Invalid Credentials

<p begin="00:00:03.880" end="00:00:07.029" style="s2">this is a brief introduction to super<br />spin a dispatch ology</p>
<p begin="00:00:10.240" end="00:00:12.980" style="s2">we will begin by describing the bony<br />anatomy</p>
<p begin="00:00:12.980" end="00:00:16.470" style="s2">covered by the articular hailing<br />cartilage shown here</p>
<p begin="00:00:16.470" end="00:00:18.140" style="s2">in blue</p>
<p begin="00:00:18.140" end="00:00:22.580" style="s2">illustrated here is too long head of the<br />biceps tendon passing through the bicep</p>
<p begin="00:00:22.580" end="00:00:26.240" style="s2">ru to insert at the superior going on</p>
<p begin="00:00:26.240" end="00:00:29.650" style="s2">labor</p>
<p begin="00:00:29.650" end="00:00:32.520" style="s2">illustrated next is the supraspinatus<br />tendon</p>
<p begin="00:00:32.520" end="00:00:36.640" style="s2">as attach is to the greater tuberosity<br />at interior</p>
<p begin="00:00:36.640" end="00:00:39.860" style="s2">portion posteriorly the interest in a<br />distant</p>
<p begin="00:00:39.860" end="00:00:43.160" style="s2">wraps around the posterior surface the<br />humeral head</p>
<p begin="00:00:43.690" end="00:00:48.020" style="s2">to attach to the remainder the greater<br />tuberosity is lateral</p>
<p begin="00:00:48.020" end="00:00:51.020" style="s2">and post your your margins</p>
<p begin="00:00:51.820" end="00:00:55.590" style="s2">as the interest Benitez tendon attaches<br />to the post your your aspect of the</p>
<p begin="00:00:55.590" end="00:00:56.880" style="s2">greater tuberosity</p>
<p begin="00:00:56.880" end="00:01:02.330" style="s2">take note in about one-third Pittston<br />anti burst share an insertion point with</p>
<p begin="00:01:02.330" end="00:01:03.730" style="s2">two super spin eight assists</p>
<p begin="00:01:03.730" end="00:01:07.020" style="s2">post your your one-third its tendon as<br />well</p>
<p begin="00:01:07.020" end="00:01:10.050" style="s2">due to the oblique nature</p>
<p begin="00:01:10.050" end="00:01:14.690" style="s2">the interest in a dis is insertion<br />relative to the supraspinatus insertion</p>
<p begin="00:01:14.690" end="00:01:16.150" style="s2">to the greater tuberosity</p>
<p begin="00:01:16.150" end="00:01:20.100" style="s2">special care should be taken while<br />scanning through this section</p>
<p begin="00:01:20.100" end="00:01:23.100" style="s2">to avoid false-positive tears</p>
<p begin="00:01:24.109" end="00:01:27.759" style="s2">in developing these lateral rotator cuff<br />structures will be D</p>
<p begin="00:01:27.759" end="00:01:30.759" style="s2">subacromial sub deltoid versa</p>
<p begin="00:01:31.930" end="00:01:35.360" style="s2">this illustration shows a cross-section<br />the supraspinatus</p>
<p begin="00:01:35.360" end="00:01:38.360" style="s2">proximal to its insertion the greater<br />tuberosity</p>
<p begin="00:01:39.829" end="00:01:42.950" style="s2">primary focus this video will be the<br />relationship</p>
<p begin="00:01:42.950" end="00:01:46.140" style="s2">on the supraspinatus tendon with the<br />bicep tendon edits</p>
<p begin="00:01:46.140" end="00:01:49.110" style="s2">intercapital our segment</p>
<p begin="00:01:49.110" end="00:01:53.020" style="s2">this is the corresponding image the<br />supraspinatus tendon in cross-section</p>
<p begin="00:01:54.869" end="00:01:58.710" style="s2">highlighted here is the funeral at<br />proximal to the supraspinatus insertion</p>
<p begin="00:01:58.710" end="00:02:02.010" style="s2">the black gram is the articular<br />cartilage</p>
<p begin="00:02:02.010" end="00:02:05.190" style="s2">the lateral deltoid muscle run and cross<br />section as well</p>
<p begin="00:02:05.190" end="00:02:08.570" style="s2">at this level</p>
<p begin="00:02:08.570" end="00:02:12.350" style="s2">the interior super spin a distant is<br />well socialized while the posterior</p>
<p begin="00:02:12.350" end="00:02:14.470" style="s2">supraspinatus tendon is less</p>
<p begin="00:02:14.470" end="00:02:17.860" style="s2">identifiable due to its merger with the<br />interest in Ames</p>
<p begin="00:02:17.860" end="00:02:21.950" style="s2">highlighted in this image is the bicep<br />tendon also in cross-section with the</p>
<p begin="00:02:21.950" end="00:02:23.230" style="s2">supraspinatus tendon</p>
<p begin="00:02:23.230" end="00:02:26.120" style="s2">anterior margin</p>
<p begin="00:02:26.120" end="00:02:29.030" style="s2">from the transverse or cross-section<br />image we will now</p>
<p begin="00:02:29.030" end="00:02:33.840" style="s2">switch to the long axis more saddle cut<br />the supraspinatus tendon</p>
<p begin="00:02:33.840" end="00:02:36.840" style="s2">at the interior margin a greater<br />tuberosity</p>
<p begin="00:02:39.170" end="00:02:43.310" style="s2">here's the corresponding long axis<br />section the supraspinatus tendon</p>
<p begin="00:02:43.310" end="00:02:47.450" style="s2">as in search to greater tuberosity<br />highlighted here is the humeral head</p>
<p begin="00:02:47.450" end="00:02:52.500" style="s2">in greater tuberosity in profile it is<br />not uncommon to see a long axis deltoid</p>
<p begin="00:02:52.500" end="00:02:53.069" style="s2">muscle</p>
<p begin="00:02:53.069" end="00:02:58.319" style="s2">in relation to the long axis the<br />supraspinatus tendon highlighted in the</p>
<p begin="00:02:58.319" end="00:02:59.180" style="s2">next image</p>
<p begin="00:02:59.180" end="00:03:03.010" style="s2">is the long axis the supraspinatus<br />tendon as it answers to the greater</p>
<p begin="00:03:03.010" end="00:03:05.260" style="s2">tuberosity</p>
<p begin="00:03:05.260" end="00:03:08.260" style="s2">super spin anus pathological images</p>
<p begin="00:03:09.150" end="00:03:12.799" style="s2">this image demonstrates an interior<br />full-thickness tears well as a</p>
<p begin="00:03:12.799" end="00:03:16.299" style="s2">personal surface mid segment tear the<br />supraspinatus tendon</p>
<p begin="00:03:18.700" end="00:03:23.070" style="s2">here we have multiple terror citing no<br />volume loss identified</p>
<p begin="00:03:23.070" end="00:03:26.070" style="s2">in the transverse image</p>
<p begin="00:03:26.890" end="00:03:29.719" style="s2">here we have interior articular surface<br />tearing</p>
<p begin="00:03:29.719" end="00:03:33.290" style="s2">demonstrating by in los as Hypoluxo like<br />absence</p>
<p begin="00:03:33.290" end="00:03:35.700" style="s2">tendon fibers</p>
<p begin="00:03:35.700" end="00:03:38.430" style="s2">he rehashed post-operative retailer</p>
<p begin="00:03:38.430" end="00:03:42.030" style="s2">the interior super spin a distended<br />locating the exact site</p>
<p begin="00:03:42.030" end="00:03:46.530" style="s2">this terror is difficult as the bicep<br />tendon is not in its normally situated</p>
<p begin="00:03:46.530" end="00:03:51.390" style="s2">by typical group scanning from the<br />indeed biceps group posteriorly</p>
<p begin="00:03:51.390" end="00:03:55.970" style="s2">will reveal arced first in best landmark<br />the lateral greater tuberosity in</p>
<p begin="00:03:55.970" end="00:03:56.629" style="s2">profile</p>
<p begin="00:03:56.629" end="00:04:01.290" style="s2">scanning to post early may reveal<br />falsely normal rotator cuff as</p>
<p begin="00:04:01.290" end="00:04:03.690" style="s2">demonstrated in blue</p>
<p begin="00:04:03.690" end="00:04:07.900" style="s2">here's a corresponding normal rotator<br />cuff with the normally situated bicep</p>
<p begin="00:04:07.900" end="00:04:09.330" style="s2">tendon highlighted in blue</p>
<p begin="00:04:09.330" end="00:04:13.320" style="s2">where the dislocated is in red in this<br />case a long axis greater tuberosity</p>
<p begin="00:04:13.320" end="00:04:14.590" style="s2">would be a better</p>
<p begin="00:04:14.590" end="00:04:17.170" style="s2">landmark</p>
<p begin="00:04:17.170" end="00:04:20.220" style="s2">subtle interest substance carrying is<br />often harder to identify</p>
<p begin="00:04:22.470" end="00:04:26.460" style="s2">there is a hyper collect where over the<br />summer Camille bursa called Perry</p>
<p begin="00:04:26.460" end="00:04:27.380" style="s2">personal Sat</p>
<p begin="00:04:27.380" end="00:04:30.960" style="s2">and indicating layer that is the actual<br />bursal void</p>
<p begin="00:04:30.960" end="00:04:35.270" style="s2">followed by the supraspinatus tendon<br />itself area of interest here</p>
<p begin="00:04:35.270" end="00:04:38.630" style="s2">is the Dept or the concave and what<br />would normally be</p>
<p begin="00:04:38.630" end="00:04:41.630" style="s2">declined backs appearing mursal layer</p>
<p begin="00:04:44.530" end="00:04:49.000" style="s2">in long axis is normally contact<br />Trinkaus may actually be flattened</p>
<p begin="00:04:49.000" end="00:04:52.070" style="s2">instead of rounded as we see here again<br />take care</p>
<p begin="00:04:52.620" end="00:04:56.860" style="s2">to scan through the entire cast to avoid<br />any false positives</p>
<p begin="00:04:56.860" end="00:05:00.010" style="s2">as we have us demonstrated here as a<br />falsely</p>
<p begin="00:05:00.010" end="00:05:01.140" style="s2">mall cop and blue</p>