Disorders oft he Shoulder Diagnosis and Management: Shoulder Reconstruction THIRD EDITION VOLUME 1 Disorders oft he Shoulder Diagnosis and Management: Shoulder Reconstruction THIRD EDIT ION mrroat VOLUII! !111'0111 Joseph P. lannotli. MD. PhD Anthony Miniaci. MD. FRCSC Maynard Madden l'rofaaor and Cl\ai1nan l'roflmcr of &l!IIIIY llepertmantof OrthcipBGdic SIJliiiiY CIMIBnd Clinic I.e mer Collega of Medil;ine Cllllllll1111d Cliric lomer Collellfl of Mecfcine CIMIBnd Clinic C.. Wwklm "-"" Unive,_tv Garfield Holghb, Olio Tha CllwoW!d Clilic F"<lundltion CIMIIIId, !Jlia Josaph D. Zuckerman. MD Ga111ld R. Williams, Jr• • MD l'rdalacr 1nd Dllinntn D•parlmlnt ot ()tltcpaac SIIJ1llllY llisei•• l'niiiiiD NI W Yin Uriwlllily I!Dlpitallir Joint llaplnmlll'l! of OrthcipiiCIIc S\rgery Now Yin U!Wtl'llly Langone Medal Cenlar Thamu Jllfflnlll Unll'llllty Hoapllal NIW Yort NIW I'M Radlman lnlllillllll PhiledGiphit, l'llnn..,...,ilo I ... • W-o"l"-l l!rs· -Kluwe·r -Up·p-fncott WiUiilms & Willtins ... MtlfiJINt•~•.,_'fe:R•I.OWI Acquisitions EJitor: Brian Brown Protluct Ma~r: D;nre Murphy Productitm Manager: David Saltz berg Marltaing Manager: Lisa Zoks Manufoauring Manager: Beth Welsh D(sign Manager: Stephen Druding Protluctitm Serviw: Integra Software ServiCCli Pvt. Ltd. Printer: RR DOlUlcllcy Asia © 2014 by Lippincott Williams & Wilkins, a Wolttrs Kluwer Bwincss Second edition © 2007 by Lippincott Williams and Wilkins First edition© 1999 by Lippincott Williams &.Wilkins 35 1 West Camden Street Two Commerce Square Baltimore, MD 21201 2001 Mar~ Street Philadelphia, PA 19103 USA Printed in China All rights reserved. This book is protected by copyright. No part oft his book may be reproduced or transmitted in any form or by any means, including as phowcopies or scanned-in or other dectronic copies, or utilized by any information storage and retrieval systtm without written permission &om the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees arc not covered by the above-mentioned copyright. To request permission, please contact Lippincott Williams & Wilkins at 2001 Market Street, Philaddphia, PA 191 03, via email at [email protected], or via website at lww.com (products and services). Librruy of Conpas Catalopng-in-Public:ation Data Disordcn of the shoulder: diagnwill & management. - Third edition. P· ;em. Preceded by: Disorders of the shoulder I editors, Joseph P. Iannotti, Gerald R Williams Jr. 2nd ed. c2007. 2 v. (xii, 1364, I-42 p.). Includes bibliographical rcfcrcnCCli and index. ISBN 978-1-4511-2745-4 (v. 1)-ISBN 978-1-4511-3058-4 (v. 2)-ISBN 978-1-4511-3057-7 (v. 3) I. Iannotti, Joseph P., editor of compilation. II. Williams, Gerald R, Jr., 1958-editor of compilation. ill. Miniaci, Anthony, editor of compilation. N. Zuckerman, Joseph D. (Joseph David), 1952-editor of compilation. [DNLM: 1. Shoulder-surgery. 2. Athletic Injuries--diagnosis. 3. Athletic Injuries-surgery. 4. Joint Diseases-diagnwis. 5. Joint Dilleases-surgery. 6. Shoulder Joint-surgery. WE 810] RD557.5 617.5'72-dc23 2013020790 Care has been taken w confirm the accuracy oft he information present and to describe generally accepttd practices. However, the authors, ediwrs, and publisher are not responsible for errors or omissions or for any conscqucnCCli from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of this information in a panicular situation remains the professional responsibility of the practitioner; the clinical treatments described and recommended may not be considered absolute and universal recommendations. The authon, cdiwrs, and publisher have cxemd every effort to ensure that drug selection and dwagc: set forth in this ten arc in accordance with the current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader ill • to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent ill a new or infrequently employed drug. Some drugs and medical devices presented in this publication have Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It ill the responsibility of the health care provider w ascertain the FDA status of each drug or device planned for use in their clinical practice. To purchase additional copies of this book. call our cuswmcr service department at (800) 638-3030 or &x orders to (301) 223-2320. International customers should call (301) 223-2300. Vuit Lippincott Williams & Wilkins on the Internet: hnp://www.lww.com. Lippincott Williams & Wilkins customer service representatives arc awilablc from 8:30am w 6:00pm, EST. Dedication To my clinical and research colleagues, the students, residents, fellows, and my patients who together taught me all that I know about the shoulder and all that I will learn in the future. -joseph P. Iannotti To my parents Joe and Lina Miniaci, for the struggles, sacrifices, and risks that they endured to make a better life for their family. To my children Sara Lyn, Joseph, and Anthony, who have been a parent's dream and have always been there for me and shown an interest in what I did in my time away from home. And most ofa ll to my wife Judy, my best friend and the love of my life; she has made anything we have ever accomplished possible. -Anthony Miniaci I would like to dedicate the third edition ofShoulder Disorders to my patients, teachers, and students--past, present, and future-without whom this book would not be possible. In addition, I would like to thank Joe Iannotti for his friendship and mentoring over the years. Thanks also to Joe Zuckerman and Tony Miniaci for joining us on this project-it is vasdy better because ofy ou. Thanks to Bob Hurley and staff at Lippincott who have pushed us to finish this project. Finally, I would like to thank my wife, Robin, and my two children, Mark and Alexis, for their love and understanding. -Gerald R Williams, Jr. To my wonderful family-to my truly special wife Janet and my outstanding sons Scott and Matthew-you have been and always will be the most important and meaningful parts of my life. -joseph D. Zuckerman CONTENTS Dr~S.U •• PART Ill: Q: ,.., ir r-SJ.alola 201 l¥oo .. _1+ ..... - !) Owlllradoo, Enla•don, aDJi N~ MaDopocot of Pro= Sboulclcr 203 PAIT 1: Raoatar ~ md Bic:r:p ]l:wl._ 1 !-....,.,.__~ 10 ~M·· ....- ofcildalr 1 C-oaJp.IlIlI.a ...U.. _.U .o_f..L.._., , Clllr. IWFT ' Sl!ouldo. 211 n..M.-... .... P.: .... 2 Enluoliao, Oini.cal DeWioo Moki"" aDJi 11 Opco!dt••....,....ofdltScllf NollOjl<Diino t.b""F"""' afR..awcut Shoodder 225 aDd l'mpatable ..,_, OdfTw. 41 n.n.u.~.M~wa.a ...P .tB..._ •a...l!uiMu\ ..._ ,.,_ 3 BioJosicol U. BAJ. ofN,.f,onjca) ....! PUT II: ~ml>lioo in lb. Maa.pman: GIC"'ohu•-' Arduidlud •eh~ .o.f_ll...o.l,a_w.. C, WF'Il:ua 56 Oi.rHdaa :Ul 4 'iCDdoo 'liaoWo lor hrcpllh1c Rmaot 12 l'olbp~ O..;&corinns, .,.j a.BT<OD 71 Moomm"'T.,[ Glcnolw.mc:uJ AnbDcio ......... L ~ ... U. .... nllld:. ... ....t RoJau.~ DiootdCIJI m 5 BlAxpo T=odet1• lDcllcat10114 'Il:cl~Alquco, bMIII.~M and RA:ouho ~3 13 Biomccho•lculche~Joinc ~J. ..n iRlt.ll!wle.blllt Jnllamao Oil Sbaulclcr .A!duopluty 3(1.4 a.L luli\l lrlllllW ilMa.& nl.a.t!P. -.nzi 14 AllllmiMo 1lu Ropla._a>t Ardavpbrty w PAll II: .IWG!cooh'UDaOIADhtltlo Glm@D'D"''llafthililr 113 ~_ll..L......__,o! 616t.F--~I..a.lf!....,_. .. 6 Coaplkoriou of'-abililrSulfar 11S a..t:J.IIIIIIIII. .u ..M IIlO.a- at- 1 "~u-a' iM.J D -i1oD-Uo' 0~' '-'D ~ . D. nU-.J-.-: •e• D' 1 -Pa(ll-td· 0"1 "C"<"=p'·l a.. r....-.b...l hy 160 1& .T.h _e RDLie_ ofBiolo si< Gleooid ll.wmfad"' Ill die M•••IJ""""• of GICD.obumcoal -~- AnbDcio 3Sl 8 u.....-m• ofO muili: GlmohUII>Cnl r..c.ti-WI'-tl.,_....~&illllll~ DioloaDom 1~ M••••n.LiaJ-..A.~ • CONTENTS 17 29 Unconstrained Prosthetic Arthroplasty Evaluation and Prosthetic Management for Glenohumeral Arthritis with an Intact of Proximal Humeral Malunions 559 or Repairable Rotator Cuff: Indications, Christopher Chuinard, Pascal Boileau, and Gilles Walch Techniques, and Results 358 30 Evaluation and Management of Humeral Luke S. Austin, Gerald A. Williams, Jr. and Joseph P. Iannotti Shaft Nonunions and Malunions 571 18 Hemiarthroplasty in the Management of Charles L. Getz and Matthew L. Ramsey Glenohumeral Arthritis and Irreparable Cuff Insufficiency 389 PART VI: Carl J. Basamania and George K. Bal 19 Scapulothoracic and Neurologic Reverse Shoulder Arthroplasty in the Problems 579 Management of Glenohumeral Arthritis and Irreparable Cuff Insufficiency 403 31 Disorders of the Scapula: Winging Ludwig Seebauer and Snapping 581 20 Management of Bone Loss in Primary W. Ben Kibler, Aaron D. Sciascia, and Trevor Wilkes Anatomic Shoulder Arthroplasty 435 32 Injuries of the Brachial Plexus 607 Jason J. Scalise and Joseph P. Iannotti Scott H. Kozin 21 Management of Bone Loss in Primary 33 Suprascapular and Axillary Nerve Reverse Shoulder Arthroplasty 447 Injuries 661 Jason J. Scalise and Joseph P. Iannotti Eric J. Strauss, Michael J. Alaia, and Young W. Kwon 22 Complications of Shoulder Arthroplasty 451 John W. Sperling and Robert H. Cofield PART VII: 23 Complications of Reverse Total Shoulder Neoplasms and Sepsis 681 Arthroplasty 471 Anders L. Eke lund 34 Management ofNeoplasms 24 Techniques for Revision Arthroplasty: of the Shoulder 683 Management of Bone and Soft Martin M. Malawer, Kristen Kellar-Graney, and James C. Wittig Tissue Loss 484 35 Sepsis of the Shoulder Girdle 731 Nady Hamid and Leesa M. Galatz John L. Esterhai, Jr. 25 Management of Infected Shoulder Arthroplasty 505 Eric T. Ricchetti PART VIII: 26 Glenohumeral Arthrodesis 523 Outcomes, Pain Management, Robin R. Richards and Anesthesia 7 49 36 Measurement of Shoulder Outcomes 751 PART V: Carolyn M. Hettrich, Warren R. Dunn, and John E. Kuhn Malunions and Nonunions 543 37 Medical Management of Chronic 27 Shoulder Pain 757 Evaluation and Management of Clavicle Dmitri Souzdalnitski and Nagy A. Mekhail Malunions and Nonunions 545 38 David Ring and Jesse B. Jupiter Anesthesia for Shoulder Surgery 775 28 Sherif S. Zaky, Ehab Farag, Wael Ali Sakr Esa, and Loran A. Mounir Evaluation and Prosthetic Management Soliman of Proximal Humeral Nonunions 552 AndrewS. Neviaser, Bradford 0. Parsons, and Evan L. Flatow Index 7!)1