Disruption of the normal smooth motion of the scapulothoracic joint
- posterior scapula pain with overhead motion
1. Bony abnormalities
- osteochondromas
- prominence of the superior medial border of the scapula / Luschka tubercle
2. Soft tissue abnormalities
- bursitis / scar tissue
- muscular weakness
3. Masses
- 85 intra-articular ganglions
- 49 ACL, 16 PCL
- 12 from anterior horn meniscus, 3 posterior horn meniscus
- 3 from fat pad
Technique
Surgical technique PDF using trans-septal portal
Movement of iliopsoas tendon over femoral head / iliofemoral ridge / iliofemoral ligament
Arthroscope in lateral portal
Clear fat pad
Ensure can see entire dimensions of OCD
If fragment is displaced, reduce and pin with accessory K wire
Engaging Hill Sachs
Pigmented Villo-Nodular Synovitis
- benign inflammatory process that arises in synovial tissues
- contains significant amounts of hemosiderin
Age: 20 - 50
Sex: M > F
A. Diffuse
- throughout joint synovium
- more difficult to treat / excise fully
OCD
OA - Osteophytes
Meniscus
Pain
Locking
Clicking
Can cause chondral damage
OA Loose Bodies
