11062nam 2200493 450 991063391800332120230406034119.03-031-04907-1(MiAaPQ)EBC7151142(Au-PeEL)EBL7151142(CKB)25510436400041(EXLCZ)992551043640004120230406d2022 uy 0engurcnu||||||||txtrdacontentcrdamediacrrdacarrierControversies in orthopedic surgery of the upper limb /E. Carlos Rodríguez-Merchán, Alonso Moreno-Garcìa, editorsCham, Switzerland :Springer,[2022]©20221 online resource (284 pages)Print version: Rodríguez-Merchán, E. Carlos Controversies in Orthopedic Surgery of the Upper Limb Cham : Springer International Publishing AG,c2023 9783031049064 Includes bibliographical references.Intro -- Preface -- Contents -- 1: Displaced Proximal Humeral Fractures in the Elderly: Conservative Treatment Versus Open Reduction and Internal Fixation Versus Hemiarthroplasty Versus Reverse Shoulder Arthroplasty -- 1.1 Introduction -- 1.2 Epidemiology, Pathoanatomy, and Fracture Classification -- 1.2.1 Epidemiology -- 1.2.2 Pathoanatomy -- 1.2.3 Classification -- 1.3 Diagnosis: Clinical Presentation and Imaging -- 1.3.1 Clinical Presentation -- 1.3.2 Imaging -- 1.4 Treatment -- 1.4.1 Nonoperative Treatment -- 1.4.2 Operative Treatment -- 1.4.2.1 Open Reduction and Internal Fixation (ORIF) -- Technique -- 1.4.2.2 Intramedullary Nailing (IMN) -- 1.4.2.3 Arthroplasty -- Hemiarthroplasty (HA) -- Reverse Shoulder Arthroplasty (RSA) -- Outcomes -- 1.5 Postoperative Rehabilitation -- 1.6 Outcomes Evaluation -- 1.6.1 Health Questionnaires -- 1.6.2 Functional Scales -- 1.7 Overall Complications -- 1.8 Mortality -- 1.9 Conclusions -- References -- 2: Surgical Versus Conservative Interventions for Treating Acromioclavicular Dislocation of the Shoulder in Adults -- 2.1 Introduction -- 2.2 Epidemiology and Classification -- 2.3 Diagnosis -- 2.4 Treatment and Results -- 2.5 Surgical Treatment -- 2.6 Acute Injuries -- 2.7 Chronic Injuries -- 2.8 Conclusions -- References -- 3: Calcific Tendinopathy of the Rotator Cuff in Adults: Operative Versus Nonoperative Management -- 3.1 Introduction -- 3.2 Pathogenesis -- 3.3 Imaging -- 3.4 Treatment -- 3.4.1 Ultrasound-Guided Percutaneous Irrigation of Rotator Cuff Calcific Tendinopathy (US-PICT) -- 3.4.1.1 US-Guided Percutaneous Irrigation of Calcific Tendinopathy of the Rotator Cuff in Patients with or Without Previous External Shockwave Therapy -- 3.4.1.2 Efficacy of Ultrasound-Guided Percutaneous Treatment of the Rotator Cuff Calcific Tendinopathy with Double Needle Technique.3.4.1.3 US-PICT: Redefining Predictors of Treatment Outcome -- 3.4.2 External Shock Wave Therapy (ESWT) -- 3.4.2.1 Focused, Radial, and Combined ESWT -- 3.4.2.2 Effectiveness of Focused Shockwave Therapy Versus Radial Shockwave Therapy for Noncalcific Rotator Cuff Tendinopathies: A Randomized Clinical Trial -- 3.4.3 Platelet-Rich Plasma (PRP) -- 3.4.4 Needle Aspiration -- 3.4.5 Dextrose Prolotherapy -- 3.4.6 Sodium Thiosulfate -- 3.4.7 Surgical Treatment -- 3.5 Comparative Studies -- 3.5.1 Operative Versus Nonoperative Management -- 3.5.2 Radial ESWT Versus Ultrasound Therapy -- 3.5.3 Comparing Ultrasound-Guided Needling Combined with a Subacromial Corticosteroid Versus High-Energy ESWT -- 3.5.4 Comparison of Radial Extracorporeal Shockwave Therapy and Traditional Rehabilitation Medicine -- 3.6 Conclusions -- References -- 4: Recurrent Anterior Shoulder Instability in Adults: Bankart or Latarjet? -- 4.1 Introduction -- 4.2 Bankart Procedure -- 4.2.1 Open Bankart Repair -- 4.2.2 Arthroscopic Bankart Repair -- 4.3 Latarjet Procedure -- 4.3.1 Modified Open Latarjet -- 4.3.2 Arthroscopic Latarjet -- 4.3.3 Open Latarjet Vs. Arthroscopic Latarjet -- 4.3.4 Latarjet vs. Anterior Glenoid Reconstruction Using Fresh Distal Tibia Allograft (DTA) -- 4.3.5 Latarjet After Failed Arthroscopic Bankart Repair -- 4.4 Comparative Studies: Bankart Vs. Latarjet -- 4.4.1 Arthroscopic Bankart vs. Open Bristow-Latarjet -- 4.4.2 Arthroscopic Bankart vs. Open Bristow-Latarjet in Patients Older than 40 -- 4.4.3 Arthroscopic Bankart Repair with Remplissage vs. Open Latarjet -- 4.4.4 Arthroscopic Bankart Repair vs. Open Latarjet vs. Capsular Shift -- 4.5 Conclusions -- Appendix 1: WOSI Score -- References -- 5: Controversies in Shoulder Arthroplasty -- 5.1 Introduction -- 5.2 Rotator Cuff Arthropathy -- 5.2.1 Young Patients.5.2.2 Humeral Cut Neck-Shaft Angle of Less than 155 Degrees -- 5.2.3 Studies that Compare the RSA with or Without Lateralization with Bone Graft -- 5.2.4 Degree of Lowering of the Center of Rotation -- 5.2.5 Size of the Glenosphere -- 5.3 Glenohumeral Osteoarthritis -- 5.3.1 Comparison Between HA and TSA -- 5.3.2 Thinned Supraspinatus Tendon with a Partial Tear -- 5.3.3 Young Patients with Glenohumeral Osteoarthritis -- 5.3.4 Resurfacing Arthroplasty (Stemless Shoulder Arthroplasty) -- 5.3.5 Primary Osteoarthritis Patients with Joint Impingement, Posterior Erosion, and Posterior Subluxation of the Humeral Head -- 5.3.6 Reverse Prosthesis in Young Patients -- 5.4 Failed Anatomic Shoulder Arthroplasties -- 5.5 Proximal Humeral Fractures -- 5.6 Glenoid Bone Defects -- 5.6.1 Reverse Shoulder Arthroplasty -- 5.6.2 Total Shoulder Arthroplasty -- 5.7 Short-Stem Shoulder Arthroplasty -- 5.8 Complications of Shoulder Arthroplasties -- 5.8.1 Complications of RSA -- 5.8.1.1 Acromion and Scapula Spine Fractures -- 5.8.1.2 Instability -- 5.8.2 Complications of Total Anatomic Arthroplasty -- 5.9 Conclusions -- References -- 6: Clavicle Fractures: To Operate or Not? -- 6.1 Introduction -- 6.2 Fractures of the Middle Third of the Clavicle -- 6.3 Fractures of the Distal Third of the Clavicle -- 6.4 Fractures of the Proximal Third of the Clavicle -- 6.5 Conclusions -- References -- 7: Massive Rotator Cuff Tears: When and How to Repair -- 7.1 Introduction -- 7.2 Epidemiology -- 7.3 Anatomy and Biomechanics -- 7.4 Natural History of Rotator Cuff Disease -- 7.5 Rotator Cuff Tears Classification: Definition of Massive Rotator Cuff Tear -- 7.6 Massive Rotator Cuff Tears: When to Repair -- 7.6.1 Clinical Factors -- 7.6.2 Imaging Factors -- 7.6.3 Intraoperative Factors -- 7.7 Massive Rotator Cuff Tears: How to Repair -- 7.8 Conclusions.References -- 8: Humeral Shaft Fixation in Adults: Plate Fixation, Intramedullary Nail, or Nonoperative? -- 8.1 Introduction -- 8.2 Anatomy -- 8.3 Classification of Diaphyseal Humeral Fractures -- 8.4 Initial Patient Assessment -- 8.5 Treatment -- 8.5.1 Conservative Treatment -- 8.5.2 Intramedullary Nailing -- 8.5.2.1 Results -- 8.5.3 Internal Fixation with Plate -- 8.5.3.1 Surgical Approaches -- 8.5.3.2 Type and Placement of Plates -- 8.5.3.3 Results -- 8.5.3.4 MIPO (Minimally Invasive Plate Osteosynthesis) Technique -- 8.5.4 External Fixator -- 8.6 Comparison of Treatment Options -- 8.7 Conclusions -- References -- 9: Controversies in the Management of Intra-Articular Distal Humerus Fractures in Adults -- 9.1 Introduction -- 9.2 Clinical Assessment -- 9.3 Anatomy and Classification -- 9.4 Imaging -- 9.5 Treatment -- 9.5.1 Nonoperative Management -- 9.5.2 Surgical Management -- 9.5.3 Surgical Approaches -- 9.5.3.1 Universal Posterior Incision -- 9.5.3.2 Bilaterotricipital Approach (Alonso-Llames) -- 9.5.3.3 Triceps-Reflecting Approach (Bryan-Morrey) -- 9.5.3.4 Triceps-Reflecting Anconeus Pedicle Flap (TRAP) -- 9.5.3.5 Triceps-Splitting Approach (Campbell Approach) -- 9.5.3.6 Olecranon Osteotomy -- 9.5.4 Implants -- 9.5.5 Fixation Methods -- 9.5.5.1 Reduction and Temporary Fixation -- 9.5.5.2 Definitive Fixation -- 9.5.6 Management of Ulnar Nerve -- 9.6 Postoperative Management -- 9.7 Complications of Surgical Management -- 9.7.1 Stiffness -- 9.7.2 Nonunion -- 9.7.3 Heterotopic Ossification -- 9.7.4 Ulnar Neuropathy -- 9.7.5 Other Complications [33] -- 9.8 Outcomes -- 9.9 Elbow Arthroplasty -- 9.10 Conclusions -- References -- 10: Controversies in the Management of Radial Head Fractures in Adults -- 10.1 Introduction -- 10.1.1 Epidemiology -- 10.1.2 Anatomy and Biomechanics -- 10.1.3 Classification.10.2 Diagnosis -- 10.2.1 Clinical Examination -- 10.2.2 Radiological Tests -- 10.2.3 Associated Injuries -- 10.3 Management and Treatment -- 10.3.1 Nonsurgical Treatment -- 10.3.2 Surgical Treatment -- 10.3.2.1 Surgical Approach and Arthroscopic Techniques -- 10.3.2.2 Open Reduction and Internal Fixation (ORIF) -- 10.3.2.3 Excision of Radial Head -- 10.3.2.4 Radial Head Arthroplasty (RHA) -- 10.4 Conclusions -- References -- 11: Controversies in the Surgical Treatment of Distal Biceps Tendon Ruptures in Adults: To Fix or Not to Fix? Single Versus Double Incision? -- 11.1 Introduction -- 11.2 Anatomy and Pathophysiology -- 11.3 Types of Injuries -- 11.4 Diagnosis -- 11.4.1 Clinical Diagnosis -- 11.4.2 Imaging Tests -- 11.5 Treatment -- 11.5.1 Partial Ruptures -- 11.5.1.1 Partial Rupture of the Short Head of the Biceps -- 11.5.2 Acute Complete Rupture -- 11.5.2.1 Surgical Technique -- Anesthesia and Positioning -- Single-Incision Technique (Author's Preferred Method) -- Approach -- Tuberosity Preparation -- Tendon Preparation -- Fixation and Wound Closure -- Double-Incision Technique -- Postoperative Protocol -- 11.5.3 Chronic Rupture -- 11.6 Conclusions -- References -- 12: Controversies in Tennis Elbow in Adults: Should We Ever Operate? -- 12.1 Introduction -- 12.2 Epidemiology -- 12.3 Etiology and Pathogenesis -- 12.4 Clinical Symptoms -- 12.4.1 Posterolateral Instability -- 12.4.2 Posterolateral Plica -- 12.4.3 Posterior Interosseous Nerve (PIN) Compression -- 12.4.4 Other Pathologies -- 12.5 Diagnosis -- 12.6 Conservative Treatment -- 12.6.1 Rest and Postural Reeducation -- 12.6.2 Exercises -- 12.6.3 Orthoses -- 12.6.4 Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) -- 12.6.5 Shock Waves -- 12.6.6 Injections -- 12.6.6.1 Corticosteroid (CS) Injections -- 12.6.6.2 Autologous Blood Injections.12.6.6.3 Platelet-Rich Plasma (PRP) Injections.ArmSurgeryOrthopedic surgeryArmSurgery.Orthopedic surgery.617.574059Rodríguez-Merchán E. CarlosMoreno-Garcìa AlonsoMiAaPQMiAaPQMiAaPQBOOK9910633918003321Controversies in orthopedic surgery of the upper limb3086190UNINA