POSTER ABSTRACTS - ISAKOS
POSTER ABSTRACTS - ISAKOS
POSTER ABSTRACTS - ISAKOS
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Complete orthopaedic and anesthetic records<br />
were available. The planned type of anesthesia,<br />
occurrence of block failure, the surgical procedure<br />
and the presence of complications were noted.<br />
Results: Of 445 patients, 372 underwent full<br />
arthroscopic procedures and 73 underwent open<br />
surgery ( open repairs, ORIF or arthroplasties).<br />
General anesthesia was the initial planned choice<br />
in 64 cases due to complexity of the operation or<br />
lateral decubitus position of the patient. Fifty<br />
eight of these 64 also received an ISB. ISB alone<br />
was planned for 381 patients. Three hundred sixty<br />
six ( 96 %) were successful, while 15 cases ( 4 %)<br />
required GA due to inadequate block. 94 % of the<br />
arthroscopic procedures and 54 % of the open<br />
cases received ISB alone. Among all 439 patients<br />
receiving ISB , only one major complication was<br />
seen. One patient presented a sudden death<br />
leaving the hospital two hours after the<br />
procedure. There were no pneumothoraces,<br />
seizures, other cardiac events or major<br />
complications. Three patients suffered sensory<br />
neuropathies which resolved at a mean period of<br />
five weeks.<br />
Conclusions: ISB provides adecuate analgesia<br />
during the surgical procedure and postoperative<br />
period. When administrated by an<br />
anesthesiologist skilled in the technique, the ISB<br />
is a safe and effective anesthesia for shoulder<br />
surgery.<br />
E-poster #929<br />
Open Surgical Treatment of the Acromio<br />
Clavicular Dislocation Grade III in Athlete<br />
Ronaldo Dalla Bernardina, BRAZIL, Presenter<br />
Centro de traumato ortopedia do Esporte (CETE),<br />
Sao Paulo, BRAZIL<br />
Authors: Benno Ejnisman, Carlos Vicente<br />
Andreoli, Ronaldo Dalla, Alberto Pochini, Gustavo<br />
Cará Monteiro , Moisés Cohen.<br />
The Acrômio Clavicular Dislocation grade III of<br />
Rockwood classification (ACD G III) is a common<br />
traumatic injury in the sports, corresponding<br />
between 10 and 20% of the injuries of the<br />
shoulder of the athlete. The objective of this work<br />
was to evaluate the surgical treatment of ACD G III<br />
by means of the surgery of Weaver-Dunn modified<br />
with the setting of the acrômio clavicular joint<br />
with Kirschner wires. Between 1998 and 2002 24<br />
athletes had been operated, being the soccer of<br />
bigger prevalence of the injury with 10<br />
cases(41,6%) followed by martial arts/fight and<br />
basquete both with 4 casos(16,6%). The average<br />
age of the patients was 28,9 years(between 19 to<br />
38 years). A postoperative evaluation second to<br />
the criteria of Poigenforst(1987) specific for<br />
Acrômio Clavicular Dislocation was carried<br />
through after one year of pursuing getting itself 17<br />
cases excelentes(70%), 6 good(25,1%) and 1 case<br />
bad(4,1%). The return to the sport if gave in all<br />
the patients. The surgery of Weavwr-Dunn<br />
modified associated to the setting of the acrômio<br />
clavicular joint with Kirschner wires is an efficient<br />
procedure for the treatment of ACD GIII in athlete.<br />
E-poster #930<br />
Frozen Shoulder - Arthroscopic Release<br />
Manoel Antonio Delatre Bonfim, BRAZIL,<br />
Presenter<br />
ORTHOS CLINICA, Sao Paulo, BRAZIL<br />
Eight patients with a diagnosis or primary(four)<br />
and secondary (four) frozen shoulder, who had<br />
symtoms for an average eight months and failed<br />
conservative treatment of at least eighteen weeks<br />
of physical therapy, were treated with an<br />
arthroscopy capsular release.Standard shouder<br />
arthroscopy was done and radiofrequence(VAPR)<br />
was used to divide the anterior inferior capasule,<br />
the intra articular portion of the subscapularis<br />
tendon, and middle glenohumeral , the superior<br />
glenohumeral and the coracohumeral ligaments.<br />
The subacromial space wasn't inspectd in all<br />
patients, and only two sub acromial<br />
descompression were done.All patients showed a<br />
good gain of shoulder range of motions, as well as<br />
diminished pain.The autor concluded that<br />
arthroscopic capsular release is an effective an<br />
safe alternative to failure of conservative methods<br />
to treatement or frozen shoulder.<br />
E-poster #931<br />
Determinants of Patient Satisfaction after SLAP<br />
surgery<br />
Richard J Hawkins, Vail, CO, USA, Presenter<br />
Marilee Horan, Vail, CO USA<br />
Karen K Briggs, Vail, CO USA<br />
Steadman Hawkins Sports Medicine Foundation,<br />
Vail, CO, USA<br />
The purpose of this study was to identify the<br />
determinants of patient satisfaction with<br />
outcome after superior labral anterior posterior<br />
(SLAP) surgery.<br />
Methods: A cohort of patients (n =346)<br />
undergoing SLAP surgery was studied
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