For 30 years, Rockwood and Matsen’s The Shoulder has been the definitive leading reference for the evaluation and management of shoulder disorders. The 6th Edition continues the tradition of excellence with close oversight by world-renowned shoulder surgeon senior editor Frederick A. Matsen III along with co-editors Frank A. Cordasco, John W. Sperling and expert contributing authors from around the world. This comprehensive volume reflects current knowledge and pioneering techniques in its extensively revised and updated text, illustrations, and procedural videos, and features new Opinion Editorials and a new, easy-to-follow organization and layout. Shoulder surgeons of all levels, as well as residents, students, therapists, and basic scientists, will benefit from this must-have reference on all aspects of the shoulder.
Provides how-to guidance on the full range of both tried-and-true and recent surgical techniques, including both current arthroscopic methods and the latest approaches in arthroplasty.
Presents content in a new, easy-to-digest format with a restructured table of contents and an updated chapter layout for faster, more intuitive navigation.
Features 17 new Opinion Editorial chapters authored by key international thought leaders in shoulder and upper limb orthopaedics who were given free rein to discuss a topic of great personal importance. Sample topics include Revision Shoulder Arthroplasty: Tips to Facilitate Component Removal and Reconstruction and Use and Abuse of the Latarjet Procedure.
Contains new and updated content on instability repair, cuff repair, fracture management, and infection and outcome assessment, as well as greatly expanded coverage of arthroscopy.
Includes more than 60 updated video clips that provide step-by-step guidance on key procedures, as well as 2,200 full-color illustrations, x-rays, scans, and intraoperative photographs.
Offers scientifically based coverage of shoulder function and dysfunction to aid in the decision-making process.
Extends viewpoints on different procedures with expert opinions from international authorities, including dissenting and alternative views.
1. Part I. Introduction - p. xi 2. 1. Opinion editorial—what should be our teaching legacy? - p. xi 3. Part II. Anatomy and Evaluation - p. 10 4. 2. Developmental anatomy of the shoulder - p. 10 5. 3. Gross anatomy of the shoulder - p. 38 6. Bones and joints - p. 38 7. Muscles - p. e11 8. Nerves - p. e27 9. Specific terminal branches - p. e32 10. Blood vessels - p. e36 11. Bursae, compartments, and potential spaces - p. e42 12. Skin - p. e48 13. References - p. e58 14. 4. Clinical evaluation of shoulder problems - p. e58 15. 5. Radiographic evaluation of shoulder problems - p. e92 16. Part III. Shoulder Conditions in Children - p. e129 17. 6. Shoulder conditions in children - p. e129 18. References - p. 70 19. Part IV. Shoulder Problems of Athletes - p. 70 20. 7. Throwing athletes - p. 70 21. Sports-specific biomechanics - p. 70 22. Asymptomatic throwing shoulder adaptation - p. 75 23. Throwing shoulder conditions - p. 77 24. Evaluation of the throwing athlete - p. 82 25. Treatment - p. 83 26. References - p. 100 27. 8. Nonthrowing athletes - p. 100 28. 9. Arthroscopic surgery for biceps-labral complex disease - p. 117 29. 10. Tendon tears in athletes: Pectoralis major, and latissimus dorsi and teres major - p. 141 30. Part V. Shoulder Arthroscopy - p. 154 31. 11. Opinion editorial—the development of shoulder arthroscopy: Achieving a paradigm shift in orthopedic surgery - p. 154 32. Part VI. Tumors of the Shoulder - p. 158 33. 12. Tumors and related conditions - p. 158 34. References - p. 194 35. Part VII. Fractures of the Scapula, Clavicle, and Humerus - p. 194 36. Section A. Fractures - p. 194 37. 13. Fractures of the scapula - p. 194 38. References - p. 246 39. 14. Fractures of the clavicle - p. 246 40. References - p. 308 41. 15. Fractures of the proximal humerus - p. 308 42. References - p. 348 43. Section B. Expert Commentary - p. 348 44. 16. Opinion editorial—fractures of the proximal humerus - p. 348 45. Part VIII. Shoulder Stiffness - p. 352 46. 17. General principles of shoulder stiffness - p. 352 47. 18. Primary idiopathic shoulder stiffness: Frozen shoulder - p. 357 48. 19. Acquired shoulder stiffness - p. 371 49. Part IX. Acromioclavicular and Sternoclavicular Joint Conditions - p. 382 50. Section A. Disorders of the Acromioclavicular Joint - p. 382 51. 20. Relevant anatomy, biomechanics, and classification of acromioclavicular joint disorders - p. 382 52. 21. Epidemiology, evaluation, and nonoperative management of acromioclavicular joint disorders - p. 392 53. 22. Open management of atraumatic and traumatic disorders of the acromioclavicular joint: Indications, techniques, and outcomes - p. 405 54. Surgical indications: Atraumatic disorders - p. 405 55. Surgical indications: Traumatic disorders - p. 409 56. References - p. 421 57. 23. Arthroscopic and arthroscopic-assisted management of atraumatic and traumatic disorders of the acromioclavicular joint: Indications, techniques, and outcomes - p. 421 58. 24. Complications associated with nonoperative and operative management - p. 433 59. Section B. Disorders of the Sternoclavicular Joint - p. 442 60. 25. Relevant anatomy, biomechanics, and classification of sternoclavicular joint disorders - p. 442 61. 26. Epidemiology, evaluation, and nonoperative management of sternoclavicular joint disorders - p. 452 62. 27. Open management of atraumatic disorders of the sternoclavicular joint: Indications, techniques, and outcomes - p. 467 63. 28. Arthroscopic and arthroscopic-assisted management of atraumatic disorders of the sternoclavicular joint: Indications, techniques, and outcomes - p. 478 64. 29. Open management of traumatic disorders of the sternoclavicular joint: Indications, techniques, and outcomes - p. 484 65. Part X. Glenohumeral Instability - p. 492 66. Section A. Anterior Instability - p. 492 67. 30. Anterior instability: Epidemiology, history, physical examination, imaging, and nonoperative treatment - p. 492 68. 31. Anterior instability: Arthroscopic surgery and outcomes - p. 523 69. 32. Anterior instability—open surgery: Primary and revision with outcomes - p. 536 70. 33. Anterior instability—bone augmentation surgery: Primary and revision outcomes - p. 545 71. Section B. Posterior Instability - p. 560 72. 34. Posterior instability—epidemiology, history, physical examination, imaging, and nonoperative treatment - p. 560 73. 35. Posterior instability—operative technique and surgical outcomes - p. 570 74. 36. Posterior instability: Open and bone augmentation surgery - p. 577 75. Section C. Multidirectional Instability - p. 588 76. 37. Multidirectional instability—epidemiology, history, physical examination, imaging, and nonoperative treatment - p. 588 77. 38. Multidirectional instability—arthroscopic treatment and outcomes - p. 594 78. 39. Multidirectional instability—open inferior capsular shift - p. 602 79. 40. Multidirectional instability—rehabilitation and return to sport - p. 612 80. Section D. Expert Commentary - p. 624 81. 41. Opinion editorial—concavity compression - p. 624 82. 42. Opinion editorial—glenohumeral instability in the young patient - p. 630 83. 43. Opinion editorial—first-time shoulder dislocation: My approach - p. 634 84. 44. Opinion editorial—use and abuse of the latarjet procedure - p. 638 85. 45. Opinion editorial—soft tissue bankart: Still the gold standard - p. 650 86. Part XI. Sepsis - p. 656 87. 46. Sepsis background - p. 656 88. 47. Molecular mechanisms and pathogenesis of shoulder sepsis - p. 659 89. 48. Clinical management of shoulder sepsis - p. 667 90. Part XII. Shoulder Ultrasound - p. 680 91. 49. The 13-point shoulder ultrasound examination - p. 680 92. Part XIII. Rotator Cuff Lesions - p. 690 93. Section A. The Rotator Cuff - p. 690 94. 50. Structure and function of the rotator cuff - p. 690 95. 51. Epidemiology and natural history of rotator cuff disease - p. 702 96. 52. Evaluation of rotator cuff pathology: History, examination, and imaging - p. 714 97. 53. Nonoperative management of rotator cuff disease - p. 730 98. 54. Rotator cuff repair: Tear classification, operative techniques, and outcomes - p. 737 99. 55. Rehabilitation after rotator cuff repair - p. 754 100. 56. Approach to the irreparable cuff tear and failed cuff repair - p. 761 101. Section B. Expert Commentary - p. 774 102. 57. Opinion editorial—lessons learned treating patients with previous rotator cuff repairs - p. 774 103. Part XIV. Nerve Problems About the Shoulder - p. 778 104. Section A. Nerve Problems - p. 778 105. 58. Nerve problems related to the shoulder - p. 778 106. Section B. Expert Commentary - p. 800 107. 59. Opinion editorial—shoulder reconstruction in adult patients with brachial plexus injury - p. 800 108. Part XV. Glenohumeral Arthritis - p. 804 109. Section A. Arthritis - p. 804 110. 60. Evaluation and management of glenohumeral arthritis - p. 804 111. Overview - p. 804 112. Relevant anatomy and biomehcanics - p. 804 113. Advanced imaging in shoulder arthritis - p. 823 114. References - p. 992 115. 61. The role of arthroscopy in the evaluation and management of glenohumeral arthritis - p. 992 116. Section B. Expert Commentary - p. 1002 117. 62. Opinion editorial—defining the ideal indications and surgical technique for an anatomic total shoulder arthroplasty for primary osteoarthritis of the shoulder - p. 1002 118. 63. Opinion editorial—reconstructing the glenoid in total shoulder arthroplasty - p. 1009 119. 64. Opinion editorial—bone grafts in shoulder arthroplasty: What is their role? - p. 1016 120. 65. Opinion editorial—trials and tribulations of bringing the reverse to the United States - p. 1021 121. 66. Opinion editorial—revision shoulder arthroplasty: Techniques to facilitate reconstruction - p. 1027 122. Part XVI. Occupational Shoulder Problems - p. 1031 123. 67. Occupational shoulder disorders - p. 1031 124. Part XVII. Assessing the Effectiveness of Treatment - p. 1052 125. 68. Assessing the effectiveness of treatment - p. 1052 126. Part XVIII. Concluding Remarks - p. 1062 127. 69. Opinion editorial—a framework for innovation in shoulder surgery - p. 1062 128. 70. Opinion editorial—treating patients with shoulder problems: Technique versus technology - p. 1067 129. Index - p. 1077
For 30 years, Rockwood and Matsen’s The Shoulder has been the definitive leading reference for the evaluation and management of shoulder disorders. The 6th Edition continues the tradition of excellence with close oversight by world-renowned shoulder surgeon senior editor Frederick A. Matsen III along with co-editors Frank A. Cordasco, John W. Sperling and expert contributing authors from around the world. This comprehensive volume reflects current knowledge and pioneering techniques in its extensively revised and updated text, illustrations, and procedural videos, and features new Opinion Editorials and a new, easy-to-follow organization and layout. Shoulder surgeons of all levels, as well as residents, students, therapists, and basic scientists, will benefit from this must-have reference on all aspects of the shoulder.
Provides how-to guidance on the full range of both tried-and-true and recent surgical techniques, including both current arthroscopic methods and the latest approaches in arthroplasty.
Presents content in a new, easy-to-digest format with a restructured table of contents and an updated chapter layout for faster, more intuitive navigation.
Features 17 new Opinion Editorial chapters authored by key international thought leaders in shoulder and upper limb orthopaedics who were given free rein to discuss a topic of great personal importance. Sample topics include Revision Shoulder Arthroplasty: Tips to Facilitate Component Removal and Reconstruction and Use and Abuse of the Latarjet Procedure.
Contains new and updated content on instability repair, cuff repair, fracture management, and infection and outcome assessment, as well as greatly expanded coverage of arthroscopy.
Includes more than 60 updated video clips that provide step-by-step guidance on key procedures, as well as 2,200 full-color illustrations, x-rays, scans, and intraoperative photographs.
Offers scientifically based coverage of shoulder function and dysfunction to aid in the decision-making process.
Extends viewpoints on different procedures with expert opinions from international authorities, including dissenting and alternative views.
1. Part I. Introduction - p. xi 2. 1. Opinion editorial—what should be our teaching legacy? - p. xi 3. Part II. Anatomy and Evaluation - p. 10 4. 2. Developmental anatomy of the shoulder - p. 10 5. 3. Gross anatomy of the shoulder - p. 38 6. Bones and joints - p. 38 7. Muscles - p. e11 8. Nerves - p. e27 9. Specific terminal branches - p. e32 10. Blood vessels - p. e36 11. Bursae, compartments, and potential spaces - p. e42 12. Skin - p. e48 13. References - p. e58 14. 4. Clinical evaluation of shoulder problems - p. e58 15. 5. Radiographic evaluation of shoulder problems - p. e92 16. Part III. Shoulder Conditions in Children - p. e129 17. 6. Shoulder conditions in children - p. e129 18. References - p. 70 19. Part IV. Shoulder Problems of Athletes - p. 70 20. 7. Throwing athletes - p. 70 21. Sports-specific biomechanics - p. 70 22. Asymptomatic throwing shoulder adaptation - p. 75 23. Throwing shoulder conditions - p. 77 24. Evaluation of the throwing athlete - p. 82 25. Treatment - p. 83 26. References - p. 100 27. 8. Nonthrowing athletes - p. 100 28. 9. Arthroscopic surgery for biceps-labral complex disease - p. 117 29. 10. Tendon tears in athletes: Pectoralis major, and latissimus dorsi and teres major - p. 141 30. Part V. Shoulder Arthroscopy - p. 154 31. 11. Opinion editorial—the development of shoulder arthroscopy: Achieving a paradigm shift in orthopedic surgery - p. 154 32. Part VI. Tumors of the Shoulder - p. 158 33. 12. Tumors and related conditions - p. 158 34. References - p. 194 35. Part VII. Fractures of the Scapula, Clavicle, and Humerus - p. 194 36. Section A. Fractures - p. 194 37. 13. Fractures of the scapula - p. 194 38. References - p. 246 39. 14. Fractures of the clavicle - p. 246 40. References - p. 308 41. 15. Fractures of the proximal humerus - p. 308 42. References - p. 348 43. Section B. Expert Commentary - p. 348 44. 16. Opinion editorial—fractures of the proximal humerus - p. 348 45. Part VIII. Shoulder Stiffness - p. 352 46. 17. General principles of shoulder stiffness - p. 352 47. 18. Primary idiopathic shoulder stiffness: Frozen shoulder - p. 357 48. 19. Acquired shoulder stiffness - p. 371 49. Part IX. Acromioclavicular and Sternoclavicular Joint Conditions - p. 382 50. Section A. Disorders of the Acromioclavicular Joint - p. 382 51. 20. Relevant anatomy, biomechanics, and classification of acromioclavicular joint disorders - p. 382 52. 21. Epidemiology, evaluation, and nonoperative management of acromioclavicular joint disorders - p. 392 53. 22. Open management of atraumatic and traumatic disorders of the acromioclavicular joint: Indications, techniques, and outcomes - p. 405 54. Surgical indications: Atraumatic disorders - p. 405 55. Surgical indications: Traumatic disorders - p. 409 56. References - p. 421 57. 23. Arthroscopic and arthroscopic-assisted management of atraumatic and traumatic disorders of the acromioclavicular joint: Indications, techniques, and outcomes - p. 421 58. 24. Complications associated with nonoperative and operative management - p. 433 59. Section B. Disorders of the Sternoclavicular Joint - p. 442 60. 25. Relevant anatomy, biomechanics, and classification of sternoclavicular joint disorders - p. 442 61. 26. Epidemiology, evaluation, and nonoperative management of sternoclavicular joint disorders - p. 452 62. 27. Open management of atraumatic disorders of the sternoclavicular joint: Indications, techniques, and outcomes - p. 467 63. 28. Arthroscopic and arthroscopic-assisted management of atraumatic disorders of the sternoclavicular joint: Indications, techniques, and outcomes - p. 478 64. 29. Open management of traumatic disorders of the sternoclavicular joint: Indications, techniques, and outcomes - p. 484 65. Part X. Glenohumeral Instability - p. 492 66. Section A. Anterior Instability - p. 492 67. 30. Anterior instability: Epidemiology, history, physical examination, imaging, and nonoperative treatment - p. 492 68. 31. Anterior instability: Arthroscopic surgery and outcomes - p. 523 69. 32. Anterior instability—open surgery: Primary and revision with outcomes - p. 536 70. 33. Anterior instability—bone augmentation surgery: Primary and revision outcomes - p. 545 71. Section B. Posterior Instability - p. 560 72. 34. Posterior instability—epidemiology, history, physical examination, imaging, and nonoperative treatment - p. 560 73. 35. Posterior instability—operative technique and surgical outcomes - p. 570 74. 36. Posterior instability: Open and bone augmentation surgery - p. 577 75. Section C. Multidirectional Instability - p. 588 76. 37. Multidirectional instability—epidemiology, history, physical examination, imaging, and nonoperative treatment - p. 588 77. 38. Multidirectional instability—arthroscopic treatment and outcomes - p. 594 78. 39. Multidirectional instability—open inferior capsular shift - p. 602 79. 40. Multidirectional instability—rehabilitation and return to sport - p. 612 80. Section D. Expert Commentary - p. 624 81. 41. Opinion editorial—concavity compression - p. 624 82. 42. Opinion editorial—glenohumeral instability in the young patient - p. 630 83. 43. Opinion editorial—first-time shoulder dislocation: My approach - p. 634 84. 44. Opinion editorial—use and abuse of the latarjet procedure - p. 638 85. 45. Opinion editorial—soft tissue bankart: Still the gold standard - p. 650 86. Part XI. Sepsis - p. 656 87. 46. Sepsis background - p. 656 88. 47. Molecular mechanisms and pathogenesis of shoulder sepsis - p. 659 89. 48. Clinical management of shoulder sepsis - p. 667 90. Part XII. Shoulder Ultrasound - p. 680 91. 49. The 13-point shoulder ultrasound examination - p. 680 92. Part XIII. Rotator Cuff Lesions - p. 690 93. Section A. The Rotator Cuff - p. 690 94. 50. Structure and function of the rotator cuff - p. 690 95. 51. Epidemiology and natural history of rotator cuff disease - p. 702 96. 52. Evaluation of rotator cuff pathology: History, examination, and imaging - p. 714 97. 53. Nonoperative management of rotator cuff disease - p. 730 98. 54. Rotator cuff repair: Tear classification, operative techniques, and outcomes - p. 737 99. 55. Rehabilitation after rotator cuff repair - p. 754 100. 56. Approach to the irreparable cuff tear and failed cuff repair - p. 761 101. Section B. Expert Commentary - p. 774 102. 57. Opinion editorial—lessons learned treating patients with previous rotator cuff repairs - p. 774 103. Part XIV. Nerve Problems About the Shoulder - p. 778 104. Section A. Nerve Problems - p. 778 105. 58. Nerve problems related to the shoulder - p. 778 106. Section B. Expert Commentary - p. 800 107. 59. Opinion editorial—shoulder reconstruction in adult patients with brachial plexus injury - p. 800 108. Part XV. Glenohumeral Arthritis - p. 804 109. Section A. Arthritis - p. 804 110. 60. Evaluation and management of glenohumeral arthritis - p. 804 111. Overview - p. 804 112. Relevant anatomy and biomehcanics - p. 804 113. Advanced imaging in shoulder arthritis - p. 823 114. References - p. 992 115. 61. The role of arthroscopy in the evaluation and management of glenohumeral arthritis - p. 992 116. Section B. Expert Commentary - p. 1002 117. 62. Opinion editorial—defining the ideal indications and surgical technique for an anatomic total shoulder arthroplasty for primary osteoarthritis of the shoulder - p. 1002 118. 63. Opinion editorial—reconstructing the glenoid in total shoulder arthroplasty - p. 1009 119. 64. Opinion editorial—bone grafts in shoulder arthroplasty: What is their role? - p. 1016 120. 65. Opinion editorial—trials and tribulations of bringing the reverse to the United States - p. 1021 121. 66. Opinion editorial—revision shoulder arthroplasty: Techniques to facilitate reconstruction - p. 1027 122. Part XVI. Occupational Shoulder Problems - p. 1031 123. 67. Occupational shoulder disorders - p. 1031 124. Part XVII. Assessing the Effectiveness of Treatment - p. 1052 125. 68. Assessing the effectiveness of treatment - p. 1052 126. Part XVIII. Concluding Remarks - p. 1062 127. 69. Opinion editorial—a framework for innovation in shoulder surgery - p. 1062 128. 70. Opinion editorial—treating patients with shoulder problems: Technique versus technology - p. 1067 129. Index - p. 1077
