, Suppl 1), 2002: pp 88–95.
31. Mohammed KD, Hayes MG, Saies AD. Unusual complications of shoulder arthroscopy. J Shoulder Elbow Surg. 2000;9(4):350–352.
32. Durant TJ, Cote MP, Arciero RA, Mazzocca AD. Fatal pulmonary embolism after arthroscopic rotator cuff repair: a case series. Muscles Ligaments Tendons J. 2014 Jul 14;4(2):232-7.
33. Edgar R, Nagda S, Huffman R, Namdari S. Pulmonary embolism after shoulder arthroscopy. Orthopedics. 2012 Nov;35(11):e1673-6.
34. Rossi MJ, Brand JC, Provencher MT, Lubowitz JH.Shoulder Arthroscopy Complication and Readmission Rates: Impact on Value. Arthroscopy. 2017 Jan;33(1):4-5.
35. Dietzel DP, Ciullo JV. Spontaneous pneumothorax after shoulder arthroscopy: a report of four cases. Arthroscopy. 1996;12(1):99-102.
36. Bishop JY, Sprague M, Gelber J, et al. Interscalene regional anesthesia for arthroscopic shoulder surgery: A safe and effective technique. J Shoulder Elbow Surg. 2006;15:567–570.
37. Fredrickson MJ, Kilfoyle DH. Neurological complication analysis of 1000 ultrasound guided peripheral nerve blocks for elective orthopaedic surgery: A prospective study. Anaesthesia. 2009;64:836–844.
38. Lee HC, Dewan N, Crosby L. Subcutaneous emphysema, pneumomediastinum, and potentially life-threatening tension pneumothorax (Pulmonary complications from arthroscopic shoulder decompression). Chest. 1992;101:1265–1267.
39. Muller D, Landsiedl F. Arthroscopy of the shoulder joint: a minimal invasive and harmless procedure?. Arthroscopy. 2000;16(4):425.
40. Durant TJ, Swanson BT, Cote MP, Allen DA, Arciero RA, Mazzocca AD. Upper extremity deep venous thromboembolism following arthroscopic labral repair of the shoulder and biceps tenodesis: a case report. Int J Sports Phys Ther. 2014 May;9(3):377-82.
41. Manaqibwala MI, Ghobrial IE, Curtis AS. Upper extremity thrombosis presenting as medial elbow pain after shoulder arthroscopy. Case Rep Orthop. 2014;2014:653146.
42. Yeranosian MG, Arshi A, Terrell RD, Wang JC, McAllister DR, Petrigliano FA. Incidence of acute postoperative infections requiring reoperation after arthroscopic shoulder surgery. Am J Sports Med. 2014 Feb;42(2):437-41.
43. Gomide LC, et al: “Relato de Caso: Queimadura de terceiro grau na região da placa eletrocirúrgica durente artroscopia do ombro.” RBO Jan e Fev/2011.
44. Sanders SM, et al. Case Report: third-degree burn from a grounding pad during arthroscopy. Arthroscopy. 2009;25(10):1193-7.
45. Curtin B, Friebe I. Dermal burn during hip arthroscopy. Orthopedics. 2014 Aug 1;37(8):e746-9.
46. Morrison DS, Schaefer RK, Friedman RL. The relationship between subacromial space pressure, blood pressure, and visual clarity during arthroscopic subacromial decompression. Arthroscopy. 1995;11:557–560.
47. Zeidan A, Bluwi M, Elshamaa K. Postoperative brain stroke after shoulder arthroscopy in the lateral decubitus position. J Stroke Cerebrovasc Dis. 2014 Feb;23(2):384-6.
48. Villevieille T, Delaunay L, Gentili M, Benhamou D. Arthroscopic shoulder surgery and ischemic cerebral complications. Ann Fr Anesth Reanim. 2012 Nov;31(11):914-8.
49. Pitman MI, Nainzedeh N, Ergas E, Springer S. The use of somatosensory evoked potentials for detection of neuropraxia during shoulder arthroscopy. Arthroscopy. 1988;4(4):250–255.
50. Klein AH, France JC, Mutschler TA, Fu FH. Measurement of brachial plexus strain in arthroscopy of the shoulder. Arthroscopy. 1987;3:45–52.51. Silva Jr. M, Barros MA, Chahda MAL, Santos IM, Marubayashi LY, Malbouisson LMS. Fatores de risco para complicações perioperatórias em cirurgias endoscópicas com irrigação. Rev. Bras. Anestesiol. vol.63 no.4 Campinas July/Aug. 2013.
52. Heyer JH, Kuang X, Amdur RL, Pandarinath R, Identifiable risk factors for thirty-day complications following arthroscopic rotator cuff repair. 2017; 11: 1-15.
53. Centers for Disease Control and Prevention. Overweight and obesity: Adult obesity facts. http://www.cdc.gov/ obesity/data/adult.html. Updated September 21, 2015. Accessed October 30, 2015.
54. Sing DC, Ding DY, Aguilar TU, Luan T, Ma CB, Feeley BT, Zhang AL. The Effects of Patient Obesity on Early Postoperative Complications After Shoulder Arthroscopy. Arthroscopy. 2016 Nov;32(11):2212-2217.e1.
55. Gandhi R, Perruccio AV, Rizek R, Dessouki O, Evans HM, Mahomed NN. Obesity-related adipokines predict patient reported shoulder pain. Obes Facts 2013; 6:536-541.
56. Evanoff A, Sabbath EL, Carton M, et al. Does obesity modify the relationship between exposure to occupational factors and musculoskeletal pain in men? Results from the GAZEL cohort study. Plos One 2014; 9:el109633.
57. Gumina S, Candela V, Passaretti D, et al. The association between body fat and rotator cuff tear: The influence on rotator cuff tear sizes. J Shoulder Elbow Surg 2014;23: 1669-1674.
58. Warrender WJ, Brown OL, Abboud JA. Outcomes of arthroscopic rotator cuff repairs in obese patients. J Shoulder Elbow Surg 2011;20:961-967.
59. Gallagher BP, Bishop ME, Tjoumakaris FP, Freedman KB. Early versus delayed rehabilitation following arthroscopic rotator cuff repair: A systematic review. Phys Sportsmed. 2015 May;43(2):178-87.
60. Riboh JC, Garrigues GE. Early passive motion versus immobilization after arthroscopic rotator cuff repair. Arthroscopy. 2014 Aug;30(8):997-1005.
61. Arndt J, Clavert P, Mielcarek P, Bouchaib J, Meyer N, Kempf JF. Immediate passive motion versus immobilization after endoscopic supraspinatus tendon repair: a prospective randomized study. Orthop Traumatol Surg Res. 2012 Oct;98(6 Suppl):S131-8.
62. Guttmann D, Graham RD, MacLennan MJ, Lubowitz JH. Arthroscopic rotator cuff repair: the learning curve. Arthroscopy. 2005 Apr;21(4):394-400.

How to Cite this article: Almeida A, Almeida N, Carraro R F, Pante S, Agostini A P, Agostini D C. Evaluation of Complications of Shoulder Arthroscopy in the Treatment of Sub acromial Pathologies. Acta of Shoulder and Elbow Surgery Jan- June 2019;3(1):7-12.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Surgical treatment of shoulder instability using transsubscapularis transfer of the long biceps tendon

Evaluation of Complications of Shoulder Arthroscopy in the Treatment of Sub acromial Pathologies

Surgical treatment of shoulder instability using transsubscapularis transfer of the long biceps tendon

Evaluation of Complications of Shoulder Arthroscopy in the Treatment of Sub acromial Pathologies

Full Sized Blog Element (Big Preview Pic)

Surgical treatment of shoulder instability using transsubscapularis transfer of the long biceps tendon

Authors: Yonder Archanjo Ching San Junior[1], Max RogÃcrio Freitas Ramos[1], Settings Luiz[1], Diogo Fagundes Henrique Pereira Alves[1], Paulo RogÃcrio Moritz Postigo [1].

Abstract

References

(Abstract Full Text HTML) (Download PDF)

Evaluation of Complications of Shoulder Arthroscopy in the Treatment of Sub acromial Pathologies

Authors: Alexandre de Almeida [1], Nayvaldo Couto de Almeida [1], Rafael Filipini Carraro [2], Samuel Pante [1], Ana Paula Agostini [3], Daniel C Agostini [4].

Abstract

References

(Abstract Full Text HTML) (Download PDF)

ASES License

Contact

Important Links

Publisher