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https://www.readbyqxmd.com/read/29140178/infraspinatus-cross-sectional-area-and-shoulder-range-of-motion-change-following-live-game-baseball-pitching
#1
Brett S Pexa, Eric D Ryan, Elizabeth E Hibberd, Elizabeth Teel, Terri Jo Rucinski, Joseph B Myers
CONTEXT: Following a baseball pitching bout, changes can occur to glenohumeral range of motion that could be linked to injury. These effects are in part due to the posterior shoulder's eccentric muscle activity, which can disrupt muscle contractile elements and lead to changes in muscle cross sectional area (CSA), as measured by ultrasound. OBJECTIVE: To assess changes in muscle CSA, and range of motion immediately before and after pitching, and days 1-5 following pitching...
November 15, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29137032/non-hodgkin-lymphoma-of-multiple-extranodal-involvement-seen-on-mri-fdg-pet-ct-scans-a-case-report
#2
Shan Wang, Meng Meng, Qiuhu Wang, Kai Xu
RATIONALE: Anaplastic large cell lymphoma (ALCL) is a rare type of non-Hodgkin lymphoma (NHL). The most common extranodal sites of ALCL are skin, subcutaneous tissue, bone, lung, and gastrointestinal organs. This study reports a case of ALCL with multiple extranodal involvement, especially the whole body skeletal muscles, with the aim to share the imaging features of the ALCL including magnetic resonance imaging (MRI) and 18F-fluorodeoxyglucose positron emission tomography-computed tomography (18F-FDG PET-CT)...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29127558/effect-of-dexamethasone-dose-and-route-on-the-duration-of-interscalene-brachial-plexus-block-for-outpatient-arthroscopic-shoulder-surgery-a-randomized-controlled-trial
#3
Darren Holland, Ryan J J Amadeo, Scott Wolfe, Linda Girling, Faylene Funk, Mark Collister, Emily Czaplinski, Celeste Ferguson, Jeff Leiter, Jason Old, Peter MacDonald, Brenden Dufault, Thomas C Mutter
PURPOSE: Dexamethasone prolongs the duration of interscalene block, but the benefits of higher doses and perineural vs intravenous administration remain unclear. METHODS: This factorial design, double-blinded trial randomized 280 adult patients undergoing ambulatory arthroscopic shoulder surgery at a single centre in a 1:1:1:1 ratio. Patients received ultrasound-guided interscalene block with 30 mL 0.5% bupivacaine and 4 mg or 8 mg dexamethasone by either the perineural or intravenous route...
November 10, 2017: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29126611/diaphragmatic-thickness-ratio-inspiratory-expiratory-as-a-diagnostic-method-of-diaphragmatic-palsy-associated-with-interescalene-block
#4
V M López Escárraga, K Dubos España, R H Castillo Bustos, L Peidró, S Sastre, X Sala-Blanch
INTRODUCTION: Diaphragmatic paralysis is a side-effect associated with interscalene block. Thickness index of the diaphragm muscle (inspiratory thickness/expiratory thickness) obtained by ultrasound has recently been introduced in clinical practice for diagnosis of diaphragm muscle atrophy. Our objective was to evaluate this index for the diagnosis of acute phrenic paresis associated with interscalene block. PATIENTS AND METHODS: We designed an observational study in 22 patients scheduled for shoulder arthroscopy...
November 7, 2017: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/29122375/blunt-traumatic-axillary-artery-truncation-in-the-absence-of-associated-fracture
#5
Emily Bokser, William Caputo, Barry Hahn, Josh Greenstein
BACKGROUND: Axillary artery injuries can be associated with both proximal humeral fractures (Naouli et al., 2016; Ng et al., 2016) [1,2] as well as shoulder dislocations (Leclerc et al., 2017; Karnes et al., 2016) [3,4]. We report a rare case of an isolated axillary artery truncation following blunt trauma without any associated fracture or dislocation. CASE REPORT: A 58-year-old male presented to the emergency department for evaluation after falling on his outstretched right arm...
October 7, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29119576/natural-course-of-fetal-axillary-lymphangioma-based-on-prenatal-ultrasound-studies
#6
Theera Tongsong, Suchaya Luewan, Jiraporn Khorana, Sirinart Sirilert, Cholaros Charoenratana
This series and literature review aimed to prenatally characterize the nature of axillary lymphangioma. A total of 30 cases, including our 5 cases, were analyzed. Insights gained from this review are as follows: Septate and nonseptate cysts seem to be different entities. The nonseptate type tends to be small and transient but more highly associated with aneuploidies. Septate cysts are very rarely associated with other abnormalities and hydrops fetalis, unlike cystic hygroma colli, but are more progressive with gestational age and associated with adverse outcomes...
November 9, 2017: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/29117299/high-vs-low-dose-corticosteroid-injection-in-the-treatment-of-adhesive-capsulitis-with-severe-pain-a-randomized-controlled-double-blind-study
#7
Kyou Hyun Kim, Jong Wook Park, Sang Jun Kim
Objective: To compare the degree of pain relief between high-dose (40 mg of triamcinolone acetonide) and low-dose (20 mg of triamcinolone acetonide) corticosteroid injections in patients with severe pain due to adhesive capsulitis. Design: A prospective, randomized, double-blind, dose-comparative study. Subjects: A total of 32 patients who were diagnosed with adhesive capsulitis and who expressed severe pain intensity, 8 or more points on a numeric rating scale (NRS)...
October 7, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29051166/epidemiology-of-imaging-detected-tendon-abnormalities-in-athletes-participating-in-the-rio-de-janeiro-2016-summer-olympics
#8
Mohamed Jarraya, Michel D Crema, Lars Engebretsen, Oleg M Teytelboym, Daichi Hayashi, Frank W Roemer, Abdalla Y Skaf, Ali Guermazi
BACKGROUND: Tendon abnormalities are prevalent among both elite and non-elite athletes. Cross-sectional imaging modalities are used to confirm and evaluate the severity of such lesions. AIM: To describe the demographics, prevalence, anatomical location and characteristics of tendon abnormalities in athletes who participated in the Rio de Janeiro 2016 Summer Olympic Games. METHODS: We recorded all sports injuries reported by the National Olympic Committee (NOC) medical teams and the Organizing Committee medical staff during the Rio 2016 Summer Olympics...
October 19, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29046778/ultrasound-guided-percutaneous-cryoneurolysis-providing-postoperative-analgesia-lasting-many-weeks-following-a-single-administration-a-replacement-for-continuous-peripheral-nerve-blocks-a-case-report
#9
Brian M Ilfeld, Rodney A Gabriel, Andrea M Trescot
Cryoneurolysis entails using low temperatures to reversibly ablate nerves, with a subsequent analgesia duration measured in weeks or months. Previously, clinical applications for acute pain were limited because treatment originally required exposing the target nerve surgically. However, three developments have now made it possible to provide prolonged postoperative analgesia by cryoneurolysis: 1) new portable, hand-held cryoneurolysis devices, 2) ultrasound machine proliferation, and, 3) anesthesiologists trained in ultrasound-guided peripheral nerve block administration...
October 2017: Korean Journal of Anesthesiology
https://www.readbyqxmd.com/read/29037656/demystifying-shoulder-pain-with-electrodiagnosis-and-musculoskeletal-ultrasound-imaging
#10
EDITORIAL
Dimitrios Kostopoulos, Mohini Rawat
No abstract text is available yet for this article.
October 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/29037627/does-ultrasound-therapy-add-to-the-effects-of-exercise-and-mobilization-in-frozen-shoulder-a-pilot-randomized-double-blind-clinical-trial
#11
Safoora Ebadi, Bijan Forogh, Ehsan Fallah, Arash Babaei Ghazani
OBJECTIVE: This study intended to determine the extent to which Ultrasound could add to the effects of exercise and manual therapy in the rehabilitation treatment of primary adhesive capsulitis. DESIGN: A pilot double blind randomized clinical trial was carried out on 50 patients suffering from primary adhesive capsulitis. Intervention included continuous 3 MHz, 1.5 w/cm(2) Ultrasound, applied for the first group and sham Ultrasound for the second group. In addition specific stretching and strengthening exercises as well as glenohumeral joint mobilization were delivered to both groups...
October 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/29034961/a-randomized-trial-of-automated-intermittent-ropivacaine-administration-vs-continuous-infusion-in-an-interscalene-catheter
#12
J Oxlund, A H Clausen, S Venø, M D Nielsen, M Pall, T Strøm, P Toft
BACKGROUND: Ultrasound-guided interscalene nerve block with ropivacaine as local anesthetic agent given as boluses or continuous infusion is the preferred pain management after major shoulder surgery. The use of automated intermittent boluses has been shown to be superior to continuous infusion in sciatic and epidural nerve block. HYPOTHESIS: Automated intermittent boluses reduce pain after major shoulder surgery. METHODS: Seventy patients aged 18-75 years, scheduled for major shoulder surgery under general anesthesia with interscalene nerve block were included in this randomized controlled trial...
October 16, 2017: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/29031414/the-application-of-ultrasound-elastography-in-the-shoulder
#13
REVIEW
Jonas Schmalzl, Annabel Fenwick, Dirk Boehm, Fabian Gilbert
Ultrasound elastography (EUS) is a recently developed method for the assessment of tissue elasticity by applying mechanical stress and subsequently analyzing tissue displacement with ultrasound. To date, mainly two different techniques are used in clinical practice: strain (compression) EUS and shear wave EUS. However, shear wave EUS has been shown to be more examiner independent and more reliable as this technique allows a quantitative measurement of tissue elasticity. There is increasing evidence that EUS can be used to evaluate mechanical properties of musculoskeletal tissue...
October 11, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29021905/the-waterpolo-shoulder-paradigm-results-of-ultrasound-surveillance-at-poolside
#14
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/28988266/effect-of-arm-position-on-width-of-the-subacromial-space-of-upper-string-musicians
#15
Elliot V Smithson, Elizabeth Reed Smith, Gary McIlvain, Mark K Timmons
OBJECTIVE: Musicians often end their musical career due to musculoskeletal injury. A leading source of shoulder pain in upper string musicians is rotator cuff disease (RCD). Multiple factors contribute to its development. Compressive overload of the soft tissues of the subacromial space resulting from a decrease in the width of the subacromial space has been identified as an extrinsic factor contributing to RCD development. The purpose of this study was to characterize the width of the subacromial space by measuring acromial-humeral distance (AHD) of upper string musicians, while their arms are in standard playing positions...
September 2017: Medical Problems of Performing Artists
https://www.readbyqxmd.com/read/28965942/comparison-of-ultrasonography-and-radiography-of-the-wrist-for-diagnosis-of-calcium-pyrophosphate-deposition
#16
Marine Forien, Alice Combier, Anaïs Gardette, Elisabeth Palazzo, Philippe Dieudé, Sébastien Ottaviani
OBJECTIVE: Ultrasound (US) seems a useful tool for diagnosis of calcium pyrophosphate (CPP) deposition (CPPD). We aimed to compare the performance of US and conventional radiography of the wrist for diagnosis of CPPD. METHODS: Patients with CPP crystals identified in synovial fluid (SF) (knee, hip, shoulder, ankle or wrist) were consecutively included and compared to patients without CPP crystals in synovial fluid considered as controls. As recommended, we used the term chondrocalcinosis (CC) to assess imaging features suggesting CPPD...
September 28, 2017: Joint, Bone, Spine: Revue du Rhumatisme
https://www.readbyqxmd.com/read/28957618/quadrilateral-space-syndrome-treated-with-ultrasound-guided-corticosteroid-injection-a-case-of-isolated-teres-minor-atrophy-and-review-of-the-literature
#17
Peter S Chang, Nathan Jacobson, Kwang U Chang
Quadrilateral space syndrome (QSS) is a rare orthopedic condition caused by compression, entrapment, or injury to the axillary nerve or posterior humeral circumflex artery as they arise from the quadrilateral space. QSS can present with point tenderness over the quadrilateral space and weakness and paresthesia in the axillary nerve distribution. It is commonly associated with repetitive overhead activities and is seen in athletes engaging in such activities. Here we report a case of QSS in a 42-year-old male weight lifter who presented with pain and soreness in the posterior aspect of his right shoulder radiating around his arm as well as slight weakness of his right shoulder of a few weeks duration...
October 2017: South Dakota Medicine: the Journal of the South Dakota State Medical Association
https://www.readbyqxmd.com/read/28952187/physiotherapists-utilizing-diagnostic-ultrasound-in-shoulder-clinics-how-useful-do-patients-find-immediate-feedback-from-the-scan-as-part-of-the-management-of-their-problem
#18
Gordon Lumsden, Kerry Lucas-Garner, Sarah Sutherland, Ron Dodenhoff
AIMS: Physiotherapists are beginning to utilize diagnostic ultrasound imaging in upper limb/shoulder clinics. The aim of the present study was to receive feedback on the views of the patients concerning the usefulness of the information obtained immediately from the scan in the management of their problem. METHODS: A questionnaire was offered to all patients attending a physiotherapist-led upper limb/shoulder clinic who underwent ultrasound imaging as part of a shoulder assessment over a 6-month period...
September 27, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28939321/ultrasound-guided-interscalene-brachial-plexus-nerve-block-with-an-ultralow-volume-of-local-anesthetic-for-post-thoracotomy-shoulder-girdle-pain
#19
Theodosios Saranteas, Anastasia Alevizou, Tatiana Sidiropoulou, Andreas Mavrogenis, Periklis Tomos, Panagiota Florou, Thomas Papadimos, Georgia Kostopanagiotou
OBJECTIVES: To evaluate the efficacy of ultrasound-guided interscalene nerve block using an ultralow volume of local anesthetic (5 mL of ropivacaine, 0.75%) for the management of post-thoracotomy shoulder girdle pain. DESIGN: Open-cohort, prospective, single-center study. SETTING: University hospital. INTERVENTIONS: Patients with post-thoracotomy shoulder girdle pain (visual analog scale [VAS] ≥5) received an ultrasound-guided interscalene nerve block...
April 26, 2017: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/28932287/the-effectiveness-of-ultrasound-guided-hydrodistension-and-physiotherapy-in-the-treatment-of-frozen-shoulder-adhesive-capsulitis-in-primary-care-a-single-centre-service-evaluation
#20
Michael Bryant, Andrew Gough, James Selfe, Jim Richards, Elizabeth Burgess
BACKGROUND: Evidence for optimal non-operative treatment of frozen shoulder is lacking. The present study aimed to evaluate a treatment strategy for stage II to III frozen shoulder provided by the current primary care musculoskeletal service. METHODS: General practioner referrals of shoulder pain to the musculoskeletal service diagnosed with stage II to III frozen shoulder and who opted for a treatment strategy of hydrodistension and guided physiotherapy exercise programme over a 12-month period were evaluated for 6 months...
October 2017: Shoulder & Elbow
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