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Shoulder impingement

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https://www.readbyqxmd.com/read/28735412/variability-in-attachment-of-the-coracoacromial-ligament-in-relation-with-its-morphology
#1
Abdulrahman Alraddadi, Abduelmenem Alashkham, Clare Lamb, Roger Soames
PURPOSE: The coracoacromial ligament (CAL) presents with variable morphology and plays a significant role in the development of subacromial impingement syndrome. Sectioning the CAL has been suggested to relieve impingement of the rotator cuff. The aim of the current study was to investigate the CAL attachment in relation with ligament morphology. MATERIALS AND METHODS: The CAL was investigated in 220 cadaveric shoulders from 58 males and 59 females, with a median age of 82 years (range 53-102 years)...
July 22, 2017: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/28716019/glenohumeral-and-scapulothoracic-strength-impairments-exists-in-patients-with-subacromial-impingement-but-these-are-not-reflected-in-the-shoulder-pain-and-disability-index
#2
M B Clausen, A Witten, K Holm, K B Christensen, M L Attrup, P Hölmich, K Thorborg
BACKGROUND: Pain and loss of function are cardinal symptoms associated with Subacromial impingement syndrome (SIS), while the presence and magnitude of deficits in strength and range of motion (ROM) are largely undescribed in non-athletic patients with SIS. Moreover, the relevance of impairments in strength and ROM to patient-reported shoulder function is not well described, even though testing of strength is recommended in clinical guidelines. The purpose of this study was, first, to investigate impairments in glenohumeral and scapulothoracic strength and in abduction and internal rotation ROM in patients with SIS...
July 17, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28706100/medical-service-use-and-usual-care-of-common-shoulder-disorders-in-korea-a-cross-sectional-study-using-the-health-insurance-review-and-assessment-service-national-patient-sample
#3
Hwansoo Joo, Yoon Jae Lee, Joon-Shik Shin, Jinho Lee, Me-Riong Kim, Wonil Koh, Yeoncheol Park, Yun Kyung Song, Jae-Heung Cho, In-Hyuk Ha
OBJECTIVES: This study examined National Health Insurance claims data to investigate the epidemiology of shoulder disorders in Korea. Detailed information on medical services and related costs was assessed by major shoulder disorder category. DESIGN AND SETTING: The 2014 National Patient Sample dataset provided by the Health Insurance Review and Assessment Service was analysed. Among shoulder-related diagnosis codes, adhesive capsulitis of the shoulder (ACS), rotator cuff syndrome (RCS) and shoulder impingement syndrome (SIS) categories were of highest prevalence...
July 12, 2017: BMJ Open
https://www.readbyqxmd.com/read/28702502/characteristics-and-clinical-outcomes-in-overhead-sports-athletes-after-rotator-cuff-repair
#4
Tomoyuki Muto, Hiroaki Inui, Hiroki Ninomiya, Hiroshi Tanaka, Katsuya Nobuhara
Rotator cuff tears in young overhead sports athletes are rare. The pathomechanism causing rotator cuff tears in young overhead athletes is different from that in aged patients. The purpose of this study was to investigate rotator cuff tear characteristics in young overhead sports athletes to reveal the pathomechanism causing these injuries. This study included 25 overhead sports athletes less than 30 years old with atraumatic rotator cuff tears necessitating repair. Rotator cuff tear characteristics were evaluated intraoperatively, including rotator cuff tear shape and injured rotator cuff tendon...
2017: Journal of Sports Medicine (Hindawi Publishing Corporation)
https://www.readbyqxmd.com/read/28688937/acromioplasty-in-patients-selected-for-operation-by-national-guidelines
#5
Jón Rói Jacobsen, Carsten M Jensen, Søren R Deutch
BACKGROUND: Shoulder impingement syndrome is the most common shoulder disorder. Even though conservative treatment is the primary treatment of choice, surgery has increased substantially in several countries during the last 20 years. This has resulted in recommended clinical guidelines for treatment of shoulder impingement syndrome in countries such as The Netherlands and Denmark during recent years. The aim of this study was to investigate the effectiveness of an arthroscopic subacromial decompression in 244 patients selected for surgery according to national clinical guidelines...
July 5, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28652066/effects-of-scapular-stabilization-exercise-training-on-scapular-kinematics-disability-and-pain-in-subacromial-impingement-a-randomized-controlled-trial
#6
Elif Turgut, Irem Duzgun, Gul Baltaci
OBJECTIVE: To investigate the effects of two different exercise programs on three-dimensional scapular kinematics, disability, and pain in participants with subacromial impingement syndrome (SIS). DESIGN: Randomized controlled trial. SETTING: Outpatient clinic and research laboratory. PARTICIPANTS: Thirty participants who were diagnosed with SIS and who also exhibited scapular dyskinesis. INTERVENTIONS: The participants were randomized in two different exercise groups: 1) shoulder girdle stretching and strengthening with additional scapular stabilization exercises based on a kinetic chain approach (intervention group), and 2) shoulder girdle stretching and strengthening exercises only (control group)...
June 23, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28638243/subacromial-anesthetics-increase-proprioceptive-deficit-in-the-shoulder-and-elbow-in-patients-with-subacromial-impingement-syndrome
#7
Lucas R Ettinger, Matthew Shapiro, Andrew Karduna
Shoulder proprioception gives information regarding arm joint position and movement direction. Several studies have investigated shoulder proprioceptive acuity in patients with subacromial impingement syndrome (SIS); however, differences in protocols and between-subjects designs have limited scientific inferences regarding proprioception and SIS. We aimed to determine within-subject differences in shoulder and elbow proprioceptive acuity in 17 patients with stage 2 SIS following treatment of a local anesthetic injection...
2017: Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28637601/clinical-assessment-of-subacromial-shoulder-impingement-which-factors-differ-from-the-asymptomatic-population
#8
Helen Land, Susan Gordon, Kerrianne Watt
BACKGROUND: To date, the significance of factors purported to be associated with subacromial shoulder impingement (SSI) and what differences, if any, are present in those with SSI compared to a matched asymptomatic population has not been identified. Gaining information about differences between people with SSI and asymptomatic people may direct clinicians towards treatments that impact upon these differences. OBJECTIVE: Compare the assessment findings of factors suggested to be associated with SSI; passive posterior shoulder range, passive internal rotation range, resting cervical and thoracic postures, active thoracic range in standing and scapula positioning between cases experiencing SSI and a matched asymptomatic group (controls)...
February 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/28637599/isokinetic-clinical-assessment-of-rotator-cuff-strength-in-subacromial-shoulder-impingement
#9
Helen Land, Susan Gordon, Kerrianne Watt
BACKGROUND: Current conservative management of subacromial shoulder impingement (SSI) includes generic strengthening exercises, especially for internal (IR) and external (ER) shoulder rotators. However, there is no evidence that the strength or the ratio of strength between these muscle groups is different between those with SSI (cases) and an asymptomatic population (controls). OBJECTIVE: To identify if isokinetic rotator cuff strength or the ratio of strength is significantly different between cases and controls...
February 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/28630217/effectiveness-of-conservative-interventions-including-exercise-manual-therapy-and-medical-management-in-adults-with-shoulder-impingement-a-systematic-review-and-meta-analysis-of-rcts
#10
REVIEW
Ruedi Steuri, Martin Sattelmayer, Simone Elsig, Chloé Kolly, Amir Tal, Jan Taeymans, Roger Hilfiker
OBJECTIVE: To investigate the effectiveness of conservative interventions for pain, function and range of motion in adults with shoulder impingement. DESIGN: Systematic review and meta-analysis of randomised trials. DATA SOURCES: Medline, CENTRAL, CINAHL, Embase and PEDro were searched from inception to January 2017. STUDY SELECTION CRITERIA: Randomised controlled trials including participants with shoulder impingement and evaluating at least one conservative intervention against sham or other treatments...
June 19, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28625096/surgical-technique-and-early-outcomes-of-intramedullary-nailing-of-displaced-proximal-humeral-fractures-in-an-asian-population-using-a-contemporary-straight-nail-design
#11
Toon Dong Hao, Andy Wee Teck Huat
BACKGROUND: Despite being a common orthopedic injury, the optimal management of proximal humeral fractures remains a topic of debate. Although intramedullary nails have been used to treat these fractures, several complications have been reported with older nail devices. We describe our surgical technique and aim to evaluate the early functional and radiological outcomes of displaced Neer's two- to four-part proximal humeral fractures undergoing fixation with a contemporary straight intramedullary nail...
May 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28619059/critical-shoulder-angle-combined-with-age-predict-five-shoulder-pathologies-a-retrospective-analysis-of-1000-cases
#12
Philipp R Heuberer, Fabian Plachel, Lukas Willinger, Philipp Moroder, Brenda Laky, Leo Pauzenberger, Fritz Lomoschitz, Werner Anderl
BACKGROUND: Acromial morphology has previously been defined as a risk factor for some shoulder pathologies. Yet, study results are inconclusive and not all major shoulder diseases have been sufficiently investigated. Thus, the aim of the present study was to analyze predictive value of three radiological parameters including the critical shoulder angle, acromion index, and lateral acromion angle in relationship to symptomatic patients with either cuff tear arthropathy, glenohumeral osteoarthritis, rotator cuff tear, impingement, and tendinitis calcarea...
June 15, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28608864/assessment-of-the-impact-of-individual-therapy-on-upper-limb-function-in-patients-diagnosed-with-painful-shoulder-syndrome
#13
Agnieszka Wnuk, Anna Świtoń, Aleksej Juszczak, Ewa Mizia
INTRODUCTION: Functional disorders of the shoulder girdle affect 1/3 of the population. The diagnosis of "painful shoulder" or shoulder impingement syndrome is vague and imprecise. It can relay to so tissue pathology as well as to limitation of mobility of the joint. In this case an appropriate diagnosis, followed by a quick and effective treatment, is crucial. A physiotherapy assessment, performed during an individual therapy session sets out a way forward for targeted rehabilitation...
2017: Folia Medica Cracoviensia
https://www.readbyqxmd.com/read/28588109/finnish-subacromial-impingement-arthroscopy-controlled-trial-fimpact-a-protocol-for-a-randomised-trial-comparing-arthroscopic-subacromial-decompression-and-diagnostic-arthroscopy-placebo-control-with-an-exercise-therapy-control-in-the-treatment-of-shoulder
#14
Mika Paavola, Antti Malmivaara, Simo Taimela, Kari Kanto, Teppo Ln Järvinen
INTRODUCTION: Arthroscopic subacromial decompression (ASD) is the most commonly performed surgical intervention for shoulder pain, yet evidence on its efficacy is limited. The rationale for the surgery rests on the tenet that symptom relief is achieved through decompression of the rotator cuff tendon passage. The primary objective of this superiority trial is to compare the efficacy of ASD versus diagnostic arthroscopy (DA) in patients with shoulder impingement syndrome (SIS), where DA differs only by the lack of subacromial decompression...
June 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/28585076/redefining-anterior-shoulder-impingement-a-literature-review
#15
REVIEW
Gregory Cunningham, Alexandre Lädermann
Many different types of impingements have been described in the shoulder. Inasmuch as the term 'shoulder impingement' usually refers to subacromial impingement, anterior impingement usually refers to subcoracoid impingement. However, there are many different subtypes of anterior impingements in the shoulder, and awareness of their existence is critical as they vary in their nature and treatment. Recent advances in biomechanical research and arthroscopic exploration of the anterior structures of the shoulder have brought new insights on the various potential impingements, warranting a revision and update of the current definitions of anterior shoulder impingement...
June 6, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28578100/risk-factors-associated-to-bilateral-rotator-cuff-tears
#16
M Abate, L Di Carlo, V Salini, C Schiavone
INTRODUCTION: Overuse, micro-traumas, and impingement, isolated or combined, are the more common etiological factors for rotator cuff tears. Metabolic disorders (diabetes, adiposity, hypercholesterolemia), hypertension, cigarette smoking and a genetic predisposition are considered risk factors. However, no study has compared the prevalence of these risk factors in subjects with bilateral and monolateral tears. HYPOTHESIS: Controlateral tears can be observed in patients with symptomatic monolateral rotator cuff lesions, especially in those with comorbidities...
May 31, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28572848/shoulder-impingement-syndrome-a-systematic-review-of-clinical-trial-participant-selection-criteria
#17
Amy R Watts, Ben Williams, Susan W Kim, Donald C Bramwell, Jeganath Krishnan
BACKGROUND: Shoulder impingement syndrome (SIS) is a common diagnosis for patients with pain and dysfunction of the shoulder. Variations in the signs and symptoms might lead to uncertainty regarding the definition of SIS. The aim of this review is to explore the participant selection criteria used in the literature when investigating SIS and to assess differences in criteria among treating professions. METHODS: This is a PRISMA systematic review of publications from 2009 to 2014 from MEDLINE, PubMed, The Cochrane Library, Embase, Scopus and CINAHL...
January 2017: Shoulder & Elbow
https://www.readbyqxmd.com/read/28571725/the-scapular-dyskinesis-test-reliability-agreement-and-predictive-value-in-patients-with-subacromial-impingement-syndrome
#18
David Høyrup Christiansen, Anders Damgaard Møller, Jesper Medom Vestergaard, Søren Mose, Thomas Maribo
STUDY DESIGN: Prospective cohort. INTRODUCTION: Assessment of scapular dysfunction is considered important in the clinical evaluation and treatment of patients with symptoms of subacromial impingement. However, sparse research has been conducted into the reliability and predictive value of clinical tests with which to identify scapular dyskinesis. PURPOSE OF THE STUDY: To evaluate intrarater and interrater reliability and predictive value of the Scapular Dyskinesis Test (SDT) in patients with subacromial impingement syndrome...
April 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28567426/treatment-of-subacromial-impingement-syndrome-platelet-rich-plasma-or-exercise-therapy-a-randomized-controlled-trial
#19
Parisa Nejati, Armita Ghahremaninia, Farrokh Naderi, Safoora Gharibzadeh, Ali Mazaherinezhad
BACKGROUND: Subacromial impingement syndrome (SAIS) is the most common disorder of the shoulder. The evidence for the effectiveness of treatment options is inconclusive and limited. Therefore, there is a need for more evidence in this regard, particularly for long-term outcomes. HYPOTHESIS: Platelet-rich plasma (PRP) would be an effective method in treating subacromial impingement. STUDY DESIGN: Randomized controlled trial; Level of evidence, 1...
May 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28559748/a-preliminary-randomized-clinical-trial-on-the-effect-of-cervicothoracic-manipulation-plus-supervised-exercises-vs-a-home-exercise-program-for-the-treatment-of-shoulder-impingement
#20
Sergio Vinuesa-Montoya, María Encarnación Aguilar-Ferrándiz, Guillermo A Matarán-Peñarrocha, Manuel Fernández-Sánchez, Elena María Fernández-Espinar, Adelaida María Castro-Sánchez
OBJECTIVE: The purpose of this study was to investigate changes in pain, disability, and range of movement after cervicothoracic manipulation plus exercise therapy in individuals with unilateral shoulder impingement syndrome. METHODS: Forty-one patients (30 men, 11 women; aged 47 ± 9) diagnosed with unilateral shoulder impingement syndrome attended 10 sessions for 5 weeks (2 sessions/wk). Eligible patients were randomly allocated to 2 study groups: cervicothoracic manipulation plus exercise therapy (n = 21) or home exercise program (n = 20)...
June 2017: Journal of Chiropractic Medicine
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