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https://www.readbyqxmd.com/read/29456903/winged-scapula-a-comprehensive-review-of-surgical-treatment
#1
REVIEW
Marc Vetter, Ordessia Charran, Emre Yilmaz, Bryan Edwards, Mitchel A Muhleman, Rod J Oskouian, R Shane Tubbs, Marios Loukas
Winged scapula is caused by paralysis of the serratus anterior or trapezius muscles due to damage to the long thoracic or accessory nerves, resulting in loss of strength and range of motion of the shoulder. Because this nerve damage can happen in a variety of ways, initial diagnosis may be overlooked. This paper discusses the anatomical structures involved in several variations of winged scapula, the pathogenesis of winged scapula, and several historical and contemporary surgical procedures used to treat this condition...
December 7, 2017: Curēus
https://www.readbyqxmd.com/read/29452717/evaluation-of-the-mobility-of-the-shoulder-and-quality-of-life-after-perforator-flaps-for-recalcitrant-axillary-hidradenitis
#2
R Nail-Barthelemy, N Stroumza, Q Qassemyar, M Delage, A Nassif, M Atlan
BACKGROUND: Hidradenitis suppurativa is a very debilitating disease, treated by antibiotics and excision. The reconstruction is usually done by secondary wound healing and/or split-thichness skin graft. The aim of this study was to evaluate the reconstruction of the axilla with local perforator flaps as a single stage surgical treatment. METHODS: This was a monocentric retrospective study conducted between November 2013 and June 2015. We included the patients with a severe axillary localization of the disease...
February 13, 2018: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/29449768/grade-iv-inferior-glenohumeral-mobilization-does-not-immediately-alter-shoulder-and-scapular-muscle-activity-a-repeated-measures-study-in-asymptomatic-individuals
#3
Daniel Cury Ribeiro, Ashleigh Day, Clark R Dickerson
Objectives: To assess: (1) the presence of any carry-over effect between interventions; (2) the immediate effects of inferior shoulder mobilization on shoulder and scapular muscle activity; and (3) to compare muscle activity response between the control and mobilization conditions. Repeated measures, cross-over, pre-post intervention study with sample of convenience. Methods: Twenty-two asymptomatic individuals performed 10 repetitions of shoulder abduction before and after the control and mobilization, with a dosage of three sets of 30-s duration, with grade-IV...
December 2017: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/29413454/submaximal-normalizing-methods-to-evaluate-load-sharing-changes-in-the-shoulder-during-repetitive-work
#4
Alison C McDonald, Daanish M Mulla, Paul W Stratford, Peter J Keir
The EMG-force relationship changes with muscle fatigue, making interpretation of load sharing between muscles challenging. The purpose of this investigation was to evaluate the efficacy of normalizing EMG to repeated, static, submaximal exertions to mitigate fatigue artifacts in EMG amplitude (increased amplitude without muscle force change). Participants completed repetitive work tasks, in 60-second cycles, until exhaustion. Surface EMG was recorded from 11 shoulder muscles (anterior, middle and posterior deltoids, infraspinatus, upper, middle and lower trapezius, latissimus dorsi, serratus anterior, sternal and clavicular heads of pectoralis major)...
January 9, 2018: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/29399464/split-pectoralis-major-transfer-for-chronic-medial-scapular-winging
#5
W Stephen Choate, Adam Kwapisz, John M Tokish
Scapular winging can be a significant source of chronic pain, weakness, and disability of the shoulder. Isolated serratus anterior palsy from long thoracic nerve injury, which is the most common cause of this condition, produces prominent winging and medial malpositioning of the inferior angle of the scapula. In the case of persistent symptoms despite conservative care, treatment options primarily include scapulothoracic fusion and pectoralis major transfer. Outcomes of scapulothoracic fusion are notable for a high complication rate and limited functional improvements...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29399426/intercostal-nerve-to-long-thoracic-nerve-transfer-for-the-treatment-of-winged-scapula-a-cadaveric-feasibility-study
#6
Robert G Louis, Joshua D Whitesides, Theofanis F Kollias, Joe Iwanaga, R Shane Tubbs, Marios Loukas
There are very few surgical options available for treating a patient with winged scapula caused by a long thoracic nerve (LTN) injury. Therefore, we devised a novel technique based on a cadaveric dissection whereby regional intercostal nerves (ICN) were harvested and transposed to the adjacent LTN in 10 embalmed cadavers (20 sides). The LTN was identified along the lateral border of the serratus anterior and ICNs were identified at the mid-axillary line inferior to the lower edge of the pectoralis major muscle...
November 30, 2017: Curēus
https://www.readbyqxmd.com/read/29398382/serratus-anterior-plane-block-for-apical-tavr-in-an-awake-patient
#7
Vivien Berthoud, Omar Ellouze, Thomas Bièvre, Maria Konstantinou, Saed Jazayeri, Olivier Bouchot, Claude Girard, Belaid Bouhemad
No abstract text is available yet for this article.
December 24, 2017: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/29364045/isolated-infraspinatus-atrophy-secondary-to-suprascapular-nerve-neuropathy-results-in-altered-shoulder-muscles-activity
#8
Samuele Contemori, Andrea Biscarini
CONTEXT: Isolated infraspinatus atrophy (IIA) is a common condition among overhead-activity athletes, which affects the hitting shoulder and is caused by suprascapular nerve injury. The loss of infraspinatus function could lead to altered activity of the glenohumeral and scapulothoracic muscles and compromise the optimal shoulder function. OBJECTIVE: To assess the surface electromyographic (sEMG) activity patterns, relationships, and response latencies of relevant shoulder girdle muscles in professional volleyball players with IIA and in healthy control players...
January 24, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29364027/effects-of-kinesiology-taping-on-scapular-reposition-accuracy-kinematics-and-muscle-activity-in-athletes-with-shoulder-impingement-syndrome-a-randomized-controlled-study
#9
Yi-Fen Shih, Ya-Fang Lee, Wen-Yin Chen
CONTEXT: Scapular proprioception is a key concern in managing shoulder impingement syndrome (SIS). However, no study has examined the effect of elastic taping on scapular proprioception performance. OBJECTIVE: To investigate the immediate effect of kinesiology taping on scapular reposition accuracy, kinematics and muscle activation in individuals with shoulder impingement syndrome. DESIGN: Randomized controlled study. SETTING: Musculoskeletal laboratory, National Yang-Ming University, Taiwan...
January 24, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29354439/pectoralis-major-transfer-for-treatment-of-serratus-anterior-dysfunction-in-the-setting-of-long-thoracic-nerve-palsy
#10
George Sanchez, Márcio B Ferrari, Anthony Sanchez, Nicholas I Kennedy, Matthew T Provencher
Symptomatic scapular winging resulting in scapular dyskinesia leads to a wide spectrum of clinical complaints, most notably periscapular pain. The malpositioning of the scapula, termed through use of the acronym SICK (scapular malposition, inferior-medial border prominence, coracoid pain and malposition, and dyskinesia of scapular movement), is due to the irregular activity of one or more of the periscapular muscles. In particular, the serratus anterior, innervated by the long thoracic nerve, is a key muscle that stabilizes the scapula and provides coordinated scapulohumeral rhythm...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29353138/competitive-swimmers-with-hypermobility-have-strength-and-fatigue-deficits-in-shoulder-medial-rotation
#11
Behnam Liaghat, Birgit Juul-Kristensen, Thomas Frydendal, Camilla Marie Larsen, Karen Søgaard, Aki Ilkka Tapio Salo
Generalised Joint Hypermobility including shoulder hypermobility (GJHS) in swimmers is considered an intrinsic risk factor for shoulder injuries. The aim was to investigate the association of GJHS with shoulder strength, fatigue development and muscle activity during swimming-related shoulder rotations. Totally, 38 competitive swimmers (aged 13-17 years) participated, 19 were competitive swimmers with GJHS and 19 were age, sex and club matched swimmers without GJHS. Concentric isokinetic force in medial and lateral rotations were measured at 60°/s (5 repetitions) and 180°/s (10 repetitions)...
January 10, 2018: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/29315708/neuralgic-amyotrophy-in-children
#12
Fouad Al-Ghamdi, Partha S Ghosh
INTRODUCTION: Neuralgic amyotrophy (NA) is characterized by the clinical triad of pain, muscle weakness/atrophy and sensory symptoms. METHODS: We retrospectively identified children (≤18 years) over 15 years (2002-2017) from a single pediatric center. RESULTS: We had 22 patients (8 female; 6-18 years); pain was the presenting manifestation in all of them. Clinical weakness involving periscapular muscles was observed in 16 patients, scapular winging in 13...
January 9, 2018: Muscle & Nerve
https://www.readbyqxmd.com/read/29306754/quantification-of-upper-limb-electromyographic-measures-and-dysfunction-of-breast-cancer-survivors-during-performance-of-functional-dynamic-tasks
#13
Rebecca L Brookham, Alan C Cudlip, Clark R Dickerson
BACKGROUND: Upper limb morbidities within the breast cancer population can interfere with completing daily life activities. Current knowledge of upper limb capabilities is limited; previous increases in muscle activation on the affected cancer side suggest this population works at a higher fraction of their capability. The purposes of this study were to describe upper limb capabilities and dysfunction of breast cancer survivors through muscle activation monitoring via surface electromyography and muscle-specific strength tests during functional tasks...
December 29, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/29301653/successful-emergency-pain-control-for-posterior-rib-fractures-with-ultrasound-guided-erector-spinae-plane-block
#14
Josh Luftig, Daniel Mantuani, Andrew A Herring, Brittany Dixon, Eben Clattenburg, Arun Nagdev
The Eastern Association for the Surgery of Trauma and Trauma Anesthesiology Society Guidelines recommend prompt and effective multimodal analgesia for rib fractures that combines regional anesthesia (RA) techniques with pharmacotherapy to treat pain, optimize pulmonary function, and reduce opioid related complications. However, RA techniques such as epidurals and paravertebral blocks, are generally underutilized or unavailable for emergency department (ED) patients. The recently described serratus anterior plane block (SAPB) is a promising technique, but failures with posterior rib fractures have been observed...
December 28, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29296632/free-serratus-anterior-fascial-flap-combined-with-vascularized-scapular-bone-for-reconstruction-of-dorsal-hand-and-finger-defects
#15
Takeshi Kitazawa, Masato Shiba, Kazuhiro Tsunekawa
We present two cases of serratus anterior free fascial flap combined with vascularized scapular bone graft for reconstruction of traumatized dorsal hand and phalangeal bone defects. Composite flaps with single vascular pedicles allowed conservation of severely injured fingers and provided good functional and cosmetic outcomes.
2018: Case Reports in Plastic Surgery & Hand Surgery
https://www.readbyqxmd.com/read/29274455/biomechanical-analysis-of-the-shoulder-of-swimmers-after-a-maximal-effort-test
#16
Felipe S Serenza, Anamaria S Oliveira, Bruno L S Bedo, Fàbio P Mariano, Rodrigo Aquino, Martin Warner, Paulo R P Santiago
OBJECTIVES: To compare the kinematics and electromyography of the periscapular muscles in swimmers before and after a 3-min maximal effort test. PARTICIPANTS: 16 competitive swimmers. MAIN OUTCOME MEASUREMENTS: Infrared cameras were used to record kinematics in the scapular plane in synchronization with the electromyography system. RESULTS: There was an increase in internal rotation in all angles (p < 0.05), an increase of the anterior tilt, with 120° of elevation (p = 0...
November 6, 2017: Physical Therapy in Sport
https://www.readbyqxmd.com/read/29245452/five-new-species-of-the-genus-i-nannopus-i-copepoda-harpacticoida-nannopodidae-from-intertidal-mudflats-of-the-korean-west-coast-yellow-sea
#17
Vinod Vakati, Wonchoel Lee
Five Nannopus Brady, 1880 species that are new to science are described from the intertidal mudflats of the Korean West Coast, Yellow Sea (South Korea). Nannopus minutus sp. nov. and N. dimorphicus sp. nov. belong to a group of species defined by seven elements on P4 exp-3, and these two species are unique by the pinnate caudal seta III. These species differ in the number of dorsal integumental windows on the cephalothorax (three in N. minutus, one in N. dimorphicus), shape of the distal small seta on the P4 endopod (naked in N...
December 1, 2017: Zootaxa
https://www.readbyqxmd.com/read/29244663/scapular-winging-caused-by-combined-palsy-of-the-spinal-accessory-nerve-and-the-long-thoracic-nerve-a-case-report
#18
Kentaro Ago, Noboru Matsumura, Takuji Iwamoto, Kazuki Sato, Masaya Nakamura, Morio Matsumoto
CASE: A 37-year-old man with scapular winging, caused by combined palsy of the spinal accessory nerve and the long thoracic nerve, was successfully treated with a pectoralis major transfer to substitute for the serratus anterior muscle, and with levator scapulae and rhomboid muscle transfers to substitute for the trapezius muscle. CONCLUSION: The serratus anterior paralysis was thought to have occurred secondary to traction of the long thoracic nerve by the unsupported scapula following the spinal accessory nerve palsy...
April 2017: JBJS Case Connector
https://www.readbyqxmd.com/read/29196161/effects-of-trapezius-kinesio-taping-on-scapular-kinematics-and-associated-muscular-activation-in-subjects-with-scapular-dyskinesis
#19
Tsun-Shun Huang, Hsiang-Ling Ou, Jiu-Jenq Lin
STUDY DESIGN: Crossover repeated-measure design. INTRODUCTION: Scapular dyskinesis rehabilitation programs that focus on inhibiting upper trapezius (UT) and activating the lower trapezius (LT) may assist in restoring scapular movements. We hypothesized that taping may be able to normalize scapular movements and associated muscular recruitment. PURPOSE OF THE STUDY: The purpose of this study was to investigate the immediate effects of kinesio taping over trapezius on scapular kinematics and muscular activation in different dyskinesis patterns...
November 28, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29143863/morphometric-properties-of-the-latissimus-dorsi-muscle-in-human-fetuses-for-flap-surgery
#20
Orhan Beger, Burhan Beger, Deniz Uzmansel, Semra Erdoğan, Zeliha Kurtoğlu
PURPOSE: Although latissimus dorsi (LD) flaps are extensively used in a wide range of interventions, fetus studies on this subject are quite limited. This study aims to obtain detailed information about the morphometric features of LD, thoracodorsal artery (TDA) and nerve (TDN). METHODS: The study was carried out on both sides of 50 formalin-fixed human fetuses (22 male/28 female) with a mean gestational age of 24.5 ± 4.7 (range 18-36) weeks, which were in the inventory of Anatomy Department of Mersin University Faculty of Medicine...
November 16, 2017: Surgical and Radiologic Anatomy: SRA
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