The rotator cuff is the set of muscles of the shoulder allowing its mobilisation as well as the centring of the humeral head in relation to the scapula. 

Surgical technique rupture hamstring tendons: Video

This technique of reconstruction of the anterior cruciate ligament plasty involving extra and intra-articular fascia lata was described by Hey-Groves in 1917, modified in 1972 and MacIntosh Jaeger recently. This reconstruction is a technique increasingly practiced for controlling the tibial rotation and rotational jump experienced by the patient and the surgeon objectified by clinical examination.

This lateral grafting used in this technique is called the fascia lata is a transplant with high resistance comparable to other biomechanical transplants used. The fascia lata retains its tibial insertion, which is a natural attachment system and therefore superior to any other system used. This technique has the advantages of not having to levy tendon and therefore the hope of postoperative muscle recovery and normalization of the fastest isokinetic tests.

The coracoid bone block screwed in front of the glenoid realized today either open or arthroscopically.

The advantages of arthroscopic abutment technique are:

- Take stock of the damage to the joint, bead, cartilage, loss of bone substance, tendon injuries

- The precise positioning of the stop because under direct control by the camera,

- Of smaller sizes scars,

- The treatment of lesions as lesions of the biceps (SLAP lesion) or lesions of the rotator cuff (tendon rupture) that can be treated in the same operation

- Early functional recovery

Latarjet arthroscopic intervention

The procedure is most often performed under general anesthesia with an inter-scalene block made ??preoperatively by the anesthetist. It involves taking a bone block of about 2 cm at the expense of the coracoid and place it in the anterior and inferior part of the glenoid cavity, passing through the subscapularis muscle. The coracoid can be positioned upright and secured by a screw according to Bristow or lying and fixed by two screws according Latarjet. (read more..)

The shoulder dislocations and recurrent anterior instability is a common problem among young athletes making up 90% of shoulder dislocations. Surgical indication can be provided in these cases of glenohumeral dislocations previous recurrent, but also in cases of painful and unstable shoulders. A question now arises, should we offer it immediately after the first dislocation or should we expect one or more recurrences? (Read more ...)

Clinical case

Patient, 58, sporting good level with chronic tendinitis of the Achilles tendon of the left.

chronic Achilles tendon pain lasting for more than a year after a triathlon.

The patient has received medical treatment (necessary before any surgical decision): rehabilitation, Stanish stretching, shock wave, orthopedic soles. (read more...)

While muscle injuries of the posterior region of the thigh are common in athletes, the proximal hamstring rupture is a rare disease. A study published in 2003 [1] analyzed in a consecutive series of 170 patients, 179 trauma hamstrings occurred over a period of 3 years. MRI and / or ultrasound showed that only 12% of the injuries were fractures of the proximal and 9% complete ruptures. It is also little known, the first cases described in the literature from 1988 [2]. Clinically the patients describe a violent pain in the buttock (stab printing) followed by leg weakness. ( To be continued..)

Outpatient surgery: a practice that increases the patient's postoperative comfort:

Patients do not like to stay in hospitlier environment. Go home reassured .... read more.

You have suffered a breakdown in the anterior cruciate ligament of the knee. You have been described the surgery and the postoperative. Want more explanation. (read more ...)

Patient information - The preoperative surgical consultation and pre-anesthetic consultation to select patients eligible for outpatient care.

Little history - An investigation by Medicare, in February 2007, indicates that a large majority of French (80%) would be prepared to use the outpatient surgery ...

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Surgical technique - Many surgical techniques are available to perform the plastic surgery that will fit instead of the anterior cruciate ligament.