Enviar pesquisa
Carregar
Massive rotator cuff tears - decision making 2015
•
5 gostaram
•
2,488 visualizações
Lennard Funk
Seguir
Massive rotator cuff tears - decision making 2015 www.shoulderdoc.co.uk
Leia menos
Leia mais
Denunciar
Compartilhar
Denunciar
Compartilhar
1 de 18
Baixar agora
Baixar para ler offline
Recomendados
Rotator cuff disorder
Rotator cuff disorder
AlAhly sporting club
Peri arthritis shoulder/ frozen shoulder
Peri arthritis shoulder/ frozen shoulder
Career Point University
Other soft tissue disorders
Other soft tissue disorders
Medesun Healthcare Solutions LLC
Sab basic science and partial thickness clinical slide deck
Sab basic science and partial thickness clinical slide deck
Matthew Scott
Bicep Femoris Tendinitis
Bicep Femoris Tendinitis
Shahid Uz Zafar
Supraspinatus tendinitis 30may2013
Supraspinatus tendinitis 30may2013
Rahila Najihah
Biceps Rupture
Biceps Rupture
Supun Dhanasekara
Frozen shoulder
Frozen shoulder
Rachita Hada
Recomendados
Rotator cuff disorder
Rotator cuff disorder
AlAhly sporting club
Peri arthritis shoulder/ frozen shoulder
Peri arthritis shoulder/ frozen shoulder
Career Point University
Other soft tissue disorders
Other soft tissue disorders
Medesun Healthcare Solutions LLC
Sab basic science and partial thickness clinical slide deck
Sab basic science and partial thickness clinical slide deck
Matthew Scott
Bicep Femoris Tendinitis
Bicep Femoris Tendinitis
Shahid Uz Zafar
Supraspinatus tendinitis 30may2013
Supraspinatus tendinitis 30may2013
Rahila Najihah
Biceps Rupture
Biceps Rupture
Supun Dhanasekara
Frozen shoulder
Frozen shoulder
Rachita Hada
Frozen Shoulder
Frozen Shoulder
Bonesandjoints
Adhesive Capsulitis
Adhesive Capsulitis
varshapawar26
Soft tissue lesions .a perspective g s patnaik
Soft tissue lesions .a perspective g s patnaik
Narayan Medical College, Gopal Narayan Singh University
Periarthritis shoulder
Periarthritis shoulder
Shri Guru Ram Rai Institute of Medical Science
Painful arc syndrome
Painful arc syndrome
orthoprince
Painful shoulder
Painful shoulder
Dr.A.Mohan krishna
GOLFERS ELBOW AND PHYSIOTHERAPY MANAGEMENT
GOLFERS ELBOW AND PHYSIOTHERAPY MANAGEMENT
Shahid Uz Zafar
Soft tissue disorders
Soft tissue disorders
Medesun Healthcare Solutions LLC
Seminar rotator cuff
Seminar rotator cuff
Chapma9
Frozen Shoulder Physiotherapy Management
Frozen Shoulder Physiotherapy Management
Vishal Deep
Periarthritis shoulder & painful arc
Periarthritis shoulder & painful arc
Dr venkatesh v
Cervical Spondylosis - Management
Cervical Spondylosis - Management
Mohammed Aljaber
Tennis elbow
Tennis elbow
Sanjay Alle
Biceps Tendon Rupture And Physiotherapy Management
Biceps Tendon Rupture And Physiotherapy Management
RABI'ATUL 'ADAWIYAH BINTI MD.YUSOF
Rotator cuff injury
Rotator cuff injury
Career Point University
Shoulder impingement syndrome
Shoulder impingement syndrome
sumasree15
23 shoulder dislocation - d3
23 shoulder dislocation - d3
Prasanth Bhujan
Rotator Cuff Injuries - Dr.CHINTAN N. PATEL
Rotator Cuff Injuries - Dr.CHINTAN N. PATEL
DrChintan Patel
Calf pain
Calf pain
Dr. krupal modi
Rehabilitation of lower limb amputee
Rehabilitation of lower limb amputee
drwaseem113
Full thickness rotator cuff tears, Value of clinical tests
Full thickness rotator cuff tears, Value of clinical tests
Hanneke van der Weijden
Rotator cuff patches literature review 2012 - fraser taylor
Rotator cuff patches literature review 2012 - fraser taylor
Lennard Funk
Mais conteúdo relacionado
Mais procurados
Frozen Shoulder
Frozen Shoulder
Bonesandjoints
Adhesive Capsulitis
Adhesive Capsulitis
varshapawar26
Soft tissue lesions .a perspective g s patnaik
Soft tissue lesions .a perspective g s patnaik
Narayan Medical College, Gopal Narayan Singh University
Periarthritis shoulder
Periarthritis shoulder
Shri Guru Ram Rai Institute of Medical Science
Painful arc syndrome
Painful arc syndrome
orthoprince
Painful shoulder
Painful shoulder
Dr.A.Mohan krishna
GOLFERS ELBOW AND PHYSIOTHERAPY MANAGEMENT
GOLFERS ELBOW AND PHYSIOTHERAPY MANAGEMENT
Shahid Uz Zafar
Soft tissue disorders
Soft tissue disorders
Medesun Healthcare Solutions LLC
Seminar rotator cuff
Seminar rotator cuff
Chapma9
Frozen Shoulder Physiotherapy Management
Frozen Shoulder Physiotherapy Management
Vishal Deep
Periarthritis shoulder & painful arc
Periarthritis shoulder & painful arc
Dr venkatesh v
Cervical Spondylosis - Management
Cervical Spondylosis - Management
Mohammed Aljaber
Tennis elbow
Tennis elbow
Sanjay Alle
Biceps Tendon Rupture And Physiotherapy Management
Biceps Tendon Rupture And Physiotherapy Management
RABI'ATUL 'ADAWIYAH BINTI MD.YUSOF
Rotator cuff injury
Rotator cuff injury
Career Point University
Shoulder impingement syndrome
Shoulder impingement syndrome
sumasree15
23 shoulder dislocation - d3
23 shoulder dislocation - d3
Prasanth Bhujan
Rotator Cuff Injuries - Dr.CHINTAN N. PATEL
Rotator Cuff Injuries - Dr.CHINTAN N. PATEL
DrChintan Patel
Calf pain
Calf pain
Dr. krupal modi
Rehabilitation of lower limb amputee
Rehabilitation of lower limb amputee
drwaseem113
Mais procurados
(20)
Frozen Shoulder
Frozen Shoulder
Adhesive Capsulitis
Adhesive Capsulitis
Soft tissue lesions .a perspective g s patnaik
Soft tissue lesions .a perspective g s patnaik
Periarthritis shoulder
Periarthritis shoulder
Painful arc syndrome
Painful arc syndrome
Painful shoulder
Painful shoulder
GOLFERS ELBOW AND PHYSIOTHERAPY MANAGEMENT
GOLFERS ELBOW AND PHYSIOTHERAPY MANAGEMENT
Soft tissue disorders
Soft tissue disorders
Seminar rotator cuff
Seminar rotator cuff
Frozen Shoulder Physiotherapy Management
Frozen Shoulder Physiotherapy Management
Periarthritis shoulder & painful arc
Periarthritis shoulder & painful arc
Cervical Spondylosis - Management
Cervical Spondylosis - Management
Tennis elbow
Tennis elbow
Biceps Tendon Rupture And Physiotherapy Management
Biceps Tendon Rupture And Physiotherapy Management
Rotator cuff injury
Rotator cuff injury
Shoulder impingement syndrome
Shoulder impingement syndrome
23 shoulder dislocation - d3
23 shoulder dislocation - d3
Rotator Cuff Injuries - Dr.CHINTAN N. PATEL
Rotator Cuff Injuries - Dr.CHINTAN N. PATEL
Calf pain
Calf pain
Rehabilitation of lower limb amputee
Rehabilitation of lower limb amputee
Destaque
Full thickness rotator cuff tears, Value of clinical tests
Full thickness rotator cuff tears, Value of clinical tests
Hanneke van der Weijden
Rotator cuff patches literature review 2012 - fraser taylor
Rotator cuff patches literature review 2012 - fraser taylor
Lennard Funk
Rotator cuff tears
Rotator cuff tears
Paudel Sushil
My Techniques for Shoulder Joint Preservation
My Techniques for Shoulder Joint Preservation
Alan M. Hirahara, M.D., FRCSC
Repair Methods for Full Thickness Rotator Cuff Tears: Implications for PT
Repair Methods for Full Thickness Rotator Cuff Tears: Implications for PT
Hospital for Special Surgery
Rotator cuff Repair - New Techniques and Challenges
Rotator cuff Repair - New Techniques and Challenges
ShoulderPain
Rotator cuff Tear and its management
Rotator cuff Tear and its management
Rohan Vakta
Arthroscopic Transosseous(No Implant) Rotator Cuff Repair-Dr. Raghuveer Reddy .K
Arthroscopic Transosseous(No Implant) Rotator Cuff Repair-Dr. Raghuveer Reddy .K
TheRightDoctors
Arthroscopic Rotator Cuff Repair | Colorado Shoulder Specialist | Vail, CO
Arthroscopic Rotator Cuff Repair | Colorado Shoulder Specialist | Vail, CO
Peter Millett MD
Collagen Stuffed Sutures Enhance Healing of Full-Thickness Rotator Cuff Tears
Collagen Stuffed Sutures Enhance Healing of Full-Thickness Rotator Cuff Tears
Alan M. Hirahara, M.D., FRCSC
Posterior instability of the shoulder lennard funk
Posterior instability of the shoulder lennard funk
Lennard Funk
Arthroscopic management of rotator cuff tears larissa 2016
Arthroscopic management of rotator cuff tears larissa 2016
Aaron Venouziou
Rotator cuff Repair in Rugby 2015 funk
Rotator cuff Repair in Rugby 2015 funk
Lennard Funk
Arthroscopic cuff repair
Arthroscopic cuff repair
orthoprince
Rotator cuff yırtıkları
Rotator cuff yırtıkları
gökhan tevfik ateş
Destaque
(15)
Full thickness rotator cuff tears, Value of clinical tests
Full thickness rotator cuff tears, Value of clinical tests
Rotator cuff patches literature review 2012 - fraser taylor
Rotator cuff patches literature review 2012 - fraser taylor
Rotator cuff tears
Rotator cuff tears
My Techniques for Shoulder Joint Preservation
My Techniques for Shoulder Joint Preservation
Repair Methods for Full Thickness Rotator Cuff Tears: Implications for PT
Repair Methods for Full Thickness Rotator Cuff Tears: Implications for PT
Rotator cuff Repair - New Techniques and Challenges
Rotator cuff Repair - New Techniques and Challenges
Rotator cuff Tear and its management
Rotator cuff Tear and its management
Arthroscopic Transosseous(No Implant) Rotator Cuff Repair-Dr. Raghuveer Reddy .K
Arthroscopic Transosseous(No Implant) Rotator Cuff Repair-Dr. Raghuveer Reddy .K
Arthroscopic Rotator Cuff Repair | Colorado Shoulder Specialist | Vail, CO
Arthroscopic Rotator Cuff Repair | Colorado Shoulder Specialist | Vail, CO
Collagen Stuffed Sutures Enhance Healing of Full-Thickness Rotator Cuff Tears
Collagen Stuffed Sutures Enhance Healing of Full-Thickness Rotator Cuff Tears
Posterior instability of the shoulder lennard funk
Posterior instability of the shoulder lennard funk
Arthroscopic management of rotator cuff tears larissa 2016
Arthroscopic management of rotator cuff tears larissa 2016
Rotator cuff Repair in Rugby 2015 funk
Rotator cuff Repair in Rugby 2015 funk
Arthroscopic cuff repair
Arthroscopic cuff repair
Rotator cuff yırtıkları
Rotator cuff yırtıkları
Semelhante a Massive rotator cuff tears - decision making 2015
physiotherapy ppt new.pptx
physiotherapy ppt new.pptx
YOGESHKUMAR210744
Foot drop
Foot drop
Mandakini GHOSH
Nmt631 msk lower extremity pathology
Nmt631 msk lower extremity pathology
ljmcneill33
Fracture calcaneum and talus by dr ashutosh
Fracture calcaneum and talus by dr ashutosh
Ashutosh Kumar
Role of ultrasound in clinical evaluation of shoulder Dr. Muhammad Bin Zulfiqar
Role of ultrasound in clinical evaluation of shoulder Dr. Muhammad Bin Zulfiqar
Dr. Muhammad Bin Zulfiqar
Knee clinical examination by Dr YAGNIK
Knee clinical examination by Dr YAGNIK
Yagnik Bhuva
Cedera Ankle
Cedera Ankle
Wimpi Pardede
Elbow joint anatomy and examination
Elbow joint anatomy and examination
RamanGhimire3
The congenital and acquired diseases of spine #2
The congenital and acquired diseases of spine #2
VakulychMyroslav
12. tendon transfers
12. tendon transfers
krishna bhatt
Hip Osteoarthrosis -PAWAN
Hip Osteoarthrosis -PAWAN
Pawan Yadav
Common Fractures
Common Fractures
meducationdotnet
Foot drop
Foot drop
Supraja Avula
Foot drop
Foot drop
Supraja Avula
Hallux valgus.pptx
Hallux valgus.pptx
Siwaporn Khureerung
Orthosis of hand ppt
Orthosis of hand ppt
manojpurohit55
Ctev
Ctev
rajusvmc
Wrist Joint
Wrist Joint
Shweta Kotwani
Examination of motor system
Examination of motor system
dina merzeban
1st lecture.general anatomy, Dr.sabreen mahmoud
1st lecture.general anatomy, Dr.sabreen mahmoud
sabreen_mahm
Semelhante a Massive rotator cuff tears - decision making 2015
(20)
physiotherapy ppt new.pptx
physiotherapy ppt new.pptx
Foot drop
Foot drop
Nmt631 msk lower extremity pathology
Nmt631 msk lower extremity pathology
Fracture calcaneum and talus by dr ashutosh
Fracture calcaneum and talus by dr ashutosh
Role of ultrasound in clinical evaluation of shoulder Dr. Muhammad Bin Zulfiqar
Role of ultrasound in clinical evaluation of shoulder Dr. Muhammad Bin Zulfiqar
Knee clinical examination by Dr YAGNIK
Knee clinical examination by Dr YAGNIK
Cedera Ankle
Cedera Ankle
Elbow joint anatomy and examination
Elbow joint anatomy and examination
The congenital and acquired diseases of spine #2
The congenital and acquired diseases of spine #2
12. tendon transfers
12. tendon transfers
Hip Osteoarthrosis -PAWAN
Hip Osteoarthrosis -PAWAN
Common Fractures
Common Fractures
Foot drop
Foot drop
Foot drop
Foot drop
Hallux valgus.pptx
Hallux valgus.pptx
Orthosis of hand ppt
Orthosis of hand ppt
Ctev
Ctev
Wrist Joint
Wrist Joint
Examination of motor system
Examination of motor system
1st lecture.general anatomy, Dr.sabreen mahmoud
1st lecture.general anatomy, Dr.sabreen mahmoud
Mais de Lennard Funk
ACJ Disloc Management 2022.pdf
ACJ Disloc Management 2022.pdf
Lennard Funk
Clavicle Fractures Pro Cyclists 2021.pdf
Clavicle Fractures Pro Cyclists 2021.pdf
Lennard Funk
ACJ Osteolysis.pdf
ACJ Osteolysis.pdf
Lennard Funk
Chronic Pectoralis Major Injuries Len Funk 2020
Chronic Pectoralis Major Injuries Len Funk 2020
Lennard Funk
Rotator Cuff Augment 2018.pdf
Rotator Cuff Augment 2018.pdf
Lennard Funk
Rotator Cuff Update 2022 for Medbelle Len Funk.pptx
Rotator Cuff Update 2022 for Medbelle Len Funk.pptx
Lennard Funk
Should We Repair Rotator Cuff Tears OPN 2017.pdf
Should We Repair Rotator Cuff Tears OPN 2017.pdf
Lennard Funk
Anterior shoulder instability st4-6
Anterior shoulder instability st4-6
Lennard Funk
ACJ revision surgery for failed reconstructions and excisions
ACJ revision surgery for failed reconstructions and excisions
Lennard Funk
Pectoralis Major Injuries for BESS 2020
Pectoralis Major Injuries for BESS 2020
Lennard Funk
Anterior shoulder Instability in the young athlete 2020 bostaa
Anterior shoulder Instability in the young athlete 2020 bostaa
Lennard Funk
Superior Capsular Reconstruction Outcomes Wrightington 2020
Superior Capsular Reconstruction Outcomes Wrightington 2020
Lennard Funk
Shoulder Instability Sports - Decision Making
Shoulder Instability Sports - Decision Making
Lennard Funk
Scapula Pain
Scapula Pain
Lennard Funk
The Incidence of Traumatic Posterior and Combined Labral Tears in Patients Un...
The Incidence of Traumatic Posterior and Combined Labral Tears in Patients Un...
Lennard Funk
Pectoralis major allograft reconstruction
Pectoralis major allograft reconstruction
Lennard Funk
What the surgeon wants from radiologist
What the surgeon wants from radiologist
Lennard Funk
Rotator cuff tear management 2019
Rotator cuff tear management 2019
Lennard Funk
Perioperative pain management toni hundle the arm clinic 2019
Perioperative pain management toni hundle the arm clinic 2019
Lennard Funk
Hydrodistension outcomes 2017
Hydrodistension outcomes 2017
Lennard Funk
Mais de Lennard Funk
(20)
ACJ Disloc Management 2022.pdf
ACJ Disloc Management 2022.pdf
Clavicle Fractures Pro Cyclists 2021.pdf
Clavicle Fractures Pro Cyclists 2021.pdf
ACJ Osteolysis.pdf
ACJ Osteolysis.pdf
Chronic Pectoralis Major Injuries Len Funk 2020
Chronic Pectoralis Major Injuries Len Funk 2020
Rotator Cuff Augment 2018.pdf
Rotator Cuff Augment 2018.pdf
Rotator Cuff Update 2022 for Medbelle Len Funk.pptx
Rotator Cuff Update 2022 for Medbelle Len Funk.pptx
Should We Repair Rotator Cuff Tears OPN 2017.pdf
Should We Repair Rotator Cuff Tears OPN 2017.pdf
Anterior shoulder instability st4-6
Anterior shoulder instability st4-6
ACJ revision surgery for failed reconstructions and excisions
ACJ revision surgery for failed reconstructions and excisions
Pectoralis Major Injuries for BESS 2020
Pectoralis Major Injuries for BESS 2020
Anterior shoulder Instability in the young athlete 2020 bostaa
Anterior shoulder Instability in the young athlete 2020 bostaa
Superior Capsular Reconstruction Outcomes Wrightington 2020
Superior Capsular Reconstruction Outcomes Wrightington 2020
Shoulder Instability Sports - Decision Making
Shoulder Instability Sports - Decision Making
Scapula Pain
Scapula Pain
The Incidence of Traumatic Posterior and Combined Labral Tears in Patients Un...
The Incidence of Traumatic Posterior and Combined Labral Tears in Patients Un...
Pectoralis major allograft reconstruction
Pectoralis major allograft reconstruction
What the surgeon wants from radiologist
What the surgeon wants from radiologist
Rotator cuff tear management 2019
Rotator cuff tear management 2019
Perioperative pain management toni hundle the arm clinic 2019
Perioperative pain management toni hundle the arm clinic 2019
Hydrodistension outcomes 2017
Hydrodistension outcomes 2017
Massive rotator cuff tears - decision making 2015
1.
Lennard Funk
2.
• Boutonniere • Loss
of suspension bridge (force couple) • LHB subluxes • Subscap tears • muscles atrophy • fixed instability • bone softens Massive Cuff Tear (>5cm)
3.
IRREPERABLE CUFF TEARS Loss
of Teres Minor - Postero-inferior Cuff: 1. +ve Hornblower’s Sign 2. MRI (fatty infiltration & retraction???) 3. Arthroscopy (subjective)
4.
SURGEON CONCERNS Fatty infiltration Muscle
Atrophy Retraction Recurrences Healing
5.
PATIENT CONCERNS PAIN FUNCTION
6.
TREATMENT OPTIONS 1. Deltoid
Rehabilitation 2. Partial Repair 3. Debridement - Humeroplasty, ASD, Biceps Tenotomy 4. Tendon Transfers 5. Synthetic Patches 6. Reverse Arthroplasty 7. Superior Capsular Reconstruction 8. InSpace Balloon
7.
CONSIDERATIONS PAIN FUNCTION AGE SMOKING COMORBID STIFFNESS HORN- BLOWER EXAM RETRAC- TION FATTY ATROPHY MRI
8.
REPAIR YOUNG OLD LAT DORSI DEBRIDE DELTOID REHAB REVERSE SCRCBALLOON PAIN WEAK HORN- BLOWERAGE
9.
DECISIONS Deltoid Rehab Painless Need
Deltoid Compliant Patient Debridement + Deltoid Rehab Pain Need Deltoid, Compliant Patient Partial Repair Pain Need Deltoid, Compliant Patient Long rehab & recovery Tendon Transfer Pain above + risk of open surgery Synthetic Augmentation Function (? Pain) above + Cost vs. Benefit? Xenograft/Allograft Risks Reverse Arthroplasty Pain + Function Predictable Results ? Long-term
10.
DELTOID REHAB PAIN FUNCTION AGE SMOKING COMORBID STIFFNESS HORN- BLOWER EXAM RETRAC- TION FATTY ATROPHY MRI
11.
DEBRIDEMENT PAIN FUNCTION AGE SMOKING COMORBID STIFFNESS HORN- BLOWER EXAM RETRAC- TION FATTY ATROPHY MRI
12.
REPAIR PAIN FUNCTION AGE SMOKING COMORBID STIFFNESS HORN- BLOWER EXAM RETRAC- TION FATTY ATROPHY MRI
13.
LAT DORSI TRANSFER PAIN
FUNCTION AGE SMOKING COMORBID STIFFNESS HORN- BLOWER EXAM RETRAC- TION FATTY ATROPHY MRI
14.
REVERSE ARTHROPLASTY PAIN FUNCTION AGE SMOKING COMORBID STIFFNESS HORN- BLOWER EXAM RETRAC- TION FATTY ATROPHY MRI
15.
SCRC PAIN FUNCTION AGE SMOKING COMORBID STIFFNESS HORN- BLOWER EXAM RETRAC- TION FATTY ATROPHY MRI
16.
INSPACE BALLOON PAIN FUNCTION AGE SMOKING COMORBID STIFFNESS HORN- BLOWER EXAM RETRAC- TION FATTY ATROPHY MRI
17.
REPAIR YOUNG OLD LAT DORSI DEBRIDE DELTOID REHAB REVERSE SCRCBALLOON PAIN WEAK HORN- BLOWERAGE
18.
THANKYOU @theshoulderdoc
Baixar agora