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Frozen shoulder

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https://www.readbyqxmd.com/read/29798823/a-randomized-controlled-trial-of-arthroscopic-capsular-release-versus-hydrodilatation-in-the-treatment-of-primary-frozen-shoulder
#1
Sian Gallacher, James C Beazley, Jon Evans, Rahul Anaspure, David Silver, Andrew Redfern, William Thomas, Jeff Kitson, Chris Smith
BACKGROUND: Arthroscopic capsular release (ACR) and hydrodilatation (HD) have been developed for the management of frozen shoulder refractory to conservative treatment. To date no randomized trial has directly compared the efficacy of both interventions. The aim of this trial was to determine whether the Oxford Shoulder Score (OSS) differs between patients with frozen shoulder randomized to treatment with ACR or HD. METHODS: Patients presenting with severe idiopathic frozen shoulder deemed suitable for surgical intervention by a consultant shoulder surgeon were randomized to ACR or HD...
May 22, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29798518/-effectiveness-of-arthroscopic-capsular-release-to-treat-primary-severe-frozen-shoulder-through-trans-cuff-portal
#2
Zhenfei Lu, Jianhua Wang, Bing Xu, Weijia You, Jianwei Wang
Objective: To assess the effectiveness of arthroscopic capsular release to treat primary severe frozen shoulder through trans cuff portal. Methods: Between June 2012 and January 2015, 28 patients with primary severe frozen shoulder were enrolled in the study. There were 8 males and 20 females with an average age of 57 years (range, 42-81 years). The left shoulder was involved in 16 cases and the right one in 12 cases. The mean disease duration was 11 months (range, 7-21 months)...
July 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29792520/changes-in-the-neurovascular-anatomy-of-the-shoulder-after-an-open-latarjet-procedure-defining-a-surgical-safe-zone
#3
Christopher M LaPrade, Andrew S Bernhardson, Zachary S Aman, Gilbert Moatshe, Jorge Chahla, Grant J Dornan, Robert F LaPrade, Matthew T Provencher
BACKGROUND: Although previous literature has described the relevant anatomy for an open anterior Bankart approach of the shoulder, there is little known regarding the anatomic relationship changes in the neurovascular structures after an open Latarjet procedure. PURPOSE: To define the neurovascular anatomy of the native shoulder in relation to the coracoid and to define the anatomy after the Latarjet procedure in relation to the glenoid to determine distances to these neurovascular structures with and without neurolysis of the musculocutaneous nerve (MCN) from the conjoint tendon...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29784595/comparative-proteome-analysis-of-the-capsule-from-patients-with-frozen-shoulder
#4
Yoshihiro Hagiwara, Masaru Mori, Kenji Kanazawa, Akira Ando, Yutaka Yabe, Masashi Koide, Takuya Sekiguchi, Nobuyuki Itaya, Masahiro Tsuchiya, Eiji Itoi
BACKGROUND: The etiology of frozen shoulder (FS) is unclear. Accordingly, this study used a label-free quantitative shotgun proteomic approach to elucidate the pathogenesis of FS based on protein expression levels. METHODS: Tissue samples from the rotator interval (RI), middle glenohumeral ligament (MGHL), and anterior-inferior glenohumeral ligament (IGHL) were collected from 12 FSs with severe stiffness and 7 shoulders with a rotator cuff tear (RCT) as controls...
May 18, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29770850/ultrasound-measurements-of-axillary-recess-capsule-thickness-in-unilateral-frozen-shoulder-study-of-correlation-with-mri-measurements
#5
Du Hwan Kim, Chul-Hyun Cho, Duk Hyun Sung
OBJECTIVE: The aims of this study were to compare the ultrasound thickness of the affected axillary recess capsule (ARC) with that of the unaffected ARC in patients with frozen shoulder (FS), to analyze whether the ultrasound measurements of the ARC thickness correlate with those obtained using MRI, and to assess whether the ultrasound thickness of the ARC correlates with the patterns of range of motion limitation. MATERIALS AND METHODS: Forty-four patients with clinically diagnosed unilateral FS and MRI evaluation performed ultrasound measurement of ARC...
May 16, 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29767346/biomechanical-properties-of-suprapectoral-biceps-tenodesis-double-knotless-screw-fixation-is-superior-to-single-knotless-screw-fixation
#6
Chih-Kai Hong, Chih-Hsun Chang, Florence L Chiang, I-Ming Jou, Ping-Hui Wang, Hung-Nan Wang, Kai-Lan Hsu, Fa-Chuan Kuan, Wei-Ren Su
INTRODUCTION: The purpose of this study is to biomechanically evaluate a new technique of double knotless screw fixation for suprapectoral biceps tenodesis and compare the results with that of the single knotless screw fixation as well as the interference screw fixation. METHODS: 24 fresh-frozen human cadaveric shoulders with a mean age of 68.3 ± 9 years were studied. The specimens were randomly divided into three experimental biceps tenodesis groups (n = 8): single knotless screw, double knotless screw and interference screw...
May 16, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29748823/constant-murley-score-systematic-review-and-standardized-evaluation-in-different-shoulder-pathologies
#7
REVIEW
Kalliopi Vrotsou, Mónica Ávila, Mónica Machón, Maider Mateo-Abad, Yolanda Pardo, Olatz Garin, Carlos Zaror, Nerea González, Antonio Escobar, Ricardo Cuéllar
PURPOSE: The objective of this study was to evaluate the psychometric properties of the Constant-Murley Score (CMS) in various shoulder pathologies, based on a systematic review and expert standardized evaluations. METHODS: A systematic review was performed in MEDLINE and EMBASE databases. Titles and abstracts were reviewed and finally the included articles were grouped according to patients' pathologies. Two expert evaluators independently assessed the CMS properties of reliability, validity, responsiveness to change, interpretability and burden score in each group, using the EMPRO (Evaluating Measures of Patient Reported Outcomes) tool...
May 10, 2018: Quality of Life Research
https://www.readbyqxmd.com/read/29741391/relationship-between-deltoid-and-rotator-cuff-muscles-during-dynamic-shoulder-abduction-a-biomechanical-study-of-rotator-cuff-tear-progression
#8
Felix Dyrna, Neil S Kumar, Elifho Obopilwe, Bastian Scheiderer, Brendan Comer, Michael Nowak, Anthony A Romeo, Augustus D Mazzocca, Knut Beitzel
BACKGROUND: Previous biomechanical studies regarding deltoid function during glenohumeral abduction have primarily used static testing protocols. HYPOTHESES: (1) Deltoid forces required for scapular plane abduction increase as simulated rotator cuff tears become larger, and (2) maximal abduction decreases despite increased deltoid forces. STUDY DESIGN: Controlled laboratory study. METHODS: Twelve fresh-frozen cadaveric shoulders with a mean age of 67 years (range, 64-74 years) were used...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29699862/effect-of-nonoperative-concomitant-intraarticular-pathologies-on-the-outcome-of-arthroscopic-capsular-release-for-adhesive-capsulitis-of-the-shoulder
#9
Fatih Yildiz, Abdulkadir Sari, Anil Pulatkan, Vahdet Ucan, Alauddin Kochai, Kerem Bilsel
OBJECTIVE: The aim of this study was to investigate whether coexistent intraarticular lesions are negative prognostic factors for the results of arthroscopic capsular release in frozen shoulder patients. METHODS: Seventy-two patients who met inclusion criteria and underwent arthroscopic capsular release between March 2011 and August 2015 for the frozen shoulder were retrospectively evaluated. The patients were divided into two groups according to existence of concomitant intraarticular pathologies detected during arthroscopy...
April 23, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29686485/a-pragmatic-regional-interdependence-approach-to-primary-frozen-shoulder-a-retrospective-case-series
#10
Christopher Kevin Wong, Bryanna L Strang, Galen A Schram, Elizabeth A Mercer, Rebecca S Kesting, Kabi S Deo
Objectives: Although the shoulder is known to move together with the scapula and other upper quarter joints, the current frozen shoulder clinical practice guidelines describe only physical therapy study treatments directed to the shoulder. None received a strong recommendation, highlighting the need for alternate interventions. This retrospective case series describes a pragmatic regional interdependence approach to frozen shoulder with impairment and functional outcomes, noting whether final ROM approached normal...
May 2018: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/29657449/analysis-of-glenoid-inter-anchor-distance-with-an-all-suture-anchor-system
#11
Jonathan D Kramer, Sean Robinson, Connor Purviance, William Montgomery
Background: All-suture anchors used in arthroscopic shoulder stabilization employ small diameter anchors, which allow greater placement density on narrow surfaces such as the glenoid. There is no consensus in the literature about how close to one another two anchors may be implanted. Purpose: The purpose of the present study is to compare the strength characteristics of two all-suture anchors placed in cadaveric human glenoid at variable distances to one another, in order to determine the minimum distance required for optimal strength...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29619123/short-term-clinical-results-of-manipulation-under-ultrasound-guided-brachial-plexus-block-in-patients-with-idiopathic-frozen-shoulder-and-diabetic-secondary-frozen-shoulder
#12
Akira Ando, Junichiro Hamada, Yoshihiro Hagiwara, Takuya Sekiguchi, Masashi Koide, Eiji Itoi
Purpose: This study examined the effectiveness of manipulation under ultrasound-guided brachial plexus block in patients with recalcitrant idiopathic frozen shoulder and diabetic secondary frozen shoulder (diabetic frozen shoulder). Methods: Forty-four idiopathic frozen shoulders and 10 diabetic frozen shoulders with failed conservative treatment for at least 3 months were included in this study. The manipulation was performed under ultrasound-guided brachial plexus block and visual analogue scale, range of motion, and Constant scores were measured before manipulation and at the last follow-up examination...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29560327/comparison-of-therapeutic-effectiveness-between-shoulder-distention-arthrography-with-translation-mobilization-and-distention-arthrography-alone-in-patients-with-frozen-shoulder
#13
Gi Young Park, Dong Rak Kwon, Dae Gil Kwon, Jae Hwal Rim
Objective: To evaluate the efficacy of distention arthrography (DA) alone and in combination with translational mobilization (TM) for treatment of patients with frozen shoulder (FS). Methods: Eighty-five patients diagnosed with unilateral FS (freezing or frozen stage) were included. Forty-one patients were treated with DA and TM (group 1) and 44 patients with DA alone (group 2). Clinical assessments including visual analogue scale (VAS), Cyriax stage, and shoulder passive range of motion (PROM) including forward flexion, abduction, external rotation, and internal rotation were measured at baseline, 1 month, and 3 months following treatment...
February 2018: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29558162/the-integrity-of-the-acromioclavicular-capsule-ensures-physiological-centering-of-the-acromioclavicular-joint-under-rotational-loading
#14
Felix G E Dyrna, Florian B Imhoff, Andreas Voss, Sepp Braun, Elifho Obopilwe, John M Apostolakos, Daichi Morikawa, Brendan Comer, Andreas B Imhoff, Augustus D Mazzocca, Knut Beitzel
BACKGROUND: The acromioclavicular (AC) capsule is an important stabilizer against horizontal translation and also contributes to the strut function of the clavicle, which guides rotation of the scapula. To best reproduce the biomechanical properties and the complex 3-dimensional (3D) guidance of the AC joint, detailed knowledge of the contribution of each of the distinctive capsular structures is needed. Purpose/Hypothesis: To perform a detailed biomechanical evaluation of the specific capsular structures of the AC joint and their contribution to translational and rotational stability...
May 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29548325/clinical-outcome-of-arthroscopic-capsular-release-for-frozen-shoulder-essential-technical-points-in-255-patients
#15
Katsuaki Kanbe
BACKGROUND: The purpose of this study was to investigate the long-term clinical outcome and its related factors regarding the severity of adhesion of CH ligament over long head of biceps (LHB) after shoulder arthroscopic capsular release for frozen shoulder with technical points in 255 patients. METHODS: We performed arthroscopic capsular release for frozen shoulder in 267 shoulders of 255 patients, 112 males and 143 females, with mean age of 56.39 years, mean disease duration periods of 0...
March 16, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29540163/broadening-the-clinical-spectrum-for-medical-students-towards-primary-care-a-pre-post-analysis-of-the-effect-of-the-implementation-of-a-longitudinal-clerkship-in-general-practice
#16
Roman Hari, Michael Harris, Peter Frey, Sven Streit
BACKGROUND: Exposure to a broad spectrum of patient cases is a mainstay of undergraduate medical education. This study aimed to assess how many primary care-specific clinical pictures final-year medical students in traditional block rotations had encountered, and how this changed after a curricular change that included the implementation of a four-year longitudinal clerkship in primary care. METHODS: Final-year students before, and after, implementation of the clerkship were asked which of the clinical pictures most relevant to primary care they had seen...
March 14, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29536691/-treatment-of-proximal-humerus-fractures-combined-with-shoulder-dislocation-using-bone-setting-manipulation
#17
Tao Jiang, Lin Jiang, Jun-de Shi, Yong-Ge Jiang, Du-Liang Liu
OBJECTIVE: To explore the treatment skill and clinical effect of bone setting manipulation in treating proximal humeral fracture with shoulder dislocation. METHODS: From January 2015 to December 2015, 118 cases of proximal humeral fractures with shoulder joint dislocation were treated by bone setting reduction and fixation with adhesive tape or Kirschner wire after reduction, including 56 males and 62 females with an average age of 61 years old ranging from 48 to 88 years old...
February 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29507951/restoration-of-full-shoulder-range-of-motion-after-application-of-the-fascial-distortion-model
#18
Joshua D Boucher, Jose Figueroa
Decreased active and passive range of motion (ROM) accompanied by pain in the shoulder is a common presentation for patients with frozen shoulder, and it can be difficult to restore normal function. Through the fascial distortion model, physicians can apply a manual technique to rapidly and effectively increase ROM and decrease pain. A 28-year-old man presented 18 months after sustaining a shoulder hyperextension injury. On active and passive ROM examination, he had approximately 90° of shoulder abduction and moderately reduced internal rotation associated with 8/10 pain...
May 1, 2018: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/29482858/biomechanical-evaluation-of-a-transtendinous-all-suture-anchor-technique-versus-interference-screw-technique-for-suprapectoral-biceps-tenodesis-in-a-cadaveric-model
#19
Chih-Kai Hong, Kai-Lan Hsu, Fa-Chuan Kuan, Cheng-Li Lin, Ming-Long Yeh, Wei-Ren Su
PURPOSE: To compare the biomechanical properties of an transtendinous all-suture anchor technique with the commonly-accepted interference screw technique in a cadaveric model. METHODS: Sixteen fresh-frozen human cadaveric shoulders (mean age, 67.6 ± 5.8 years) were used and were randomly divided into 2 experimental long head of the biceps brachii (LHB) tenodesis groups (n = 8), namely transtendinous all-suture anchor technique and interference screw technique...
February 23, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29479963/soft-spot-the-important-zone-at-the-standard-posterior-portal-of-shoulder-arthroscopy
#20
Burcu Erçakmak, Ceren Günenç Beşer, M. Hakan Özsoy, M. Deniz Demiryürek, Alp Bayramoğlu, K. Mutlu Hayran
Background/aim: The localization of the standard posterior portal of shoulder arthroscopy and landmarks mentioned in the literature are unclear. The purpose of this prospective cadaveric study was to determine the localization of the standard posterior portal and its distance to the neural structures. Materials and methods: One fresh frozen and 10 formalin-fixed adult cadaveric shoulders were dissected. In the beach chair position, a 5-mm trocar was placed anteroposteriorly from the superior edge of the subscapularis muscle, superior to the tip of the coracoid process and tangent to the glenoid...
February 23, 2018: Turkish Journal of Medical Sciences
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