Shoulder Concepts 2013: Consensus and Concerns [recurso electrónico] Proceedings of the ISAKOS Upper Extremity Committees 2009-2013

This booklet is intended as an insightful update on daily shoulder management closely based on the content of closed consensus meetings of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) Upper Extremity Committee (UEC). Section A provides a comprehensive review of the currently available classifications and outcome scores for shoulder disorders, illustrating their potential pitfalls and limitations. The authors emphasize the need for standardization of shoulder assessment and propose two novel classifications that are expected to facilitate tailoring of management. Section B describes pioneering techniques to re-establish shoulder function after dislocation of the acromio-clavicular joint and covers surgical indications and decision-making criteria. Section C describes the current state of evidence concerning rotator cuff disorders, providing novel theories regarding the underlying biomechanics and reconstruction techniques. ​ The ISAKOS Upper Extremity Committee (UEC) meets on a biannual basis for Closed Consensus Meetings. Each summit, a worldwide expert panel of surgeons and researchers convene for an in-depth discussion about a controversial topic. The purpose of this endeavor is to combine expertise and reach international consensus for the most appropriate management of various shoulder disorders. This booklet constitutes an integral part of the agreement encountered during these meetings. Section A provides a comprehensive review of the currently available Classifications and Outcome Scores for shoulder disorders, illustrating their potential pitfalls and limitations. Section B presents a summary of the Acromio-Clavicular Joint (ACJ) Consensus Summit, describing pioneering techniques to re-establish shoulder function after dislocation. Section C describes the current state of evidence of Rotator Cuff Disorders, providing novel theories regarding its underlying biomechanics and reconstruction techniques. The 2009-2013 ISAKOS UEC members hope the readers find this compendium an insightful update for daily shoulder management Front Matter....Pages i-x Front Matter....Pages 1-1 Introduction....Pages 3-4 A Review of Rotator Cuff Classifications in Current Use....Pages 5-13 ISAKOS Classification System for Rotator Cuff Tears....Pages 15-23 Review of Current Classifications of Shoulder Instability....Pages 25-27 ISAKOS Consensus Shoulder Instability Classification System....Pages 29-34 Outcomes Scores for Shoulder Instability and Rotator Cuff Disease....Pages 35-48 Front Matter....Pages 49-49 Copenhagen Consensus on Acromio-Clavicular Disorders....Pages 51-67 Front Matter....Pages 69-69 Anatomy (Bone, Tendon, Bursa and Neurovascular Anatomy)....Pages 71-76 Biomechanics....Pages 77-79 Tendinosis, Impingement and Ruptures....Pages 81-86 Arthroscopy and Repair....Pages 87-94 Augments and Prosthesis....Pages 95-98