Shoulder Injuries in Sport

With more than 99 percent of his clinical and surgical practice consisting of work on the shoulder, Jerome Vincent Ciullo, MD, FACS, has become a leading expert in the area of shoulder surgery. His achievements include pioneering endoscopic/arthroscopic assessment of the subscapular gliding mechanism and the sternoclavicular joint; developing new arthroscopic tools, including modifications of absorbable rivets, resectioning tools, and aiming devices; and acting as clinical investigator for an artificial shoulder system. Dr. Ciullo is now the team physician for three professional teams in Detroit: the Pistons, Vipers, and Wheels. After earning a medical degree from the University of Michigan, Ann Arbor, Dr. Ciullo had fellowship training at Massachusetts General Hospital and Harvard Medical School (including shoulder and knee/sports medicine) and at Long Beach Memorial Hospital and the University of Southern California (shoulder and knee reconstruction/sports medicine). He has been an assistant clinical professor in orthopedic surgery at both Wayne State University and Michigan State University. Currently the medical director for the Sports Medicine Center of Metro Detroit, Dr. Ciullo is a member of the American Orthopaedic Society for Sports Medicine and the North American Arthroscopy Association. In his minimal free time, he and his wife Susan enjoy attending their children's sporting activities, and taking family skiing trips to northern Michigan.

PrefaceAcknowledgmentsPart I. Analyzing and Diagnosing Shoulder InjuriesChapter 1. Introduction to Shoulder AnatomyTheory and PhylogenyBones, Joints, Capsules, Ligaments, and ExtensionsMusculotendinous AnatomyMotion AnalysisChapter 2. Stating the ProblemMedical HistoryReferred PainInjury TypeTriad DegenerationChapter 3. Clinical Examination TechniquesInspectionRecording Clinical FindingsRecording Range of MotionObjective Clinical Tests Chapter 4. Analytic ToolsFour-View X-Ray SeriesComputerized Tomography and ArthrographyBone ScanUltrasoundMagnetic Resonance ImagingElectromyographyChapter 5. Arthroscopy: Diagnostic and Surgical Tool Patient PreparationEvaluation Under AnesthesiaManipulation Under AnesthesiaArthroscopy, Bursoscopy, and EndoscopyPart II. Shoulder InjuriesChapter 6. SprainsGlenohumeral CapsulolabralGlenoid Labrum InterpositionAcromioclavicular SprainSternoclavicular SprainChapter 7. StrainsRotator Cuff StrainBiceps StrainOther StrainsChapter 8. Fibrosis, Inflammation, and System BreakdownSynovitisCapsulitisSubacromial BursitisSubscapular BursitisLevator Scapular SyndromeFibrositisReflex Sympathetic DystrophyChapter 9. Neurovascular InjuriesAxillary Nerve DysfunctionLong Thoracic Nerve PalsySpinal Accessory Nerve InjuryBrachial PlexopathyRadial Nerve InjuryEffort ThrombosisDorsoscapular Nerve CompressionQuadrilateral Space SyndromeSuprascapular Nerve EntrapmentThoracic Outlet SyndromeChapter 10. FracturesClavicleScapulaHumerusStress ReactionChapter 11. Osteoarthritis: Arthritis and ArthrosisAcromioclavicular ArthropathyGlenohumeral ArthropathySternoclavicular ArthropathyPart III. Principles of Shoulder RehabilitationChapter 12. Accurate Diagnosis and Staging TherapyExercisesHealing/Anti-Inflammatory PhaseMobilization PhaseStrengthening PhaseInterphasing ModalitiesPreparing for PerformanceChapter 13. Return to SportGeneral ConsiderationsSummary Additional ReadingsReferencesIndexAbout the Author