Name:
Sherman: Simon’s Emergency Orthopedics 8e Video 16-13
Description:
Sherman: Simon’s Emergency Orthopedics 8e Video 16-13
Thumbnail URL:
https://cadmoremediastorage.blob.core.windows.net/929a7b0c-bc03-4daf-8e42-039fe55e5692/thumbnails/929a7b0c-bc03-4daf-8e42-039fe55e5692.jpg?sv=2019-02-02&sr=c&sig=9NKsBZ0f5zYvzyyvORFaFV%2B8aT24B%2B2Ji%2Br0RHPQPh4%3D&st=2024-04-29T04%3A46%3A13Z&se=2024-04-29T08%3A51%3A13Z&sp=r
Duration:
T00H01M16S
Embed URL:
https://stream.cadmore.media/player/929a7b0c-bc03-4daf-8e42-039fe55e5692
Content URL:
https://cadmoreoriginalmedia.blob.core.windows.net/929a7b0c-bc03-4daf-8e42-039fe55e5692/16-1320Sherman_7e.mov?sv=2019-02-02&sr=c&sig=keHRku3NTHeT1ZzRGFnc5DeJScvY0K5gklOas1OAI7o%3D&st=2024-04-29T04%3A46%3A13Z&se=2024-04-29T06%3A51%3A13Z&sp=r
Upload Date:
2022-02-27T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
OK, now here is your clavicle right here. It ends at the acromion. And then underneath here is a greater tuberosity. So you have your acromion, which is a shelf, and the greater tuberosity, which is right here. In between them is a critical point, and that's where subacromial-- often called subdeltoid-- bursitis is.
And what you want to do is you want to go right at that critical point, and you want to go right in. You want to go right into that area, and you've touched the bone. Now, this is the one bursitis where you want to actually use a large-bore needle, and you want to inject as you go in, multiply sticking through the tendon, the supraspinatus tendon, and the bursa as you're injecting.
Let me explain to you why. If you inject the saline and you multiply puncture the bursa tendon unit, the supraspinatus tendon, subacromial bursal unit, you actually will have a 32% reduction in pain just from that alone. The puncturing releases the pressure in that bursitis. So this is the one bursa where you want to actually puncture through the bursa back and forth and the tendon and inject as you're doing that.
Did you notice how I injected as I'm puncturing? And that's it.