Shoulder Hemiarthroplasty: Background, Indications, Contraindications. Broadly, indications for shoulder hemiarthroplasty can be divided into those for acute fractures and those for chronic shoulder disease. Here, general indications will be presented and disease- specific indications will be discussed. With each indication, special attention must be paid to the integrity of each functional unit of the patient's shoulder, along with expected patient goals and outcomes. Goals of hemiarthroplasty include relief of pain, improvement in overhead motion, and improvement in strength with overhead activities. Unrealistic expectations require additional patient education about possible postoperative limitations and lifestyle modifications, which may represent a contraindication to any type of arthroplasty if they persist. General indications for shoulder hemiarthroplasty include the following . The choice of surgical approach in total hip arthroplasty (THA) is debated as one factor that may influence the patient-reported outcome (PRO) (Jolles and Bogoch 2004.Surgical Exposures in Orthopaedics: The Anatomic Approach, 5e: . Piet de Boer MD, Richard Buckley MD
Hallmark radiographic findings include a loss of joint space, subchondral cysts, sclerosis, and osteophyte formation. Rotator cuff and deltoid function may be normal or abnormal and must be assessed. Patients with adequate glenoid bone stock and an intact rotator cuff usually benefit from total shoulder arthroplasty when compared to hemiarthroplasty. In a large study comparing hemiarthroplasty to total shoulder arthroplasty, Pfahler et al . Clinical findings at the glenohumeral joint are similar to osteoarthritis. However, patients may present at a younger age and with more advanced joint destruction. Hemiarthroplasty is considered when glenoid bone stock is inadequate for total or reverse total arthroplasty. Pfahler et al . Patients treated surgically for instability also demonstrate increased rates of glenohumeral osteoarthritis. Although a less common entity than primary osteoarthritis and rheumatoid arthritis, instability arthritis patients frequently present before the age of 5. The choice of hemiarthroplasty versus total shoulder arthroplasty is controversial in these patients. Pfahler et al . Typically associated with alcoholism, corticosteroid use, radiation therapy, and sickle cell anemia, AVN presentation can vary widely, but patients frequently complain of pain in the setting of a functioning rotator cuff on physical examination. Plain film findings vary from normal to subtle lucency to complete osseous collapse. When deciding between hemiarthroplasty and total shoulder arthroplasty for the treatment of AVN, it appears that resurfacing of the glenoid is typically not necessary, except possibly in the setting of advanced arthritis. Plain films may show a complete loss of the subacromial space with the humeral head articulating with the undersurface of the acromion. Because hemiarthroplasty is inferior to reverse total arthroplasty for this condition in terms of functional outcome, . Total shoulder arthroplasty is contraindicated for risk of glenoid component loosening secondary to eccentric loading. Glenohumeral chondrolysis. Chondrolysis is rare condition sometimes seen following previous shoulder intervention and presents with pain and stiffness. Muscle strength testing is typically normal and, with the exception of loss of joint space, radiographic findings of osteoarthritis are absent. Because of the frequently younger age of presentation in many of these patients, some surgeons may opt for biologic resurfacing of the glenoid with hemiarthroplasty. Previously used biologic surfaces include anterior capsule, fascia lata autograft, and Achilles tendon allograft. When rotator cuff function is severely affected by the resection, however, reverse total arthroplasty may be preferred.
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One of the most time consuming tasks with installing an after market car alarm, car security, car remote start, automatic remote starter, shock sensor, tilt sensor, car alarm sensor, auto alarm, car security system, 2 way car alarm, auto security, car security alarms, auto alarm, remote starter, auto starter, remote window roll up, starter kill is identifying the correct color car security wires for a Ford. Our automotive wiring diagrams allow you to enjoy your new auto security electronics rather than spend countless hours trying to figure out which wires goes where. Feel free to use any Ford car alarm wiring diagram that is listed on Modified Life but keep in mind that all information here is provided “as is” without any warranty of any kind and most of the car security wiring diagrams listed on our enthusiast website are submitted by the Modified Life community. Use of the wiring information is at your own risk. Always verify all wires, wire colors and diagrams before applying any information found here to your Ford. Request a Car Alarm Wiring Diagram. If you can’t find your car alarm wiring, car security wire diagram or auto alarm wire diagram on Modified Life, please feel free to post a car alarm wiring diagram request on this page and we’ll do our best to find you the diagram, schematic or information you need for your mobile security installation.
Adding More Information. If you would like to help the Modified Life community by adding a car security wire schematic, car alarm wire diagram, car remote starter wire diagram, auto remote starter wire diagram or auto security wire diagram to our resource, please feel free to post any additional car audio or car electronics wiring information on this page. FORD Car Radio Stereo Audio Wiring Diagram Autoradio connector wire installation schematic schema esquema de conexiones stecker konektor connecteur. Browse the official 2004 Ford Explorer part catalog and purchase official Motorcraft & Ford Genuine Parts. 1996 Ford Explorer Radio Wiring SchematicMAPublisher - Powerful GIS, mapping and cartography software for Adobe Illustrator. Powerful cartography softwarefor Adobe Illustrator. When Map Quality Matters. MAPublisher. Import the most widely used GIS data formats, including those from Esri, Map. Info, FME Desktop, Auto. CAD, Google and the U. S. 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