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posterior labral trauma

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https://www.readbyqxmd.com/read/27252441/glenoid-dysplasia-pathophysiology-diagnosis-and-management
#1
REVIEW
Josef K Eichinger, Joseph W Galvin, Jason A Grassbaugh, Stephen A Parada, Xinning Li
➤Subtle forms of glenoid dysplasia may be more common than previously thought and likely predispose some patients to symptomatic posterior shoulder instability. Severe glenoid dysplasia is a rare condition with characteristic radiographic findings involving the posteroinferior aspect of the glenoid that often remains asymptomatic.➤Instability symptoms related to glenoid dysplasia may develop over time with increased activities or trauma. Physical therapy focusing on rotator cuff strengthening and proprioceptive control should be the initial management...
June 1, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/26672471/the-use-of-ultrasound-in-the-assessment-of-the-glenoid-labrum-of-the-glenohumeral-joint-part-ii-examples-of-labral-pathologies
#2
REVIEW
Wojciech Krzyżanowski, Marta Tarczyńska
Labral pathologies of the glenohumeral joint are most commonly caused by trauma. The majority of lesions affect the anterior part of labrum, resulting from much higher frequency of anterior shoulder dislocations over posterior ones. Another subgroup of labral lesions, not directly related to joint instability, are SLAP tears. Other findings include degenerative changes of labrum and paralabral cysts. Diagnostic imaging is crucial for making a decision regarding operative treatment. Apart from a standard X-ray examination, the imaging mainly relies on magnetic resonance or computed tomography arthrography...
September 2012: Journal of Ultrasonography
https://www.readbyqxmd.com/read/26535182/rugby-and-shoulder-trauma-a-systematic-review
#3
REVIEW
R Papalia, A Tecame, G Torre, P Narbona, N Maffulli, V Denaro
Rugby is a popular contact sport worldwide. Collisions and tackles during matches and practices often lead to traumatic injuries of the shoulder. This review reports on the epidemiology of injuries, type of lesions and treatment of shoulder injuries, risk factors, such as player position, and return to sport activities. Electronic searches through PubMed (Medline), EMBASE, and Cochrane Library retrieved studies concerning shoulder injuries in rugby players. Data regarding incidence, type and mechanisms of lesion, risk factors and return to sport were extracted and analyzed...
May 2015: Translational Medicine @ UniSa
https://www.readbyqxmd.com/read/26495243/superior-labral-anterior-posterior-lesions-of-the-shoulder-current-diagnostic-and-therapeutic-standards
#4
Dominik Popp, Volker Schöffl
Surgical treatment of superior labral anterior posterior (SLAP) lesion becomes more and more frequent which is the consequence of evolving progress in both, imaging and surgical technique as well as implants. The first classification of SLAP lesions was described in 1990, a subdivision in four types existed. The rising comprehension of pathology and pathophysiology in SLAP lesions contributed to increase the types in SLAP classification to ten. Concerning the causative mechanism of SLAP lesions, acute trauma has to be differed from chronic degeneration...
October 18, 2015: World Journal of Orthopedics
https://www.readbyqxmd.com/read/25985375/surgical-hip-dislocation-for-the-treatment-of-intra-articular-injuries-and-hip-instability-following-traumatic-posterior-dislocation-in-children-and-adolescents
#5
Eduardo N Novais, Travis C Heare, Mary K Hill, Stephanie W Mayer
BACKGROUND: Traumatic posterior hip dislocation in children is a rare injury that typically is treated with closed reduction. Surgical treatment is typically recommended for nonconcentric reduction with joint space asymmetry with entrapped labrum or an osteochondral fragment. The surgical hip dislocation (SHD) approach allows for full assessment of the acetabulum and femoral head and has been our preferred surgical strategy. The purpose of this study was to (1) describe the intra-articular pathologic findings seen at the time of SHD; and (2) to investigate hip pain, function, and activity level of a cohort of children and adolescents after open treatment of a posterior hip dislocation using the SHD approach...
October 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/25908279/-an-anatomic-study-of-glenoid-regarding-anchor-insertion-posion-and-direction
#6
Shengqun Wang, Jiayin Wang, Changyue Gu, Jianlin Zuo
OBJECTIVE: To investigate normal bony anatomy of the glenoid rim, to measure inner glenoid rim angle and outer glenoid rim angle, and the angles for successful anchor insertion for arthroscopic labral repairs. METHODS: Twelve unpaired isolated human glenoids (6 right, 6 left) without any evidence of trauma were for studying. The glenoid specimens were scanned using 320-slice CT (Aquilion ONE), then reconstruction glenoid to a three dimensional model using materialise's interactive medical image control system (Mimics) and to obtain cross-sectional images in 6 different planes, mark the right glenoid rim with clockwise tag, the left with counterclockwise tag...
February 2015: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/25596985/glenoid-labrum-pathology
#7
REVIEW
P Clavert
The glenoid labrum is the fibrocartilage of the shoulder joint, anchoring the joint capsule and shoulder ligaments. Morphology varies regionally, especially in the superior and anterior region; these variants can sometimes be confused with pathological aspects. The labrum is often involved in shoulder pathology, by single trauma or, more often, repeated microtrauma. It seems logical to classify and to describe tears according to two criteria: the sector involved, and associated pain or instability. In the superior labrum, SLAP lesions are the most frequent...
February 2015: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/25586665/posterosuperior-glenoid-internal-impingement-of-the-shoulder-in-the-overhead-athlete-pathogenesis-clinical-features-and-mr-imaging-findings
#8
Chris Kon Fessa, Anthony Peduto, James Linklater, Phillip Tirman
Posterosuperior glenoid internal impingement (PGII) is an impingement syndrome of the shoulder that is most commonly seen in the throwing or overhead athlete. The supraspinatus can be normally compressed or impinged between the greater tuberosity and the posterosuperior labrum in the abduction and external rotation position. However, repetitive throwing and biomechanical abnormalities may lead to the intensification of this contact and to the clinical and pathological picture of PGII. The injured athlete usually complains of poor throwing performance and pain located in the posterosuperior aspect of the shoulder...
April 2015: Journal of Medical Imaging and Radiation Oncology
https://www.readbyqxmd.com/read/24895390/acute-spontaneous-atraumatic-bilateral-anterior-dislocation-of-the-shoulder-joint-with-hill-sachs-lesions-first-reported-case-and-review-of-literature
#9
REVIEW
Gopikanthan Manoharan, Rohit Singh, Bessam Ahmed, Vinod Kathuria
The anatomy of the shoulder joint comprises a relatively large humeral head with a shallow glenoid cavity allowing a remarkable range of motion at the expense of inherent instability. Despite anterior shoulder dislocations being the most common type encountered, bilateral dislocations are rare and almost always posterior. The aetiology is usually direct or indirect trauma related to sports, seizures, electric shock or electroconvulsive therapy. We present the first reported case of atraumatic bilateral acute anterior shoulder dislocations with associated Hill-Sachs lesions in a young, fit and well patient with no comorbidities...
2014: BMJ Case Reports
https://www.readbyqxmd.com/read/24762155/arthroscopic-findings-of-coexisting-lesions-with-greater-tuberosity-fractures
#10
Eran Maman, Oleg Dolkart, Ofir Chechik, Eyal Amar, Ofer Rak, Ehud Rath, Gavriel Mozes
Proximal humerus fractures comprise approximately 5% of all fractures, with isolated greater tuberosity fractures accounting for approximately 20% of proximal humerus fractures. Although performing shoulder arthroscopy in situations including a fracture is technically demanding, it allows surgeons the opportunity to identify and treat other coexisting lesions that could have otherwise been missed. The incidence of these pathologies in combination with greater tuberosity fractures has not been established. This study aimed to identify the various types of pathologies that may coexist with greater tuberosity fractures but not be detected before fixation...
March 2014: Orthopedics
https://www.readbyqxmd.com/read/24337489/prevalence-of-hagl-lesions-and-associated-abnormalities-on-shoulder-mr-examination
#11
Thomas Magee
OBJECTIVE: Humeral avulsion of the glenohumeral ligament (HAGL) is an uncommon shoulder injury. We report the prevalence of HAGL lesions and other associated shoulder injuries in a large series of shoulder MR examinations. All results were correlated with surgery. MATERIALS AND METHODS: MR reports of 1,000 consecutive conventional shoulder MR exams performed on patients with shoulder pain were reviewed in our information system for the word HAGL. A total of 743 patients went on to surgery...
March 2014: Skeletal Radiology
https://www.readbyqxmd.com/read/24060014/diagnostic-value-of-us-mr-and-mr-arthrography-in-shoulder-instability
#12
COMPARATIVE STUDY
Roman Pavic, Petra Margetic, Mirta Bensic, Renata Letica Brnadic
INTRODUCTION: The aim of our study was to compare US, conventional MRI and MR arthrography findings in patients with anterior shoulder instability and with a clinical diagnosis of labral capsular ligamentous complex lesion. At the same time we evaluated the accuracy of MR arthrography in the diagnosis of this lesion. METHODS: After approval of the local Ethics Committee, our department's Trauma Registry from July 2008 up to February 2012 was retrospectively reviewed to identify all eligible patients...
September 2013: Injury
https://www.readbyqxmd.com/read/23949931/long-head-of-the-biceps-tendon-and-rotator-interval
#13
REVIEW
M Zappia, A Reginelli, A Russo, G F D'Agosto, F Di Pietto, E A Genovese, F Coppolino, L Brunese
The term "biceps brachii" is a Latin phrase meaning "two-headed (muscle) of the arm." As its name suggests, this muscle has two separate origins. The short head of biceps is extraarticular in location, originates from the coracoid process of the scapula, having a common tendon with the coracobrachialis muscle. The long head of biceps tendon (LBT) has a much more complex course, having an intracapsular and an extracapsular portion. The LBT originates from the supraglenoid tubercle, and in part, from the glenoid labrum; the main labral attachments vary arising from the posterior, the anterior of both aspects of the superior labrum (Bletran et al...
August 2013: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/23618008/shoulder-injuries-in-professional-rugby-a-retrospective-analysis
#14
Ian G Horsley, Elizabeth M Fowler, Christer G Rolf
BACKGROUND: In the literature, little is known about the level and pattern of rugby injuries. Of the shoulder injuries reported, 51% of these are caused during a tackle, and 65% of all match injuries affected the shoulder. OBJECTIVE: The study aims to describe a sport-specific unique intra-articular shoulder pathology of professional rugby players, who presented with persistent pain and dysfunction despite physiotherapeutic treatment and rest. METHOD: This study is a retrospective analysis set at a university sports medicine clinic...
April 26, 2013: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/22541869/ganglion-cyst-of-the-spinoglenoid-notch-comparison-between-slap-repair-alone-and-slap-repair-with-cyst-decompression
#15
COMPARATIVE STUDY
Doo-Sup Kim, Hyeun-Kook Park, Jang-Hee Park, Won-sik Yoon
BACKGROUND: Some authors have described the ganglion cyst of the spinoglenoidal notch as related to repetitive overhead activities and labral tear caused by trauma, while others have explained lesions of the capsulolabral complex and ganglion cysts to have separate pathologies. The purpose of this study is to compare clinical and radiological outcomes between 2 groups: 1 with superior labrum anterior and posterior (SLAP) repair only and the other with SLAP repair and cyst decompression prospectively...
November 2012: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/22389224/surgical-technique-arthroscopic-posterior-glenoidplasty-for-posterosuperior-glenoid-impingement-in-throwing-athletes
#16
Christophe Lévigne, Jérome Garret, Sophie Grosclaude, Florent Borel, Gilles Walch
BACKGROUND: Posterosuperior glenoid impingement (PSGI) is the repetitive impaction of the supraspinatus tendon insertion on the posterosuperior glenoid rim in abduction and external rotation. While we presume the pain is mainly caused by mechanical impingement, this explanation is controversial. If nonoperative treatment fails, arthroscopic débridement of tendinous and labral lesions has been proposed but reportedly does not allow a high rate of return to sports. In 1996, we proposed adding abrasion of the bony posterior rim, or glenoidplasty...
June 2012: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/21808701/management-of-type-ii-superior-labrum-anterior-posterior-lesions-a-review-of-the-literature
#17
Xinning Li, Timothy J Lin, Marcus Jager, Mark D Price, Nicola A Deangelis, Brian D Busconi, Michael A Brown
Superior labrum anterior and posterior lesions were first described in 1985 by Andrews et al. and later classified into four types by Synder et al. The most prevalent is type II which is fraying of the superior glenoid labrum with detachment of the biceps anchor. Superior labrum anterior posterior (SLAP) lesions can also be associated with other shoulder pathology. Both MRI and MRA can be utilized in making the diagnosis with the coronal images being the most sensitive. The mechanism of injury can be either repetitive stress or acute trauma with the superior labrum most vulnerable to injury during the late cocking phase of throwing...
March 20, 2010: Orthopedic Reviews
https://www.readbyqxmd.com/read/21709032/hip-arthroscopy-after-traumatic-hip-dislocation
#18
Victor M Ilizaliturri, Bernal Gonzalez-Gutierrez, Humberto Gonzalez-Ugalde, Javier Camacho-Galindo
BACKGROUND: Traumatic posterior dislocation of the hip joint usually results from high-energy trauma, which can cause additional injuries that may need to be addressed after reduction. PURPOSE: This study was undertaken to present arthroscopic findings after traumatic posterior hip dislocation in patients with mechanical hip symptoms. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: All patients treated with hip arthroscopy between 2002 and 2006 for mechanical hip symptoms after traumatic posterior hip dislocation with subsequent closed reduction were included in this study...
July 2011: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/21257845/humeral-avulsion-of-the-inferior-glenohumeral-ligament-in-college-female-volleyball-players-caused-by-repetitive-microtrauma
#19
Mihra S Taljanovic, Jon K Nisbet, Tim B Hunter, Randy P Cohen, Lee F Rogers
BACKGROUND: Humeral avulsion of the inferior glenohumeral ligament is a rare injury resulting from hyperabduction and external rotation, and it is most commonly seen with sports-related injuries, including those from volleyball. The anterior band of the inferior glenohumeral ligament is most commonly injured (93%), whereas the posterior band is infrequently injured. The axillary pouch humeral avulsion of the inferior glenohumeral ligament as a result of repetitive microtrauma has not been yet described in the English literature...
May 2011: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/20615650/arthroscopic-posterior-labral-repair-in-athletes-outcome-analysis-at-2-year-follow-up
#20
William T Pennington, Mark A Sytsma, David J Gibbons, Brian A Bartz, Maggie Dodd, James Daun, Jonathan Klinger
PURPOSE: The purpose of this outcome analysis was to evaluate the clinical presentation of isolated posterior labral tears resulting from athletic injury and to use multiple outcome measurements to evaluate postoperative results after arthroscopic repair with respect to satisfaction, function, and return to sport. METHODS: Seventy-five consecutive patients injured during athletic activity were treated surgically during the 2-year period from 2005 to 2006 for labral pathologies...
September 2010: Arthroscopy: the Journal of Arthroscopic & related Surgery
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