Surgical Techniques of the Shoulder, Elbow, and Knee in Sports Medicine

753 Pages·2008·2.12 MB·English

by  Brian J. Cole MD MBA

Contents
Contributors
Christopher S. Ahmad, MD Robert A. Arciero, MD
Assistant Professor of Orthopaedic Surgery, Center for Professor, Orthopaedic Surgery, Department of
Shoulder, Elbow and Sports Medicine, Columbia Orthopaedics, University of Connecticut and John
University, New York, New York Dempsey Hospital, Farmington, Connecticut
Joshua M. Alpert, MD Ryan A. Aukerman, MD
Resident, Orthopedic Surgery, Rush University Medical Orthopaedic Surgery Sports Medicine Specialist,
Center, Chicago, Illinois Department of Sports Medicine, Gem City Bone and
Joint; Team Physician, Department of Sports Medicine,
Annunziato Amendola, MD University of Wyoming, Laramie, Wyoming
Professor, Orthopaedics and Rehabilitation, University
of Iowa; Director, University of Iowa Sports Medicine Frederick M. Azar, MD
Center, University of Iowa Hospitals and Clinics, Iowa
Professor and Residency Program Director, and Sports
City, Iowa
Medicine Fellowship Director, Campbell Clinic–
University of Tennessee, Memphis, Tennessee
Ammar Anbari, MD
Attending, Orthopaedics, Sports Medicine and Cartilage Bernard R. Bach, Jr., MD
Restoration, William W. Backus Hospital, Norwich,
Connecticut Th e Claude N. Lambert–Susan Th omson Endowed
Professor of Orthopedic Surgery, and Director, Division
of Sports Medicine and Sports Medicine Fellowship,
Kyle Anderson, MD
Rush University Medical Center; Team Physician,
Chicago White Sox and Chicago Bulls, Chicago, Illinois
Director, Sports Medicine and Shoulder Fellowship,
Department of Orthopaedic Surgery, William Beaumont
Hospital; Team Physician, Detroit Lions, Detroit,
Champ L. Baker, Jr., MD
Michigan
Clinical Assistant Professor, Department of Orthopaedic
Surgery, Tulane University School of Medicine, New
James R. Andrews, MD
Orleans, Louisiana; Clinical Assistant Professor,
Medical Director, American Sports Medicine Institute; Department of Orthopaedics, Medical College of
Orthopaedic Surgeon, Alabama Sports Medicine and Georgia, Augusta; and Staff Physician, Th e Hughston
Orthopaedic Center, Birmingham, Alabama Clinic, Columbus, Georgia
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Contributors
Champ L. Baker, III, MD Charles H. Brown Jr., MD
Resident, Department of Orthopaedic Surgery, Medical Director, Abu Dhabi Knee and Sports Medicine
University of Pittsburgh Medical Center, Pittsburgh, Centre, Abu Dhabi, United Arab Emirates
Pennsylvania
Shervondalonn R. Brown, MD
Joshua A. Baumfeld, MD
Department of Orthopaedic Surgery, University of
Sports Medicine, Department of Orthopaedic Surgery, Pittsburgh, Pittsburgh, Pennsylvania
Lahey Clinic, Burlington, Massachusetts
Stephen S. Buckhart, MD
Matthew T. Boes, MD
Director of Medical Education, Th e San Antonio
East Bay Shoulder and Sports Medicine, Orinda, Orthopedic Group, San Antonio, Texas
California
William Bugbee, MD
Kevin F. Bonner, MD
Associate Professor, Department of Orthopaedic
Assistant Professor of Surgery, Eastern Virginia Medical Surgery, University of California, San Diego; Attending,
School, Norfolk; Orthopaedic Surgeon, Jordan-Young Lower Extremity Reconstruction and Cartilage
Institute, Virginia Beach, Virginia Restoration, Division of Orthopaedic Surgery, Scripps
Clinic, La Jolla, California
Craig R. Bottoni, MD
Anthony M. Buoncristiani, MD
Chief of Surgery, Aspetar Sports Medicine Hospital,
Doha, Qatar Sports Medicine, University of Pittsburgh
Department of Orthopaedic Surgery, Pittsburgh,
Mark K. Bowen, MD Pennsylvania
Associate Professor of Clinical Orthopaedic Surgery, Charles A. Bush-Joseph, MD
Northwestern University Medical School; Active
Attending, Northwestern Memorial Hospital, Chicago, Associate Professor, Department of Orthopaedic
Illinois Surgery, Rush University Medical Center, Chicago,
Illinois
Declan J. Bowler, MD, FRCSI (Tr & Orth)
Bradley Butkovich, MD, MS
Fellow in Sports Medicine, Th e Hughston Clinic,
Columbus, Georgia Sports Medicine Fellow, Orthopaedic Surgery,
Orthopaedic Research of Virginia and Tuckahoe
Michael B. Boyd, DO Orthopaedic Associates, Ltd., Richmond, Virginia
Attending Physician, Department of Orthopaedic
Thomas R. Carter, MD
Surgery, St. Mary’s Hospital and Deaconess Hospital,
Evansville, Indiana Emeritus Head of Orthopedic Surgery, and Consultant,
Orthopedic Surgery, Arizona State University, Tempe,
James P. Bradley, MD Arizona
Clinical Associate Professor of Orthopaedic Surgery,
Justin W. Chandler, MD
University of Pittsburgh Medical Center; Orthopaedic
Surgeon, University of Pittsburgh Medical Center Resident Physician, Department of Orthopaedics,
Shadyside and St. Margaret Hospitals; Head University of North Carolina at Chapel Hill and
Orthopaedic Surgeon, Pittsburgh Steelers Football University of North Carolina Hospitals, Chapel Hill,
Team, Pittsburgh, Pennsylvania North Carolina
Karen K. Briggs, MPH Neal C. Chen, MD
Director of Clinical Research, Steadman Hawkins Resident, Orthopedic Surgery, Harvard Combined
Research Foundation, Vail, Colorado Orthopedic Residency, Boston, Massachusetts
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Contributors
Steven B. Cohen, MD David R. Diduch, MS, MD
Assistant Professor, Department of Orthopaedic Surgery, Professor of Orthopaedic Surgery, University of Virginia;
Th omas Jeff erson University; Orthopaedic Surgeon, Head Orthopaedic Team Physician and Sports Medicine
Rothman Institute; Assistant Team Physician, Fellowship Director, University of Virginia,
Philadelphia Phillies Baseball Team, Philadelphia, Charlottesville, Virginia
Pennsylvania
Kevin M. Doulens, MD
Brian J. Cole, MD, MBA Clinical Fellow, Sports Medicine, Orthopaedics and
Rehabilitation, Vanderbilt University Medical Center,
Professor, Departments of Orthopedics and Anatomy
Nashville, Tennessee
and Cell Biology, Section of Sports Medicine; Section
Head, Cartilage Restoration at Rush, Rush University
Medical Center, Chicago, Illinois Bradley D. Dresher, MD
Colorado Springs Orthopaedic Group, Penrose
Community Hospital, Colorado Springs, Colorado
Alfred J. Cook Jr., MD
Senior Resident, Orthopaedic Surgery, Northwestern Jeffrey R. Dugas, MD
Memorial Hospital, Chicago, Illinois
Affi liate Professor, College of Health and Human
Services, Athletic Training Department, Troy University,
Andrew J. Cosgarea, MD Troy; Fellowship Director, American Sports Medicine
Institute, Birmingham, Alabama
Associate Professor and Director of Sports Medicine and
Shoulder Surgery, Department of Orthopaedic Surgery,
Craig J. Edson, MHS, PT, ATC
Johns Hopkins University, Baltimore, Maryland
Sports Medicine Specialist, Sports Medicine Outpatient
Rehabilitation, Geisinger/HealthSouth, Danville,
Edward V. Craig, MD Pennsylvania
Professor of Clinical Surgery (Orthopaedics), Weill
Medical College of Cornell University; Attending Neal S. ElAttrache
Orthopaedic Surgeon, Hospital for Special Surgery, New
Kerlan-Jobe Orthopaedic Clinic, Los Angeles, California
York, New York
LCDR Christopher I. Ellingson, MD
R. Alexander Creighton, MD
Orthopaedic Surgeon, US Naval Hospital Sigonella,
Assistant Professor of Orthopaedics, University of North Naval Air Station Sigonella, Italy
Carolina at Chapel Hill and University of North
Carolina Hospitals, Chapel Hill, North Carolina Gregory C. Fanelli, MD
Fanelli Sports Injury Clinic, Geisinger Medical Center,
Nader Darwich, MD Danville, Pennsylvania
Deputy Medical Director, Abu Dhabi Knee and
Sports Medicine Centre, Abu Dhabi, United Arab Jack Farr, MD
Emirates
Associate Clinical Professor of Orthopaedic Surgery,
Indiana University School of Medicine; Orthopaedic
James B. Day, MD, PhD Surgeon, St. Francis Hospital and Health Centers and
Indiana Orthopaedic Hospital, Indianapolis, Indiana
Assistant Professor and Chief of Orthopaedic Trauma
Service, Department of Orthopaedic Surgery, Marshall
Diego Fernandez, MD
University, Joan C. Edwards School of Medicine;
Director of Orthopaedic Trauma, Department of Professor of Orthopaedic Surgery, Department of
Orthopaedic Surgery, Cabell Huntington Hospital, Orthopaedic Surgery, University of Bern and Lindenhof
Huntington, West Virginia Hospital, Bern, Switzerland
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Contributors
Larry D. Field, MD Christopher D. Harner, MD
Clinical Instructor, Orthopaedic Surgery, University of Professor, Department of Orthopaedic Surgery,
Mississippi School of Medicine; Co-Director, Upper University of Pittsburgh; Medical Director, Department
Extremity Service, Mississippi Sports Medicine and of Orthopaedic Surgery, University of Pittsburgh
Orthopaedic Center, Jackson, Mississippi Medical Center, Center for Sports Medicine, Pittsburgh,
Pennsylvania
Fred Flandry, MD, FACS
Clinical Associate Professor, Department of Orthopaedic Timothy J. Henderson, MD
Surgery, Tulane University School of Medicine, New
Orthopedic Surgery and Sports Medicine, University of
Orleans, Louisiana; Attending Surgeon and Director of
California, Los Angeles, Medical Center, Los Angeles,
Medical Education, Th e Hughston Foundation,
California
Columbus, Georgia
David C. Flanigan, MD Thomas F. Holovacs, MD
Instructor in Orthopaedic Surgery, Department of
Assistant Professor of Orthopedics, Th e Ohio State
Orthopaedics, Harvard Medical School; Instructor in
University; Team Physician, Th e Ohio State University
Orthopaedic Surgery, Department of Orthopaedics,
Athletic Department, Th e Ohio State University,
Massachusetts General Hospital, Boston, Massachusetts
Columbus, Ohio
Freddie H. Fu, MD, DSc (Hon), DPs (Hon) David P. Huberty, MD
Chairman, Orthopaedic Surgery, University of Th e San Antonio Orthopedic Group, San Antonio, Texas
Pittsburgh Medical Center, Pittsburgh, Pennsylvania
Mary Lloyd Ireland, MD
John P. Fulkerson, MD
President/Director, Kentucky Sports Medicine Clinic,
Clinical Professor of Orthopedic Surgery, University of Lexington, Kentucky
Connecticut School of Medicine, Farmington,
Connecticut
Kent R. Jackson, MD
Raffaele Garofalo, MD Fellow, Sports Medicine and Shoulder Service, Hospital
for Special Surgery, New York, New York
III Orthopaedic and Traumatologic Unit, University of
Bari, Bari; Consultant, Shoulder Unit, Humanitas-
Gavazzeni Unit, Bergamo, Italy Jeffrey T. Junko, MD
Clinical Instructor, Orthopaedics, Northeastern
Scott Gillogly, MD Universities College of Medicine; Director of Resident
Education, Orthopaedics, Summa Health System,
Medical Staff , Department of Orthopaedic Surgery, St.
Akron, Ohio
Joseph’s Hospital, Atlanta, Georgia
Robert J. Goitz, MD Warren Ross Kadrmas, MD
Associate Professor and Chief, Head and Upper Fellow, Sports Medicine and Shoulder Service, Hospital
Extremity Surgery, Department of Orthopaedic Surgery, for Special Surgery, New York, New York; Staff
University of Pittsburgh Medical Center, Pittsburgh, Orthopaedic Surgeon, Wilford Hall Medical Center,
Pennsylvania Lackland Air Force Base, Texas
Andreas H. Gomoll, MD Christopher C. Kaeding, MD
Instructor of Orthopaedic Surgery, Harvard Medical Professor of Orthopaedics and Director of Sports
School; Cartilage Repair Center, Department of Medicine, Department of Orthopaedic Surgery; Head
Orthopaedic Surgery, Brigham and Women’s Hospital, Team Physician, Department of Athletics, Th e Ohio
Boston, Massachusetts State University, Columbus, Ohio
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Contributors
Richard W. Kang, MD Jason W. Levine, MD
Resident, Orthopedic Surgery, Rush University Medical Assistant Professor, Department of Orthopaedics,
Center, Chicago, Illinois University of Toledo Medical Center, Toledo, Ohio
Lee D. Kaplan, MD C. Benjamin Ma, MD
Assistant Professor of Orthopedics, University of Assistant Professor in Residence, Orthopaedic Surgery,
Wisconsin Medical School; Attending Physician, University of California, San Francisco, San Francisco,
Orthopedics, University of Wisconsin Hospital and California
Clinics, Madison, Wisconsin
Augustus D. Mazzocca, MS, MD
Matthew A. Kippe, MD Assistant Professor, Orthopaedic Surgery, University of
Connecticut, Farmington, Connecticut
Department of Orthopedic Surgery, Hawthorn Medical
Associates, North Dartmouth, Massachusetts
David R. McAllister, MD
Jason Koh, MD Associate Professor and Chief, Sports Medicine Service,
Department of Orthopaedic Surgery, University of
Associate Professor of Orthopaedic Surgery,
California, Los Angeles, David Geff en School of
Northwestern University Feinberg School of Medicine,
Medicine; Associate Team Physician, Athletic
Chicago, Illinois
Department, University of California, Los Angeles, Los
Angeles, California
Pradeep Kodali, MD
Resident Physician, Department of Orthopaedic Surgery, Eric McCarty, MD
McGraw Medical Center–Northwestern University,
Associate Professor and Chief of Sports Medicine and
Chicago, Illinois
Shoulder Surgery, Department of Orthopaedic Surgery,
University of Colorado Health Science Center;
Melissa W. Koenig, MD
Attending, Boulder Community Hospital, Boulder,
Instructor, Department of Orthopaedic Surgery, George Colorado
Washington University and George Washington
University Hospital, Washington, DC L. Pearce McCarty, III, MD
Sports and Orthopaedic Specialists, PA, Minneapolis,
Eric J. Kropf, MD Minnesota
Resident Physician, Orthopaedic Surgery, University of
Mark D. Miller, MD
Pittsburgh Medical Center, Pittsburgh, Pennsylvania
Professor, Department of Orthopaedic Surgery,
John E. Kuhn, MD University of Virginia, Charlottesville; Team Physician,
James Madison University, Harrisonburg, Virginia
Associate Professor and Chief of Shoulder Surgery,
Division of Sports Medicine, Department of
Craig D. Morgan, MD
Orthopaedics and Rehabilitation, Vanderbilt University
Medical Center, Nashville, Tennessee Clinical Professor, University of Pennsylvania; Associate
Clinical Professor, Th omas Jeff erson University,
Joanne E. Labriola, MD Philadelphia, Pennsylvania; Orthopaedic Surgeon,
Morgan Kalman Clinic, Wilmington, Delaware
Clinical Instructor, Department of Orthopaedic Surgery,
University Health Center of Pittsburgh, Pittsburgh,
Bradley J. Nelson, MD
Pennsylvania
Associate Professor, Department of Orthopaedics,
Christian Lattermann, MD University of Minnesota, Minneapolis, Minnesota
Assistant Professor for Orthopaedics and Sports
Gregory P. Nicholson, MD
Medicine, and Director, Center for Cartilage Repair and
Restoration, Department of Orthopaedic Surgery, Associate Professor, Orthopaedic Surgery, Rush
University of Kentucky, Lexington, Kentucky University Medical Center, Chicago, Illinois
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Contributors
Gordon Nuber, MD Anthony A. Romeo, MD
Professor of Clinical Orthopaedics, Northwestern Associate Professor, Department of Orthopaedics, Rush
University, Chicago, Illinois Medical College and Rush-Presbyterian–St. Luke’s
Medical Center, Chicago, Illinois
Brett D. Owens, MD
Scott Alan Rodeo, MD
Adjunct Assistant Professor, Department of Surgery,
Uniformed Services University, Bethesda, Maryland; Associate Professor of Orthopaedic Surgery, Weill
Orthopaedic Surgeon, Keller Army Hospital, West Point, Medical College of Cornell University; Associate
New York Attending, Sports Medicine and Shoulder Service,
Hospital for Special Surgery; Associate Team Physician,
Michael J. Pagnani, MD New York Giants, New York, New York
Director, Nashville Knee and Shoulder Center; Head
Team Physician, Nashville Predators Hockey Club, William G. Rodkey, DVM (Diplomate), ACVS
Nashville, Tennessee
Director, Basic Science Research, Steadman Hawkins
Research Foundation, Vail, Colorado
Scott D. Pennington, MD
Assistant Clinical Instructor, Department of Mark W. Rodosky, MD
Orthopaedics, Harvard Medical School; Shoulder Fellow,
Assistant Professor of Orthopaedic Surgery and Chief,
Department of Orthopaedics, Massachusetts General
Shoulder Service, Department of Orthopaedic Surgery,
Hospital, Boston, Massachusetts
Division of Sports Medicine, University Health Center
of Pittsburgh, Pittsburgh, Pennsylvania
R. David Rabalais, MD
Sports Medicine and Shoulder Surgery Fellow, L. Joseph Rubino, MD
Department of Orthopaedic Surgery, University of
Colorado Health Science Center and Boulder Assistant Professor, Orthopaedics and Sports Medicine,
Community Hospital, Boulder, Colorado Wright State University, Dayton, Ohio
Christopher A. Radkowski, MD Marc R. Safran, MD
Pittsburgh Bone and Joint Surgeons, PC, Jeff erson Hills, Professor of Orthopaedic Surgery, Associate Director of
Pennsylvania Sports Medicine, and Fellowship Director, Department
of Orthopaedic Surgery, Stanford University, Stanford,
Kristin N. Reinheimer, PA-C California
Geisinger Sports Medicine, Geisinger Medical Center,
Danville, Pennsylvania Brett S. Sanders, MD
Assistant Clinical Instructor, Department of
Eric P. Rightmire, MD
Orthopaedics, Harvard Medical School; Shoulder Fellow,
Attending Physician, Orthopedic Surgery, Jordan Department of Orthopaedics, Massachusetts General
Hospital, Plymouth; Orthopedic Surgeon, Plymouth Bay Hospital, Boston, Massachusetts
Orthopedic Associates, Duxbury, Massachusetts
Felix H. Savoie III, MD
Jeffrey A. Rihn, MD
Professor of Orthopaedic Surgery, Tulane University
Fellow, Orthopaedic and Spine Surgery, Th e Rothman School of Medicine, New Orleans, Louisiana
Institute and Th omas Jeff erson University Hospital,
Philadelphia, Pennsylvania Jon Sekiya, MD
David Ring, MD, PhD Associate Professor, Department of Orthopaedic
Surgery, University of Michigan, Ann Arbor, Michigan
Assistant Professor, Orthopaedic Surgery, Harvard
Medical School; Medical Director and Director of
Fintan J. Shannon, FRCS (Trd Orth)
Research, Orthopaedic Hand and Upper Extremity
Service, Massachusetts General Hospital, Boston, Fellow, Sports Medicine and Shoulder Service, Hospital
Massachusetts for Special Surgery, New York, New York
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Contributors
James P. Sieradzki, MD Kenneth G. Swan, Jr., MD
Resident, Orthopaedic Surgery, McGaw Medical Center, Sports Medicine and Shoulder Surgery Fellow,
Northwestern University Feinberg School of Medicine, Department of Orthopaedic Surgery, University of
Chicago, Illinois Colorado Health Science Center and Boulder
Community Hospital, Boulder, Colorado
Adam M. Smith, MD
Raymond Thal, MD
Kentucky Sports Medicine, Lexington, Kentucky
Assistant Clinical Professor of Orthopaedic Surgery,
George Washington University School of Medicine,
Stephen J. Snyder, MD
Washington, DC; Orthopaedic Surgeon, Town Center
Director, Shoulder Arthroscopy Service, Southern Orthopaedic Associates, Reston, Virginia
California Orthopedic Institute, Van Nuys,
California Fotios Paul Tjoumakaris, MD
Attending Physician, Cape Orthopaedics, Department of
John W. Sperling, MD, MBA Orthopaedics, Cape Regional Medical Center, Cape May
Court House, New Jersey
Associate Professor, Department of Orthopedic Surgery,
Mayo Clinic College of Medicine; Consultant,
Department of Orthopedic Surgery, Mayo Clinic, Albert Tom, MD
Rochester, Minnesota
University of Connecticut Sport Medicine Fellow,
Department of Orthopaedics, University of Connecticut,
Kurt P. Spindler, MD Farmington, Connecticut
Kenneth D. Schermerhorn Professor and Vice Chairman,
Department of Orthopaedics and Rehabilitation; Max Tyorkin, MD
Director, Sports Medicine and Orthopaedic Patient Care
Associate Attending, Orthopaedic Surgery, Beth Israel
Center; Head Team Physician, Vanderbilt Athletics,
Medical Center and Lenox Hill Hospital, New York,
Orthopaedics and Rehabilitation, Vanderbilt University
New York
Medical Center, Nashville, Tennessee
Nikhil N. Verma, MD
James S. Starman, BS
Attending Orthopedic Surgeon, Department of
Department of Orthopaedic Surgery, University of
Orthopaedic Surgery, Rush University, Chicago,
Pittsburgh Medical Center, Pittsburgh, Pennsylvania
Illinois
J. Richard Steadman, MD Jon J. P. Warner, MD
Orthopaedic Surgeon, Steadman Hawkins Clinic;
Professor of Orthopaedics, Department of Orthopaedics,
Founder and Chairman of the Board, Steadman
Harvard Medical School; Chief, Harvard Shoulder
Hawkins Research Foundation, Vail, Colorado
Service, Department of Orthopaedics, Massachusetts
General Hospital, Boston, Massachusetts
Scott P. Steinmann, MD
Russel F. Warren, MD
Associate Professor, Department of Orthopedic Surgery,
Mayo Clinic College of Medicine; Consultant in Professor of Orthopaedic Surgery, Weill Medical College
Shoulder, Elbow, and Hand Surgery, Department of of Cornell University; Surgeon-in-Chief Emeritus and
Orthopedic Surgery, Saint Mary’s Hospital, Rochester, Attending Orthopaedic Surgeon, Hospital for Special
Minnesota Surgery; Team Physician, New York Giants, New York,
New York
Justin P. Strickland, MD
Robin V. West, MD
Resident, Department of Orthopedic Surgery, Mayo
Clinic Graduate School of Medicine, Rochester, Assistant Professor, Department of Orthopaedics,
Minnesota University of Pittsburgh, Pittsburgh, Pennsylvania
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Contributors
Thomas L. Wickiewicz, MD Shawn W. Wynn, MD
Chief, Sports Medicine and Shoulder Service, Orthopaedic Sports Medicine Fellow, Orthopaedic
Department of Orthopaedic Sports Medicine, Hospital Surgery, University of Wisconsin Hospitals and Clinics,
for Special Surgery, New York, New York Madison, Wisconsin
Riley J. Williams III, MD Robert W. Wysocki, MD
Associate Professor, Department of Orthopedic Surgery, Orthopaedic Surgery Resident, Department of
Weill Medical College of Cornell University; Attending Orthopaedic Surgery, Rush University and Rush
Orthopedic Surgeon, Sports Medicine and Shoulder University Medical Center, Chicago, Illinois
Service, Hospital for Special Surgery New York, New
York
Vonda J. Wright, MD
Assistant Professor, Department of Orthopaedic
Surgery; University of Pittsburgh Medical Center, Center
for Sports Medicine, University of Pittsburgh,
Pittsburgh, Pennsylvania
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Contents
Preface
As educators, our most formidable challenge is to teach broad-reaching connotations, the vast majority of the sur-
proper decision making and the techniques required to gical armamentarium required of the orthopaedic surgeon
succeed in the operating room setting. As students, we are who practices sports medicine and arthroscopy involve the
continuously pressured to compress the learning experi- shoulder, elbow, and knee. Th us, Surgical Techniques of the
ence outside of the operating room into effi cient and Shoulder, Elbow, and Knee in Sports Medicine intentionally
digestible bits of information. We all recognize the impor- limits the number of joints to those most commonly seen
tance of having access to accurate, timely, and concise tools and treated, but covers them comprehensively without
to supplement our knowledge base. Th e emergence of exception. Most importantly, the content is provided by
digital content has positively infl uenced our access to up- authors who have largely developed and popularized the
to-date information, yet falls way short of the tangible exact procedure discussed.
benefi ts derived from a manageable textbook that remains Part 1, Th e Shoulder, covers the general technical
comprehensive yet not overwhelming. Simply “reading” aspects of shoulder arthroscopy, including patient posi-
about surgical procedures seems somewhat at odds with tioning, arthroscopic portal placement, and the instru-
“doing” a series of steps that require dexterity and skill. mentation and specifi c steps required to pass sutures and
More importantly, the act of physical repetition is what tie knots. Th en the fun begins. Because there are so many
seems to propel us along the typically steep learning curve, diff erent techniques performed to address the same pathol-
especially when it involves the arthroscope. ogy, we include more than a dozen chapters describing the
Surgical Techniques of the Shoulder, Elbow, and Knee treatment of shoulder instability, including the manage-
in Sports Medicine was developed with these principles in ment of bone loss with allografts and coracoid transfer.
mind. Th e principle objective of this textbook was to maxi- Similarly, the management of rotator cuff pathology is
mize its value by remaining thorough in the breadth of addressed by no less than six graphic chapters, including
open and arthroscopic procedures covered, yet extraordi- the role and techniques for tendon transfer. Finally, Th e
narily concise in specifi c content. Authors have uniformly Shoulder is complemented by chapters that address the
adhered to a template that we believe will optimize an treatment of the most common entities, including SLAP
effi cient learning experience that is graphically consistent, tears, shoulder stiff ness, AC joint instability, biceps tendon
simple, and descriptive. To this end, each chapter is crafted tears and instability, and glenohumeral arthritis. Part 1 is
with a brief introduction, a thumbnail of only the most a stand-alone compendium of the treatment of virtually
relevant pre- and postoperative considerations, a thorough every clinical problem seen by the shoulder surgeon.
and graphically supported step-by-step explicit descrip- Part 2, Th e Elbow, is also comprehensive in that it
tion of the procedure, and a table with the most up-to-date includes the requisite steps required to perform elbow
results related to that specifi c procedure. Simply stated, it arthroscopy, such as patient positioning, portal placement,
is exactly what you need to know prior to entering the and a review of normal arthroscopic anatomy. In addition
operating room. to providing excellent chapters on the most common con-
It is nearly impossible to cover every joint in a single- ditions that we treat arthroscopically (e.g., osteochondritis
volume textbook. While the term “sports medicine” has dissecans, stiff ness, synovitis, athritis, and lateral epicon-
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