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Biomedical subjects

T Bunker

Publications and source records attributed to T Bunker.

6 recordsLinked to original sources

Synovial osteochondromatosis: an unusual cause for subacromial impingement.

Impingement syndrome is usually caused by encroachment on the rotator cuff of the acromion, coracoacromial ligament, acromioclavicular joint or coracoid process. Bursal causes of impingement are rare but include rheumatoid thickening, and thickening from previous and iatrogenic causes such as sutures, pins, or wires left from previous surgery. We report a case of synovial osteochondromatosis presenting as chronic impingement syndrome. Synovial osteochondromatosis may be difficult to differentiate from chronic calcific tendinitis, but we describe a radiological sign and its anatomical basis that can differentiate between the two. If densities are seen on plain radiographs distal to the greater tuberosity, then loose bodies within the subacromial bursa should be considered.

Acromioclavicular Joint↗

Shoulder arthroscopy.

The results of 50 shoulder arthroscopies are presented. A great variety of different lesions were seen. In 27 of the 50 cases the diagnosis was changed or refined. In particular, unexpected rotator cuff tears and radiolucent loose bodies were found. The presence of Bankart and Hill-Sachs lesions confirmed the diagnosis of recurrent dislocation in clinically subluxing patients with no radiological evidence of dislocation. Shoulder arthroscopy promises to increase diagnostic precision in patients with shoulder pain and may have therapeutic potential with minimal morbidity.

Arthroscopy↗