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acromioclavicular joint

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https://www.readbyqxmd.com/read/29126408/concomitant-glenohumeral-pathologies-in-high-grade-acromioclavicular-separation-type-iii-v
#1
Jochen Markel, Tim Schwarting, Dominik Malcherczyk, Christian-Dominik Peterlein, Steffen Ruchholtz, Bilal Farouk El-Zayat
BACKGROUND: Acromioclavicular joint (ACJ) dislocations are common injuries of the shoulder associated with physical activity. The diagnosis of concomitant injuries proves complicated due to the prominent clinical symptoms of acute ACJ dislocation. Because of increasing use of minimally invasive surgery techniques concomitant pathologies are diagnosed more often than with previous procedures. METHODS: The aim of this study was to identify the incidence of concomitant intraarticular injuries in patients with high-grade acromioclavicular separation (Rockwood type III - V) as well as to reveal potential risk constellations...
November 10, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29101774/dextrose-prolotherapy-for-chronic-shoulder-pain-a-case-report
#2
Casey Seenauth, Vance Inouye, Jeffrey O Langland
Context • Shoulder pain is one of the most common pain complaints reported by patients. Consensus is lacking on its ideal treatment, and many different treatments are available and used. Prolotherapy is an injection-based therapy that has shown significant results in treating many common musculoskeletal pain conditions, including osteoarthritis, lateral epicondylosis, and low-back pain. Objective • The study intended to evaluate the use of dextrose prolotherapy in the treatment of shoulder pain. Design • The research team performed a case study...
November 4, 2017: Alternative Therapies in Health and Medicine
https://www.readbyqxmd.com/read/29096342/bipolar-fracture-dislocation-of-clavicle-a-report-of-osteosynthesis-and-early-soft-tissue-reconstruction
#3
Renaldi Prasetia, Hermawan Nagar Rasyid
INTRODUCTION: Bipolar dislocation of the clavicle, also called bifocal or pan-articular dislocation or floating clavicle, is an uncommon traumatic injury. The injury of this case is also concomitant with distal third clavicle and coracoid fracture. This article aimed to report the experience of performing osteosynthesis and early soft tissue reconstruction on these injuries. CASE REPORT: We reported a case of bipolar clavicle fracture-dislocation in concomitant with coracoid fracture in a man, aged 32 years old, successfully treated 24days after accident by fixation of both fractures and early simultaneous reconstruction of sternoclavicular- acromioclavicular-coracoclavicular joints...
October 27, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29061875/dimple-on-the-shoulder-after-a-ski-injury
#4
Morteza Khodaee, Armando Vidal, Greg Gutierrez
CLINICAL INTRODUCTION: A 74-year-old woman was brought to the ski clinic shortly after a fall on her left shoulder while skiing. She did not remember the exact fall mechanism. She felt a popping sensation in her left shoulder and was unable to move her left arm due to severe pain. Her medical and social histories were unremarkable. On physical examination, she had a deformity in her left shoulder (figure 1). Her neurovascular examination was intact.emermed;34/11/740/F1F1F1Figure 1Photograph of the left shoulder on arrival showing an anterior 'dimple'...
November 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29038741/ligament-augmentation-and-reconstruction-system-failures-in-repair-of-grade-v-acromioclavicular-joint-dislocation
#5
Martin K-H Li, David Woods
The Ligament Augmentation and Reconstruction System® (LARS®) represents a popular synthetic anatomical reduction method for acromioclavicular joint dislocation by means of coracoclavicular ligament reconstruction. To our knowledge, no early failure has been documented in the literature. We present two unusual cases of LARS failure, one at four months after implant and the other at three weeks, without obvious causes, requiring re-do reconstruction, and discuss potential contributory factors.
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/29032901/bosworth-and-modified-phemister-techniques-revisited-a-comparison-of-intraarticular-vs-extraarticular-fixation-methods-in-the-treatment-of-acute-rockwood-type-iii-acromioclavicular-dislocations
#6
Engin Cetinkaya, Yavuz Arıkan, Kubilay Beng, Harun Mutlu, Merter Yalçınkaya, Onat Üzümcügil
OBJECTIVE: The aim of this study was to compare the long-term clinical and radiological results of Acromioclavicular (AC) fixation with K-wires (the modified Phemister procedure) and Coracoclavicular (CC) fixation with the Bosworth screw in the surgical treatment of Type 3 AC joint dislocations. METHODS: Thirty-two patients with complete set of medical records and who received surgical treatment between September 2005 and January 2009 due to acute Rockwood Type 3 AC joint dislocation and properly attended their follow-ups were retrospectively evaluated...
October 9, 2017: Acta Orthopaedica et Traumatologica Turcica
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
#7
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/28986617/risk-of-fracture-of-the-acromion-depends-on-size-and-orientation-of-acromial-bone-tunnels-when-performing-acromioclavicular-reconstruction
#8
Felix Dyrna, Celso Cruz Timm de Oliveira, Michael Nowak, Andreas Voss, Elifho Obopilwe, Sepp Braun, Leo Pauzenberger, Andreas B Imhoff, Augustus D Mazzocca, Knut Beitzel
PURPOSE: Current techniques for anatomic repair of the dislocated acromioclavicular (AC) joint aim on reconstruction of the AC ligaments and utilize tunnels drilled through the acromion . This improves the stability of the reconstruction but might also increase the risk of fractures at the acromion. The purpose of this study was to evaluate the fracture risk for the acromion after transacromial tunnel placement for anatomic AC joint stabilization procedure. It was hypothesized that the risk of fracture of the acromion is correlated to size and orientation of bone tunnels commonly used for anatomic AC joint reconstruction...
October 6, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28985900/clinical-and-microbiological-findings-of-septic-arthritis-caused-by-haemophilus-parainfluenzae
#9
F Cobo, G Jiménez, J Rodríguez-Granger, A Sampedro, L Aliaga-Martínez, J M Navarro-Marí
OBJECTIVES: To report a case of septic arthritis due to H. parainfluenzae and to review the clinical and microbiological characteristics of published case patients. PATIENTS AND METHODS: Data was collected on age, sex, infection localization, underlying risk factors, symptom onset-diagnosis interval, analytical findings, microbiological diagnosis, treatment, outcome, and follow-up of the present patient (presenting with septic arthritis of the pubic symphysis due to H...
October 3, 2017: Médecine et Maladies Infectieuses
https://www.readbyqxmd.com/read/28947452/a-hospital-based-observational-cohort-study-exploring-pain-and-biomarkers-in-patients-with-hand-osteoarthritis-in-norway-the-nor-hand-protocol
#10
Marthe Gløersen, Elisabeth Mulrooney, Alexander Mathiessen, Hilde Berner Hammer, Barbara Slatkowsky-Christensen, Karwan Faraj, Thore Isaksen, Tuhina Neogi, Tore K Kvien, Karin Magnusson, Ida Kristin Haugen
INTRODUCTION: We have limited knowledge about the underlying disease mechanisms and causes of pain in hand osteoarthritis (OA). Consequently, no disease-modifying drug exists, and more knowledge about the pathogenesis of hand OA is needed, as well as a validation of different outcome measures. Our first aim of this study is to explore the validity of various imaging modalities for the assessment of hand OA. Second, we want to gain a better understanding of the disease processes, with a special focus on pain mechanisms...
September 24, 2017: BMJ Open
https://www.readbyqxmd.com/read/28946836/biomechanical-evaluation-of-native-acromioclavicular-joint-ligaments-and-two-reconstruction-techniques-in-the-presence-of-the-sternoclavicular-joint-a-cadaver-study
#11
Povilas Masionis, Igoris Šatkauskas, Vytautas Mikelevičius, Sigitas Ryliškis, Vytautas Bučinskas, Julius Griškevičius, Xavier Martin Oliva, Mariano Monzó Planella, Narūnas Porvaneckas, Valentinas Uvarovas
BACKGROUND: Where is over 100 reconstruction techniques described for acromioclavicular (AC) joint reconstruction. Although, it is not clear whether the presence of the sternoclavicular (SC) joint influences the biomechanical properties of native AC ligaments and reconstruction techniques. The purpose of the present study was to investigate the biomechanical properties of native AC joint ligaments and two reconstruction techniques in cadavers with the SC joint still present. MATERIALS AND METHODS: We tested eight fresh-frozen cadaver hemithoraces for superior translation (70 N load) and translation increment after 1000 cycles (loading from 20 to 70 N) in a controlled laboratory study...
September 2017: Journal of Orthopaedic Surgery
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/28933229/should-all-acromioclavicular-joint-injections-be-performed-under-image-guidance
#13
S Javed, Z Sadozai, A Javed, A Din, G Schmitgen
INTRODUCTION: Steroid and local anaesthetic injection to the acromioclavicular joint (ACJ) is a very common diagnostic and therapeutic procedure, which is often performed in the outpatient department. However, it can be difficult to localize this joint because of its small size, presence of osteophytes and variable morphology in the population. We performed a study to determine whether the use of an image intensifier (X-ray guidance), in theatre, improves the accuracy of this injection...
September 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28924949/anatomic-ligament-consolidation-of-the-superior-acromioclavicular-ligament-and-the-coracoclavicular-ligament-complex-after-acute-arthroscopically-assisted-double-coracoclavicular-bundle-stabilization
#14
S Jobmann, J Buckup, C Colcuc, P P Roessler, E Zimmermann, K F Schüttler, R Hoffmann, F Welsch, T Stein
PURPOSE: The consolidation of the acromioclavicular (AC) and coracoclavicular (CC) ligament complex after arthroscopically assisted stabilization of acute acromioclavicular joint (ACJ) separation is still under consideration. METHODS: Fifty-five consecutive patients after arthroscopically assisted double-CC-bundle stabilization within 14 days after acute high-grade ACJ separation were studied prospectively. All patients were clinically analysed preoperatively (FU0) and post-operatively (FU1 = 6 months; FU2 = 12 months)...
September 18, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28902760/common-ice-hockey-injuries-and-treatment-a-current-concepts-review
#15
William Mosenthal, Michael Kim, Robert Holzshu, Bryan Hanypsiak, Aravind Athiviraham
Injuries are common in ice hockey, a contact sport where players skate at high speeds on a sheet of ice and shoot a vulcanized rubber puck in excess of one hundred miles per hour. This article reviews the diagnoses and treatment of concussions, injuries to the cervical spine, and lower and upper extremities as they pertain to hockey players. Soft tissue injury of the shoulder, acromioclavicular joint separation, glenohumeral joint dislocation, clavicle fractures, metacarpal fractures, and olecranon bursitis are discussed in the upper-extremity section of the article...
September 2017: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/28902322/evaluation-of-body-posture-in-nursing-students
#16
Marília Fernandes Andrade, Érika de Cássia Lopes Chaves, Michele Rita Oliveira Miguel, Talita Prado Simão, Denismar Alves Nogueira, Denise Hollanda Iunes
OBJECTIVE: To investigate the body posture of nursing students before and after clinical practice. METHOD: The study was developed in two stages. Initially the body posture of students of the 2nd, 4th, 6th, and 8th periods were assessed through photogrammetry. All images were analyzed in a random and masked manner with CorporisPro® 3.1.3 software. Three evaluations were performed for each angle and then the mean value was calculated. Two years later, when the 4th period students had developed their clinical internships, their body posture was again evaluated...
August 28, 2017: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/28861851/a-comparison-between-two-double-button-endoscopically-assisted-surgical-techniques-for-the-treatment-acute-acromioclavicular-dislocations
#17
P Vulliet, M Le Hanneur, V Cladiere, P Loriaut, P Boyer
PURPOSE: To compare clinical and radiological outcomes between two endoscopically assisted double-button techniques in high-grade acute acromioclavicular separations. METHODS: A retrospective single-center study was conducted in patients with acute acromioclavicular joint dislocation Rockwood types III and V, from 2009 to 2014. All were treated endoscopically, with a 1-year minimum follow-up. Two consecutive series were conducted; the first (TR group) received the TightRope(®) system, whereas last series (DB group) was treated with the Dog Bone(®) button technology (Arthrex, Naples, FL, USA)...
August 31, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28856939/three-dimensional-morphological-analysis-of-acromioclavicular-joint-in-patients-with-and-without-subacromial-erosion-after-hook-plate-fixation
#18
Peng-Cheng Shen, Yu Zhu, Hui Zhang, Li-Fan Zhu, Feng-Biao Weng, Fu-Gui Jiang, Neng Xu, Wen Ju, Xiao-Lin Li
Objective To investigate the role of acromioclavicular joint morphology in the presence of subacromial erosion after hook plate fixation. Methods We retrospectively analyzed the clinical data of 36 patients (17 men, 19 women; mean age, 48.7 years; range, 21-76 years) treated with hook plate fixation for distal clavicular fractures (n = 20) or acromioclavicular joint dislocation (n = 16) from August 2011 to March 2013. The patients were divided into two groups: the subacromial erosion group (18 patients) and the normal group (18 patients)...
January 1, 2017: Journal of International Medical Research
https://www.readbyqxmd.com/read/28852819/outcomes-of-surgery-for-acromioclavicular-joint-dislocation-using-different-angled-hook-plates-a-prospective-study
#19
Ding Xu, Peng Luo, Jukun Chen, Liefeng Ji, Luxu Yin, WeiKang Wang, Jiang Zhu
PURPOSE: Hook plate fixation is widely used to treat acromioclavicular joint dislocation. However, there are many post-operative complications affecting the effect of treatment. The aim of this study is to evaluate the efficacy of the clavicular hook plate with different hook angles as a method of treatment in AC joint dislocation, and to guide the clinical application of hook plate. METHODS: We prospectively analysed 54 patients who were diagnosed with AC joint dislocation and treated with hook plate fixation by different hook angles...
December 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28832388/general-health-status-after-nonoperative-versus-operative-treatment-for-acute-complete-acromioclavicular-joint-dislocation-results-of-a-multicenter-randomized-clinical-trial
#20
Jeffrey M Mah
OBJECTIVE: To assess the general health status of patients after nonoperative (Non-op) versus operative (OP) treatment for acromioclavicular (AC) joint dislocations. DESIGN: Multicenter randomized controlled clinical trial conducted in 11 Canadian trauma centers. A total of 83 patients with acute (≤28 days old), complete (Rockwood grades III, IV, or V) dislocations of the AC joint were included in this study. INTERVENTION: Participants were randomized to Non-op treatment or OP treatment with hook plate fixation...
September 2017: Journal of Orthopaedic Trauma
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