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Rotator cuff syndrome

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https://www.readbyqxmd.com/read/27904235/management-of-acute-work-related-shoulder-injuries-by-an-early-shoulder-assessment-program-efficiency-of-imaging-investigations
#1
Helen Razmjou, Sandra Lincoln, Christopher Geddes, Dragana Boljanovic, Iona Macritchie, Caterina Virdo-Cristello, Danielle Medeiros, Robin R Richards
Purpose: There has been a significant increase in the number of costly investigations of the shoulder joint over the past decade. The purposes of this study were to (1) describe the diagnostic imaging investigations ordered for injured workers seen at an Early Shoulder Physician Assessment (ESPA) program, (2) evaluate the impact of these investigations on final diagnosis and management, and (3) examine how efficient the program was by determining the appropriateness of referrals and whether costly imaging was justified...
2016: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/27891243/a-comprehensive-musculoskeletal-and-peripheral-nervous-system-assessment-of-war-related-bilateral-upper-extremity-amputees
#2
Mostafa Allami, Batool Mousavi, Mehdi Masoumi, Ehsan Modirian, Hadi Shojaei, Fatemeh Mirsalimi, Maryam Hosseini, Pirouz Pirouzi
BACKGROUND: Upper limb amputations are one of the unpleasant war injuries that armed forces are exposed to frequently. The present study aimed to assess the musculoskeletal and peripheral nervous systems in Iraq-Iran war veterans with bilateral upper extremity amputation. METHODS: The study consisted of taking a history and clinical examinations including demographic data, presence and location of pain, level of amputation, passive and active ranges of movement of the joints across the upper and lower extremities and spine, manual palpation, neurological examination, blood circulation pulses and issues related to a prosthetic limb...
2016: Military Medical Research
https://www.readbyqxmd.com/read/27890438/short-term-clinical-results-of-frozen-shoulder-treated-with-shoulder-manipulation-under-ultrasound-guided-cervical-nerve-root-block-at-outpatient-setting-a-case-series
#3
Tomohiro Saito, Hideyuki Sasanuma, Yuki Iijima, Yuji Kanaya, Toshihiro Saito, Hideaki Watanabe, Ichiro Kikkawa, Katsushi Takeshita
BACKGROUND: We evaluated the short-term clinical outcomes of frozen shoulder treatment via shoulder manipulation under ultrasound-guided cervical nerve root block (MUC). METHODS: This study included frozen shoulder patients who were unresponsive to conservative therapy for at least 6 months and were then treated with MUC. Patients with a rotator cuff tear, calcifying tendinitis, osteoarthritis, or any other shoulder disorder were excluded following X-ray, ultrasound, and magnetic resonance imaging evaluation...
November 25, 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/27884499/comparison-of-three-types-of-exercise-in-the-treatment-of-rotator-cuff-tendinopathy-shoulder-impingement-syndrome-a-randomized-controlled-trial
#4
Stuart R Heron, Steve R Woby, Dave P Thompson
OBJECTIVES: To assess the efficacy of three different exercise programmes in treating rotator cuff tendinopathy/shoulder impingement syndrome. DESIGN: Parallel group randomised clinical trial. SETTING: Two out-patient NHS physiotherapy departments in Manchester, United Kingdom. PARTICIPANTS: 120 patients with shoulder pain of at least three months duration. Pain was reproduced on stressing the rotator cuff and participants had full passive range of movement at the shoulder...
September 21, 2016: Physiotherapy
https://www.readbyqxmd.com/read/27872990/blood-supply-of-the-subacromial-bursa-and-rotator-cuff-tendons-on-the-bursal-side
#5
Elle Põldoja, Madis Rahu, Kristo Kask, Imke Weyers, Ivo Kolts
PURPOSE: Vascularity of the subacromial bursa and rotator cuff tendons is key factors in the pathogenesis of subacromial bursitis and impingement syndrome, rotator cuff tendinitis, and rotator cuff tears. The purpose of this study was to investigate and describe blood supply to the cranial and caudal parts of the subacromial bursa and the vascularity of the rotator cuff tendons on the bursal side. METHODS: Fourteen fresh cadaveric shoulders from six females and eight males with a mean age of 71...
November 21, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27751718/the-influence-of-induced-shoulder-muscle-pain-on-rotator-cuff-and-scapulothoracic-muscle-activity-during-elevation-of-the-arm
#6
Birgit Castelein, Ann Cools, Thierry Parlevliet, Barbara Cagnie
BACKGROUND: Altered recruitment of rotator cuff and scapulothoracic muscles has been identified in patients with subacromial impingement syndrome. To date, however, the cause-consequence relationship between pain and altered muscle recruitment has not been fully unraveled. METHODS: The effect of experimental shoulder pain induced by injection of hypertonic saline in the supraspinatus on the activity of the supraspinatus, infraspinatus, subscapularis, trapezius, and serratus anterior activity was investigated during the performance of an elevation task by use of muscle functional magnetic resonance imaging in 25 healthy individuals...
October 14, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27720812/exercises-and-dry-needling-for-subacromial-pain-syndrome-a-randomized-parallel-group-trial
#7
José L Arias-Buría, César Fernández-de-Las-Peñas, María Palacios-Ceña, Shane L Koppenhaver, Jaime Salom-Moreno
: This randomized clinical trial investigated the effectiveness of exercise vs. exercise plus trigger point dry needling (TrP-DN) in subacromial pain syndrome. A randomized parallel-group trial, with 1-year follow-up was conducted. Fifty subjects with subacromial pain syndrome were randomly allocated to receive exercise alone or exercise +TrP-DN. Participants in both groups were asked to perform an exercise program of the rotator cuff muscles twice daily for 5 weeks. Further, patients allocated to the exercise +TrP-DN group also received dry needling to active TrPs in the muscles reproducing shoulder symptoms during the 2(nd) and 4(th) sessions...
October 5, 2016: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/27676820/evaluation-of-disabilities-and-rehabilitation-needs-after-critical-illness-impact-of-an-intensive-care-unit-follow-up-clinic-in-the-university-hospital-of-angers
#8
Tiphaine Bourseau, Flavie Fremondière, Valérie Dubus, Bénédicte Gohier, Dewi Le Gal, Fabien Cave, Isabelle Richard, Nicolas Lerolle
OBJECTIVE: After critical illness, some survivors experience long-term physical, functional, neurocognitive and/or mental health impairments, which has been termed "Post-Intensive Care syndrome" (PICS) [1]. A specific follow-up is required and many specialized follow-up clinics have been created both abroad and in France. The aim of this study is to evaluate long-term outcomes after critical illness, through the International Classification of Functioning, Disability and Health, and to analyse rehabilitation needs after intensive care unit (ICU) discharge...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27676661/comparative-effectiveness-of-suprascapular-nerve-block-in-the-relief-of-acute-post-operative-shoulder-pain-a-systematic-review-and-meta-analysis
#9
Ke-Vin Chang, Wei-Ting Wu, Chen-Yu Hung, Der-Sheng Han, Rong-Sen Yang, Chung-Hsun Chang, Chih-Peng Lin
BACKGROUND: The suprascapular nerve accounts for 70% of shoulder sensory innervations, and suprascapular nerve block (SSNB) has been shown to be effective in the relief of chronic shoulder pain including rotator cuff tendinitis, subdeltoid impingement syndrome, and adhesive capsulitis. However, this remains inconclusive for patients undergoing surgery. The present meta-analysis aimed to explore the effectiveness of SSNB for relieving acute post-operative shoulder pain. OBJECTIVE: To explore the effectiveness of SSNB for relieving acute post-operative shoulder pain...
September 2016: Pain Physician
https://www.readbyqxmd.com/read/27636909/nonoperative-treatment-of-type-iia-supracondylar-humerus-fractures-comparing-2-modalities
#10
Lauren Roberts, Jason Strelzow, Emily K Schaeffer, Christopher W Reilly, Kishore Mulpuri
BACKGROUND: Although the recommended treatment for Gartland types I and III supracondylar humeral fractures is well-established, the optimal treatment for type II fractures without rotational malalignment remains controversial, involving circumferential casting or closed reduction and pinning. Our institution uses pronated flexion-taping for Gartland type IIA fractures. This theoretically removes external pressure secondary to circumferential casting, potentially decreasing risks of compartment syndrome and mitigating loss of reduction with extension while maintaining optimal flexion position for reduction...
September 15, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27594993/unusual-lesions-mimicking-impingement-syndrome-in-the-shoulder-joint-think-medially
#11
Rohit Singh, Akshay Malhotra, Gillian Cribb, Paul Cool, Stuart Hay
Impingement syndrome is usually caused by irritation of the rotator cuff within the sub acromial space and this includes the coraco-acromial arch (Acromion and Coraco-acromial ligament), the acromio-clavicular joint and occasionally the coracoid. Iatrogenic causes such as sutures, pins, plates or wires left from previous surgery can cause similar symptoms. We present a series of four cases mimicking "classical" impingement symptoms/signs in which the causal pathology was identified outside the sub-acromial space...
September 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27495051/is-poststroke-complex-regional-pain-syndrome-the-combination-of-shoulder-pain-and-soft-tissue-injury-of-the-wrist-a-prospective-observational-study-strobe-of-ultrasonographic-findings-in-complex-regional-pain-syndrome
#12
Yong Wook Kim, Yoon Kim, Jong Moon Kim, Ji Seong Hong, Hyun Sun Lim, Hyoung Seop Kim
Patients with poststroke complex regional pain syndrome (CRPS) show different symptoms compared to other types of CRPS, as they usually complain of shoulder and wrist pain with the elbow relatively spared. It is thus also known by the term "shoulder-hand syndrome."The aim of this study is to present a possible pathophysiology of poststroke CRPS through ultrasonographic observation of the affected wrist before and after steroid injection at the extensor digitorum communis (EDC) tendon in patients suspected with poststroke CRPS...
August 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27477254/is-extracorporeal-shockwave-therapy-combined-with-isokinetic-exercise-more-effective-than-extracorporeal-shockwave-therapy-alone-for-subacromial-impingement-syndrome-a-randomized-clinical-trial
#13
Andrea Santamato, Francesco Panza, Angela Notarnicola, Gennaro Cassatella, Francesca Fortunato, Jula Laura de Sanctis, Giovanni Valeno, Patrick G Kehoe, Davide Seripa, Giancarlo Logroscino, Pietro Fiore, Maurizio Ranieri
UNLABELLED: Study Design Single-blind randomized trial. Background Extracorporeal shockwave therapy (ESWT) has been shown to produce good results in the treatment of subacromial impingement syndrome (SAIS). The efficacy of a combined administration of ESWT and isokinetic exercise (IE) has not yet been studied. Objectives To evaluate the efficacy of focused ESWT combined with IE for the rotator cuff versus focused ESWT alone in the treatment of SAIS. The secondary objective was to assess the isokinetic torque recovery (external rotation at 210°/s, 180°/s, and 120°/s)...
September 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27435988/correlation-between-physical-examination-and-intraoperative-findings-in-shoulder-disease-treated-by-arthroscopy-statistical-analysis-of-150-patients
#14
P García Parra, M Anaya Rojas, B Jiménez Bravo, M O González Oria, M Lisbona Muñoz, J J Gil Álvarez, P Cano Luis
INTRODUCTION: Only a few clinical exploratory manoeuvres are truly discriminatory and useful in shoulder disease. The aim of this study is to correlate the physical examination results of the shoulder with the true diagnosis found by arthroscopy. METHODS: A retrospective case series of 150 patients with the most common surgical conditions of the shoulder. Data were collected on the suspicion of each pathology, the physical examination of the patient, and the actual discovery of the disease during arthroscopic surgery...
September 2016: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/27392845/the-presence-and-influence-of-posterior-capsule-tightness-on-different-shoulder-problems
#15
Irem Duzgun, Elif Turgut, Özge Çinar-Medeni, Nihan Kafa, Zeynep Tuna, Bulent Elbasan, Deran Oskay
BACKGROUND: In the literature it has been shown that posterior capsule flexibility is a precursor to shoulder problems. However, no study thus far has shown the influence of the flexibility of posterior capsule in different shoulder pathologies. OBJECTIVE: This study set about to compare the role of posterior capsule tightness in different shoulder problems. METHODS: One-hundred-twenty-five patients diagnosed with shoulder subacromial impingement syndrome (n= 52), partial rotator cuff tear (n= 31) or frozen shoulder (n= 42) and 30 asymptomatic peers participated in the study...
June 30, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/27386445/coracoid-syndrome-a-neglected-cause-of-anterior-shoulder-pain
#16
Antonio Gigante, Carlo Bottegoni, Pamela Barbadoro
PURPOSE: the present prospective open-label study was designed to gain further insights into a condition thought to constitute a neglected but not uncommon syndrome characterized by anterior shoulder pain and tenderness to palpation over the apex of the coracoid process, not related to rotator cuff or pectoralis minor tendinopathy, long head of the biceps tendon disorders, or instability. The aim was to clarify its prevalence, clinical characteristics, differential diagnosis and response to corticosteroid injections...
January 2016: Joints
https://www.readbyqxmd.com/read/27351165/-not-available
#17
U Dorn, F Landauer, T Hofstaedter
Gluteal tendinopathy as well as partial and full-thickness tears of gluteal tendons (gluteus minimus and/or medius tendon) were underestimated as a cause of chronic pain in the past, and treatment was most commonly based on the diagnosis of trochanteric bursitis. Tendinous pathologies can either stay asymptomatic or cause pain and muscular dysfunction, not necessarily being associated with osteoarthritis of the hip 1. As the terminus "rotator cuff tear of the hip" was published in 1997 2, its aetiopathogenesis was reconsidered, resulting in improvements in diagnosis and treatment...
June 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/27348693/no-difference-in-long-term-development-of-rotator-cuff-rupture-and-muscle-volumes-in-impingement-patients-with-or-without-decompression
#18
Saara Ketola, Janne Lehtinen, Petra Elo, Seppo Kortelainen, Heini Huhtala, Ilkka Arnala
Background and purpose - Arthroscopic acromioplasty is still commonly used in the treatment of shoulder impingement syndrome, even though its benefits are questioned; randomized controlled studies have not shown any benefits when compared to non-operative treatment. In this randomized study, we investigated whether operative treatment protects from later rotator cuff rupture and whether it has any effect on the development of rotator cuff muscle volume. Patients and methods - 140 stage-II impingement patients were randomized to a structured exercise group (n = 70) or to an operative group (n = 70)...
August 2016: Acta Orthopaedica
https://www.readbyqxmd.com/read/27342002/three-dimensional-scapular-kinematics-during-open-and-closed-kinetic-chain-movements-in-asymptomatic-and-symptomatic-subjects
#19
Elif Turgut, Øyvind Pedersen, Irem Duzgun, Gul Baltaci
The combination of open kinetic chain (OKC) and closed kinetic chain (CKC) exercises is commonly recommended in shoulder rehabilitation, aiming at improving strength and sport-specific performance. This study aimed to investigate the three-dimensional (3-D) scapular kinematics and bilateral symmetry of scapular motion during dynamic OKC and CKC movements in asymptomatic and symptomatic shoulders. Fifty subjects with unilateral shoulder pain (symptomatic subjects diagnosed with subacromial impingement syndrome, n=20) or without shoulder pain during active shoulder elevation (asymptomatic subjects, n=30) participated in the study...
September 6, 2016: Journal of Biomechanics
https://www.readbyqxmd.com/read/27317919/ultrasonographic-evaluation-and-feasibility-of-posterior-superior-internal-impingement-syndrome-a-case-series
#20
Hyun-Kyung Do, Jae-Young Lim
Posterosuperior impingement (PSI) is an underdiagnosed cause of posterior shoulder pain and should be differentiated from classic and external impingement. PSI involves the internal impingement of soft tissues, including the undersurface of the rotator cuff against the posterosuperior labrum when the arm is brought into abduction and external rotation (ABER). Ultrasonography (US) can be useful in the assessment of PSI because of its high resolution and ability to perform during dynamic maneuvers in ABER. This series of three cases illustrates the feasibility of US to the evaluation of PSI when the history and physical examination implicate this condition...
June 15, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
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