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Shoulder instability conservative treatment

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https://www.readbyqxmd.com/read/27908650/musculoskeletal-conditions-in-a-pediatric-population-with-ehlers-danlos-syndrome
#1
Courtney M Stern, Michael J Pepin, Joan M Stoler, Dennis E Kramer, Samantha A Spencer, Cynthia J Stein
OBJECTIVE: To describe musculoskeletal conditions in children with Ehlers-Danlos syndrome (EDS). STUDY DESIGN: A retrospective medical record review was performed, which evaluated 205 patients with EDS (ages 6-19 years) seen in sports medicine or orthopedic clinic at a large pediatric hospital over a 5-year period. RESULTS: Female (n = 147) and male (n = 57) patients were identified (mean age 12.7 years). The most common EDS subtype (55...
November 28, 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27697889/posterior-shoulder-instability-current-surgical-management
#2
Ivan J Antosh, John M Tokish, Brett D Owens
CONTEXT: Posterior shoulder instability has become more frequently recognized and treated as a unique subset of shoulder instability, especially in the military. Posterior shoulder pathology may be more difficult to accurately diagnose than its anterior counterpart, and commonly, patients present with complaints of pain rather than instability. "Posterior instability" may encompass both dislocation and subluxation, and the most common presentation is recurrent posterior subluxation. Arthroscopic and open treatment techniques have improved as understanding of posterior shoulder instability has evolved...
October 3, 2016: Sports Health
https://www.readbyqxmd.com/read/27665529/evidence-based-conservative-rehabilitation-for-posterior-glenohumeral-instability-a-systematic-review
#3
Kelli McIntyre, Annie Bélanger, Jasdeep Dhir, Lyndsay Somerville, Lyn Watson, Myles Willis, Jackie Sadi
STUDY DESIGN: Systematic review. OBJECTIVES: To identify the best evidenced-based approach for the conservative rehabilitation of patients with posterior glenohumeral instability. BACKGROUND: Posterior glenohumeral instability is more common than previously thought. Proper management is imperative to control symptoms and maximize function. METHODS: We conducted an electronic search, up to November 2014, for English-language studies involving rehabilitation of posterior shoulder instability...
June 7, 2016: Physical Therapy in Sport
https://www.readbyqxmd.com/read/27660660/the-treatment-of-multidirectional-instability-of-the-shoulder-with-a-rehabilitation-program-part-1
#4
REVIEW
Lyn Watson, Sarah Warby, Simon Balster, Ross Lenssen, Tania Pizzari
BACKGROUND: The most commonly recommended initial treatment for multidirectional instability is a rehabilitation program. Although there is evidence to support the effect of conservative management on this condition, the published literature provides little information on the exercise parameters of such programs. In addition, current published rehabilitation programs for multidirectional instability do not focus on scapula stability or exercise drills into functional and sports-specific positions, which are often important aspects to consider in this patient population...
October 2016: Shoulder & Elbow
https://www.readbyqxmd.com/read/27582989/physiotherapy-treatment-for-atraumatic-recurrent-shoulder-instability-early-results-of-a-specific-exercise-protocol-using-pathology-specific-outcome-measures
#5
Marcus Bateman, Benjamin E Smith, Sally E Osborne, Sally R Wilkes
BACKGROUND: Recurrent shoulder instability is usually caused by a traumatic event resulting in structural pathology, although a small subgroup of patients experience symptomatic recurrent shoulder instability without trauma. These patients are usually treated non-operatively but limited evidence exists regarding effective conservative management. In particular, there is a lack of reproducible exercise regimes and none that have been tested with condition-specific outcome measures. METHODS: A service evaluation was conducted over a 15-month period to assess our current treatment protocol used in the management of patients with atraumatic recurrent shoulder instability...
October 2015: Shoulder & Elbow
https://www.readbyqxmd.com/read/27525497/conservative-treatment-is-sufficient-for-acute-distal-radioulnar-joint-instability-with-distal-radius-fracture
#6
Sang Ki Lee, Kap Jung Kim, Yong Han Cha, Won Sik Choy
Treatments for acute distal radioulnar joint (DRUJ) instability with distal radius fracture vary from conservative to operative treatment, although it seems to be no consensus regarding which treatment is optimal. This prospective randomized study was designed to compare the clinical outcomes for operative and conservative treatment of acute DRUJ instability with distal radius fracture, according to the presence or absence and type of ulnar styloid process fracture and the degree of its displacement. Between July 2008 and February 2013, we enrolled 157 patients who exhibited an unstable DRUJ during intraoperative manual stress testing (via the ballottement test) after fixation of the distal radius...
September 2016: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/27501704/management-of-shoulder-instability-the-current-state-of-treatment-among-german-orthopaedic-surgeons
#7
Maurice Balke, Sven Shafizadeh, Bertil Bouillon, Marc Banerjee
INTRODUCTION: The aim of this study was to evaluate the current state of treatment in traumatic anterior shoulder dislocation in Germany and to detect changes over the last 12 years. METHODS: Seven hundred ninety-six trauma and/or orthopaedic departments were found in the German hospital directory 2012. The websites of each department were searched for the email address of the responsible shoulder surgeon (if applicable) or the head of the department. Seven hundred forty-six email addresses were found, and emails with the request to participate in an online survey were sent in January 2013...
December 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27491571/the-result-of-surgical-treatment-of-medial-epicondylitis-analysis-with-more-than-a-5-year-follow-up
#8
Soo-Hong Han, Jun-Ku Lee, Hyeong-Jong Kim, Soo-Hyun Lee, Ji-Woong Kim, Tae-Seob Kim
BACKGROUND: Angiofibroblastic changes of a musculotendinous origin at the medial epicondyle characterize medial epicondylitis of the elbow. Although nonsurgical treatment is the primary approach for medial epicondylitis, surgical treatment should be considered when conservative therapy fails. This study reports the results of surgical treatment of medial epicondylitis monitored for more than 5 years. METHODS: This study included 55 patients with 63 cases of medial epicondylitis between 2000 and 2010...
October 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27386445/coracoid-syndrome-a-neglected-cause-of-anterior-shoulder-pain
#9
Antonio Gigante, Carlo Bottegoni, Pamela Barbadoro
PURPOSE: the present prospective open-label study was designed to gain further insights into a condition thought to constitute a neglected but not uncommon syndrome characterized by anterior shoulder pain and tenderness to palpation over the apex of the coracoid process, not related to rotator cuff or pectoralis minor tendinopathy, long head of the biceps tendon disorders, or instability. The aim was to clarify its prevalence, clinical characteristics, differential diagnosis and response to corticosteroid injections...
January 2016: Joints
https://www.readbyqxmd.com/read/27357960/-open-wedge-osteotomy-of-the-glenoid-for-treatment-of-posterior-shoulder-instability-with-increased-glenoid-retroversion
#10
J Pogorzelski, S Braun, A B Imhoff, K Beitzel
OBJECTIVE: Treatment of posterior shoulder instability with increased retroversion of the glenoid using open-wedge osteotomy of the glenoid neck stabilized with an autologous bone block. INDICATIONS: Symptomatic, atraumatic posterior shoulder instability with increased retroversion (>20°) of the glenoid and previously failed conservative or surgical treatment. CONTRAINDICATIONS: General contraindications against surgery. Relative contraindications: osteoporosis, nicotine abuse, or suspected patient noncompliance...
December 2016: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/27259482/-arthroscopic-subacromial-decompression
#11
S Lerch, S Elki, M Jaeger, T Berndt
OBJECTIVE: Coracoacromial ligament release to widen the subacromial space, resection of the anterior undersurface of the acromion and, if needed, caudal exophytes at the acromioclavicular joint. INDICATIONS: All types of outlet impingement after 3 months of conservative treatment. CONTRAINDICATIONS: Impingement syndrome with instability/muscular imbalance, massive rotator cuff tear, unstable os acromionale, posterior-superior impingement, joint infection, freezing phase of a secondary frozen shoulder...
October 2016: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/26818554/slap-lesions-a-treatment-algorithm
#12
Matthias Brockmeyer, Marc Tompkins, Dieter M Kohn, Olaf Lorbach
Tears of the superior labrum involving the biceps anchor are a common entity, especially in athletes, and may highly impair shoulder function. If conservative treatment fails, successful arthroscopic repair of symptomatic SLAP lesions has been described in the literature particularly for young athletes. However, the results in throwing athletes are less successful with a significant amount of patients who will not regain their pre-injury level of performance. The clinical results of SLAP repairs in middle-aged and older patients are mixed, with worse results and higher revision rates as compared to younger patients...
February 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/26714819/arthroscopic-bankart-repair-have-we-finally-reached-a-gold-standard
#13
Alessandro Castagna, Raffaele Garofalo, Marco Conti, Brody Flanagin
Traditionally, surgical stabilization of the unstable shoulder has been performed through an open incision. Arthroscopic Bankart repair with suture anchors is now widely considered the treatment of choice for anterior shoulder instability in patients who have failed conservative management. Many different factors have now been elucidated for adequate treatment of glenohumeral instability. Because of technical advances in instability repair combined with an increased understanding of factors that lead to recurrent instability, the outcomes following arthroscopic Bankart repair have significantly improved and approach those of open techniques...
February 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/26622130/posterior-shoulder-instability-following-anatomic-total-shoulder-arthroplasty-a-case-report-and-review-of-management
#14
Joseph W Galvin, Josef K Eichinger, Robert E Boykin, Gregor Szöllösy, Laurent Lafosse
We report a case of posterior shoulder instability following anatomic total shoulder arthroplasty (TSA). In addition, we present guidelines to aid in the management of posterior instability after TSA. A 50-year-old male underwent anatomic TSA for glenohumeral osteoarthritis. Postoperatively, the patient developed posterior instability secondary to glenoid retroversion. He did not improve despite conservative treatment. He underwent an arthroscopic posterior bone block procedure, 4-month after his index arthroplasty...
October 2015: International Journal of Shoulder Surgery
https://www.readbyqxmd.com/read/26543034/conservative-management-of-midcarpal-instability
#15
REVIEW
C Harwood, L Turner
Midcarpal instability is a complex condition that can present in various forms, from mild pain to debilitating subluxation. Once diagnosed, treatment guidelines for hand therapy are limited by the scarcity of high-level evidence. Evidence does exist for use of proprioceptive awareness and neuromuscular rehabilitation for instability of the knee, shoulder and ankle joint, but studies of similar programmes for the wrist joint have not been published. The purpose of this review is to examine the evidence supporting current concepts in the non-operative management of midcarpal instability, and to provide recommendations for the management of this condition with hand therapy...
January 2016: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/26334885/outcomes-and-complications-following-graft-reconstruction-for-anterior-sternoclavicular-joint-instability
#16
REVIEW
Lukas Willinger, Jakob Schanda, Elmar Herbst, Andreas B Imhoff, Frank Martetschläger
PURPOSE: Publications describing tendon graft reconstruction for anterior sternoclavicular joint (SCJ) instability are rare and usually refer to small patient numbers. The aim of this study was to systematically review the literature regarding outcomes and complications following tendon graft reconstruction techniques for anterior SCJ instability. METHODS: An online database was systematically searched to identify studies on graft reconstruction for anterior SCJ instability...
December 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/26227769/metal-backed-glenoid-implant-with-polyethylene-insert-is-not-a-viable-long-term-therapeutic-option
#17
Pascal Boileau, Grégory Moineau, Nicolas Morin-Salvo, Cyrille Avidor, Arnaud Godenèche, Christophe Lévigne, Mohamed Baba, Gilles Walch
BACKGROUND: The aims of this study were to determine the survival of anatomic total shoulder arthroplasty with uncemented metal-backed (MB) glenoid components with a polyethylene (PE) insert in primary osteoarthritis, to assess the reasons for revision surgery, and to identify patients and diagnostic factors that influence failure rates. METHODS: Between 1994 and 1999, 165 patients (mean age, 68 years) with primary osteoarthritis were treated with anatomic total shoulder arthroplasty using an uncemented MB/PE glenoid component...
October 2015: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/26208802/multidirectional-instability-of-the-shoulder-a%C3%A2-systematic-review
#18
REVIEW
Umile Giuseppe Longo, Giacomo Rizzello, Mattia Loppini, Joel Locher, Stefan Buchmann, Nicola Maffulli, Vincenzo Denaro
PURPOSE: To analyze outcomes of surgical and conservative treatment options for multidirectional instability (MDI). METHODS: A systematic review of the literature according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was performed. A comprehensive search of the PubMed, MEDLINE, CINAHL, Cochrane, EMBASE, and Google Scholar databases using various combinations of the keywords "shoulder," "multidirectional instability," "dislocation," "inferior instability," "capsulorrhaphy," "capsular plication," "capsular shift," "glenoid," "humeral head," "surgery," and "glenohumeral," over the years 1966 to 2014 was performed...
December 2015: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/25982089/conservative-treatment-of-traumatic-shoulder-instability-a-case-series-study
#19
I Riccio, A de Sire, C Latte, F Pascarella, F Gimigliano
PURPOSE: The aim of this case series study was to evaluate the efficacy of a rehabilitative approach to restoring stability, range of motion, and function of shoulder joint in non-operated adults presenting a first episode of traumatic anterior shoulder dislocation. METHODS: In this case series study, we evaluated patients aged from 20 to 44 years, with diagnosis of first episode of traumatic anterior shoulder dislocation. All participants underwent a conservative treatment protocol, lasting 3 months...
August 2015: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/25957589/the-oblique-fracture-of-the-manubrium-sterni-caused-by-a-seatbelt-a-rare-injury-treatment-options-based-on-the-experiences-gained-in-a-level-i-trauma-centre
#20
Stefan Schulz-Drost, Pascal Oppel, Sina Grupp, Dominic Taylor, Sebastian Krinner, Andreas Langenbach, Friedrich Hennig, Andreas Mauerer
INTRODUCTION: Sternal fractures are rare with 3-8 % out of the total number of trauma cases mostly caused by direct impact to the anterior chest wall. Most cases described are due to motor vehicle crash either caused by direct impact to the steering wheel or by the seat belt. Fractures mainly occur to the sternal body. Only rarely are cases of manubrium fractures described in literature, for example, in relationship with a direct impact to the shoulder which caused an oblique fracture near to the sternoclavicular joint...
April 2016: International Orthopaedics
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