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https://www.readbyqxmd.com/read/29443643/comprehensive-examination-of-the-athlete-s-shoulder
#1
Eric J Cotter, Charles P Hannon, David Christian, Rachel M Frank, Bernard R Bach
CONTEXT: Shoulder pain and dysfunction are common, with patients presenting complaints to both primary and orthopaedic physicians. History and physical examination remain essential to creating a differential diagnosis, even as noninvasive imaging has improved. EVIDENCE ACQUISITION: Literature was obtained through keyword searches based on the pathology in question (eg, rotator cuff) and the keywords physical examination using PubMed from January 1, 1980, through September 20, 2017...
February 1, 2018: Sports Health
https://www.readbyqxmd.com/read/29439309/the-relationships-between-shoulder-pain-range-of-motion-and-disability-in-patients-with-shoulder-dysfunction
#2
Shahnawaz Anwer, Ahmad H Alghadir, Einas S Al-Eisa, Zaheen Ahmad Iqbal
BACKGROUND: Shoulder dysfunction is a major cause of musculoskeletal pain in general population. A variety of shoulder disorders can cause a reduction in shoulder range of motion and subsequent disability. OBJECTIVE: To investigate the relationship between the shoulder pain, range of motion, and disability in patients with shoulder dysfunction. METHODS: Sixty-four patients (49 men and 15 women) with shoulder disorders with a varying diagnosis including, adhesive capsulitis, rotator cuff injury, impingement syndrome, acromio-clavicular pain, and instability, participated in this cross-sectional study...
February 6, 2018: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/29427059/arthroplanner-a-surgical-planning-solution-for-acromioplasty
#3
Caecilia Charbonnier, Sylvain Chagué, Bart Kevelham, Delphine Preissmann, Frank C Kolo, Olivier Rime, Alexandre Lädermann
PURPOSE: We present a computer-assisted planning solution "ArthroPlanner" for acromioplasty based on 3D anatomical models, computed tomography and joint kinematic simulations. METHODS: In addition to a standard static clinical evaluation (anamnesis, radiological examination), the software provides a dynamic assessment of the shoulder joint by computing in real time the joint kinematics from a database of activities of daily living. During motion, the precise bone resection (location and amount) is computed based on detected subacromial impingements, providing surgeons with precise information about the surgical procedure...
February 9, 2018: International Journal of Computer Assisted Radiology and Surgery
https://www.readbyqxmd.com/read/29426741/lower-shoulder-abduction-during-throwing-motion-may-cause-forceful-internal-impingement-and-decreased-anterior-stability
#4
Masaki Akeda, Teruhisa Mihata, Woong Kyo Jeong, Michelle H McGarry, Tetsuya Yamazaki, Thay Q Lee
BACKGROUND: Internal impingement and decreased anterior stability, which result from shoulder capsular loosening, are common shoulder pathologies in throwing athletes. The purpose of this study was to assess the effect of shoulder abduction angle on shoulder internal impingement and anterior shoulder stability during the simulated throwing motion. METHODS: Eight cadaveric shoulders were tested by simulating the late-cocking and acceleration phases of the throwing motion for intact and thrower's shoulder conditions...
February 7, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29423865/short-term-outcomes-of-subacromial-injection-of-combined-corticosteroid-with-low-volume-compared-to-high-volume-local-anesthetic-for-rotator-cuff-impingement-syndrome-a-randomized-controlled-non-inferiority-trial
#5
Manusak Boonard, Sermsak Sumanont, Alisara Arirachakaran, Punyawat Apiwatanakul, Artit Boonrod, Wichan Kanchanatawan, Jatupon Kongtharvonskul
BACKGROUND: In symptomatic tendinosis, a corticosteroid injection into the subacromial space is a palliative treatment option. This study compares high volumes (10 cc) of local anesthetic (LA) combined with triamcinolone acetate (TA) with low volumes (4 cc) of LA combined with TA to see whether the latter would provide similar pain, function and complication outcomes for subacromial injections in patients with impingement syndrome. MATERIALS AND METHODS: This single-center, randomized, single-blind, non-inferiority trial included patients with shoulder pain and positive multiple clinical tests supporting the diagnosis of impingement syndrome...
February 8, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29423255/labral-cuff-refixation-in-the-hip-rationale-and-operative-technique-for-preserving-the-chondrolabral-interface-for-labral-repair-a-case-series
#6
Patrick Finton Carton, David Filan
Arthroscopic labral 'takedown' and refixation is utilized to permit adequate visualization and resection of the acetabular rim deformity, in patients with pincer or mixed femoroacetabular impingement. Deficiencies exist in present techniques, which include disruption of vital anatomical support and vascular structures to the labrum and chondrolabral junction, drill or anchor articular penetration risk, bunching, elevation and instability of the labrum. A new operative technique is described which preserves the important chondrolabral interface, accurately restoring the 'flap seal' of the acetabular labrum while minimizing vascular disruption and reducing the risk of drill and anchor penetration...
January 2018: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/29354447/arthroscopic-superior-capsule-reconstruction-technique-in-the-setting-of-a-massive-irreparable-rotator-cuff-tear
#7
George Sanchez, William H Rossy, Kyle P Lavery, Kevin J McHale, Marcio B Ferrari, Anthony Sanchez, Matthew T Provencher
Massive, irreparable rotator cuff tears are challenging to treat and associated with pain and severe limitation in shoulder elevation due to the proximal migration of the humeral head and, consequently, subacromial impingement. Furthermore, retraction of the tendons in combination with fat infiltration and muscular weakness results in unpredictable treatment outcomes. While conservative treatment may be warranted for low-demand patients, surgical treatment is often indicated for a successful return to activities of daily living as well as an improved quality of life...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29216699/-diagnostic-value-of-a-predictive-model-for-complete-ruptures-of-the-rotator-cuff-associated-to-subacromial-impingement
#8
I R Águila-Ledesma, J L Córdova-Fonseca, O Medina-Pontaza, D A Núñez-Gómez, C Calvache-García, J M Pérez-Atanasio, R Torres-González
Pathology related to the rotator cuff remains among the most prevalent musculoskeletal diseases. There is an increasing need for imaging studies (MRI, US, arthroscopy) to test the diagnostic performance of the medical history and physical examination. OBJECTIVE: To prove the diagnostic value of a clinical-radiographic predictive model to find complete ruptures of the rotator cuff. MATERIAL AND METHODS: Descriptive, observational, prospective, transversal and analytical study...
May 2017: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/29202926/impingement-syndrome-of-the-shoulder
#9
Christina Garving, Sascha Jakob, Isabel Bauer, Rudolph Nadjar, Ulrich H Brunner
BACKGROUND: Shoulder pain is the third most common musculoskeletal complaint in orthopedic practice. It is usually due to a defect of the rotator cuff and/or an impingement syndrome. METHODS: This review is based on pertinent literature retrieved by a selective search of the Medline database. RESULTS: Patients with shoulder impingement syndrome suffer from painful entrapment of soft tissue whenever they elevate the arm. The pathological mechanism is a structural narrowing in the subacromial space...
November 10, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29176503/diagnostic-injections-about-the-shoulder
#10
Edward McFarland, Johnathan Bernard, Eric Dein, Alex Johnson
Injections about the shoulder serve diagnostic as well as therapeutic purposes. Diagnosis of shoulder conditions, such as rotator cuff tears, acromioclavicular joint pathology, subacromial impingement or anterolateral pain syndrome, glenohumeral joint pathology, suprascapular nerve entrapment, and biceps tendon pathologies, is often complicated by concomitant conditions with overlapping symptoms and by inconclusive physical examination and imaging results. Injections of anesthetic agents can often help clinicians locate the source of pain...
December 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29175353/classification-of-instability-after-reverse-shoulder-arthroplasty-guides-surgical-management-and-outcomes
#11
Adham Abdelfattah, Randall J Otto, Peter Simon, Kaitlyn N Christmas, Gregory Tanner, Joey LaMartina, Jonathan C Levy, Derek J Cuff, Mark A Mighell, Mark A Frankle
BACKGROUND: Revision of unstable reverse shoulder arthroplasty (RSA) remains a significant challenge. The purpose of this study was to determine the reliability of a new treatment-guiding classification for instability after RSA, to describe the clinical outcomes of patients stabilized operatively, and to identify those with higher risk of recurrence. METHODS: All patients undergoing revision for instability after RSA were identified at our institution. Demographic, clinical, radiographic, and intraoperative data were collected...
November 23, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29067535/prebending-of-osteosynthesis-plate-using-3d-printed-models-to-treat-symptomatic-os-acromiale-and-acromial-fracture
#12
Hanne Beliën, Hanne Biesmans, Anny Steenwerckx, Eric Bijnens, Carl Dierickx
BACKGROUND: A symptomatic os acromiale can lead to impingement syndrome and rotator cuff tendinopathy. An acromion fracture is often part of a more complex scapular trauma that needs stabilisation. METHODS: We developed a new technique using a three-dimensional (3D) model and a distal clavicle reconstruction plate to treat os acromiale and acromion fractures. Our hypothesis was that such an approach would be a useful addition to the existing techniques. First, a 3D model of the acromion was printed, then an osteosynthesis plate was pre-bent to fit the exact shape and curve of the acromion...
October 24, 2017: Journal of Experimental Orthopaedics
https://www.readbyqxmd.com/read/29065348/subacromial-impingement-syndrome-what-does-this-mean-to-and-for-the-patient-a-qualitative-study
#13
Andrew Cuff, Chris Littlewood
BACKGROUND: Structured exercise has been reported as the current treatment of choice for patients diagnosed with subacromial impingement syndrome (SIS). However, it has been suggested that this diagnostic term and the language used to explain this condition might negatively influence patient expectations and serve as a barrier to engagement with exercise, hence compromising clinical outcomes. AIM: To explore how patients rationalise their shoulder pain following a diagnosis of SIS and how this understanding might impact on their perception of physiotherapy and engagement with exercise...
October 17, 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/29038740/reverse-fosbury-flop-tear-of-the-rotator-cuff
#14
Jérôme Tirefort, Gregory Cunningham, Alexandre Lädermann
INTRODUCTION: "Fosbury flop" tear is an avulsion of the posterosuperior rotator cuff from the bone with reversal healing on its medial bursal-side. This case report describes a unique variant of Fosbury flop tear with a lesion of the musculotendinous junction that healed, for its tendon part, on the anterior humerus and coracoid process. CASE PRESENTATION: A 62-year-old man developed a posttraumatic painful shoulder with active loss of range of motion. Magnetic resonance arthrography demonstrated a lesion of the musculotendinous junction of the supraspinatus with healing of the tendon on the above-mentioned structures (reverse Fosbury flop)...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/29021905/the-waterpolo-shoulder-paradigm-results-of-ultrasound-surveillance-at-poolside
#15
Felice Galluccio, Eleonora Bellucci, Francesco Porta, Lorenzo Tofani, Amato De Paulis, Diana Bianchedi, Tatiana Barskova, Marco Matucci-Cerinic
BACKGROUND: Waterpolo consists of a combination of swimming and throwing with close contact between players. The shoulder is the most frequently injured joint, with a combination of rotator cuff tear and tendinopathy, long head biceps tendinopathy, superior labral lesions and shoulder impingement. This unique combination is a challenge for the clinician who must determine which of these shoulder pathologies is responsible for the onset of pain and the best strategy to rehabilitate the joint and prevent recurrence...
2017: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/28987866/kinematic-patterns-in-normal-and-degenerative-shoulders-part-ii-review-of-3-d-scapular-kinematic-patterns-in-patients-with-shoulder-pain-and-clinical-implications
#16
REVIEW
Marie-Martine Lefèvre-Colau, Christelle Nguyen, Clemence Palazzo, Frederic Srour, Guillaume Paris, Valerie Vuillemin, Serge Poiraudeau, Agnes Roby-Brami, Alexandra Roren
BACKGROUND: The global range of motion of the arm is the result of a coordinated motion of the shoulder complex including glenohumeral (GH), scapulothoracic, sternoclavicular and acromioclavicular joints. METHODS: This study is a non-systematic review of kinematic patterns in degenerated shoulders. It is a based on our own research on the kinematics of the shoulder complex and clinical experience. RESULTS: For patients with subacromial impingement syndrome without rotator-cuff tears, most kinematic studies showed a small superior humeral translation relative to the glenoid and decreased scapular lateral rotation and posterior tilt...
January 2018: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28970997/operative-treatment-of-symptomatic-meso-type-os-acromiale
#17
George F Lebus, Erik M Fritz, Zaamin B Hussain, Jonas Pogorzelski, Peter J Millett
Os acromiale occur frequently in the population and can be a cause of significant shoulder dysfunction and rotator cuff impingement. When symptomatic os acromiale fail conservative management, surgical intervention may become necessary. The purpose of this article is to describe our preferred surgical technique for osteosynthesis of os acromiale using cannulated screws and tension-band wiring.
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28966374/current-concepts-in-the-diagnosis-and-treatment-of-shoulder-impingement
#18
Bijayendra Singh, Nik Bakti, Abhinav Gulihar
Subacromial impingement syndrome (SIS) is a very common cause of shoulder pain in the young adults. It can cause debilitating pain, dysfunction, and affects the activities of daily living. It represents a spectrum of pathology ranging from bursitis to rotator cuff tendinopathy which can ultimately lead to degenerative tear of the rotator cuff. Various theories and concepts have been described and it is still a matter of debate. However, most published studies suggest that both extrinsic and intrinsic factors have a role in the development of SIS...
September 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28942510/limited-diagnostic-accuracy-of-magnetic-resonance-imaging-and-clinical-tests-for-detecting-partial-thickness-tears-of-the-rotator-cuff
#19
Matthias Brockmeyer, Cornelia Schmitt, Alexander Haupert, Dieter Kohn, Olaf Lorbach
INTRODUCTION: The reliable diagnosis of partial-thickness tears of the rotator cuff is still elusive in clinical practise. Therefore, the purpose of the study was to determine the diagnostic accuracy of MR imaging and clinical tests for detecting partial-thickness tears of the rotator cuff as well as the combination of these parameters. MATERIALS AND METHODS: 334 consecutive shoulder arthroscopies for rotator cuff pathologies performed during the time period between 2010 and 2012 were analyzed retrospectively for the findings of common clinical signs for rotator cuff lesions and preoperative MR imaging...
September 23, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28919000/intraobserver-and-interobserver-reliability-of-the-copeland-levy-classification-for-arthroscopic-evaluation-of-subacromial-impingement
#20
Ehud Atoun, Ron Gilat, Alexander van Tongel, Riten Pradhan, Ornit Cohen, Ehud Rath, Ofer Levy
BACKGROUND: Defining a simple and reliable classification for acromial and bursal impingement lesions is necessary to standardize terminology, to improve communication, and to allow better evaluation of the proper treatment of impingement lesions and rotator cuff tears. The purpose of this study was to assess orthopedic surgeons' intraobserver and interobserver reliability of the Copeland-Levy classification. METHODS: Six fellowship-trained orthopedic surgeons reviewed shoulder arthroscopy videos of 69 consecutive patients who underwent shoulder arthroscopy for rotator cuff tear repair or subacromial decompression...
December 2017: Journal of Shoulder and Elbow Surgery
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