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acromioclavicular joint

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https://www.readbyqxmd.com/read/29319135/radiosynoviorthesis-of-acromioclavicular-joint-using-169er-citrate-prospective-evaluation-of-efficacy
#1
Marika Vereb, Knut Liepe, Manfred Fischer, Lucia Kaliska, Lucia Noskovicova, Sona Balogova
BACKGROUND: There is a clinical need for therapeutic alternative in patients with persisting painful arthritis of AC-joint and failure of previous treatments. However, no radiopharmaceutical is currently explicitly approved for radiosynoviorthesis of acromioclavicular joint. The aim of our study was to prospectively assess the efficacy and safety of radiosynoviorthesis of acromioclavicular joint using erbium-169 citrate. MATERIAL AND METHODS: Radiosynoviorthesis of acromioclavicular joint was performed in 51 consecutive patients (18 males, 33 females) mean age 64...
January 10, 2018: Nuclear Medicine Review. Central & Eastern Europe
https://www.readbyqxmd.com/read/29304721/epidemiology-of-shoulder-and-elbow-injuries-in-national-collegiate-athletic-association-wrestlers-2009-2010-through-2013-2014
#2
Avi D Goodman, John Twomey-Kozak, Steven F DeFroda, Brett D Owens
OBJECTIVES: Examination of the incidence of shoulder and elbow injuries in the collegiate wrestling population is limited. Therefore, we sought to determine the incidence of shoulder and elbow injuries in wrestlers competing in the National Collegiate Athletic Association (NCAA), and investigate the risk factors involved. METHODS: All shoulder and elbow injuries in wrestlers from the 2009-2010 through 2013-2014 academic years in the NCAA Injury Surveillance Program database were extracted...
January 5, 2018: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/29299494/functional-results-of-unstable-type-2-distal-clavicle-fractures-treated-with-superior-anterior-locking-plate
#3
Rajesh Govindasamy, Saravanan Kasirajan, Tushar Doke
Background: The treatment of distal clavicle fracture is always a challenge, as it is mostly unstable and has higher rate of delayed union, malunion, non-union and associated acromioclavicular arthritis. So the management of these fractures remains controversial. The purpose of this study is to evaluate the functional results of Type 2 distal end clavicle fractures treated with superior anterior locking plate. Methods: From June 2011 to August 2015 a retrospective study of12 male patients (mean age of 41...
November 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/29276532/managing-acromio-clavicular-joint-pain-a-scoping-review
#4
REVIEW
Salma Chaudhury, Luckshman Bavan, Neal Rupani, Kyriacos Mouyis, Ro Kulkarni, Amar Rangan, Jonathan Rees
Background: Shoulder pain secondary to acromioclavicular joint pain is a common presentation in primary and secondary care but is often poorly managed as a result of uncertainty about optimal treatment strategies. Osteoarthritis is the commonest cause. Although acromioclavicular pain can be treated non-operatively and operatively, there appears to be no consensus on the best practice pathway of care for these patients, with variations in treatment being common place. The present study comprises a scoping review of the current published evidence for the management of isolated acromioclavicular pain (excluding acromioclavicular joint dislocation)...
January 2018: Shoulder & Elbow
https://www.readbyqxmd.com/read/29274862/percutaneous-minimally-invasive-repair-of-acromioclavicular-joint-dislocation-using-cannulated-screws-under-ultrasonic-vs-c-arm-navigation-a-prospective-trial
#5
X Shui, S Chen, G Huang, J Kong, C Zhou, W Lin
INTRODUCTION: To compare percutaneous minimally invasive repair (PMIR) of acute acromioclavicular (AC) joint dislocation under ultrasound guidance (PMIR-UN) vs. C-arm navigation (PMIR-CN). HYPOTHESIS: PMIR-UN has similar functional and radiographic outcomes as PMIR-CN. MATERIALS AND METHODS: We treated 48 patients with acute grade III or V AC joint dislocation with surgical reduction and fixation with Kirschner wires and cannulated screws...
December 21, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29241816/triple-bundle-anatomical-reconstruction-using-the-coracoacromial-ligament-and-the-short-head-of-biceps-tendon-to-stabilize-chronic-acromioclavicular-joint-dislocations-a-cadaver-feasibility-study
#6
M Le Hanneur, D Delgrande, T Lafosse, J-D Werthel, P Hardy, B Elhassan
INTRODUCTION: In cases of chronic acromioclavicular joint separation, the biomechanical properties of anatomical reconstructions are closer to the native configuration than the Weaver-Dunn procedure. Consequently, the radiological and clinical outcomes are better. However, an additional incision is needed to harvest the graft, which increases the procedure's morbidity. HYPOTHESIS: Triple-bundle reconstruction can be performed with the coracoacromial ligament (CAL) and the semi conjoined tendon (SCT)...
December 11, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29233762/arthroscopically-assisted-reduction-of-acute-acromioclavicular-joint-dislocation-using-a-single-double-button-device-medium-term-clinical-and-radiological-outcomes
#7
S-P Issa, C Payan, M Le Hanneur, P Loriaut, P Boyer
INTRODUCTION: Double-button devices for endoscopic management of acute acromioclavicular joint dislocation (ACJD) provide satisfactory short-term functional and radiological results. However, little exists in the literature regarding the long- and medium-term results of these implants, especially regarding the evolution of the acromioclavicular joint (ACJ). HYPOTHESIS: Satisfactory and steady long- and medium-term outcomes can be achieved in patients with acute ACJD undergoing endoscopically assisted ACJ repair using a single double-button device...
December 9, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29229406/validation-of-single-plane-fluoroscopy-and-2d-3d-shape-matching-for-quantifying-shoulder-complex-kinematics
#8
Rebekah L Lawrence, Arin M Ellingson, Paula M Ludewig
Fluoroscopy and 2D/3D shape-matching has emerged as the standard for non-invasively quantifying kinematics. However, its accuracy has not been well established for the shoulder complex when using single-plane fluoroscopy. The purpose of this study was to determine the accuracy of single-plane fluoroscopy and 2D/3D shape-matching for quantifying full shoulder complex kinematics. Tantalum markers were implanted into the clavicle, humerus, and scapula of four cadaveric shoulders. Biplane radiographs were obtained with the shoulder in five humerothoracic elevation positions (arm at the side, 30°, 60°, 90°, maximum)...
December 8, 2017: Medical Engineering & Physics
https://www.readbyqxmd.com/read/29224192/short-term-outcomes-of-arthroscopic-tightrope%C3%A2-fixation-are-better-than-hook-plate-fixation-in-acute-unstable-acromioclavicular-joint-dislocations
#9
Hamid Rahmatullah Bin Abd Razak, Eng-Meng Nicholas Yeo, William Yeo, Tijauw-Tjoen Denny Lie
AIM: The aim of this study was to compare the short-term outcomes of arthroscopic TightRope® fixation with that of hook plate fixation in patients with acute unstable acromioclavicular joint dislocations. PATIENTS AND METHODS: We conducted a prospective case-control study of twenty-six patients with an acute ACJ dislocation who underwent surgical repair with either an arthroscopic TightRope® fixation or a hook plate from 2013 to 2016. Clinical and radiological data were collected prospectively...
December 9, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29219854/reconstruction-of-the-scapula-in-pediatric-and-adolescent-patients-after-total-scapulectomy-a-report-of-10-patients-treated-by-extracorporeal-irradiation-and-reimplantation-of-the-scapula
#10
Ahmed M El Ghoneimy, Mohamed S Zaghloul, Iman Zaky, Hala Taha, Ahmed Elgammal, Magdy El Sherbiny, Nehal Kamal
BACKGROUND: Ewing sarcoma of the scapula is uncommon. Restoration of shoulder function after total scapulectomy is challenging. Extracorporeal irradiation and reimplantation is a well-known method of biological reconstruction in orthopaedic oncology; yet very few reports in the literature describe its specific use in tumors of the scapula. PATIENTS AND METHODS: Ten patients with the diagnosis of Ewing sarcoma of the scapula were surgically treated by total scapulectomy and extracorporeal irradiation and reimplantation of the scapula...
December 6, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29217350/clinical-factors-that-affect-perceived-quality-of-life-in-arthroscopic-reconstruction-for-acromioclavicular-joint-dislocation
#11
F Abat, I Gich, L Natera, M Besalduch, J Sarasquete
OBJECTIVE: To analyse the results of arthroscopic repair of acromioclavicular dislocation in terms of health-related quality of life. MATERIAL AND METHOD: Prospective study of patients with acromioclavicular dislocation Rockwood grade iii-v, treated arthroscopically with a mean follow up of 25.4 months. The demographics of the series were recorded and evaluations were performed preoperatively, at 3 months and 2 years with validated questionnaires as Short Form-36 Health Survey (SF-36), visual analogue scale (VAS), The Disabilities of the Arm, Shoulder and Hand (DASH), Constant-Murley Shoulder Outcome Score (Constant) and Walch-Duplay Score (WD)...
December 4, 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/29216919/the-acutely-injured-acromioclavicular-joint-which-imaging-modalities-should-be-used-for-accurate-diagnosis-a-systematic-review
#12
Jonas Pogorzelski, Knut Beitzel, Francesco Ranuccio, Klaus Wörtler, Andreas B Imhoff, Peter J Millett, Sepp Braun
BACKGROUND: The management of acute acromioclavicular (AC) joint injuries depends on the degree of injury diagnosed by the Rockwood classification. Inadequate imaging and not selecting the most helpful imaging protocols can often lead to incorrect diagnosis of the injury. A consensus on a diagnostic imaging protocol for acute AC joint injuries does not currently exist. Therefore we conducted a systematic review of the literature considering three diagnostic parameters for patients with acromioclavicular (AC) joint injuries: 1) Assessment of vertical instability; 2) Assessment of horizontal instability; 3) Benefit of weighted panoramic views...
December 8, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29210329/a-concise-evidence-based-physical-examination-for-diagnosis-of-acromioclavicular-joint-pathology-a-systematic-review
#13
Michael K Krill, Samuel Rosas, KiHyun Kwon, Andrew Dakkak, Benedict U Nwachukwu, Frank McCormick
OBJECTIVES: The clinical examination of the shoulder joint is an undervalued diagnostic tool for evaluating acromioclavicular joint (AC) joint pathology. Applying evidence-based clinical tests enables providers to make an accurate diagnosis and minimize costly imaging procedures and potential delays in care. The purpose of this study was to create a decision tree analysis enabling simple and accurate diagnosis of AC joint pathology. METHODS: A systematic review of the Medline, Ovid and Cochrane Review databases was performed to identify level one and two diagnostic studies evaluating clinical tests for AC joint pathology...
December 6, 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/29209519/the-surgical-treatment-of-acromioclavicular-joint-injuries
#14
Michele Boffano, Stefano Mortera, Hazem Wafa, Raimondo Piana
Acromioclavicular joint (ACJ) injuries are common, but their incidence is probably underestimated. As the treatment of some sub-types is still debated, we reviewed the available literature to obtain an overview of current management.We analysed the literature using the PubMed search engine.There is consensus on the treatment of Rockwood type I and type II lesions and for high-grade injuries of types IV, V and VI. The treatment of type III injuries remains controversial, as none of the studies has proven a significant benefit of one procedure when compared with another...
October 2017: EFORT Open Reviews
https://www.readbyqxmd.com/read/29205214/biomechanics-of-the-shoulder-girdle-a-case-study-on-the-effects-of-union-rugby-tackles
#15
Luís Faria, Bárbara Campos, Renato Natal Jorge
PURPOSE: The shoulder girdle is a complex system, comprised by a kinematic chain and stabilizers. Due to the delicate equilibrium and synchronism between mobility and stability, high external loads may compromise its physiology, increasing the risk of injuries. Thus, this study intends to fully characterize the effects of a rugby tackle on the shoulder's anatomy and physiology. METHODS: For the experimental procedures, a matrix of pressure sensors was used, based on the Teckscan® pressure in-soles, force plates, an isokinetic dynamometer and sEMG (surface electromyography)...
2017: Acta of Bioengineering and Biomechanics
https://www.readbyqxmd.com/read/29176503/diagnostic-injections-about-the-shoulder
#16
Edward McFarland, Johnathan Bernard, Eric Dein, Alex Johnson
Injections about the shoulder serve diagnostic as well as therapeutic purposes. Diagnosis of shoulder conditions, such as rotator cuff tears, acromioclavicular joint pathology, subacromial impingement or anterolateral pain syndrome, glenohumeral joint pathology, suprascapular nerve entrapment, and biceps tendon pathologies, is often complicated by concomitant conditions with overlapping symptoms and by inconclusive physical examination and imaging results. Injections of anesthetic agents can often help clinicians locate the source of pain...
December 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29174018/interobserver-and-intraobserver-reliability-of-radiographic-classification-of-acromioclavicular-joint-dislocations
#17
Jonathan D Ringenberg, Zachary Foughty, Adam D Hall, J Mack Aldridge, Joseph B Wilson, Marshall A Kuremsky
HYPOTHESIS AND BACKGROUND: The classification and treatment of acromioclavicular (AC) joint dislocations remain controversial. The purpose of this study was to determine the interobserver and intraobserver reliability of the Rockwood classification system. We hypothesized poor interobserver and intraobserver reliability, limiting the role of the Rockwood classification system in determining severity of AC joint dislocations and accurately guiding treatment decisions. METHODS: We identified 200 patients with AC joint injuries using the International Classification of Diseases, Ninth Revision code 831...
November 22, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29151015/diffuse-idiopathic-skeletal-hyperostosis-dish-as-a-cause-of-failure-following-distal-clavicle-excision-a-case-report-and-review-of-the-literature
#18
John Begly, Vineet Tyagi, Eric Strauss
Diffuse idiopathic skeletal hyperostosis (DISH) is common spinal condition characterized by increased calcification and ossification of ligaments and entheses, typically in the anterior aspect of the spine. However, extraspinal manifestations of the disease can occur and depending on the degree and location of involvement, may become symptomatic. We present the case of a 63-year-old male with a history of DISH, who failed initial open distal clavicle excision due to the postoperative development of heterotopic bone bridging across the acromioclavicular joint...
December 2017: Bulletin of the Hospital for Joint Diseases
https://www.readbyqxmd.com/read/29126408/concomitant-glenohumeral-pathologies-in-high-grade-acromioclavicular-separation-type-iii-v
#19
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
#20
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
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