Biomedical subjects

George M McCluskey

Publications and source records attributed to George M McCluskey.

3 recordsLinked to original sources

PubMed2006

Mini-open rotator cuff repair.

Open shoulder procedures require a deltoid release for proper exposure. Arthroscopic techniques have progressed so that minimally invasive techniques give similar outcomes as more formal open procedures with less risk of morbidity. Arthroscopically assisted open rotator cuff repair offers advantages over open procedures with some diagnostic and decompression performed with the arthroscope. The mini-open technique has more aspects of a cuff repair performed through the arthroscope leaving a few steps to be done open. The modern use of arthroscopic techniques for minimally invasive rotator cuff surgery coupled with advances in rehabilitation is discussed.

Arthroscopy↗

PubMed2005

Arthroscopic treatment of anterior shoulder instability.

In the late 1980s and early 1990s, several advances in arthroscopic shoulder stabilization procedures were made. However, these early techniques were associated with higher failure rates compared with the traditional open procedures and therefore were not widely disseminated throughout the orthopaedic community. Because of improved understanding in anatomy and pathology in conjunction with dramatic technologic advances, the past decade has demonstrated significant improvement in the arthroscopic management of the unstable shoulder Evolution of arthroscopic techniques over the past 5 years to more closely resemble open procedures has led to clinical outcomes previously seen only with open procedures. Arthroscopy is becoming an attractive treatment option for an increasing number of orthopaedic surgeons.

Arthroscopy↗

PubMed2003

Superior labral anterior and posterior lesions and internal impingement in the overhead athlete.

Superior labral lesions and internal impingement are believed to be the primary cause of shoulder pathology in the overhead athlete, particularly the baseball player. Increased shoulder external rotation can lead to repetitive impingement of the rotator cuff and superior labrum resulting in a superior labrum anterior and posterior lesion and partial articular-sided rotator cuff tearing. Although the etiology for this phenomenon remains controversial, the end result remains the same: pathology in the rotator cuff and superior labrum. Isolated treatment of the pathology alone, without addressing the capsular laxity, results in lower return to play rates. Addressing the capsular laxity arthroscopically at the same time as the intra-articular pathology is necessary to give these athletes the best chance to return to their prior competitive level. Although short-term results are promising, long-term follow-up is necessary to determine the ultimate usefulness of this treatment philosophy.

Arthroscopy↗