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Biceps Tendon

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https://www.readbyqxmd.com/read/29339205/agreement-of-musculoskeletal-ultrasound-and-clinical-assessment-of-shoulder-impairment-in-manual-wheelchair-users-with-various-duration-of-spinal-cord-injury
#1
Margaret Finley, David Ebaugh, Thomas Trojian
OBJECTIVE: To determine agreement of musculoskeletal ultrasound (MSK-US) findings of shoulder pathology and related shoulder special test results in individuals with varied duration of manual wheelchair (MWC) use following spinal cord injury (SCI) and determine if shoulder musculoskeletal impairments, per MSK-US and clinical examination, differed in individuals with SCI and varying duration of MWC use. DESIGN: Cross-sectional cohort study SETTING: Laboratory setting PARTICIPANTS: Twenty-three adult volunteers with SCI who used a MWC for community mobility...
January 12, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29337716/management-of-biceps-tendon-pathology-from-the-glenoid-to-the-radial-tuberosity
#2
Rachel M Frank, Eric J Cotter, Eric J Strauss, Laith M Jazrawi, Anthony A Romeo
Management of proximal and distal biceps tendon pathology is evolving. The long head of the biceps tendon, if inflamed, may be a pain-producing structure. In appropriately indicated patients, a symptomatic long head of the biceps tendon can be surgically managed via tenotomy, tenodesis, and/or superior labrum anterior to posterior repair. In some patients, primary superior labrum anterior to posterior pathology can be managed via biceps tenodesis. Determining which procedure is most appropriate and which technique and implant are preferred for a given patient with biceps tendon pathology is controversial...
January 15, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29314867/location-of-rotator-cuff-tear-initiation-a-magnetic-resonance-imaging-study-of-191-shoulders
#3
Jeung Yeol Jeong, Seul Ki Min, Keun Min Park, Yong Bok Park, Kwang Joon Han, Jae Chul Yoo
BACKGROUND: Degenerative rotator cuff tears (RCTs) are generally thought to originate at the anterior margin of the supraspinatus tendon. However, a recent ultrasonography study suggested that they might originate more posteriorly than originally thought, perhaps even from the isolated infraspinatus (ISP) tendon, and propagate toward the anterior supraspinatus. Hypothesis/Purpose: It was hypothesized that this finding could be reproduced with magnetic resonance imaging (MRI). The purpose was to determine the most common location of degenerative RCTs by using 3-dimensional multiplanar MRI reconstruction...
January 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29309450/biceps-tenodesis-a-comparison-of-tendon-to-bone-and-tendon-to-tendon-healing-in-a-rat-model
#4
Ekaterina Urch, Samuel A Taylor, Prem N Ramkumar, Paul Enker, Stephen B Doty, Alex E White, Demetris Delos, Mary E Shorey, Stephen J O'Brien
In this article, we report on the differences in the healing biology of biceps tenodesis performed on either bone or soft tissue in a rat model. This work provides further insight into what may be the optimal strategy for managing biceps-labrum complex disease.
November 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/29309328/a-new-option-for-the-reconstruction-of-primary-or-recurrent-ischial-pressure-sores-hamstring-adductor-magnus-muscle-advancement-flap-and-direct-closure
#5
Jin Sik Burm, Jungil Hwang, Yung Ki Lee
BACKGROUND: Owing to the high recurrence rates of ischial pressure sores, surgeons should consider the possibility of future secondary flap surgery during flap selection. The purpose of this article is to present a new surgical option for the reconstruction of primary or recurrent ischial pressure sores using a simple hamstring-adductor magnus advancement flap and direct closure. METHODS: After horizontal fusiform skin excision, complete bursa excision and ischiectomy were performed...
January 5, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29309090/effect-of-ultrasonography-on-student-learning-of-shoulder-anatomy-and-landmarks
#6
Kristen D de Vries, Rebecca Brown, Joseph Mazzie, Min-Kyung Jung, Sheldon C Yao, Michael J Terzella
Context: Ultrasonography is becoming more common in clinical use, and it has been shown to have promising results when introduced into medical school curricula. Objective: To determine whether the use of ultrasonography as an educational supplement can improve osteopathic medical students' confidence and ability to locate 4 specific shoulder anatomical landmarks: the coracoid process, the transverse process of T1, the long head of the biceps within the bicipital groove, and the supraspinatus tendon...
January 1, 2018: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/29308280/ultrasonographic-clues-for-acuity-chronicity-of-rotator-cuff-tear
#7
Suheil Artul, George Habib
Objective: To look prospectively for ultrasonographic clues for acuity/chronicity of rotator cuff tear (RCT) among patients with shoulder pain. Material and Methods: Patients with shoulder pain who were referred for musculoskeletal ultrasonography and diagnosed with RCT were asked to participate in our study. After consent, demographic, clinical, laboratory, and ultrasonographic findings, including age, gender, history of trauma, type of tendon with tear, tendon tear size, tendon effusion, bursal effusion, calcification, tendon thickness, and duration of shoulder pain were documented...
December 2017: European Journal of Rheumatology
https://www.readbyqxmd.com/read/29305621/-modern-treatment-strategies-for-the-long-head-of-the-biceps-tendon
#8
REVIEW
S Braun, A B Imhoff
The long head of the biceps and the biceps pulley sling are prone to acute or degenerative injury. As they both were identified as major pain generators, adequate diagnosis and treatment is vital for successful treatment of shoulder pain. Although the basic principles to address either pathology have not changed over the last decades, new trends have evolved to simplify surgical options. SLAP (superior labral tear from anterior to posterior) repair is seen more restrictive and is mostly performed in young individuals, whereas tenotomy or tenodesis are more often used in patients over 30...
January 5, 2018: Der Orthopäde
https://www.readbyqxmd.com/read/29304985/editorial-commentary-the-partial-thickness-rotator-cuff-tear-is-acromioplasty-without-repair-ever-indicated
#9
EDITORIAL
Frank A Cordasco
I believe that arthroscopic repair is the treatment of choice for patients with partial thickness rotator cuff tears when nonoperative methods have been exhausted. Excluding overhead athletes and patients in whom long head biceps tendon pathology is the primary concern, I do not believe that a significant role exists for debridement with or without acromioplasty in the majority of patients with partial thickness tears. Regarding the repair technique, I prefer in situ repair for bursal-sided tears because the superior capsule is intact and completion of the tear with repair for articular-sided tears...
January 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29287950/subpectoral-biceps-tenodesis-with-peek-interference-screw-a-biomechanical-analysis-of-humeral-fracture-risk
#10
Christopher R Mellano, Rachel M Frank, Jason J Shin, Akshay Jain, William A Zuke, Randy Mascarenhas, Elizabeth Shewman, Brian J Cole, Anthony A Romeo, Nikhil N Verma, Brian Forsythe
PURPOSE: To quantify the torsional load to fracture for subpectoral biceps tenodesis with interference screw fixation. METHODS: We randomized 28 specimens from 14 matched-pair full-length humeri (mean age, 55.3 years) into 3 groups: (1) empty ream group (ERG), (2) screw-only group (SOG), and (3) screw-plus-biceps tendon group (SBG). In each group, 1 humerus of each matched pair was prepared according to group allocation and the contralateral humerus remained intact as a control...
December 26, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29244671/sterile-abscess-with-subsequent-iatrogenic-draining-sinus-tract-formation-3-years-after-fiberwire-and-endobutton-distal-biceps-brachii-tendon-repair-a-case-report
#11
Derek T Bernstein, Kyle R Sochacki, Kourosh K Jafarnia
CASE: We report a case of a sterile abscess with subsequent sinus tract formation mimicking infection 3 years after uncomplicated distal biceps brachii tendon repair with FiberWire suture in a 42-year-old man. The preoperative workup for infection was unremarkable. Intraoperative culture specimens confirmed the absence of infection. Excision of the sinus tract and FiberWire-ENDOBUTTON construct was curative. At the 1-year follow-up, there had been no recurrence of symptoms. CONCLUSION: Foreign-body inflammatory reactions should be considered in the differential diagnosis of patients with apparent infection with a history of FiberWire suture fixation and negative serologic workup...
April 2017: JBJS Case Connector
https://www.readbyqxmd.com/read/29242798/anterior-elbow-pain-caused-by-compression-of-the-lateral-antebrachial-cutaneous-nerve
#12
Sean M Booth, Abdulbaset Abosala, Chris Peach
Introduction: The complex anatomy and biomechanics of the elbow joint can lead to diagnostic uncertainty when a clinician is determining the cause of a patient's anterior elbow pain. We present a case of anterior elbow pain with an uncommon and often overlooked etiology. Elbow pain due to compression of the lateral antebrachial nerve (LACN) has an unknown incidence or prevalence. Case Report: A 27-year-old left-hand dominant male presented to our orthopedic elbow clinic complaining of bilateral elbow clicking and discomfort which had been present for several years...
September 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29241816/triple-bundle-anatomical-reconstruction-using-the-coracoacromial-ligament-and-the-short-head-of-biceps-tendon-to-stabilize-chronic-acromioclavicular-joint-dislocations-a-cadaver-feasibility-study
#13
M Le Hanneur, D Delgrande, T Lafosse, J-D Werthel, P Hardy, B Elhassan
INTRODUCTION: In cases of chronic acromioclavicular joint separation, the biomechanical properties of anatomical reconstructions are closer to the native configuration than the Weaver-Dunn procedure. Consequently, the radiological and clinical outcomes are better. However, an additional incision is needed to harvest the graft, which increases the procedure's morbidity. HYPOTHESIS: Triple-bundle reconstruction can be performed with the coracoacromial ligament (CAL) and the semi conjoined tendon (SCT)...
December 11, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29225162/can-ultrasound-be-used-to-improve-the-palpation-skills-of-physicians-in-training-a-prospective-study
#14
Ryan Woods, Steve J Wisniewski, Daniel R Lueders, Thomas P Pittelkow, Dirk R Larson, Jonathan T Finnoff
BACKGROUND: Accurate diagnosis of musculoskeletal disorders relies heavily upon the physical examination, including accurate palpation of musculoskeletal structures. The literature has suggested there has been deterioration of physical examination skills among medical students and residents in part due to increased reliance on advanced imaging. It has been shown that knowledge of musculoskeletal anatomy and physical examination skills improve with the use of ultrasound; however, the literature is limited...
December 7, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29223017/biceps-femoris-fascicle-length-during-passive-stretching
#15
Eleftherios Kellis
The purpose of this study was to quantify the relative changes in fascicle (FL) and muscle-tendon unit (LMTU) length of the long head of the biceps femoris (BFlh) at different combinations of hip and knee joint positions. Fourteen participants performed passive knee extension trials from 0°, 45° and 90° of hip flexion. FL, LMTU, pennation angle (PA) and effective FL (FL multiplied by the cosine of the PA) of the BFlh were quantified using ultrasonography (US). Three-way analysis of variance designs indicated that at each hip angle, FL and LMTU increased and PA decreased from 90° to 0° of knee flexion...
December 5, 2017: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/29204437/reference-values-of-flexion-and-supination-in-the-elbow-joint-of-a-cohort-without-shoulder-pathologies
#16
Mehmet F Güleçyüz, Matthias F Pietschmann, Stefan Michalski, Ferdinand M Eberhard, Alexander Crispin, Christian Schröder, Maximilian J Mittermüller, Peter E Müller
Background: After surgery of the long head of the biceps tendon, the examination of the biceps brachii muscle function and strength is common clinical practice. The muscle strength is usually compared with the uninjured contralateral side or with a matched pair group assuming that the uninjured side can be used as an appropriate reference. Hypothesis/Purpose: The purpose of this study was to define reference values of the supination and flexion strength in the elbow joint and to investigate the influence of the arm positions and various anthropometric factors...
2017: BioMed Research International
https://www.readbyqxmd.com/read/29202765/a-novel-technique-for-modified-all-inside-repair-of-bucket-handle-meniscus-tears-using-standard-arthroscopic-portals
#17
Jing Hui Yik, Bryan Thean Howe Koh, Wilson Wang
BACKGROUND: Bucket-handle meniscus tears (BHMT) are often displaced and unstable. The inside-out technique of repairing such tears is currently the gold standard. All-inside repair with meniscal fixators is getting increasingly popular. Shortcomings of the inside-out technique include neurovascular complications, especially saphenous nerve palsy, and retention of a non-resorbable suture which can result in discomfort to patient, granuloma formation, and a foci of infection. Hence, the purpose of this project was to innovate a novel all-inside technique to precisely reduce and fix BHMT while avoiding neurovascular complications and retention of a non-resorbable suture...
December 4, 2017: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29201303/bridging-graft-in-irreparable-massive-rotator-cuff-tears-autogenic-biceps-graft-versus-allogenic-dermal-patch-graft
#18
Sung Min Rhee, Joo Han Oh
Background: Few comparative studies have reported on the use of biologic grafts for irreparable massive rotator cuff tears. The purpose of this study was to assess the results of arthroscopic bridging graft in irreparable massive rotator cuff tears using an autogenic long head of biceps tendon (LHBT) or an allogenic dermal patch (ADP). Methods: We retrospectively reviewed 24 patients treated using the LHBT (group I) and eight patients with complete rupture of the LHBT treated using an ADP (group II) since 2011...
December 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/29193070/development-of-the-human-shoulder-joint-during-the-embryonic-and-early-fetal-stages-anatomical-considerations-for-clinical-practice
#19
Fidel Hita-Contreras, Indalecio Sánchez-Montesinos, Antonio Martínez-Amat, David Cruz-Díaz, Rafael J Barranco, Olga Roda
Although several studies have been published regarding the morphology and anatomical variations of the human shoulder joint, most have dealt with adult individuals. Those looking into the development of the joint have been focused on specific structures or have observed specimens in advanced gestational stages. The goal of this paper is to perform a complete analysis of the embryonic and early fetal development of the elements in the shoulder joint, and to clarify some contradictory data in the literature. In our study, serial sections of 32 human embryos (Carnegie stages 16-23) and 26 fetuses (9-13 weeks) were analyzed...
November 28, 2017: Journal of Anatomy
https://www.readbyqxmd.com/read/29177701/ultrasound-classification-of-traumatic-distal-biceps-brachii-tendon-injuries
#20
Javier de la Fuente, Marc Blasi, Sílvia Martínez, Pablo Barceló, Carlos Cachán, Maribel Miguel, Carles Pedret
OBJECTIVE: The present work is aimed at analysing ultrasound findings in patients with distal biceps brachii tendon (DBBT) injuries to assess the sensitivity of ultrasound in detecting the different forms of injury, and to compare ultrasound results with magnetic resonance imaging (MRI) and surgical results. MATERIALS AND METHODS: A total of 120 patients with traumatic DBBT injuries examined between 2011 and 2015 were analysed. We compared ultrasound results with MRI results when surgery was not indicated and with MRI and surgical results when surgery was indicated...
November 24, 2017: Skeletal Radiology
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