Name:
Sherman: Simon’s Emergency Orthopedics 8e Video 16-12
Description:
Sherman: Simon’s Emergency Orthopedics 8e Video 16-12
Thumbnail URL:
https://cadmoremediastorage.blob.core.windows.net/086ab348-5d7f-4798-931b-3c3ab02af408/thumbnails/086ab348-5d7f-4798-931b-3c3ab02af408.jpg?sv=2019-02-02&sr=c&sig=zNPiJgj6mkfY3V1HNxN4bID0Cb4Jw0cgoeyRcukkbBU%3D&st=2024-04-29T05%3A57%3A29Z&se=2024-04-29T10%3A02%3A29Z&sp=r
Duration:
T00H01M28S
Embed URL:
https://stream.cadmore.media/player/086ab348-5d7f-4798-931b-3c3ab02af408
Content URL:
https://cadmoreoriginalmedia.blob.core.windows.net/086ab348-5d7f-4798-931b-3c3ab02af408/16-1220Sherman_7e.mov?sv=2019-02-02&sr=c&sig=EZn29kvCvPZUKQKojlv1eft9LX7aeErW%2Fw70vDN4TLw%3D&st=2024-04-29T05%3A57%3A29Z&se=2024-04-29T08%3A02%3A29Z&sp=r
Upload Date:
2022-02-27T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
Now, for an impingement syndrome, often called painful arch syndrome, this is a very important one because 30% of these end up needing surgery if they don't respond. It's a very, very critical arch. What happens is as you reach your arm up and down, your greater tuberosity impinges against something called the coracoacromial arch.
So you find the coracoid process right here, this little bone right here-- here's the acromion-- and right between the two is an arch. And here's the coracoacromial arch. I'm actually rubbing against it. And what you want to do is you want to get under that arch. So what I do is I go through the skin. Then I grab my needle and I go underneath the arch. And right here I'm now lifting the arch.
The arch is on top of my needle. You really can't see it, unfortunately, because it's thick. But right there is the arch. I go underneath it and there's a free space underneath it. It's filled with just some fat, alveolar tissue. And you inject right underneath there. If you notice, the arch is a little bit distending, but not a lot because it's a very thick arch.
OK, and then what I do, unlike the bursitis, or INAUDIBLE tendon, when I went all along the tendon sheath, I just stay in one spot. And after I inject, after I'm done, I pull it out and I rub it. Then when you're done you put them in a sling.