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scapular assessment

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https://www.readbyqxmd.com/read/29026978/enigma-of-scapular-foramen-and-tunnels-an-untold-story
#1
Nidhi Singh, Puja Chauhan, Hitendra Kumar Loh, Mangala Kohli, Rajesh Kumar Suri
PURPOSE: The study was undertaken to make a qualitative and quantitative assessment of unnamed foramen and tunnels in adult human scapulae with aid of plain and contrast radiographs. MATERIALS AND METHODS: A total of 120 dry bones, 60 each of the right and the left side were included in the study. Distribution of these foramina and tunnels was noted for their number, side, location, course and communication. Their morphometry was done using Vernier's caliper. RESULTS: Incidence of scapular foramina was 7...
October 12, 2017: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/28987866/kinematic-patterns-in-normal-and-degenerative-shoulders-part-ii-review-of-3-d-scapular-kinematic-patterns-in-patients-with-shoulder-pain-and-clinical-implications
#2
REVIEW
Marie-Martine Lefèvre-Colau, Christelle Nguyen, Clemence Palazzo, Frederic Srour, Guillaume Paris, Valerie Vuillemin, Serge Poiraudeau, Agnes Roby-Brami, Alexandra Roren
BACKGROUND: The global range of motion of the arm is the result of a coordinated motion of the shoulder complex including glenohumeral (GH), scapulothoracic, sternoclavicular and acromioclavicular joints. METHODS: This study is a non-systematic review of kinematic patterns in degenerated shoulders. It is a based on our own research on the kinematics of the shoulder complex and clinical experience. RESULTS: For patients with subacromial impingement syndrome without rotator-cuff tears, most kinematic studies showed a small superior humeral translation relative to the glenoid and decreased scapular lateral rotation and posterior tilt...
October 5, 2017: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28986684/reverse-shoulder-arthroplasty-in-obese-patients-analysis-of-functionality-in-the-medium-term
#3
Alberto Izquierdo-Fernández, José Carlos Minarro, Rocío Carpintero-Lluch, Ester María Estévez-Torres, Pedro Carpintero-Benítez
INTRODUCTION: Obesity is an epidemic nowadays and this fact conditions results in orthopaedic surgery. Very few studies evaluates if obesity is a risk factor for reverse shoulder arthroplasty. The aim of this study is to confirm if there are differences with regard to the outcomes in patients undergoing reverse shoulder arthroplasty according to their body mass index (BMI). MATERIALS AND METHODS: A total of 35 patients were enrolled in the study. Then divided into subpopulations according to their BMI and analyzed twice...
October 6, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28979601/rehabilitation-for-shoulder-instability-current-approaches
#4
Anju Jaggi, Susan Alexander
BACKGROUND: The shoulder relies predominantly on dynamic muscular control to provide stability. Successful treatment is highly dependent upon the correct clinical diagnosis, identification of anatomical structural defects and abnormal movement patterns so that rehabilitation programs can be designed accordingly and individualised to the patient. METHOD: A systematic outline is provided to guide the clinician on how to identify muscular insufficiencies both local to the shoulder joint and global muscles that can influence shoulder instability...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28975397/traumatic-inferior-shoulder-dislocation-a-review-of-management-and-outcome
#5
REVIEW
M Nambiar, D Owen, P Moore, A Carr, M Thomas
INTRODUCTION: Traumatic inferior shoulder dislocation (ISD) is rare, estimated to occur in 0.5% of all shoulder dislocations. We describe the demographics, natural history and outcome of this injury. HYPOTHESIS/AIM: The aim of the study is to provide a summary of the demographics, clinical presentation, management and outcome of patients who suffer ISD METHODS: We conducted a systematic review of the English language literature on ISD using PubMed, Medline, CINHAL, Cochrane Database and Evidence-Based Medicine Reviews...
October 3, 2017: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/28975133/pectoralis-minor-contracture-in-throwing-shoulders-of-asymptomatic-adolescent-baseball-players
#6
Justin L Hodgins, William Rubenstein, David Kovacevic, Ajay Padaki, Charles M Jobin, Christopher S Ahmad
BACKGROUND: Although scapular malpositioning is commonly associated with rotational deficits and risk of injury, modifiable causes of such malpositioning in overhead athletes are not well described. PURPOSE/HYPOTHESIS: The purpose of this study was to examine the scapulothoracic profile of adolescent baseball players, specifically, pectoralis minor (PM) length. We hypothesized that PM would be shorter in throwing shoulders compared with nonthrowing shoulders. STUDY DESIGN: Cross-sectional study; Level of evidence, 3...
September 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28971041/characteristics-of-myofascial-pain-syndrome-of-the-infraspinatus-muscle
#7
Junbeom Kwon, Hyoung Seop Kim, Won Hyuk Chang, Chunung Park, Sang Chul Lee
OBJECTIVE: To report the characteristics of myofascial trigger points (MTrPs) in the infraspinatus muscle and evaluate the therapeutic effect of trigger-point injections. METHODS: Medical records of 297 patients (221 women; age, 53.9±11.3 years) with MTrPs in the infraspinatus muscle were reviewed retrospectively. Because there were 83 patients with MTrPs in both infraspinatus muscles, the characteristics of total 380 infraspinatus muscles with MTrPs (214 one side, 83 both sides) were investigated...
August 2017: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28968227/efficacy-of-corrective-exercise-strategy-in-subjects-with-hyperkyphosis
#8
P Senthil, S Sudhakar, R Radhakrishnan, S Jeyakumar
BACKGROUND: Age-related hyperkyphosis causes deleterious effects on health, physical function, and quality of life. Recently, health care providers recognized it as a major health concern. OBJECTIVE: To identify the effect of corrective exercise strategy on hyperkyphosis and compare it with that of conventional exercise. METHODS: Subjects were randomly categorized into two groups. Each group comprised 30 subjects. Group A received the corrective exercise strategy, and group B received conventional exercises for 8 weeks of the study duration (15 repetitions of each exercise for three sessions/day for a total duration of 45 min and 4 days/week...
September 22, 2017: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/28967242/clinical-evaluation-of-static-scapular-posture-in-overhead-athletes-with-asymptomatic-shoulder-injuries
#9
Maria Papandreou, Evripidis Diamantis, Vasiliki-Ioanna Vrachlioti, Evdokia Billis, John Gliatis
BACKGROUND: Several etiologic factors have been postulated in overhead athletes according to their shoulder injuries, such as the scapular posture asymmetries. The measurement of the acromion border distance has been considered as reliable clinical test for evaluating the static scapula posture. The aim of this study was to quantify the differences in scapular posture between the dominant and non-dominant shoulders in two static positions in volleyball and swimmers athletes with asymptomatic shoulder injuries using the sliding calliper device...
September 29, 2017: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/28964675/the-congenital-undescended-scapula-syndrome-sprengel-and-the-cleithrum-a-case-series-and-hypothesis
#10
Rishi Dhir, Kuen Chin, Simon Lambert
BACKGROUND: Sprengel deformity is a rare congenital shoulder girdle anomaly characterized by scapula malposition, periscapular muscle atrophy, and limited shoulder movement. Traditionally, it has been managed by omovertebral bar excision and muscle transplantation procedures guided by age and Cavendish grade. We present a unique observation in humans: a case series with Sprengel deformity possessing a cleithrum, an ancestral remnant of shoulder girdle development found in archaic bony fish...
September 27, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28950237/effects-of-a-16-week-hydrotherapy-program-on-three-dimensional-scapular-motion-and-pain-of-women-with-fibromyalgia-a-single-arm-study
#11
Mariana Arias Avila, Paula Rezende Camargo, Ivana Leão Ribeiro, Francisco Alburquerque-Sendín, Antonio Roberto Zamunér, Tania Fatima Salvini
BACKGROUND: Although hydrotherapy is widely used to treat women with fibromyalgia, no studies have investigated the effects of this intervention on scapular kinematics in this population. This study verified the effectiveness of a hydrotherapy program on scapular kinematics, pain and quality of life in women with fibromyalgia. METHODS: Twenty women completed the study and performed three evaluations before treatment (to establish a baseline), and two other evaluations (after 8 and 16weeks of hydrotherapy) at the end of treatment...
September 21, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/28939321/ultrasound-guided-interscalene-brachial-plexus-nerve-block-with-an-ultralow-volume-of-local-anesthetic-for-post-thoracotomy-shoulder-girdle-pain
#12
Theodosios Saranteas, Anastasia Alevizou, Tatiana Sidiropoulou, Andreas Mavrogenis, Periklis Tomos, Panagiota Florou, Thomas Papadimos, Georgia Kostopanagiotou
OBJECTIVES: To evaluate the efficacy of ultrasound-guided interscalene nerve block using an ultralow volume of local anesthetic (5 mL of ropivacaine, 0.75%) for the management of post-thoracotomy shoulder girdle pain. DESIGN: Open-cohort, prospective, single-center study. SETTING: University hospital. INTERVENTIONS: Patients with post-thoracotomy shoulder girdle pain (visual analog scale [VAS] ≥5) received an ultrasound-guided interscalene nerve block...
April 26, 2017: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/28932752/local-rhbmp-12-on-an-absorbable-collagen-sponge-as-an-adjuvant-therapy-for-rotator-cuff-repair-a-phase-1-randomized-standard-of-care-control-multicenter-study-part-2-a-pilot-study-of-functional-recovery-and-structural-outcomes
#13
Junji Ide, Yu Mochizuki, Arthur van Noort, Hiroshi Ochi, Sudhakar Sridharan, Eiji Itoi, Stefan Greiner
BACKGROUND: The high failure rate of rotator cuff repairs requires the development of methods to enhance healing at the tendon-bone junction of the repair site. PURPOSE: To assess functional recovery and structural outcomes in detail after implanting recombinant human bone morphogenetic protein-12 (rhBMP-12)/absorbable collagen sponge (ACS) as adjuvant treatment during open rotator cuff repair in patients over a 1-year postoperative follow-up. STUDY DESIGN: Randomized controlled trial; Level of evidence, 2...
September 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28904638/functional-outcomes-following-non-operative-versus-operative-treatment-of-clavicle-fractures-in-adolescents
#14
M M Herzog, R C Whitesell, L M Mac, M L Jackson, B A Culotta, J R Axelrod, M T Busch, S C Willimon
PURPOSE: Superiority of non-operative versus operative treatment of clavicle shaft fractures remains unclear. We aimed to assess shoulder function in adolescents following shortened clavicle fracture and compare operative versus non-operative treatment. METHODS: Patients aged 12 to 18 years at the time of fracture and minimum 1.5 years post injury were identified for this institutional review board (IRB)-approved study. For this retrospective cohort study, patients were frequency-matched for age, gender, shortening of the clavicle fracture and activity level...
August 1, 2017: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/28893408/inflammatory-myopathy-associated-with-antimitochondrial-antibodies-a-distinct-phenotype-with-cardiac-involvement
#15
Jemima Albayda, Aamna Khan, Livia Casciola-Rosen, Andrea M Corse, Julie J Paik, Lisa Christopher-Stine
OBJECTIVE: In the context of clinical evaluations performed on our prospective myositis cohort, we noted a striking association of severe cardiac disease in myositis patients with antimitochondrial antibodies. We sought to review all cases of antimitochondrial antibody (AMA) associated myositis in our cohort to describe the clinical features of this disease subset. METHODS: We identified 7 patients with confirmed antimitochondrial antibodies who presented as an inflammatory myopathy...
June 13, 2017: Seminars in Arthritis and Rheumatism
https://www.readbyqxmd.com/read/28876163/concurrent-validity-of-inclinometer-measures-of-scapular-and-clavicular-positions-in-arm-elevation
#16
Paula R Camargo, Vandana Phadke, Gisele G Zanca, Paula M Ludewig
OBJECTIVE: To assess concurrent validity, between and within-day reliability of scapular and clavicular digital inclinometer measures. DESIGN: Test-retest and concurrent validity. SETTING: Laboratory. PARTICIPANTS: Twenty-three participants with and without shoulder symptoms. MAIN OUTCOME MEASURES: Static positions of scapular upward rotation, anterior/posterior tilting and clavicular elevation were measured between days with an inclinometer and compared to a 3-dimensional electromagnetic tracking system in different positions of sagittal plane humeral elevation (neutral, 30°, 60°, 90°, 120°)...
September 6, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/28862102/shoulder-motion-assistance-using-a-single-joint-hybrid-assistive-limb-%C3%A2-robot-evaluation-of-its-safety-and-validity-in-healthy-adults
#17
Takeshi Makihara, Hideki Kadone, Shinzo Onishi, Shigeki Kubota, Yasushi Hada, Yukiyo Shimizu, Hiroaki Kawamoto, Yoshiyuki Sankai, Masashi Yamazaki
PURPOSES: To evaluate the feasibility of using the single-joint Hybrid Assistive Limb(®) robot (HAL) to assist with shoulder flexion-extension in healthy adults, and to assess the capacity of the HAL to analyze the bioelectrical signals of muscle activity for shoulder flexion-extension. METHODS: This cross-sectional feasibility study included six healthy adult men with no impairment in shoulder motion. The single-joint HAL was fixed to a custom-designed platform and upper arm attachment, and aligned 3 cm below the acromion process...
September 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28861623/arthroscopic-management-of-snapping-scapula-syndrome-improves-pain-and-functional-outcomes-although-a-high-rate-of-residual-symptoms-has-been-reported
#18
M Memon, J Kay, N Simunovic, O R Ayeni
PURPOSE: To investigate the use of arthroscopy in the management of patients with snapping scapula syndrome, including aetiology, surgical decision-making, outcomes, complications, effectiveness of arthroscopy, and quality of evidence of the existing literature. METHODS: Three databases (PubMed, Ovid [MEDLINE], and EMBASE) were searched independently and in duplicate to systematically screen the literature. The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) checklist guided the reporting and data abstraction...
September 1, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28861200/reverse-shoulder-arthroplasty-in-patients-with-rheumatoid-arthritis-a-systematic-review
#19
Chul-Hyun Cho, Du-Han Kim, Kwang-Soon Song
BACKGROUND: There are limited data available regarding the results of reverse shoulder arthroplasty (RSA) in patients with rheumatoid arthritis (RA). We performed a systematic review of the literature to investigate the radiological and clinical outcomes after RSA in patients with RA. METHODS: A literature search for publications between 1987 and 2014 was conducted by 2 independent reviewers using PubMed, Scopus, Embase, and Cochrane Central Register of Controlled Trials...
September 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28827031/measurement-of-scapular-medial-border-and-inferior-angle-prominence-using-a-novel-scapulometer-a-reliability-and-validity%C3%A2-study
#20
Wan-Yu Du, Tsun-Shun Huang, Kai-Chieh Hsu, Jiu-Jenq Lin
BACKGROUND: Previous studies have proposed various ways to assess scapular dyskinesis. In clinic, assessment tools designed to measure the posterior displacement of the inferior angle of the scapula with reference to the posterior thoracic cage are needed. OBJECTIVES: A novel scapulometer was developed to measure scapular medial border and inferior angle prominence. METHODS: A novel scapulometer was designed to measure the distance from the root of the spine (ROS) and the inferior angle (INF) of the scapula to the thorax wall in 29 participants with scapular dyskinesis bilaterally...
August 15, 2017: Musculoskeletal Science & Practice
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