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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
#1
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/28702502/characteristics-and-clinical-outcomes-in-overhead-sports-athletes-after-rotator-cuff-repair
#2
Tomoyuki Muto, Hiroaki Inui, Hiroki Ninomiya, Hiroshi Tanaka, Katsuya Nobuhara
Rotator cuff tears in young overhead sports athletes are rare. The pathomechanism causing rotator cuff tears in young overhead athletes is different from that in aged patients. The purpose of this study was to investigate rotator cuff tear characteristics in young overhead sports athletes to reveal the pathomechanism causing these injuries. This study included 25 overhead sports athletes less than 30 years old with atraumatic rotator cuff tears necessitating repair. Rotator cuff tear characteristics were evaluated intraoperatively, including rotator cuff tear shape and injured rotator cuff tendon...
2017: Journal of Sports Medicine (Hindawi Publishing Corporation)
https://www.readbyqxmd.com/read/28637599/isokinetic-clinical-assessment-of-rotator-cuff-strength-in-subacromial-shoulder-impingement
#3
Helen Land, Susan Gordon, Kerrianne Watt
BACKGROUND: Current conservative management of subacromial shoulder impingement (SSI) includes generic strengthening exercises, especially for internal (IR) and external (ER) shoulder rotators. However, there is no evidence that the strength or the ratio of strength between these muscle groups is different between those with SSI (cases) and an asymptomatic population (controls). OBJECTIVE: To identify if isokinetic rotator cuff strength or the ratio of strength is significantly different between cases and controls...
February 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/28625096/surgical-technique-and-early-outcomes-of-intramedullary-nailing-of-displaced-proximal-humeral-fractures-in-an-asian-population-using-a-contemporary-straight-nail-design
#4
Toon Dong Hao, Andy Wee Teck Huat
BACKGROUND: Despite being a common orthopedic injury, the optimal management of proximal humeral fractures remains a topic of debate. Although intramedullary nails have been used to treat these fractures, several complications have been reported with older nail devices. We describe our surgical technique and aim to evaluate the early functional and radiological outcomes of displaced Neer's two- to four-part proximal humeral fractures undergoing fixation with a contemporary straight intramedullary nail...
May 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28619059/critical-shoulder-angle-combined-with-age-predict-five-shoulder-pathologies-a-retrospective-analysis-of-1000-cases
#5
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/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
#6
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/28578100/risk-factors-associated-to-bilateral-rotator-cuff-tears
#7
M Abate, L Di Carlo, V Salini, C Schiavone
INTRODUCTION: Overuse, micro-traumas, and impingement, isolated or combined, are the more common etiological factors for rotator cuff tears. Metabolic disorders (diabetes, adiposity, hypercholesterolemia), hypertension, cigarette smoking and a genetic predisposition are considered risk factors. However, no study has compared the prevalence of these risk factors in subjects with bilateral and monolateral tears. HYPOTHESIS: Controlateral tears can be observed in patients with symptomatic monolateral rotator cuff lesions, especially in those with comorbidities...
May 31, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28567426/treatment-of-subacromial-impingement-syndrome-platelet-rich-plasma-or-exercise-therapy-a-randomized-controlled-trial
#8
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/28554433/systematic-review-of-nondrug-nonsurgical-treatment-of-shoulder-conditions
#9
REVIEW
Cheryl Hawk, Amy L Minkalis, Raheleh Khorsan, Clinton J Daniels, Dennis Homack, Jordan A Gliedt, Julie A Hartman, Shireesh Bhalerao
OBJECTIVE: The purpose of this review was to evaluate the effectiveness of conservative nondrug, nonsurgical interventions, either alone or in combination, for conditions of the shoulder. METHODS: The review was conducted from March 2016 to November 2016 in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), and was registered with PROSPERO. Eligibility criteria included randomized controlled trials (RCTs), systematic reviews, or meta-analyses studying adult patients with a shoulder diagnosis...
June 2017: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/28508008/the-coracoacromial-ligament-anatomy-function-and-clinical-significance
#10
Adam Rothenberg, Gregory Gasbarro, Jesse Chlebeck, Albert Lin
The coracoacromial ligament (CAL) was first described as a pain generator by Dr Charles Neer in the early 1970s. Since that time, considerable controversy regarding CAL management during acromioplasty has persisted. This review aims to better understand the role of the CAL in shoulder physiology and pathology. Sixty-six articles from 1958 to 2016 were identified using an electronic search of PubMed, Cochrane Library, AccessMedicine, and MD Consult for case series as well as cohort and prospective studies. The authors used "coracoacromial ligament" and "coracoacromial veil" as medical subject headings (MeSH)...
April 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28507956/an-unusual-case-of-giant-cell-tumor-of-first-metatarsal-a-rare-case-report-and-review-of-literature
#11
Kumar Prashant, Tulsi Das Bhattacharyya, Herman Frank, Prema Ram
INTRODUCTION: Giant cell tumor (GCT) or osteoclastoma is an osteolytic, mostly benign but locally aggressive tumor occurring in young adults at the epiphysis. Area of predilection is mainly long bones (85-90%). 4% of GCT are also found in iliac bone, spine and only 2% in hand (of which GCT phalanges are more common than metacarpal). GCT of metatarsal is a very rare occurrence with very few cases being reported so far. We report a case of GCT 1(st) metatarsal in a 40-year-old male which is a very rare entity...
November 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28449618/telerehabilitation-after-arthroscopic-subacromial-decompression-is-effective-and-not-inferior-to-standard-practice-preliminary-results
#12
Jose Manuel Pastora-Bernal, Rocío Martín-Valero, Francisco Javier Barón-López, Noelia Guerrero Moyano, María-José Estebanez-Pérez
Background Telerehabilitation promises to improve quality, increase patient access and reduce costs in health care. Physiotherapy with exercises is generally recommended to restore function after surgery in patients with chronic subacromial syndrome. Relatively few studies have investigated the feasibility of telerehabilitation interventions in musculoskeletal and orthopaedic disorders. The aim of this study was to evaluate the feasibility and effectiveness of a customizable telerehabilitation intervention and compare with traditional care...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28405223/electromyographic-activity-of-the-shoulder-muscles-during-rehabilitation-exercises-in-subjects-with-and-without-subacromial-pain-syndrome-a-systematic-review
#13
REVIEW
Rita Kinsella, Tania Pizzari
BACKGROUND: Subacromial pain syndrome (SPS) is a common cause of shoulder pain and muscle activity deficits are postulated to contribute to the development and progression of the disorder. The purpose of this systematic review was to definitively determine whether evidence exists of differences in electromyography (EMG) characteristics between subjects with and without SPS. METHODS: Six key databases were searched: MEDLINE, EMBASE, CINAHL, SPORTdiscus, PEDro and The Cochrane Library (inception to May 2016)...
April 2017: Shoulder & Elbow
https://www.readbyqxmd.com/read/28374051/cuff-tear-arthropathy-shoulder-hemiarthroplasty-a-radiographic-outcome-study
#14
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/28259517/short-term-effects-of-thoracic-spine-manipulation-on-shoulder-impingement-syndrome-a-randomized-controlled-trial
#15
Melina N Haik, Francisco Alburquerque-Sendín, Paula R Camargo
OBJECTIVE: To investigate the short-term effects of thoracic spine manipulation (TSM) on pain, function, scapular kinematics and scapular muscle activity in individuals with shoulder impingement syndrome (SIS). DESIGN: Blinded assessor and patient, randomized controlled trial. SETTING: Laboratory. PARTICIPANTS: Sixty-one patients with SIS. INTERVENTION: Participants were randomly allocated to TSM (n=30) or sham-TSM group (n=31) and attended 2 intervention sessions over a 1-week period...
March 1, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28239741/-impingement-syndromes-of-the-shoulder
#16
M Beirer, A B Imhoff, S Braun
In addition to tears of the rotator cuff, isolated impingement syndrome of the shoulder is the most common diagnosis in shoulder disorders. This is of high relevance in orthopedic sports medicine. In fact, impingement of the shoulder is not the diagnosis but rather a symptom of a functional or even a structural pathology. Detailed knowledge about the different types of impingement and the underlying causes is essential to provide adequate treatment. Primarily, impingement of the shoulder should be treated nonoperatively...
February 26, 2017: Der Orthopäde
https://www.readbyqxmd.com/read/28238054/os-acromiale-frequency-and-a-review-of-726-shoulder-mri
#17
C Rovesta, M C Marongiu, A Corradini, P Torricelli, G Ligabue
Os acromiale consist in a lack of fusion between the different ossification spots of the acromial side of scapula from the age of 23-25 years. A relation between os acromiale and some shoulder pathology like impingement syndrome, cuff tear and subacromial bursitis has been described. The etiology is not already known. The aim of this study was to evaluate the frequency of os acromiale in our population, the link between os acromiale and sex, side and shoulder pathology. 1042 shoulder MRI were evaluated to find out os acromiale and the linked cuff pathology...
February 25, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28211284/decreased-axial-coracoid-inclination-angle-is-associated-with-rotator-cuff-tears
#18
Carlos Torrens, Eduard Alentorn-Geli, Juan Francisco Sanchez, Anna Isart, Fernando Santana
PURPOSE: Coracoid morphology has been related to coracoid impingement mainly resulting in anterior shoulder pain aggravated by forward flexion and internal rotation. However, the coracoid process morphology can also affect the inclination of the coracoacromial ligament and subsequently the subacromial space in the same way that acromial slope does. The purpose of this study was to evaluate the influence of the coracoid body-glenoid surface, coracoid tip-glenoid surface, and coracoid body-coracoid tip angles (coracoid inclination angles) on rotator cuff tears (RCTs)...
January 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28197695/rotational-glenohumeral-adaptations-are-associated-with-shoulder-pathology-in-professional-male-handball-players
#19
Przemyslaw Lubiatowski, Piotr Kaczmarek, Pawel Cisowski, Ewa Breborowicz, Monika Grygorowicz, Marcin Dzianach, Tomasz Krupecki, Lior Laver, Leszek Romanowski
PURPOSE: Glenohumeral range of motion adaptations may affect throwing athletes and contribute to shoulder injury. The purpose of this study was to evaluate shoulder rotation deficits among elite professional handball players and its correlation to the presence of shoulder pain and morphological changes. METHODS: Eighty-seven elite professional handball players and 41 healthy non-athlete volunteers participated in the study. Evaluations included measurement of range of internal and external rotation, total arch of motion, identification of shoulder pain and ultrasound scan for diagnosis of rotator cuff tears and internal impingement...
February 15, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28188359/in-vivo-analysis-of-coracoid-and-subacromial-shoulder-impingement-mechanism-during-clinical-examination
#20
Tim Leschinger, Christopher Wallraff, Dirk Müller, Matthias Hackenbroch, Henning Bovenschulte, Jan Siewe
BACKGROUND: Understanding the mechanisms of shoulder impingement created by clinical tests is crucial to accurately evaluate the condition. The objective of this study was to relate mechanisms of subacromial and coracoid impingement occurring in positions of the shoulder during clinical examination, in quantitative and qualitative terms. METHODS: A 1.0T open magnetic resonance imaging system was used in 18 female and 19 male subjects, to determine the distances between the humeral head and the acromion or coracoid, and contact with the rotator cuff (RC)...
February 11, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
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