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Axillary pouch of the shoulder can be seen on external rotation, while subscapular (subcoracoid) bursa can be seen on internal rotation of arm. The contrast should not enter subacromial bursa unless supraspinatus tendon is completely ruptured. [4] MRI with surface coils is used to image the shoulder joint. [4]
The shoulder joint involves articulation between the glenoid cavity of the scapula (shoulder blade) and the head of the upper arm bone and functions as a diarthrosis and multiaxial joint. Due to the very loose joint capsule that gives a limited interface of the humerus and scapula, it is the most mobile joint of the human body.
Injecting lidocaine into the joint may be less expensive and faster. [4] If a shoulder cannot be relocated in the emergency room, relocation in the operating room may be required. [1] This situation occurs in about 7% of cases. [1] [21] Stimson procedure is the least painful, widely used shoulder reduction technique. In this procedure a weight ...
A dislocated shoulder can be treated with: arthroscopic repairs; repair of the glenoid labrum (anterior or posterior) [1] In some cases, arthroscopic surgery is not enough to fix the injured shoulder. When the shoulder dislocates too many times and is worn down, the ball and socket are not lined up correctly.
While the Latarjet procedure can be used for surgical treatment of most cases of shoulder dislocations or subluxation, it is particularly indicated in cases with bone defects. [4] The failure rate following arthroscopic Bankart repair has been shown to dramatically increase from 4% to 67% in patients with significant bone loss. [5]
The axillary block is particularly useful in providing anesthesia and postoperative analgesia for surgery to the elbow, forearm, wrist, and hand. The axillary block is also the safest of the four main approaches to the brachial plexus, as it does not risk paresis of the phrenic nerve, nor does it have the potential to cause pneumothorax. [12]
Shoulder replacement is a surgical procedure in which all or part of the glenohumeral joint is replaced by a prosthetic implant. Such joint replacement surgery generally is conducted to relieve arthritis pain or fix severe physical joint damage. [1] Shoulder replacement surgery is an option for treatment of severe arthritis of the shoulder joint.
Adhesive capsulitis (AC), also known as frozen shoulder, is a condition associated with shoulder pain and stiffness. [1] It is a common shoulder ailment that is marked by pain and a loss of range of motion, particularly in external rotation. [3] There is a loss of the ability to move the shoulder, both voluntarily and by others, in multiple ...