Shoulder Arthroscopy

Introduction Chapter 1. Learning Shoulder Arthroscopy 1. Educational model for learning shoulder arthroscopy A. Reading, videotapes and DVDs, "ALEX" the Shoulder Professor model, virtual reality simulator, teaching courses, Orthopaedic Learning Center, visitations, tutoring, fellowships, practice Chapter 2. Patient Preparation and Counseling for Shoulder Arthroscopy 1. Patients' education materials A. Brochures and videotapes Chapter 3. Operating Room Set-Up and Equipment Needed for Shoulder Arthroscopy 1. Room set-up A. Back table, Mayo stands and personnel locations and set-up 2. Patient positioning and protection A. Positioning aids, shoulder tractions and support system 3. Video equipment and imaging equipment A. Camera and arthroscopes B. Video recorders C. Image capture D. Printers E. Operative report generation system 4. Power equipment A. Shaver system (motor, blades, etc.) B. Electrosurgery system (generators, electrodes, etc.) C. Fluid pump 5. Standard shoulder arthroscopy tool set 6. Surgical prep and draping 7. Postoperative dressings, pain control and shoulder UltraSling Chapter 4. Basic Techniques Needed for All Shoulder Reconstruction 1. Knot tying A. Revo half-hitch knot B. Tennessee Slider knot C. Fleega sliding knot D. Suture Shuttle Relay technique 2. Suture anchors Chapter 5. Basic Shoulder Arthroscopic Techniques and Anatomy Review 1. Entering the shoulder joint 2. 15-point anatomy review (normal anatomy and variations) 3. Entering the subacromial bursa 4. 8-point bursa evaluation (normal anatomy and variations) Chapter 6. Adhesive Capsulitis 1. Clinical evaluation 2. Conservative care 3. Surgical treatment options A. Manipulation B. Arthroscopic capsular release C. Postop treatment Chapter 7. Loose Bodies in the Shoulder Joint 1. Locating and retrieving loose bodies A. Equipment needs B. Special situations (behemoth loose bodies, metal fragments, etc.) Chapter 8. Superior Labral Injuries (SLAP Lesions) 1. Clinical evaluation 2. MRI evaluation 3. Classifications of SLAP lesions 4. Treatment options (shaving, repairing or biceps tenodesis) Chapter 9. Shoulder Instability 1. Clinical evaluation A. X-ray B. MRI C. Conservative treatment 2. Anterior instability A. Arthroscopic capsulolabral repair with Mini Revo suture anchors a. preference equipment card for instability b. arm support and position c. portal placement d. debridement of the labrum and mobilization of the capsule e. bone preparation and placement of anchors f. suturing capsule using Shuttle Relay g. thermal capsule shrinkage h. posterior capsule supplementation i. postoperative treatment 3. Posterior instability A. Posterior capsulolabral reconstruction a. arm support and position b. portal placement c. labral debridement d. bone preparation and pilot hole placement e. anchor insertion f. postoperative care Chapter 12. Multidirectional and Non-Bankart Instability 1. Pan-capsular plication A. Arm support and position B. Portal placement C. Capsule placement D. Pinch