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frozen shoulder

Tressa D Amirthanayagam, Andrew A Amis, Peter Reilly, Roger J H Emery
BACKGROUND: The deltopectoral approach for total shoulder arthroplasty can result in subscapularis dysfunction. In addition, glenoid wear is more prevalent posteriorly, a region difficult to access with this approach. We propose a posterior approach for access in total shoulder arthroplasty that uses the internervous interval between the infraspinatus and teres minor. This study compares this internervous posterior approach with other rotator cuff-sparing techniques, namely, the subscapularis-splitting and rotator interval approaches...
October 10, 2016: Journal of Shoulder and Elbow Surgery
Kazuhiro Endo, Junichiro Hamada, Kazuaki Suzuki, Yoshihiro Hagiwara, Takayuki Muraki, Hiroshi Karasuno
PURPOSES: It has been reported that the amount of posterior tilt and upward rotation in scapular motions decreases with aging. The purposes of the current study were to investigate age related scapular motion regression and scapular restriction in patients with idiopathic frozen shoulder (IFS). METHODS: The groups were recruited as follows: two groups of 50 asymptomatic subjects aged in their twenties and fifties, and 56 patients with IFS. We passively moved the scapula toward 8 directions: elevation/depression; upward/downward rotation; external/internal rotation; and anterior/posterior tilt...
2016: Open Orthopaedics Journal
Mahsa Asheghan, Amidoddin Khatibi Aghda, Ebrahim Hashemi, Mohammadtaghi Hollisaz
BACKGROUND: Adhesive capsulitis is a common disease that causes pain and reduced range of motion, but vague on the shoulder. Woman are affected fewer than men, but there is no known racial or genetic tendency. Most patients with adhesive capsulitis will improve with nonsurgical treatment. Acetaminophen and nonsteroidal anti-inflammatory drugs for pain relief in patients without contraindication are first-line options. Acupuncture considered being safe and effective in reducing pain. The aim of this study was to Investigation of the effectiveness of acupuncture in the treatment of frozen shoulder...
July 24, 2016: Materia Socio-medica
Si-Huei Lee, Shih-Ching Yeh, Rai-Chi Chan, Shuya Chen, Geng Yang, Li-Rong Zheng
Objective. This study aims to extract motor ingredients through data mining from wearable sensors in a virtual reality goal-directed shoulder rehabilitation (GDSR) system and to examine their effects toward clinical assessment. Design. A single-group before/after comparison. Setting. Outpatient research hospital. Subjects. 16 patients with frozen shoulder. Interventions. The rehabilitation treatment involved GDSR exercises, hot pack, and interferential therapy. All patients first received hot pack and interferential therapy on the shoulder joints before engaging in the exercises...
2016: BioMed Research International
C K Wong, W N Levine, K Deo, R S Kesting, E A Mercer, G A Schram, B L Strang
BACKGROUND: In 1940s, it was proposed that frozen shoulder progresses through a self-limiting natural history of painful, stiff and recovery phases, leading to full recovery without treatment. However, clinical evidence of persistent limitations lasting for years contradicts this assumption. OBJECTIVES: To assess evidence for the natural history theory of frozen shoulder by examining: (1) progression through recovery phases, and (2) full resolution without treatment...
June 21, 2016: Physiotherapy
Kwang-Il Kwak, Eun-Kyung Kim
[Purpose] This study aimed to develop a clinical protocol for the treatment of frozen shoulder using applied hydraulic distension plus manual therapy. [Subjects and Methods] Patients were randomly assigned to 2 groups: 60 patients in group A were treated with hydraulic distension plus manual therapy, and 61 in group B were treated with hydraulic distension alone. Treatment effects were assessed using the Visual Analog Scale (VAS) (pain and satisfaction), and active range of motion of the shoulder (forward flexion, internal and external rotation) before treatments and at 2, 6, 12, 24 weeks, and 1 year after the last injections...
August 2016: Journal of Physical Therapy Science
A E Sahin, Y Cayir, A Imerci, H Uzkeser, F Akcay
Heel spur is also known as a result of plantar calcaneal bone spur which is a common complaint associated with pain at heel. Heel spur is more common in females. Anti-inflammatory drugs, local steroid injections, physical therapy, low-dose radiotherapy and shock wave therapy are the commonly used treatment choices. There is no evidence that acupuncture is an effective method for heel spur in the literature. However, we know that acupuncture can be used for many orthopaedic diseases like frozen shoulder, tennis elbow, sciatic pain, joint sprains, several forms of bursitis and arthritis...
November 11, 2015: West Indian Medical Journal
Yoshiaki Itoigawa, Alexander W Hooke, John W Sperling, Scott P Steinmann, Kristin D Zhao, Nobuyuki Yamamoto, Eiji Itoi, Kai-Nan An
BACKGROUND: It is not clear whether the anterior capsule should be repaired to the coracoid process or to the native glenoid during the modified Latarjet procedure. We investigated joint stability and range of motion of the shoulder after the modified Latarjet procedure with both of these methods of capsular repair. METHODS: Eighteen fresh-frozen cadaveric shoulders were used. After a Bankart lesion and 6-mm glenoid defect were created, the coracoid process was transferred to the glenoid and fixed with screws...
September 7, 2016: Journal of Bone and Joint Surgery. American Volume
Andreas Voss, Hardeep Singh, Felix Dyrna, Stefan Buchmann, Mark P Cote, Andreas B Imhoff, Augustus D Mazzocca, Knut Beitzel
BACKGROUND: Recent biomechanical and clinical studies have demonstrated the effectiveness of suture button and pulley-type fixations for surgical treatment of acromioclavicular instability. Concerns remain that such procedures can "overconstrain" (overreduce the lateral clavicle in relation to the acromion to a nonphysiological position) the joint. PURPOSE/HYPOTHESIS: The purpose of this study was to investigate the intra-articular pressure of native and reconstructed acromioclavicular (AC) joints in relation to the configuration of the joint...
September 1, 2016: American Journal of Sports Medicine
S Schröter, M Krämer, B Welke, C Hurschler, R Russo, M Herbst, U Stöckle, A Ateschrang, M Maiotti
BACKGROUND: Anterior shoulder dislocation is common. The treatment of recurrence with glenoid bone defect is still considered controversial. A new arthroscopic subscapularis augmentation has recently been described that functions to decrease the anterior translation of the humeral head. The purpose of the presented study was to examine the biomechanical effect on glenohumeral joint motion and stability. METHODS: Eight fresh frozen cadaver shoulders were studied by use of a force guided industrial robot fitted with a six-component force-moment sensor to which the humerus was attached...
October 2016: Clinical Biomechanics
Amit S Bidwai, Alistair Iw Mayne, Maryke Nielsen, Peter Brownson
BACKGROUND: In light of recent interest in the cost-effectiveness of the treatment options available for frozen shoulder, we aimed to determine the results of limited anterior capsular release and controlled manipulation under anaesthesia (MUA) in the treatment of primary frozen shoulder in terms of patient-related outcomes measure, range of motion and re-intervention rates. METHODS: This single-surgeon series included prospectively collected data on all patients undergoing capsular release with MUA from March 2011 until June 2013, with a minimum follow-up of 6 months from the index procedure...
January 2016: Shoulder & Elbow
Amar Rangan, Lorna Goodchild, Jo Gibson, Peter Brownson, Michael Thomas, Jonathan Rees, Ro Kulkarni
No abstract text is available yet for this article.
October 2015: Shoulder & Elbow
Amar Rangan, Nigel Hanchard, Catriona McDaid
No abstract text is available yet for this article.
2016: BMJ: British Medical Journal
Hideyuki Sasanuma, Hideharu Sugimoto, Akifumi Fujita, Yuji Kanaya, Yuki Iijima, Toshihiro Saito, Katsushi Takeshita
BACKGROUND: The purpose of this study was to evaluate the effectiveness of current techniques for dynamic 3-dimensional magnetic resonance imaging (MRI) in the diagnosis of idiopathic severe frozen shoulder (FS). MATERIALS AND METHODS: Subjects consisted of 5 healthy volunteers and 16 patients with idiopathic severe FS. We defined severe idiopathic FS as follows: range of motion ≤100° in forward flexion, ≤10° in external rotation, and ≤L5 in internal rotation...
August 15, 2016: Journal of Shoulder and Elbow Surgery
Victoria Ryan, Hazel Brown, Catherine J Minns Lowe, Jeremy S Lewis
BACKGROUND: Frozen shoulder is a common yet poorly understood musculoskeletal condition, which for many, is associated with substantial and protracted morbidity. Understanding the pathology associated with this condition may help to improve management. To date this has not been presented in a systematic fashion. As such, the aim of this review was to summarise the pathological changes associated with this primary frozen shoulder. METHODS: HASH(0x53f3658) DATABASES: Medline, Embase, CINAHL, AMED, BNI and the Cochrane Library, were searched from inception to 2nd May, 2014...
2016: BMC Musculoskeletal Disorders
Farshid Bagheri, Mohammad H Ebrahimzadeh, Ali Moradi, Hamid Farahpour Bidgoli
BACKGROUND: Frozen shoulder is resulting in limb disability and reduction of quality of life but the factors associated with patients' disability and quality of life is not clear. To assess pain, disability, the quality of life and factors associated with them in patients suffering from frozen shoulder. METHODS: We enrolled 120 patients (37 men and 83 women) with phase-II idiopathic frozen shoulder in our cross-sectional study. Demographic data were collected and shoulder range of motion was measured in four different directions (elevation, abduction, external and internal rotation) in both upper limbs...
June 2016: Archives of Bone and Joint Surgery
Roy Gigi, Oleg Dolkart, Zachary T Sharfman, Yariv Goldstein, Tamar Brosh, Ehud Rath, Eran Maman, Ofir Chechik
BACKGROUND: Several techniques and procedures have been described to treat long head of the biceps pathology; however, tenodesis and tenotomy are the 2 most common procedures performed. This study evaluated the initial fixation strength of the biceps tenodesis triple loop suture (TLS) technique and compared it with that of the simple suture technique (SST). METHODS: Twenty fresh frozen cadaveric human shoulders (humeral head and neck with attached biceps tendons) were harvested...
August 5, 2016: Journal of Shoulder and Elbow Surgery
Andreas B Imhoff, Elmar Herbst, Felix Dyrna
The present study found a slower functional recovery after arthroscopic capsular release in patients with refractory frozen shoulder and diabetes. However, the study has some limitations: retrospective design, small study groups, and incomplete assessments. To better understand the disease and its proper treatment, one has to distinguish between idiopathic and secondary frozen shoulder. At present, little is known about both types of frozen shoulder, and randomized controlled trials are needed to compare surgical intervention with a conservative treatment at different stages of the disease...
August 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
Yong Wook Kim, Yoon Kim, Jong Moon Kim, Ji Seong Hong, Hyun Sun Lim, Hyoung Seop Kim
Patients with poststroke complex regional pain syndrome (CRPS) show different symptoms compared to other types of CRPS, as they usually complain of shoulder and wrist pain with the elbow relatively spared. It is thus also known by the term "shoulder-hand syndrome."The aim of this study is to present a possible pathophysiology of poststroke CRPS through ultrasonographic observation of the affected wrist before and after steroid injection at the extensor digitorum communis (EDC) tendon in patients suspected with poststroke CRPS...
August 2016: Medicine (Baltimore)
Apostolos D Prodromidis, Charalambos P Charalambous
BACKGROUND: Frozen shoulder is a common disorder that leads to substantial functional loss for patients by impairing activities of daily living. It also adversely affects patients and society by impairing the ability to work. Its pathogenesis is not fully understood. The aim of the present study was to perform a systematic review and meta-analysis to assess the evidence suggesting a genetic link to frozen shoulder. METHODS: A literature search of MEDLINE, EMBASE, and CINAHL databases using relevant keywords revealed 5506 studies...
February 23, 2016: JBJS Rev
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