Disorders of the Shoulder Trauma, 3rd Edition
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© 2014 by Lippincott Williams & Wilkins, a Wolttrs Kluwer Bwincss
Second edition © 2007 by Lippincott Williams and Wilkins
First edition© 1999 by Lippincott Williams &.Wilkins
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Librruy of Conpas Catalopng-in-Public:ation Data
Disordcn of the shoulder: diagnwill & management. - Third edition.
P· ;em.
Preceded by: Disorders of the shoulder I editors, Joseph P. Iannotti, Gerald R Williams Jr. 2nd ed. c2007.
2 v. (xii, 1364, I-42 p.).
Includes bibliographical rcfcrcnCCli and index.
ISBN 978-1-4511-2745-4 (v. 1)- ISBN 978-1-4511-3058-4 (v. 2)- ISBN 978-1-4511-3057-7 (v. 3)
I. Iannotti, Joseph P., editor of compilation. II. Williams, Gerald R, Jr., 1958- editor of compilation.
ill. Miniaci, Anthony, editor of compilation. N. Zuckerman, Joseph D. (Joseph David), 1952- editor of
compilation.
[DNLM: 1. Shoulder-surgery. 2. Athletic Injuries--diagnosis. 3. Athletic Injuries-surgery. 4. Joint
Diseases-diagnwis. 5. Joint Dilleases-surgery. 6. Shoulder Joint-surgery. WE 810]
RD557.5
617.5'72-dc23
2013020790
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Dedication
To my clinical and research colleagues, the students, residents, fellows, and
my patients who together taught me all that I know about the shoulder and
all that I will learn in the future.
-joseph P. Iannotti
To my parents Joe and Lina Miniaci, for the struggles, sacrifices, and risks
that they endured to make a better life for their family. To my children Sara
Lyn, Joseph, and Anthony, who have been a parent's dream and have always
been there for me and shown an interest in what I did in my time away from
home. And most of all to my wife Judy, my best friend and the love of my life;
she has made anything we have ever accomplished possible.
-Anthony Miniaci
I would like to dedicate the third edition ofShoulder Disorders to my patients,
teachers, and students--past, present, and future-without whom this book
would not be possible. In addition, I would like to thank Joe Iannotti for
his friendship and mentoring over the years. Thanks also to Joe Zuckerman
and Tony Miniaci for joining us on this project-it is vasdy better because
of you. Thanks to Bob Hurley and staff at Lippincott who have pushed us to
finish this project. Finally, I would like to thank my wife, Robin, and my two
children, Mark and Alexis, for their love and understanding.
-Gerald R Williams, Jr.
To my wonderful family-to my truly special wife Janet and my outstanding
sons Scott and Matthew-you have been and always will be the most
important and meaningful parts of my life.
-joseph D. Zuckerman
CONTENTS
Dr~S.U • • PART Ill:
Q: , . . , ir
l¥oo .. r - SJ.alola 201
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• CONTENTS
17 Unconstrained Prosthetic Arthroplasty 29 Evaluation and Prosthetic Management
for Glenohumeral Arthritis with an Intact of Proximal Humeral Malunions 559
or Repairable Rotator Cuff: Indications, Christopher Chuinard, Pascal Boileau, and Gilles Walch
Techniques, and Results 358
Luke S. Austin, Gerald A. Williams, Jr. and Joseph P. Iannotti
30 Evaluation and Management of Humeral
Shaft Nonunions and Malunions 571
18 Hemiarthroplasty in the Management of Charles L. Getz and Matthew L. Ramsey
Glenohumeral Arthritis and Irreparable Cuff
Insufficiency 389
Carl J. Basamania and George K. Bal
PART VI:
19 Reverse Shoulder Arthroplasty in the Scapulothoracic and Neurologic
Management of Glenohumeral Arthritis Problems 579
and Irreparable Cuff Insufficiency 403
Ludwig Seebauer
31 Disorders of the Scapula: Winging
and Snapping 581
20 Management of Bone Loss in Primary W. Ben Kibler, Aaron D. Sciascia, and Trevor Wilkes
Anatomic Shoulder Arthroplasty 435
Jason J. Scalise and Joseph P. Iannotti
32 Injuries of the Brachial Plexus 607
Scott H. Kozin
21 Management of Bone Loss in Primary
33 Suprascapular and Axillary Nerve
Reverse Shoulder Arthroplasty 447
Jason J. Scalise and Joseph P. Iannotti
Injuries 661
Eric J. Strauss, Michael J. Alaia, and Young W. Kwon
22 Complications of Shoulder Arthroplasty 451
John W. Sperling and Robert H. Cofield
PART VII:
23 Complications of Reverse Total Shoulder
Arthroplasty 471 Neoplasms and Sepsis 681
Anders L. Eke lund
34 Management ofNeoplasms
24 Techniques for Revision Arthroplasty: of the Shoulder 683
Management of Bone and Soft Martin M. Malawer, Kristen Kellar-Graney, and James C. Wittig
Tissue Loss 484
Nady Hamid and Leesa M. Galatz 35 Sepsis of the Shoulder Girdle 731
John L. Esterhai, Jr.
25 Management of Infected Shoulder
Arthroplasty 505
Eric T. Ricchetti PART VIII:
26 Glenohumeral Arthrodesis 523 Outcomes, Pain Management,
Robin R. Richards and Anesthesia 749
PART V:
36 Measurement of Shoulder Outcomes 751
Carolyn M. Hettrich, Warren R. Dunn, and John E. Kuhn
Malunions and Nonunions 543 37 Medical Management of Chronic
Shoulder Pain 757
27 Evaluation and Management of Clavicle Dmitri Souzdalnitski and Nagy A. Mekhail
Malunions and Nonunions 545
David Ring and Jesse B. Jupiter 38 Anesthesia for Shoulder Surgery 775
Sherif S. Zaky, Ehab Farag, Wael Ali Sakr Esa, and Loran A. Mounir
28 Evaluation and Prosthetic Management Soliman
of Proximal Humeral Nonunions 552
AndrewS. Neviaser, Bradford 0. Parsons, and Evan L. Flatow
Index 7!)1
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• CONTRIBUTORS
Jesse B. Jupiter. MD Martin M. Malawer. MD. FACS Robin R. Richards. MD. FRCSC
Hamjorg Wyss Professor of Orthopaedic Professor (Clinical Scholar) of Orthopaedics Professor
Surgery Professor of Pediatrics (Hematology and Division of Orthopaedic Surgery
Harvard Medical School Oncology) Department of Surgety
Orthopaedic Hand and Upper Extremity Georgetown University Medical Center University ofToronto
Service Professor of Orthopaedic Surgety Toronto, Onwio, Canada
Massachusetts General Hospital Director of Orthopedic Oncology
Boston, Massachusetts George Washington University David Ring. MD. PhD
Washington, Duuict of Columbia &sociate Professor
W. Ban Kibler. MD Consultant (Pediatric and Surgery Orthopaedic Sucgety
Shoulder Center of Kentucky Branch) Harvard Medical School
Lexington, KentUcky National Cancer Institute, National Orthopaedic Hand and Upper Extremity
Institutes of Health Service
Scott H. Kozin Bethesda, Maryland Massachusetts General Hospital
Clinical Professor Boston, Massachusetts
Orthopaedic Surgery Jassa A. McCarron. MD
Temple University Assistant Professor Jason J. Scalise. MD
Philadelphia, Pennsylvania Department of Orthopaedic Surgery and The CORE Institute
Phoenix, Arizona
Rchabilitational Medicine
Sumant G. ·Butch· Krishnan Oregon Health and Science Institution Aaron D. Sciascia. MS. ATC. PES
Director Portland, Oregon
Coordinator
The Shoulder Center Shoulder Center of Kentucky
Baylor University Medical Center Nagy A. Mekhail MD. PhD Lexington Clinic
Dallas, Texas Professor Lexington, KentUcky
Anesthesiology
John E. Kuhn. MD. MS Cleveland Clinic Ludwig Saabauar. MD
Associate Professor Lerner College of Medicine Center of Orthopaedics, Traumatology, and
Orthopaedics and Rehabilitation Cleveland, Ohio Sports Medicine
Vanderbilt Univ.:csity Medical School Klinik.um Bogenhausen
Nashville, Tennessee AndrewS. Naviasar. MD Munich, Germany
Assistant Professor of Orthopaedic
Young W. Kwon. MD. PhD Surgety Loran A. Mounir Soliman. MD
Associate Professor Department of Orthopaedic Surgery Staff Anesthesiology
Orthopaedic Surgery Mount Sinai Medical Center Director Acute Pain Service
New York. University School of Medicine New York, New York. Direcmr Regional Anesthesia Fellowship
New York, New York Section Head; Orthopedic Anesthesia
Bradford 0. Parsons. MD Institute ofAnesthesia, Critical Care and
Thomas M. Lawrance MD. MSc. FRCS Associate Professor of Orthopaedics and Comprehensive Pain Management
(Tr and Orth) Residency Program Cleveland Clinic, Cleveland, Ohio
Consultant Shoulder and Elbow Surgeon Director of Orthopaedics
Department of Orthopaedics Leni and Peter W. May Depattment of Dmitri Souzdalnitski. MD. PhD
University Hospital of Covc:ntty and Orthopaedic Sucgety South Pointe Hospital Pain Management Center
Warwickshire lcahn School of Medicine at Mount Sinai Western Reserve Hospital
Coventry, United Kingdom New York, New York Cleveland, Ohio
Mark D. Lazarus. MD William H. Paterson. MD Edwin E. Spencer, Jr.• MD
Associate Professor Orthopaedic Surgeon Attending Physician
Department of Orthopaedic Surgery OrthoArizona- Mczona Division Shoulder and Flbow Service
The Rothman Institute Gilbert, Arizona Knoxville Orthopaedic Clinic
Thomas Jefferson University Knoxville, Tennessee
Philadelphia, Pennsylvania Gita Pillai. MD
Shoulder and Flbow Surgeon John W. Sparling. MD. MBA
Ofer Lavy. MD. MCh(Orth). FRCS Orthopaedic Associates of Southern Professor
Associate Professor Delaware Orthopedic Surgery
The Centre for Sports Medicine and Human Lewes, Delaware Mayo Clinic College of Medicine
Performance Rochester, Minnesota
Brunei University Matthew L. Ramsay. MD
London, United Kingdom Professor and Vice Chairman Rodney J. Stanley. MD
Department of Orthopaedic Surgery Northshore Orthopedic and Sports Medicine
Michaal T. Lu. MD Rothman Institute Center
Garden State Bone and Joint Speciallits, ll.C. Shoulder and Elbow Service Fondren Orthopaedic Group
Woodbridge, New Jersey Philadelphia, Pennsylvania Houston, Texas
North Carolina, Mooresville
Pa1ra Magosch. MD Eric T. Ricchatti. MD
Consultant Associate Staff Scott P. Steinmann. MD
Shoulder and Elbow Surgery Orthopaedic Surgery Professor of Orthopedic Surgery
ATOS Clinic Munich Cleveland Clinic Mayo Clinic
Heidelberg, Germany Cleveland, Ohio Rochester, Minnesota
CONTRIBUTORS 1!1
Eric J. Strauss. MD Gilles Walch. MD Sherif S. Zaky. MD. PhD
Assistant Professor of Orthopaedic Centre Orthopedique Santy Assistant Professor of Anesthesiology
Surgery Lyon, France Clcvdand Clinic Lerner College of Medicine
Depanment of Orthopaedic Surgery of Case Western Reserve University
Sports Medicine Service Trevor Wilkes. MD StaffAnesthesiologist
New York Univ.:csity Hospital For Joint Shoulder Center of Kentucky Department of General Anesthesiology
Diseases Laington, Kentucky Anesthesiology Institute
New York, New York. Clcvdand Clinic
Gerald R. Williams. Jr.• MD Clcvdand, Ohio
Jonathan J. Streit. MD Professor
Resident Department of Orthopaedic Surgery
Depanment of Orthopaedic Surgery Thomas Jefferson University Hospital
Case Western Reserve University Rothman Institute
Cleveland, Ohio Philaddphia, Pennsylvania
Philaddphia, PA
Mark Tauber. MD. PhD
Consultant James C. Wittig. MD
Shoulder and Elbow Surgery Associate Professor of Orthopedic Surgery
ATOS Clinic Munich Chief of Orthopedic Oncology and
Munich, Germany Sarcoma Program
Mount Sinai Medical Center
Alexander Van Tongal. MD New York, New York
Senior Shoulder Fellow
Reading Shoulder Unit
Royal Berkshire Hospital NHS FT and
Berkshire Independent Hospital
Swallows Croft, Wensley Road
Reading, Berkshire, United Kingdom
PREFACE
LEDGMENTS
