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https://www.readbyqxmd.com/read/28643366/inter-rater-reliability-of-ultrasound-measurements-of-acromion-greater-tuberosity-distance-between-experienced-and-novice-raters-in-healthy-people
#1
Praveen Kumar, Matthew Attwood
No abstract text is available yet for this article.
June 23, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28634924/chondroblastoma-in-adult-age
#2
Andrea Angelini, Mohammad Hassani, Andreas F Mavrogenis, Giulia Trovarelli, Carlo Romagnoli, Antonio Berizzi, Pietro Ruggieri
PURPOSE: Chondroblastoma (CB) is a rare benign tumor that occurs most commonly in the second decade of life. No studies on CB in adulthood have been reported. Our purposes were to report a single-institution experience on CB in adults and to discuss the clinical and imaging findings, type of treatment, oncologic and functional outcomes. PATIENTS AND METHODS: All patients diagnosed and treated for CB from 1981 to 2014 were reviewed. The main inclusion criterion was patients above their 30 years of age at diagnosis...
June 20, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28630752/acromion-and-glenoid-shape-why-are-they-important-predictive-factors-for-the-future-of-our-shoulders
#3
Richard W Nyffeler, Dominik C Meyer
The shape of the acromion differs between patients with degenerative rotator cuff tears and individuals without rotator cuff pathology.It can be assessed in the sagittal plane (acromion type, acromion slope) and in the coronal plane (lateral acromion angle, acromion index, critical shoulder angle).The inter-observer reliability is better for the measurements in the coronal plane.A large lateral extension (high acromion index or high critical shoulder angle) and a lateral down-sloping of the acromion (low lateral acromion angle) are associated with full-thickness supraspinatus tears...
May 2017: EFORT open reviews
https://www.readbyqxmd.com/read/28619059/critical-shoulder-angle-combined-with-age-predict-five-shoulder-pathologies-a-retrospective-analysis-of-1000-cases
#4
Philipp R Heuberer, Fabian Plachel, Lukas Willinger, Philipp Moroder, Brenda Laky, Leo Pauzenberger, Fritz Lomoschitz, Werner Anderl
BACKGROUND: Acromial morphology has previously been defined as a risk factor for some shoulder pathologies. Yet, study results are inconclusive and not all major shoulder diseases have been sufficiently investigated. Thus, the aim of the present study was to analyze predictive value of three radiological parameters including the critical shoulder angle, acromion index, and lateral acromion angle in relationship to symptomatic patients with either cuff tear arthropathy, glenohumeral osteoarthritis, rotator cuff tear, impingement, and tendinitis calcarea...
June 15, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28609319/comparing-corticosteroid-preparation-and-dose-in-the-improvement-of-shoulder-function-and-pain-a-randomized-single-blind-pilot-study
#5
Matthew B Carroll, Spencer A Motley, Benjamin Smith, Bryan C Ramsey, Alan S Baggett
INTRODUCTION: Shoulder pain may arise from inflammation of the bursa separating the supraspinatus tendon from the coracoacromial ligament and acromion. The optimal treatment dose and preparation of intrabursal corticosteroid injection are unknown. METHODS: This single-blinded equivalence study recruited 62 subjects randomizing them to one of following four arms: methylprednisolone 20 mg, methylprednisolone 40 mg, triamcinolone acetonide 20 mg, or triamcinolone acetonide 40 mg...
June 12, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28604191/establishing-a-new-appropriate-intramuscular-injection-site-in-the-deltoid-muscle
#6
Yukari Nakajima, Kanae Mukai, Kana Takaoka, Toshiko Hirose, Keiko Morishita, Takuya Yamamoto, Yuka Yoshida, Tamae Urai, Toshio Nakatani
It is becoming increasingly important for clinicians to identify a safer intramuscular (IM) injection site in the deltoid muscle because of possible complications following the vaccine administration of IM injections. We herein examined four original IM sites located on the perpendicular line through the mid-acromion in order to establish a safer IM injection site. Thirty healthy volunteers participated in this study and the distances from our four IM sites to some anatomical landmarks on their left arms were measured...
June 12, 2017: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/28588662/management-of-painful-reverse-shoulder-arthroplasty
#7
REVIEW
Anders L Ekelund
Even though reverse shoulder arthroplasty is a very successful procedure, painful complications occur. During the initial postoperative years, the most common reasons for pain are instability, postoperative fracture of the acromion or spine, and periprosthetic infection. Later, aseptic loosening, with humeral loosening being more frequent that glenoid loosening, can be a source of pain and reduction in function. A careful patient history, clinical examination, plain radiographs, computed tomography and blood tests give an explanation for the pain in most cases...
July 2017: Shoulder & Elbow
https://www.readbyqxmd.com/read/28567226/acromion-index-in-korean-population-and-its-relationship-with-rotator-cuff-tears
#8
Dong Ho Kum, Jun Ho Kim, Keun Min Park, Eun Su Lee, Yong Bok Park, Jae Chul Yoo
BACKGROUND: Among the many causes of rotator cuff tears, scapular morphology is associated with the accelerating degenerative process of the rotator cuff. Acromion index (AI) was previously introduced and compared in two populations. METHODS: We enrolled 100 Korean patients diagnosed with full-thickness rotator cuff tears by magnetic resonance imaging and intraoperative arthroscopic findings between January and December 2013. Another 100 Korean patients with an intact rotator cuff tendon identified on magnetic resonance imaging and other shoulder diseases, such as frozen shoulder and instability, were enrolled as controls...
June 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28530477/reliability-and-validity-of-an-acromion-marker-cluster-for-recording-scapula-posture-at-end-range-clavicle-protraction-retraction-elevation-and-depression
#9
Yaheli Bet-Or, Wolbert van den Hoorn, Venerina Johnston, Shaun P O'Leary
Acromion Marker Cluster (AMC) methods have been shown to accurately track scapula motion during humeral elevation below 90°, however, their accuracy has not been assessed in shoulder girdle motion such as clavicle protraction, retraction, elevation and depression independent of humeral movement. The aim of this study was to examine the reliability and validity of the AMC method to record scapula orientation at end range clavicle protraction, retraction, elevation and depression. The right scapulae of twenty-two female and twenty male asymptomatic volunteers were assessed with an AMC and Scapula Locator (SL) method during end range clavicle protraction, retraction, elevation and depression (without humeral elevation) using an eight-camera 3D movement registration system...
May 22, 2017: Journal of Applied Biomechanics
https://www.readbyqxmd.com/read/28507874/a-10-year-follow-up-of-a-free-vascularized-fibula-flap-clavicle-reconstruction-in-an-adult
#10
Louie Ye, G Ian Taylor
The free vascularized fibula flap has been widely used for clavicle reconstruction. Limited evidence exists for the long-term outcome of clavicle reconstruction using the free vascularized fibula flap in adults. We report the functional and aesthetic outcome in a 52-year old man a decade after clavicle reconstruction using a free vascularized fibula flap in combination with a modified Richardson Hook Plate. At the 10-year follow-up, panoramic shoulder X-ray showed the modified Richardson Hook Plate had remained firmly in place with the fibula and the hook positioned beneath the acromion...
April 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28483432/reverse-shoulder-arthroplasty-in-patients-with-os-acromiale
#11
William R Aibinder, Bradley S Schoch, Robert H Cofield, John W Sperling, Joaquin Sánchez-Sotelo
BACKGROUND: Os acromiale has been reported in up to 15% of the general population. Reverse total shoulder arthroplasty (RTSA) increases deltoid tension, which could potentially lead to excessive stress on a pre-existent os acromiale. The purpose of this study was to determine the outcome and complications of primary RTSA in patients with radiographic evidence of an os acromiale. METHODS: Between 2005 and 2013, 25 shoulders underwent primary RTSA with an associated os acromiale, which was classified preacromion (3), mesoacromion (20), and meta-acromion (2)...
May 5, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28451621/is-there-an-association-between-the-critical-shoulder-angle-and-clinical-outcome-after-rotator-cuff-repair
#12
Jacob M Kirsch, Amit Nathani, Christopher B Robbins, Joel J Gagnier, Asheesh Bedi, Bruce S Miller
BACKGROUND: Variations in scapular morphology have been associated with the development of atraumatic rotator cuff tears (RCTs). The critical shoulder angle (CSA) accounts for both glenoid inclination and lateral extension of the acromion. The impact of the CSA on outcomes after rotator cuff repair (RCR) has not been investigated previously. HYPOTHESIS: Our hypothesis was that individuals with smaller CSAs will have better patient-reported outcome scores over time compared with those with larger CSAs...
April 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28436372/unusual-location-of-osteoid-osteoma-in-the-acromion
#13
Łukasz Chojecki, Janusz Płomiński, Artur Pepłoński
We present the clinical case of a 14-year-old female patient complaining of omalgia. A focus of osteoid osteoma located in the acromion was diagnosed. The lesion was removed using the arthroscopic technique, and the symptoms subsided completely. We also present a review of published papers regarding unusual locations of osteoid osteoma.
January 26, 2017: Ortopedia, Traumatologia, Rehabilitacja
https://www.readbyqxmd.com/read/28434037/open-capsular-and-ligament-reconstruction-with-semitendinosus-hamstring-autograft-successfully-controls-superior-and-posterior-translation-for-type-v-acromioclavicular-joint-dislocation
#14
Raffaele Garofalo, Enrico Ceccarelli, Alessandro Castagna, Vittorio Calvisi, Brody Flanagin, Marco Conti, Sumant G Krishnan
PURPOSE: Appropriate surgical management for type V complete acromioclavicular (AC) joint dislocation remains controversial. The purpose of this paper is to retrospectively report the clinical and radiographic outcomes of an open surgical technique consisting for AC joint ligamentous and capsular reconstruction using autologous hamstring tendon grafts and semi-permanent sutures. METHODS: Between January 2005 and December 2011, 32 consecutive patients with symptomatic type V complete AC joint dislocation underwent surgical treatment using the same technique...
April 22, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28434036/acromion-morphology-and-bone-mineral-density-distribution-suggest-favorable-fixation-points-for-anatomic-acromioclavicular-reconstruction
#15
Andreas Voss, Felix Dyrna, Andrea Achtnich, Alex Hoberman, Elifho Obopilwe, Andreas B Imhoff, Augustus D Mazzocca, Knut Beitzel
PURPOSE: Recent techniques for acromioclavicular (AC) joint reconstruction focus on additional AC cerclage to coracoclavicular (CC)-reconstructions. Due to the specific slim bone morphology at the acromion, there are concerns regarding these additional bone tunnels, as they may predispose to fracture and break out. The purpose of this study was to investigate anatomic properties of the acromion which may help improve surgical techniques directed at injuries to the AC joint. It was hypothesized that via measurements of thickness and density points of increased strength and support could be identified on the acromion...
April 22, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28418576/the-safe-zone-technique-improves-suture-placement-and-accuracy-during-arthroscopic-remplissage
#16
Grant H Garcia, Ryan M Degen, Joseph N Liu, Cynthia A Kahlenberg, Daniel J Hurwit, Joshua S Dines
In response to recent concerns about the accuracy of suture passage during arthroscopic remplissage, this study was conducted to determine whether a previously described "safe zone" technique can improve the accuracy of suture passage. A recommended safe zone technique was used for arthroscopic remplissage on 6 cadaveric specimens. The safe zone was described as a region at least 1 cm lateral and no greater than 3 cm distal to the posterolateral acromion. Results were compared with a control group of 6 specimens for which the safe zone technique was not used...
April 18, 2017: Orthopedics
https://www.readbyqxmd.com/read/28416832/-minimally-invasive-plate-osteosynthesis-for-treatment-of-proximal-humeral-fractures-through-anterolateral-acromial-approach
#17
Q Zhang, N Sun, Q Huang, S W Zhu
OBJECTIVE: To investigate the feasibility, surgical technique and effect of osteosynthesis for proximal humerus fractures through the minimal incision anterolateral acromion. METHODS: In this study, 32 patients of proximal humeral fractures were selected and treated through the minimal incision antero-lateral acromion between January 2012 and October 2014. Of these patients, there were 19 males and 13 females, with mean age 46 years old (range: 22-78 years). The mechanism of injury was a trauma of simple fall for 21 patients and motor vehicle accident for 11 patients...
April 18, 2017: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/28409099/arthroscopic-excision-of-a-symptomatic-meso-acromiale
#18
William B Stetson, J Alex McIntyre, Genevieve R Mazza
The surgical technique for the management of a symptomatic os acromiale remains unclear. Several operative techniques have been described including open excision, open reduction-internal fixation (ORIF), arthroscopic acromioplasty or subacromial decompression, and arthroscopic excision. There are 4 types of os acromiale, with the meso-acromion being the most common and difficult to treat. The excision of a pre-acromion arthroscopically or in an open manner usually produces satisfactory results. However, the open excision of a meso-acromion can lead to persistent pain and deltoid weakness and atrophy...
February 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28374051/cuff-tear-arthropathy-shoulder-hemiarthroplasty-a-radiographic-outcome-study
#19
Alan S Leung, Daniel S Hippe, Alice S Ha
OBJECTIVE: Cuff tear arthropathy (CTA) head prosthesis has recently become an alternative to standard shoulder hemiarthroplasty in patients with severe cuff disease by offering an increased surface area and decreased impingement. The purpose of this study is to evaluate the radiographic outcomes of CTA prosthesis and to correlate them with clinical outcomes. MATERIALS AND METHODS: In this retrospective study of CTA hemiarthroplasties over an 11-year period, two radiologists reviewed pre-/postoperative radiographs and clinical data...
July 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28373936/arthroscopic-distal-clavicle-and-medial-border-of-acromion-resection-for-symptomatic-acromioclavicular-joint-osteoarthritis
#20
Adinun Apivatgaroon, Prakasit Sanguanjit
Acromioclavicular joint osteoarthritis can lead to persistent shoulder pain. Distal clavicle excision is the most common operative procedure in patients with failed, conservative symptomatic acromioclavicular joint osteoarthritis treatment, with some reports of complications. This report describes an alternative procedure that can be used to excise the distal clavicle together with the medial border of the acromion. This technique is a simple procedure because the standard distal clavicle excision can preserve the acromioclavicular ligament, as well as the joint capsule, and achieve an adequate resection length...
February 2017: Arthroscopy Techniques
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