Laurence Laudicina and Thomas Noonan

Lateral Epicondylitis Surgery Not

Lateral tendonosis (tennis elbow) Medial tendonosis (golfer's elbow) Olecranon bursitis Olecranon stress fracture Valgus extension overload Nerve compression syndromes LATERAL TENDONOSIS EPICONDYLITIS (TENNIS ELBOW) Lateral epicondylitis or tendonosis is usually an overuse injury, although it may be precipitated by minor elbow trauma. The condition is typically due to repetitive flexion extension or pronation supination with the elbow near extension. It generally presents as lateral-side elbow...

Surgery Hip Arthroscopy

Maquet Extension

The technique illustrated is with the patient in the supine position. The important principles for performing safe, effective, reproducible arthroscopy are the same whether the patient is in the lateral decubitus or supine orientation. Portal placements, relationship of the extra-articular structures, and arthroscopic anatomy are all the same regardless of positioning. A standard fracture table or custom distraction device is needed to achieve effective joint space separation. A tensiometer can...

Rotational And Torsional Sports

Rotational and torsional sports have certain characteristics in common. Baseball, golf, and the javelin all require rotation and have distinctly different demands on the spine. The javelin requires a tremendous amount of force to be generated in going from a hyperextended to a full flexion follow-through position. You do not throw a javelin 200 feet with your arm. While shoulder and arm injuries are common in javelin throwers, the key is rigid abdominal strength that produces the torque...

Tests for Weakness Jobes Test

Full Can Test

This test is performed by placing the patient in 90 degrees of elevation in the scapular plane, classically with the thumbs pointed down (Fig. 16-7). This position is held against downward resistance. This test isolates the supraspinatus to a degree10 and is positive when there is asymmetrical weakness. Caution should be used in the patient with pain, as it can simulate weakness in patients with painful subacromial impingement. Because Jobe's test can be painful in patients with impingement,...

Pearls And Pitfalls In Release Lateral Arthroscopy Patellar

Knee Arthroscopy Position

A high-flow pump is especially helpful, maintaining a high flow rate without excessive pressure, which would worsen extravasation. Hypotensive anesthesia, placing epinephrine in the arthroscopic fluid, and electrocautery or other thermal device for hemostasis all aid in visualization for effectively performing the excision. Hip instability can occur but is much less common than seen in the shoulder. There are several reasons, but, most principally, it is due to the inherent stability...

Proximal Interphalangeal Joint Ligament Injuries

Digit Pip Dislocation Partial

Ligamentous injuries about the PIP joints are among the most common hand injuries in sports. Stability of the PIP joint is provided by the bicondylar articular anatomy, ligamentous support, extensor tendon apparatus, and the flexor tendon retinacular system.56 The key to stability is the relationship of the ulnar and radial collateral ligaments and volar plate. The lateral stabilizers of the joint include the accessory and proper RCLs and UCLs. The ligaments originate from the lateral aspect of...

Bilateral Stance On Unstable Surface

Bilateral Hip Rotation Exercise Bed

Witvrouw et al42 prospectively studied the risk factors for the development of anterior knee pain in the athletic population over a 2-year period. A significant difference was noted in the flexibility of the quadriceps and gastrocnemius muscles between the group of subjects who developed patellofemoral pain and the control group, suggesting that athletes exhibiting tightness of specific muscles may be at risk of the development of patellofemoral disorders. In the upper extremity, it is common...

R Shane Barton David Mayman Peter J Millett and Thomas J Gill

Quadrilateral Recess Mri

Peripheral nerve injury Burner stinger syndrome Suprascapular nerve entrapment Surgery suprascapular nerve decompression Axillary nerve injury Long thoracic nerve injury Spinal accessory nerve injury Musculocutaneous nerve injury The pathophysiology of peripheral nerve injury has been studied in great detail. Seddon1 developed the classification system most commonly used today, defining three progressive patterns of injury severity. This has been further modified by Sunderland2 to include five...