keyword
https://read.qxmd.com/read/38530232/patient-preferences-and-their-effects-on-rehabilitation-outcomes-a-secondary-analysis-of-a-randomized-controlled-trial
#1
JOURNAL ARTICLE
Nikolaj Agger, Jim Nørgaard Bøjstrup, David Høyrup Christiansen
OBJECTIVE: To assess the effect of aligning patients' preferences with specific rehabilitation delivery modes on rehabilitation outcomes. DESIGN: A secondary analysis of a randomized controlled trial (RCT). METHODS: The study cohort comprised 208 patients referred for physiotherapy rehabilitation after non-surgical or surgical interventions for rotator cuff injury, shoulder impingement, or acromioclavicular osteoarthritis. Participants were randomly assigned to one of three rehabilitation modalities: 1) group-based exercise, 2) individual exercise, or 3) home exercise...
March 26, 2024: Journal of Orthopaedic and Sports Physical Therapy
https://read.qxmd.com/read/38521485/judicious-use-of-corticosteroid-injections-prior-to-shoulder-arthroplasty-does-not-compromise-outcomes-at-a-minimum-of-2-year-following-surgery
#2
JOURNAL ARTICLE
Benjamin J Cooper, Aaron Kesinger, Grace E Welch, Jordyn M Carroll, Adam Lutz, Ellen Shanley, Charles A Thigpen, Stefan J Tolan, Michael J Kissenberth, Stephan G Pill
BACKGROUND: The use of total shoulder arthroplasty is continuing to rise with its expanding indications. For patients with chronic conditions, such as glenohumeral arthritis and rotator cuff arthropathy, nonoperative treatment is typically done prior to arthroplasty and often includes corticosteroid injections. Recent studies in the shoulder arthroplasty literature as well as applied from the hip and knee literature have focused on the risk of periprosthetic infection. Literature is lacking as to whether the judicious use of corticosteroids in the year prior to arthroplasty influences patient reported outcomes...
March 21, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38513205/can-imaging-determine-if-a-rotator-cuff-tear-is-traumatic
#3
REVIEW
Jessica Mowbray, Khalid Mohammed
AIM: We reviewed the last decade of literature to update a previous publication on this topic by the senior author. In New Zealand, traumatic causation has implications for entitlement for treatment though the Accident Compensation Corporation (ACC). Acuity and chronicity may also be relevant in determining repairability. METHODS: Literature was reviewed regarding acromial morphology, greater tuberosity (GT) cysts, acromiohumeral interval (AHI), fatty degeneration and atrophy, acromioclavicular (AC) arthrosis, tendinopathy, bursal changes and other features...
March 22, 2024: New Zealand Medical Journal
https://read.qxmd.com/read/38498199/correction-to-functional-reconstruction-of-chronic-acromioclavicular-joint-separation-using-a-double-suture-technique-combined-with-semitendinosus-autograft
#4
Giannis Kotsalis, Konstantinos Giatroudakis, Maria Ladogianni, Emmanouil Fandridis
No abstract text is available yet for this article.
March 18, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38487147/acromioclavicular-ganglion-cyst-a-rare-case-report
#5
Tushar Chaudhari, Archit Gupta
Acromioclavicular ganglion cysts are uncommon, with only a limited number of cases reported in the medical literature. This case report presents a unique instance of an acromioclavicular ganglion cyst in an 81-year-old male patient, outlining the clinical presentation, diagnostic approach, and successful surgical management. The purpose of this report is to contribute to the existing body of knowledge on this rare condition and highlight the importance of accurate diagnosis and appropriate intervention.
February 2024: Curēus
https://read.qxmd.com/read/38467183/children-and-adolescents-with-all-forms-of-shoulder-instability-demonstrate-differences-in-their-movement-and-muscle-activity-patterns-when-compared-to-age-and-sex-matched-controls
#6
JOURNAL ARTICLE
Martin Seyres, Neil Postans, Robert Freeman, Anand Pandyan, Edward K Chadwick, Fraser Philp
BACKGROUND: Shoulder instability is a complex impairment and identifying biomarkers which differentiate subgroups is challenging. There is limited fundamental movement and muscle activity data for identifying different mechanisms for shoulder instability in children and adolescents which may inform subgrouping and treatment allocation. HYPOTHESIS: Children and adolescents with shoulder instability (irrespective of etiology) have differences in their movement and muscle activity profiles compared to age- and sex-matched controls (two-tailed)...
March 9, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38465136/metastatic-calcinosis-cutis-unusual-locations-in-end-stage-renal-disease
#7
Jc Charm C Asoy, Justin Luke D Yap
Metastatic calcinosis cutis is a rare consequence of end-stage renal disease (ESRD), which occurs due to elevated levels of serum phosphorus and abnormal phosphate and calcium metabolism, leading to the precipitation and deposition of calcium in the cutaneous and subcutaneous tissues. This paper reports the case of a 33-year-old male with ESRD and a six-year history of hemodialysis treatment who presented with multiple areas of gradually enlarging, lobulated calcified soft tissue masses observed bilaterally at the level of the acromioclavicular joint and superomedial aspect of the right thigh, extensively involving the perineal region and the right superior anterior chest wall...
February 2024: Curēus
https://read.qxmd.com/read/38458019/innovative-approach-to-managing-acromion-fracture-and-acromioclavicular-joint-dislocation-a-case-report
#8
Arash Maleki, Mohsen Dibamehr, Amir Bisadi, Emad Kouhestani
INTRODUCTION: This study delves into the management of acromion fractures and acromioclavicular (AC) joint dislocations-orthopedic injuries with significant implications for shoulder function. Despite their infrequency, these injuries present challenges due to potential persistent pain and functional limitations. Current treatment strategies span from conservative measures to surgical interventions, yet there exists a notable gap in comprehensive data on specific surgical approaches. PRESENTATION OF CASE: We present a compelling case involving a 38-year-old male athlete who sought medical attention following a motor vehicle accident due to severe right shoulder pain...
March 5, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38413435/arthroscopic-distal-clavicle-resection-versus-conservation-in-patients-with-combined-rotator-cuff-tears-and-acromioclavicular-joint-osteoarthritis
#9
JOURNAL ARTICLE
Mohamed H Hashem, Mohamed Osama Hegazy, Mohamed Kamal A Mohamed, Moustafa Kamal A Mohamed, Ahmed Hany Khater
PURPOSE: The most common cause of shoulder pain originating from the acromioclavicular (AC) joint is osteoarthritis, causing pain and disability. Operative Management of AC arthritis includes arthroscopic distal clavicle resection (DCR) and open clavicle resection. This study was conducted to evaluate the outcomes of isolated rotator cuff repair with conservative treatment of ACJ arthritis versus the combined resection of the distal clavicle with the repair of a rotator cuff tear, in cases with acromioclavicular arthritis...
February 28, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38409002/surgical-treatment-of-acromioclavicular-joint-dislocation-of-rockwood-iii-iv-a-retrospective-study-on-clavicular-hook-plate-versus-arthroscopic-tightrope-loop-titanium-button
#10
JOURNAL ARTICLE
Yafei Wang, Chengzhen Ren, Junqi Niu, Le Cao, Can Yang, Fanggang Bi, Ke Tian
PURPOSE: To compare the clinical efficacy of arthroscopic TightRope loop titanium button and clavicular hook plate in the treatment of acromioclavicular joint (ACJ) dislocation of Rockwood III/IV. METHODS: A retrospective analysis of patients with ACJ dislocation in our hospital from January 2018 to December 2020 was conducted. The patients were assigned to be treated with arthroscopic TightRope loop titanium button (TR group) or clavicular hook plate (HP group)...
February 26, 2024: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/38404928/acromioclavicular-joint-separation-controversies-and-treatment-algorithm
#11
JOURNAL ARTICLE
Waleed Albishi, Fahad AlShayhan, Afnan Alfridy, Abdulrahman Alaseem, Amr Elmaraghy
In this article, we present an uptodate outline of acromioclavicular (AC) joint separation. A clear understanding of acromioclavicular joint injury in terms of the mechanism of injury, clinical picture, diagnostic imaging, and most updated surgical techniques used for the treatment can provide the best care for those patients. This article describes updated treatment strategies for AC separation, including type III AC separation which is known most controversial. Finally, we present a proposed treatment algorithm that can aid in the treatment of AC separation from the most updated evidence...
2024: Orthopedic Reviews
https://read.qxmd.com/read/38390563/double-figure-of-eight-technique-using-fiber-tape-for-acute-high-grade-acromioclavicular-joint-dislocations-reconstruction-technique
#12
REVIEW
Prahalad Kumar Singhi, Sivakumar Raju, Ajay Gowtham
Acromioclavicular (AC) joint dislocations are not uncommon injuries. High-grade dislocations can be managed by arthroscopic as well as open techniques, but the most important thing is to address both vertical and horizontal stability. The purpose of this study is to evaluate the functional outcome of a cost effective double figure of eight technique of stabilizing both coracoclavicular and acromioclavicular ligaments in acute high-grade disruption (Type IIIB -VI) using fibre tape. This study was performed at our tertiary care centre from 2017 to 2020 after appropriate IRB approval and patient consent...
March 2024: Journal of Clinical Orthopaedics and Trauma
https://read.qxmd.com/read/38387735/coracoclavicular-and-acromioclavicular-ligament-reconstruction-with-a-double-bundle-semitendinosus-autograft-and-cortical-buttons-for-chronic-acromioclavicular-joint-dislocations-clinical-and-imaging-outcomes
#13
JOURNAL ARTICLE
Daisuke Mori, Homare Nishiyama, Shin Haku, Noboru Funakoshi, Fumiharu Yamashita, Masahiko Kobayashi
BACKGROUND: There are few clinical and radiographic studies of coracoclavicular (CC) ligament reconstruction in chronic acromioclavicular (AC) joint dislocation. Additionally, reported AC joint reduction rates vary. HYPOTHESIS: Arthroscopically assisted double-bundle semitendinosus tendon autografts with CC and AC ligament reconstruction for AC joint reconstruction provide AC joint stability and improved function at the final visit. METHODS: In this retrospective study of prospectively collected data, 21 patients surgically treated for chronic AC joint dislocation (Rockwood III-V) were assessed clinically and radiographically preoperatively, and at day 1, 3 months, 12 months, and at a final visit (> 24 months) postoperatively...
February 20, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38385226/-open-reduction-and-internal-fixation-in-treatment-of-four-cases-of-bipolar-clavicle-dislocations
#14
JOURNAL ARTICLE
Peigang Gao, Xingcun Wang, Honggang Bao
OBJECTIVE: To summarize the method and effectiveness of open reduction and internal fixation in the treatment of 4 cases of bipolar clavicle dislocations. METHODS: Between June 2017 and June 2022, 4 patients with bipolar clavicle dislocations were admitted. There were 3 males and 1 female. The age ranged from 27 to 63 years, with an average age of 45 years. There were 2 cases of crushing injury of mine car, 1 case of traffic accident injury, and 1 case of heavy object injury...
February 15, 2024: Chinese Journal of Reparative and Reconstructive Surgery
https://read.qxmd.com/read/38372155/acromioclavicular-joint-dislocation-rockwood-type-iii-and-v-show-no-difference-in-functional-outcome-and-91-recovered-well-without-the-need-for-surgery
#15
JOURNAL ARTICLE
Kristine B Haugaard, Klaus Bak, Dorthe Ryberg, Omar Muharemovic, Per Hölmich, Kristoffer W Barfod
PURPOSE: Acromioclavicular (AC) joint dislocations are common injuries, but the indication for and timing of surgery is debated. The objective of the study was to evaluate the results after acute AC joint dislocations Rockwood type III and V treated nonsurgically with the option of delayed surgical intervention. METHODS: This is a prospective cohort study with clinical, radiological and patient-reported outcome assessment at baseline, 6 weeks, 3 months, 6 months and 1 year after acute AC joint dislocation...
February 19, 2024: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/38368580/functional-reconstruction-of-chronic-acromioclavicular-joint-separation-using-a-double-suture-technique-combined-with-semitendinosus-autograft
#16
JOURNAL ARTICLE
Giannis Kotsalis, Kostantinos Giatroudakis, Maria Ladogianni, Emmanouil Fandridis
PURPOSE: We present the functional and clinical results of a combined surgical technique that functionally restores chronic Acromioclavicular Joint Instability (AJI). The method combines a double-looped suture fixation augmented with a semitendinosus autograft. METHODS: Between 2017 and 2021, 15 patients were treated using the surgical technique. All patients suffered an Acromioclavicular Joint Separation that remained untreated for at least 6 (6-16) weeks after the initial injury...
February 18, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38356780/forequarter-amputation-for-open-scapulothoracic-dissociation-a-case-report-and-surgical-technique
#17
Arun Upreti, Dibya Purush Dhakal, Subarna Paudel, Sagar Bishowkarma, Umesh Ray
Scapulothoracic dissociation is a rare upper extremity injury caused by high-velocity trauma over anterolateral shoulder leading to disruption of scapulothoracic articulation. It is considered as a limb threatening injury. Very few cases of scapulothoracic dissociation have been reported in medical literature. In this article, we report a unique case of open injury involving laterally displaced and comminuted scapula accompanied by redundant acromioclavicular joint, total brachial plexus injury, and complete transection of brachial artery...
February 2024: Clinical Case Reports
https://read.qxmd.com/read/38344054/septic-arthritis-of-the-acromioclavicular-joint-a-case-report
#18
JOURNAL ARTICLE
Serena Tally, Michael Head, Kerri Kraft
UNLABELLED: Septic arthritis of native joints is uncommon, but the condition can be threatening to life and limb if left untreated.1 Septic arthritis of the acromioclavicular (AC) joint of the shoulder is particularly rare and has only appeared sparsely in medical literature, mainly through individual case reports. Early recognition and treatment of the condition is vital, but diagnosis of septic AC arthritis can be difficult due to its presentation with vague symptoms and nonspecific laboratory findings...
January 2024: Journal of education & teaching in emergency medicine
https://read.qxmd.com/read/38325567/-art%C3%A3-culo-traducido-luxaci%C3%A3-n-acromioclavicular-grado-iii-resultados-a-medio-plazo-tras-tratamiento-conservador-y-quir%C3%A3%C2%BArgico
#19
JOURNAL ARTICLE
L Álvarez Álvarez, M Cela López, E González Rodríguez, A García Perez, M Rodríguez Arenas, M Castro Menéndez
INTRODUCTION: Controversy exists in the literature about the best treatment for type III acromioclavicular dislocations. The aim of this study is to compare functional results between surgical and conservative treatment in type III acromioclavicular joint dislocations. MATERIAL AND METHOD: We retrospectively evaluated the records of 30 patients from our area with acute type III acromioclavicular dislocations that were treated from January 1st, 2016 to December 31st, 2020...
February 5, 2024: Revista Española de Cirugía Ortopédica y Traumatología
https://read.qxmd.com/read/38313753/long-term-functional-outcomes-and-athletic-ability-in-shoulder-sports-after-anatomic-coracoclavicular-ligament-reconstruction-for-chronic-type-3-and-5-acromioclavicular-joint-injuries
#20
JOURNAL ARTICLE
Lukas N Muench, Daniel P Berthold, Marco-Christopher Rupp, Caitlin G Dorsey, Benjamin Hawthorne, Maxwell T Trudeau, John D Wolf, Ian Wellington, Augustus D Mazzocca
BACKGROUND: Promising short- and midterm outcomes have been seen after anatomic coracoclavicular ligament reconstruction (ACCR) for chronic acromioclavicular joint (ACJ) injuries. PURPOSE/HYPOTHESIS: To evaluate long-term outcomes and shoulder-related athletic ability in patients after ACCR for chronic type 3 and 5 ACJ injuries. It was hypothesized that these patients would maintain significant functional improvement and sufficient shoulder-sport ability at a long-term follow-up...
February 2024: Orthopaedic Journal of Sports Medicine
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