Felix H. Savoie III

Emilio Calvo

Augustus D. Mazzocca

Rotator cuff surgery is currently the most common surgical procedure involving the shoulder. Unfortunately despite major technical advances, there is still a significant rate of failure of primary rotator cuff repair, ranging from 10% to 40%. This book describes the diagnosis, classification, assessment, and management of failed rotator cuff repairs. It also explores the etiology of the failed repairs, presents a series of treatment options, and discusses the complications. In a multidisciplinary format it addresses both how to prevent failure and how to diagnose and manage the failed rotator cuff, including imaging, laboratory testing, nutrition, surgery and rehabilitation. This comprehensive book, published in collaboration with ISAKOS, appeals to all stakeholders in orthopedic medicine and surgery.

Diagnosis and Management

The Failed Rotator Cuff

Andreas B. Imhoff

This book outlines the consensus findings of the ISAKOS Upper Extremity Committee regarding the treatment options for patients suffering from shoulder instability. The aim is to furnish readers with a precise knowledge of the presenting features of conditions typical of different ages, thereby facilitating assessment of patient characteristics and optimal treatment decision making based on the consensus of the Committee. All age groups are covered, from the very young through to the older patient. The structuring of the book essentially according to age group reflects the fact that certain forms of shoulder instability are observed at different ages. For example, while young patients tend to demonstrate instability combined with hyperlaxity, in later years, bony defects of the glenoid and humerus gain in importance. Similarly, the scope for conservative treatment varies across the life span. Each management-oriented chapter of the book includes information and guidance on anatomy, clinical examination, imaging, surgical indications and technique, rehabilitation, outcomes, and complications and their avoidance, and the text is supported by numerous high-quality illustrations.

Shoulder Instability Across the Life Span

This book presents the consensus findings of the ISAKOS Shoulder Committee regarding the treatment options in patients suffering from shoulder pain and reduced function or dead arm syndrome as a consequence of rotator cuff injuries. The aim is twofold: to equip readers with a precise knowledge of the presenting characteristics of these injuries in different age groups and to describe in detail the initial management and surgical and non-surgical approaches, taking into account the age-specific features. Readers will find clear descriptions of all the latest arthroscopic techniques, which allow repair of even the largest tears. The indications for and performance of tendon transfer procedures, biceps tenotomy, tenodesis, hemiarthroplasty, anatomic shoulder arthroplasty, reverse total shoulder arthroplasty, and revision surgery are explained. Helpful guidance is also provided on the use of strategies to promote rotator cuff healing, including stem cell therapy and scaffolds. The authors are leading experts in the field, and the book will be of value for all shoulder surgeons and orthopaedic trainees and consultants, as well as sports medicine specialists.

Felix H. Savoie III

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