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Right Shoulder Injuries and Surgical Repair

ID: exh76066a
This medical exhibit begins with an overview of the pre-operative condition of the right shoulder which clearly shows the rotator cuff tear; a full split thickness of the subscapularis involving the upper edge of the subscapularis, a significant displacement of the biceps tendon, bicep tendinosis, a partial tear of the supraspinatus tendon and subsequent joint impingement. The key steps of the surgical repair are illustrated. An orientation view includes featuring the patient in a modified beach chair position with arthroscopic instruments inserted in to the joint space. Several steps of the repair and fixation of the subscapularis are included. The specific suture anchor ( PushLock type anchor device) is noted. Next, the acromioplasty and the release of the coraco-acrominal ligament is depicted. Finally, the anteromedial open incision is illustrated and the repair and fixation of the biceps tendon is illustrated in graphic detail. The specific screw ( Bio- Interference screw)is included as an inset.
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