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https://www.readbyqxmd.com/read/28630749/imaging-in-peri-prosthetic-assessment-an-orthopaedic-perspective
#1
Christoph H Lohmann, Sanjiv Rampal, Martin Lohrengel, Gurpal Singh
As imaging techniques are ever-evolving, this article aims to provide a brief overview of the various modalities including their limitations. The ability of imaging for evaluation of implant osseo-integration will be addressed and also the role of imaging in assessing septic and aseptic loosening, with a particular focus on adverse tissue reactions, will be discussed. Specific features when imaging the big joints such as shoulder, hip, knee and ankle joint will also be outlined.Overall, a lack of standardisation and validity was noted and despite the gross variety of imaging modalities, there is no technique covering all aspects required for evaluation of implant fixation and septic and aseptic loosening...
May 2017: EFORT open reviews
https://www.readbyqxmd.com/read/28630217/effectiveness-of-conservative-interventions-including-exercise-manual-therapy-and-medical-management-in-adults-with-shoulder-impingement-a-systematic-review-and-meta-analysis-of-rcts
#2
REVIEW
Ruedi Steuri, Martin Sattelmayer, Simone Elsig, Chloé Kolly, Amir Tal, Jan Taeymans, Roger Hilfiker
OBJECTIVE: To investigate the effectiveness of conservative interventions for pain, function and range of motion in adults with shoulder impingement. DESIGN: Systematic review and meta-analysis of randomised trials. DATA SOURCES: Medline, CENTRAL, CINAHL, Embase and PEDro were searched from inception to January 2017. STUDY SELECTION CRITERIA: Randomised controlled trials including participants with shoulder impingement and evaluating at least one conservative intervention against sham or other treatments...
June 19, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28624239/functional-outcome-and-healing-of-large-and-massive-rotator-cuff-tears-repaired-with-a-load-sharing-rip-stop-construct
#3
Matthew P Noyes, Alexandre Ladermann, Patrick J Denard
PURPOSE: To prospectively review functional outcomes and healing rates of large and massive rotator cuff tears repaired with a load-sharing rip-stop (LSRS) technique. METHODS: Twenty-one consecutive patients underwent arthroscopic rotator cuff repair with an LSRS construct between January and December 2014. Seventeen patients with a minimum of 2 years' follow-up were included. Four patients did not complete clinical evaluations and functional outcome scores at a minimum of 2 years' follow-up and were lost to follow-up...
June 14, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28619380/early-intra-articular-corticosteroid-injection-improves-pain-and-function-in-adhesive-capsulitis-of-shoulder-1-year-retrospective-longitudinal-study
#4
Jung Hwan Ahn, Doo-Hyung Lee, Hyuncheol Kang, Michael Y Lee, Dae Ryong Kang, Seung-Hyun Yoon
BACKGROUND: Intra-articular corticosteroid injection is a commonly used therapy for adhesive capsulitis, but not enough studies exist on the optimal timing of the injection. OBJECTIVE: To determine whether intra-articular corticosteroid injection has better outcomes in patients with earlier stage than later stage of adhesive capsulitis. STUDY DESIGN: Retrospective longitudinal study SETTING: University-affiliated tertiary care hospital. PARTICIPANTS: Primary adhesive capsulitis patients (n=339) who were unresponsive to at least 1 month of conservative treatment and who had ultrasound-guided corticosteroid injection...
June 12, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28618294/focused-high-resolution-sonography-of-the-suprascapular-nerve-a-simple-surrogate-marker-for-neuralgic-amyotrophy
#5
Leonhard Gruber, Alexander Loizides, Wolfgang Löscher, Bernhard Glodny, Hannes Gruber
OBJECTIVES: To define the diagnostic value of high-resolution ultrasound (HRUS) of the suprascapular nerve (SSN) in the diagnosis of neuralgic amyotrophy (NA). METHODS: The cross-section areas (CSA) of the SSN at the C5 root (CSA1) and the omohyoid muscle in the midclavicular line (CSA2) were assessed bilaterally in 15 healthy volunteers and 14 patients with clinically and electrophysiologically verified NA. Receiver-operator-characteristics (ROC) curves were generated and cut-off values, sensitivity, specificity, positive (PPV) and negative predictive values (NPV), likelihood (LR) and odds ratios (OR) were calculated...
May 19, 2017: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/28595948/healing-and-functional-outcome-of-a-subscapularis-peel-repair-with-a-stem-based-repair-after-total-shoulder-arthroplasty
#6
Reuben Gobezie, Patrick J Denard, Yousef Shishani, Anthony A Romeo, Evan Lederman
BACKGROUND: The purpose of this study was to evaluate functional outcome and healing of a subscapularis peel with a stem-based repair after total shoulder arthroplasty (TSA). The hypothesis was that the repair would lead to subscapularis healing in the majority of cases. METHODS: A prospective analysis was performed on a consecutive series of TSAs. Range of motion and functional outcome were assessed according to American Shoulder and Elbow Surgeons, Single Assessment Numeric Evaluation, Simple Shoulder Test, and visual analog scale scores at a minimum follow-up of 1 year...
June 5, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28593101/dry-needling-increases-muscle-thickness-in-a-subject-with-persistent-muscle-dysfunction-a-case-report
#7
Kevin M Cross, Michael McMurray
BACKGROUND AND PURPOSE: Muscle dysfunction is very common following musculoskeletal injury. There is very little evidence to suggest that muscle function may be positively impacted by soft tissue interventions, such as dry needling. The purpose of this case report is to describe the immediate effect of dry needling on muscle thickness in a subject after shoulder surgery. CASE DESCRIPTION: A 22 year-old competitive gymnast presented seven months post shoulder surgery with significant impairments and functional limitations...
June 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28588657/analysis-of-hydrodilatation-as-part-of-a-combined-service-for-stiff-shoulder
#8
Rajendranath Sinha, Priyesh Patel, Nicky Rose, John Tuckett, Anurag N Banerjee, John Williams, Stephen Aldridge, Paul Stuart
BACKGROUND: Adhesive capsulitis is a common cause of stiff shoulder and may result in pain and restriction of movement. The study aimed to investigate the role of hydrodilatation of the glenohumeral joint in the management of adhesive capsulitis. METHODS: Patients referred from the shoulder clinic underwent hydrodilatation under ultrasound guidance. Of 209 referred for hydrodilatation, 163 underwent the procedure and attended follow-up physiotherapy. Outcome measures were available for 118 patients (58 men and 60 women)...
July 2017: Shoulder & Elbow
https://www.readbyqxmd.com/read/28585109/efficacy-and-tolerability-of-peritendinous-hyaluronic-acid-in-patients-with-supraspinatus-tendinopathy-a-multicenter-randomized-controlled-trial
#9
César Flores, Ramón Balius, Guillermo Álvarez, Miguel A Buil, Luisa Varela, Carlos Cano, Joaquín Casariego
BACKGROUND: Physical therapy and peritendinous hyaluronic acid (HA) injections have both shown promising results in the treatment of shoulder tendinopathies. However, the superiority of treatment combining physical therapy and HA is unclear. METHODS: Patients with ultrasound-confirmed supraspinatus tendinopathy were randomized to receive either physical therapy + subacromial HA injections or physical therapy only. Treatment efficacy was assessed using a Visual Analog Scale (VAS) for pain and an Activities of Daily Living (ADL) scale...
December 2017: Sports Medicine—Open
https://www.readbyqxmd.com/read/28582950/the-prevalence-of-work-related-musculoskeletal-disorders-among-sonographers
#10
Tamader Y Al-Rammah, Areej S Aloufi, Saffana K Algaeed, Noura S Alogail
BACKGROUND: Work-related musculoskeletal disorders (WRMSDs) have a significant effect on the psychological and physical function of the sonographer. OBJECTIVE: This study is concerned about finding the prevalence of WRMSDs among sonographers in the Kingdom of Saudi Arabia and assessing how to improve future practices and develop guidelines for safe, pain-free ultrasound departments. METHODS: A survey was distributed to sonographers working in major hospitals in Riyadh, Saudi Arabia (n = 100, 83% response rate)...
June 1, 2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/28578100/risk-factors-associated-to-bilateral-rotator-cuff-tears-facteurs-de-risque-associ%C3%A3-s-aux-ruptures-bilat%C3%A3-rales-de-la-coiffe-des-rotateurs
#11
Michele Abate, Luigi Di Carlo, Vincenzo Salini, Cosima 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/28573972/the-effect-of-in-vivo-rotator-cuff-muscle-contraction-on-glenohumeral-joint-translation-an-ultrasonographic-and-electromyographic-study
#12
Sangeeta Rathi, Nicholas F Taylor, Rodney A Green
The proposed stabilizing mechanism of rotator cuff muscles is to limit excessive humeral head translation. However, an accurate measurement of glenohumeral joint translation in vivo has been challenging. We aimed to measure the effect of rotator cuff muscle contraction on glenohumeral joint translation using real time ultrasound (RTUS) and electromyography. Twenty healthy adults with no history of shoulder pathology were recruited. Six intramuscular electrodes were inserted in the rotator cuff muscles (supraspinatus, upper and lower infraspinatus, teres minor, upper and lower subscapularis)...
December 8, 2016: Journal of Biomechanics
https://www.readbyqxmd.com/read/28566401/hypertrophy-of-the-extra-articular-tendon-of-the-long-head-of-biceps-correlates-with-the-location-and-size-of-a-rotator-cuff-tear
#13
N Takahashi, H Sugaya, K Matsuki, H Miyauchi, M Matsumoto, M Tokai, K Onishi, S Hoshika, Y Ueda
AIMS: The aim of this study was to assess hypertrophy of the extra-articular tendon of the long head of biceps (LHB) in patients with a rotator cuff tear. PATIENTS AND METHODS: The study involved 638 shoulders in 334 patients (175 men, 159 women, mean age 62.6 years; 25 to 81) with unilateral symptomatic rotator cuff tears. The cross-sectional area (CSA) of the LHB tendon in the bicipital groove was measured pre-operatively in both shoulders using ultrasound. There were 154 asymptomatic rotator cuff tears in the contralateral shoulder...
June 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28537759/imaging-evaluation-of-nonacute-shoulder-pain
#14
Michael J Tuite, Kirstin M Small
OBJECTIVE: A variety of radiographic views have been described in the literature for the initial imaging of nonacute shoulder pain. Multiple articles have also discussed the best next imaging test if radiographs do not show the diagnosis, especially the use of unenhanced MRI, MR arthrography, CT arthrography, and ultrasound. The purpose of this article is to examine the evidence for the most helpful radiographic views and the best imaging test after radiographs for different clinical presentations of chronic shoulder pain...
May 24, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28533624/relative-and-absolute-reliability-of-ultrasound-measurements-for-the-thickness-of-the-soft-tissue-around-the-shoulder-joint-of-young-normal-subjects
#15
Nobuhisa Ohya, Takumi Yamada, Yoshinao Satoh, Hirobumi Kawamura
[Purpose] The purpose of this study was to examine the reliability of ultrasound measurements by analyzing the relative reliability and absolute reliability when measuring soft tissue thickness around the shoulder joint. [Subjects and Methods] Eleven healthy young adults (22 shoulders) participated in this study. Thickness of the supraspinatus tendon, subacromial bursa, and biceps tendon was measured on both shoulders. This protocol was performed twice in the same day. The relative reliability of ultrasound measurement was evaluated using the intraclass correlation coefficient for determining the degree of consistency and agreement between two measures...
April 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28532867/ultrasound-study-of-elbow-ulnar-collateral-ligament-changes-in-collegiate-baseball-players-a-pilot-study
#16
Johnathan Erb, Heather Sherman, Sydney Williard, Julien Bui, Aimie Kachingwe
OBJECTIVE: To assess changes in elbow ulnar collateral ligament length in college baseball pitchers over the course of a single season. DESIGN: Cohort Feasibility Study. METHODS: Diagnostic ultrasound was used to assess both the dominant and non-dominant medial elbow joint space in four pitchers and five fielders and compared to in-game pitching data. Shoulder, elbow, wrist, hip, knee, and ankle range of motion measurements were also taken...
April 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/28507643/imaging-of-complications-after-limb-prostheses-implantation-in-children-with-bone-tumors
#17
Beata Iwanowska, Hanna Brągoszewska, Jarosław Mądzik, Sylwia Szkudlińska-Pawlak, Izabela Kopyś-Wiszniewska, Małgorzata Jastrzębska, Barbara Kowalska, Maria Uliasz, Monika Bekiesińska-Figatowska
BACKGROUND: Tumors of the developmental age are an important problem in clinical practice. Primary bone tumors constitute 1-1.5% of all tumors, and 7% of all tumors diagnosed in the developmental age. The aim of the study was to assess the capabilities of imaging methods in diagnosing complications of limb endoprostheses in children with osteoarticular tumors. MATERIAL/METHODS: We included 155 patients with limb endoprostheses, aged 7-26 years. There were 113 patients with knee prostheses, 1 patient with bilateral knee prostheses, 16 patients with shoulder prostheses, 14 patients with hip prostheses, 11 patients with hip and knee prostheses, and 1 patient with a femoral prosthesis...
2017: Polish Journal of Radiology
https://www.readbyqxmd.com/read/28502699/supraspinatus-tendon-micromorphology-in-individuals-with-subacromial-pain-syndrome
#18
Federico Pozzi, Amee L Seitz, Hillary A Plummer, Kira Chow, Gregory R Bashford, Lori A Michener
STUDY DESIGN: Cross-sectional cohort. INTRODUCTION: Tendon collagen organization can be estimated by peak spatial frequency radius (PSFR) on ultrasound images. Characterizing PSFR can define the contribution of collagen disruption to shoulder symptoms. PURPOSE OF THE STUDY: The purpose of this was to characterize the (1) supraspinatus tendon PSFR in participants with subacromial pain syndrome (SPS) and healthy controls; (2) PSFR between participants grouped on a tendon visual quality score; and (3) relationship between PSFR with patient-reported pain, function, and shoulder strength...
May 11, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28495574/does-acromioplasty-result-in-favorable-clinical-and-radiologic-outcomes-in-the-management-of-chronic-subacromial-pain-syndrome-a-double-blinded-randomized-clinical-trial-with-9-to-14-years-follow-up
#19
Arjen Kolk, Bregje J W Thomassen, Hajo Hund, Pieter Bas de Witte, Hans-Erik Henkus, Willem G Wassenaar, Ewoud R A van Arkel, Rob G H H Nelissen
BACKGROUND: The treatment effect of acromioplasty for chronic subacromial pain syndrome (SAPS) on long-term shoulder function and rotator cuff deterioration has still to be determined. This study aimed to determine the long-term clinical and radiologic treatment effect of arthroscopic acromioplasty in patients with chronic SAPS. METHODS: In this double-blind, randomized clinical trial, 56 patients with chronic SAPS (median age, 47 years; age range, 31-60 years) were randomly allocated to arthroscopic bursectomy alone or to bursectomy combined with acromioplasty and were followed up for a median of 12 years...
May 8, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28483685/effects-of-low-load-exercise-on-postneedling-induced-pain-after-dry-needling-of-active-trigger-point-in-individuals-with-subacromial-pain-syndrome
#20
Jaime Salom-Moreno, Laura Jiménez-Gómez, Victoria Gómez-Ahufinger, María Palacios-Ceña, José L Arias-Buría, Shane L Koppenhaver, César Fernández-de-Las-Peñas
BACKGROUND: The application of dry needling usually is associated with postneedling-induced pain. A postneedling intervention reduce this adverse event is needed. OBJECTIVE: To determine the effectiveness of low-load exercise on reducing postneedling-induced pain after dry needling of active trigger points (TrPs) in the infraspinatus muscle in subacromial pain syndrome. DESIGN: A 72-hour follow-up, single-blind randomized controlled trial...
May 5, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
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