Rotator Cuff Repair Open PreOp Patient Education Surgery HD
Your doctor has recommended that you have surgery to repair a torn rotator cuff. But what does that actually mean Rotator cuff is the term given to describe a group of four tendons that work together to support and stabilize the shoulder joint. Each tendon connects muscle to bone. When a shoulder muscles contracts, it pulls on a tendon which in turn pulls on the upper arm bone and causes it to move. When one or more of these tendons become damaged, the arm loses strength and mobility. Your Procedure On the day of your operation, you will be asked to put on a surgical gown.
You may receive a sedative by mouth and an intravenous line may be put in. You will then be transferred to the operating table. If you are receiving general anesthesia, the anesthesiologist will administer it by injection and using an inhalation mask. The surgeon will then apply an antiseptic solution to the skin and place a sterile drape around the operative site. After you are unconscious, your doctor will make a vertical incision on your shoulder. Skin and other tissue will be pulled back in order to expose the shoulder's muscles.
These will also be pulled aside to expose the shoulder joint and tendons. Under the deltoid muscle lies the bursa, a protective sac that prevents the rotator cuff tendons and the shoulder muscles from rubbing against each other. Your doctor will remove the bursa to gain access to the damaged tendons. Next, the surgeon will cut away any scar tissue or unhealthy tissue around the torn area. Using sutures, the tear can now be repaired. Before closing, the deltoid muscle is returned to its proper position and the skin is rejoined and sutured.
How to Read a MRI of Lumbar Degenerative Spondylolisthesis and Spinal Stenosis
Here's a side view of an MRI of a patient with substantial degenerative changes and a degenerative Spondylolisthesis Stenosis or slip at four five and the central canal is also blocked and that is called spinal stenosis again reading this MRI we see the spinal cord here which ends there and the nerve roots which come out of the spinal cord again the white is cerebral spinal fluid which is water we see again the vertebra we see again the discs these discs here are quite degenerative and if we look carefully we're going to see that this L four vertebra has slid.
Forward on L five that slip is called a degenerative Spondylolisthesis and we can look at the spinal canal and see the spinal canal in this area his clogged up essentially and quite narrowed and that is deleterious to the nerves we can look at this with a topdown view and again the yellow line here is where we're making our cut here's the spinal canal we can see all of the nerve roots here we look at the facets before these are degenerative facets and if we march up the spine and watch the size of the canal.
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