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Impingement Syndrome

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https://www.readbyqxmd.com/read/28732130/abnormalities-in-the-24-hour-rhythm-of-skin-temperature-in-cirrhosis-sleep-wake-and-general-clinical-implications
#1
Maria Garrido, Desy Saccardo, Michele De Rui, Elia Vettore, Alberto Verardo, Paolo Carraro, Nicola Di Vitofrancesco, Ali R Mani, Paolo Angeli, Massimo Bolognesi, Sara Montagnese
BACKGROUND & AIMS: Sleep preparation/onset are associated with peripheral vasodilatation and a decrease in body temperature. The hyperdynamic syndrome exhibited by patients with cirrhosis may impinge on sleep preparation, thus contributing to their difficulties falling asleep. The aim of this study was the assessment of skin temperature, in relation to sleep-wake patterns, in patients with cirrhosis. METHODS: Fifty three subjects were initially recruited, and 46 completed the study...
July 21, 2017: Liver International: Official Journal of the International Association for the Study of the Liver
https://www.readbyqxmd.com/read/28716019/glenohumeral-and-scapulothoracic-strength-impairments-exists-in-patients-with-subacromial-impingement-but-these-are-not-reflected-in-the-shoulder-pain-and-disability-index
#2
M B Clausen, A Witten, K Holm, K B Christensen, M L Attrup, P Hölmich, K Thorborg
BACKGROUND: Pain and loss of function are cardinal symptoms associated with Subacromial impingement syndrome (SIS), while the presence and magnitude of deficits in strength and range of motion (ROM) are largely undescribed in non-athletic patients with SIS. Moreover, the relevance of impairments in strength and ROM to patient-reported shoulder function is not well described, even though testing of strength is recommended in clinical guidelines. The purpose of this study was, first, to investigate impairments in glenohumeral and scapulothoracic strength and in abduction and internal rotation ROM in patients with SIS...
July 17, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28708327/sonography-of-non-neoplastic-disorders-of-the-hand-and-wrist-tendons
#3
REVIEW
Salvatore Gitto, Anna Guja Draghi, Ferdinando Draghi
Tendon disorders commonly cause hand and wrist disability and curtail the performance of work-related duties or routine tasks. Imaging is often needed for diagnosis, but it requires knowledge of the complex anatomic structures of the tendons of the hand and wrist as well as familiarity with related disorders. This review article aims to provide medical professionals with guidelines for the sonographic assessment of the tendons of hand and wrist and related disorders. Sonographic features of tendon disorders affecting the hand and wrist are described here, specifically: infectious tenosynovitis; tendon rupture or tearing; stenosing forms of tenosynovitis such as De Quervain disease and trigger finger; intersection syndrome; insertional tendinopathy; several forms of tendinous instability such as extensor carpi ulnaris instability, climber finger, and boxer knuckle; and tendinopathy in inflammatory rheumatic diseases...
July 14, 2017: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/28706100/medical-service-use-and-usual-care-of-common-shoulder-disorders-in-korea-a-cross-sectional-study-using-the-health-insurance-review-and-assessment-service-national-patient-sample
#4
Hwansoo Joo, Yoon Jae Lee, Joon-Shik Shin, Jinho Lee, Me-Riong Kim, Wonil Koh, Yeoncheol Park, Yun Kyung Song, Jae-Heung Cho, In-Hyuk Ha
OBJECTIVES: This study examined National Health Insurance claims data to investigate the epidemiology of shoulder disorders in Korea. Detailed information on medical services and related costs was assessed by major shoulder disorder category. DESIGN AND SETTING: The 2014 National Patient Sample dataset provided by the Health Insurance Review and Assessment Service was analysed. Among shoulder-related diagnosis codes, adhesive capsulitis of the shoulder (ACS), rotator cuff syndrome (RCS) and shoulder impingement syndrome (SIS) categories were of highest prevalence...
July 12, 2017: BMJ Open
https://www.readbyqxmd.com/read/28688937/acromioplasty-in-patients-selected-for-operation-by-national-guidelines
#5
Jón Rói Jacobsen, Carsten M Jensen, Søren R Deutch
BACKGROUND: Shoulder impingement syndrome is the most common shoulder disorder. Even though conservative treatment is the primary treatment of choice, surgery has increased substantially in several countries during the last 20 years. This has resulted in recommended clinical guidelines for treatment of shoulder impingement syndrome in countries such as The Netherlands and Denmark during recent years. The aim of this study was to investigate the effectiveness of an arthroscopic subacromial decompression in 244 patients selected for surgery according to national clinical guidelines...
July 5, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28677632/ultrasonographic-diagnosis-of-thoracic-outlet-syndrome-secondary-to-brachial-plexus-piercing-variation
#6
Vanessa Leonhard, Gregory Caldwell, Mei Goh, Sean Reeder, Heather F Smith
Structural variations of the thoracic outlet create a unique risk for neurogenic thoracic outlet syndrome (nTOS) that is difficult to diagnose clinically. Common anatomical variations in brachial plexus (BP) branching were recently discovered in which portions of the proximal plexus pierce the anterior scalene. This results in possible impingement of BP nerves within the muscle belly and, therefore, predisposition for nTOS. We hypothesized that some cases of disputed nTOS result from these BP branching variants...
July 4, 2017: Diagnostics
https://www.readbyqxmd.com/read/28652066/effects-of-scapular-stabilization-exercise-training-on-scapular-kinematics-disability-and-pain-in-subacromial-impingement-a-randomized-controlled-trial
#7
Elif Turgut, Irem Duzgun, Gul Baltaci
OBJECTIVE: To investigate the effects of two different exercise programs on three-dimensional scapular kinematics, disability, and pain in participants with subacromial impingement syndrome (SIS). DESIGN: Randomized controlled trial. SETTING: Outpatient clinic and research laboratory. PARTICIPANTS: Thirty participants who were diagnosed with SIS and who also exhibited scapular dyskinesis. INTERVENTIONS: The participants were randomized in two different exercise groups: 1) shoulder girdle stretching and strengthening with additional scapular stabilization exercises based on a kinetic chain approach (intervention group), and 2) shoulder girdle stretching and strengthening exercises only (control group)...
June 23, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28645960/efficacy-of-adding-a-physiotherapy-rehabilitation-programme-to-arthroscopic-management-of-femoroacetabular-impingement-syndrome-a-randomised-controlled-trial-fair
#8
Kim L Bennell, Libby Spiers, Amir Takla, John O'Donnell, Jessica Kasza, David J Hunter, Rana S Hinman
OBJECTIVES: Although several rehabilitation programmes following hip arthroscopy for femoracetabular impingement (FAI) syndrome have been described, there are no clinical trials evaluating whether formal physiotherapy-prescribed rehabilitation improves recovery compared with self-directed rehabilitation. The objective of this study was to evaluate the efficacy of adding a physiotherapist-prescribed rehabilitation programme to arthroscopic surgery for FAI syndrome. DESIGN: Randomised controlled trial...
June 23, 2017: BMJ Open
https://www.readbyqxmd.com/read/28638243/subacromial-anesthetics-increase-proprioceptive-deficit-in-the-shoulder-and-elbow-in-patients-with-subacromial-impingement-syndrome
#9
Lucas R Ettinger, Matthew Shapiro, Andrew Karduna
Shoulder proprioception gives information regarding arm joint position and movement direction. Several studies have investigated shoulder proprioceptive acuity in patients with subacromial impingement syndrome (SIS); however, differences in protocols and between-subjects designs have limited scientific inferences regarding proprioception and SIS. We aimed to determine within-subject differences in shoulder and elbow proprioceptive acuity in 17 patients with stage 2 SIS following treatment of a local anesthetic injection...
2017: Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28630760/treatment-of-hindfoot-and-ankle-pathologies-with-posterior-arthroscopic-techniques
#10
Tahir Ögüt, N Selcuk Yontar
The two-portal hindfoot arthroscopy is an effective procedure enabling direct visualisation of posterior ankle pathology with low invasiveness.An important stage of the hindfoot endoscopy is localisation of the flexor hallucis longus (FHL) tendon to protect the neurovascular bundle which is located just medial to it.Posterior ankle impingement syndrome and FHL tenosynovitis are common causes of posterior ankle pain and frequently occur together.Posteriorly localised talar osteochondral lesions, Achilles tendon disorders, osteoarthritis, talar bone cysts and talar fractures are among the other pathologies that can be treated with hindfoot arthroscopy...
May 2017: EFORT open reviews
https://www.readbyqxmd.com/read/28630719/hip-arthroscopy-results-in-improved-patient-reported-outcomes-compared-to-non-operative-management-of-waitlisted-patients
#11
Luke Spencer-Gardner, Ruch Dissanayake, Amir Kalanie, Parminder Singh, John O'Donnell
Hip arthroscopy (HA) is an established treatment option to address intra-articular pathology of the hip. However, some clinicians encourage non-operative management (NOM). Non-operative management may include active measures such as physiotherapy and intra-articular steroid injections, or NOM may involve so called watchful waiting with no active intervention. These approaches, along with surgery have been detailed recently in the Warwick Agreement, a Consensus Statement regarding diagnosis and treatment of Femoroacetabular Impingement Syndrome The aim of this study is to compare the change in clinical outcome scores of waitlisted patients with intra-articular hip pathology who receive no active treatment with matched controls that have undergone HA...
January 2017: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/28609640/assessment-of-disability-related-to-femoroacetabular-impingement-syndrome-by-use-of-the-patient-reported-outcome-measure-information-system-promis-and-objective-measures-of-physical-performance
#12
Andrew J Sheean, Matthew R Schmitz, Catherine L Ward, Aaron E Barrow, David J Tennent, Christopher J Roach, Travis C Burns, Jason M Wilken
BACKGROUND: The National Institutes of Health (NIH)-sponsored Patient-Reported Outcomes Measurement System (PROMIS) has been described as a valuable tool for characterizing outcomes among patients with specific musculoskeletal conditions. Additionally, previously proposed objective measures of physical performance among patients with nonarthritic hip abnormalities are costly and not practically incorporated into routine clinical practice. PURPOSE: (1) To determine the ability of the PROMIS to differentiate between patients with femoroacetabular impingement (FAI) and asymptomatic controls, (2) to determine the effect of FAI on subjects' completion of timed physical performance measures, and (3) to determine whether associations exist between established patient-reported outcome (PRO) measures and subjects' completion of physical performance measures...
June 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28608864/assessment-of-the-impact-of-individual-therapy-on-upper-limb-function-in-patients-diagnosed-with-painful-shoulder-syndrome
#13
Agnieszka Wnuk, Anna Świtoń, Aleksej Juszczak, Ewa Mizia
INTRODUCTION: Functional disorders of the shoulder girdle affect 1/3 of the population. The diagnosis of "painful shoulder" or shoulder impingement syndrome is vague and imprecise. It can relay to so tissue pathology as well as to limitation of mobility of the joint. In this case an appropriate diagnosis, followed by a quick and effective treatment, is crucial. A physiotherapy assessment, performed during an individual therapy session sets out a way forward for targeted rehabilitation...
2017: Folia Medica Cracoviensia
https://www.readbyqxmd.com/read/28595868/impaired-hip-muscle-strength-in-patients-with-femoroacetabular-impingement-syndrome
#14
Signe Kierkegaard, Inger Mechlenburg, Bent Lund, Kjeld Søballe, Ulrik Dalgas
OBJECTIVES: Patients with femoroacetabular impingement (FAI) experience hip pain as well as decreased function and lowered quality of life. The aim was to compare maximal isometric and isokinetic muscle strength (MVC) during hip flexion and extension and rate of force development (RFD) during extension between patients with FAI and a matched reference group. Secondary, the aim was to compare patient hips and subgroups defined by gender and age as well as to investigate associations between hip muscle strength and self-reported outcomes...
May 25, 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/28588109/finnish-subacromial-impingement-arthroscopy-controlled-trial-fimpact-a-protocol-for-a-randomised-trial-comparing-arthroscopic-subacromial-decompression-and-diagnostic-arthroscopy-placebo-control-with-an-exercise-therapy-control-in-the-treatment-of-shoulder
#15
Mika Paavola, Antti Malmivaara, Simo Taimela, Kari Kanto, Teppo Ln Järvinen
INTRODUCTION: Arthroscopic subacromial decompression (ASD) is the most commonly performed surgical intervention for shoulder pain, yet evidence on its efficacy is limited. The rationale for the surgery rests on the tenet that symptom relief is achieved through decompression of the rotator cuff tendon passage. The primary objective of this superiority trial is to compare the efficacy of ASD versus diagnostic arthroscopy (DA) in patients with shoulder impingement syndrome (SIS), where DA differs only by the lack of subacromial decompression...
June 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/28574119/imaging-of-impingement-syndromes-around-the-hip-joint
#16
Evangelia E Vassalou, Aristeidis H Zibis, Michail E Klontzas, Apostolos H Karantanas
Impingement syndromes are increasingly recognised as significant causes of hip pain and dysfunction. A broad spectrum of intraarticular and extraarticular conditions has been implicated in their pathophysiology. Physical examination is often inconclusive as clinical findings may be unclear or misleading, often simulating other disorders. With current improvements in imaging techniques and better understanding of hip impingement related pathomechanisms, these entities can be accurately diagnosed. In addition, preoperative imaging has allowed for targeted treatment planning...
May 29, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/28572848/shoulder-impingement-syndrome-a-systematic-review-of-clinical-trial-participant-selection-criteria
#17
Amy R Watts, Ben Williams, Susan W Kim, Donald C Bramwell, Jeganath Krishnan
BACKGROUND: Shoulder impingement syndrome (SIS) is a common diagnosis for patients with pain and dysfunction of the shoulder. Variations in the signs and symptoms might lead to uncertainty regarding the definition of SIS. The aim of this review is to explore the participant selection criteria used in the literature when investigating SIS and to assess differences in criteria among treating professions. METHODS: This is a PRISMA systematic review of publications from 2009 to 2014 from MEDLINE, PubMed, The Cochrane Library, Embase, Scopus and CINAHL...
January 2017: Shoulder & Elbow
https://www.readbyqxmd.com/read/28571725/the-scapular-dyskinesis-test-reliability-agreement-and-predictive-value-in-patients-with-subacromial-impingement-syndrome
#18
David Høyrup Christiansen, Anders Damgaard Møller, Jesper Medom Vestergaard, Søren Mose, Thomas Maribo
STUDY DESIGN: Prospective cohort. INTRODUCTION: Assessment of scapular dysfunction is considered important in the clinical evaluation and treatment of patients with symptoms of subacromial impingement. However, sparse research has been conducted into the reliability and predictive value of clinical tests with which to identify scapular dyskinesis. PURPOSE OF THE STUDY: To evaluate intrarater and interrater reliability and predictive value of the Scapular Dyskinesis Test (SDT) in patients with subacromial impingement syndrome...
April 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28567426/treatment-of-subacromial-impingement-syndrome-platelet-rich-plasma-or-exercise-therapy-a-randomized-controlled-trial
#19
Parisa Nejati, Armita Ghahremaninia, Farrokh Naderi, Safoora Gharibzadeh, Ali Mazaherinezhad
BACKGROUND: Subacromial impingement syndrome (SAIS) is the most common disorder of the shoulder. The evidence for the effectiveness of treatment options is inconclusive and limited. Therefore, there is a need for more evidence in this regard, particularly for long-term outcomes. HYPOTHESIS: Platelet-rich plasma (PRP) would be an effective method in treating subacromial impingement. STUDY DESIGN: Randomized controlled trial; Level of evidence, 1...
May 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28559748/a-preliminary-randomized-clinical-trial-on-the-effect-of-cervicothoracic-manipulation-plus-supervised-exercises-vs-a-home-exercise-program-for-the-treatment-of-shoulder-impingement
#20
Sergio Vinuesa-Montoya, María Encarnación Aguilar-Ferrándiz, Guillermo A Matarán-Peñarrocha, Manuel Fernández-Sánchez, Elena María Fernández-Espinar, Adelaida María Castro-Sánchez
OBJECTIVE: The purpose of this study was to investigate changes in pain, disability, and range of movement after cervicothoracic manipulation plus exercise therapy in individuals with unilateral shoulder impingement syndrome. METHODS: Forty-one patients (30 men, 11 women; aged 47 ± 9) diagnosed with unilateral shoulder impingement syndrome attended 10 sessions for 5 weeks (2 sessions/wk). Eligible patients were randomly allocated to 2 study groups: cervicothoracic manipulation plus exercise therapy (n = 21) or home exercise program (n = 20)...
June 2017: Journal of Chiropractic Medicine
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