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https://www.readbyqxmd.com/read/29159743/morbidity-and-outcomes-following-axillary-lymphadenectomy-for-melanoma-weighing-the-risk-of-surgery-in-the-era-of-mslt-ii
#1
Lauren M Postlewait, Clara R Farley, Alexandra M Seamens, Nina Le, Monica Rizzo, Maria C Russell, Michael C Lowe, Keith A Delman
BACKGROUND: Limited data exist characterizing complications after axillary lymphadenectomy for melanoma. With high rates of complications reported after dissection for breast cancer and data suggesting that completion lymphadenectomy may have limited therapeutic benefit, this study characterized morbidity to facilitate clinical decision-making. METHODS: Using a broad definition for complications, patients who underwent axillary dissection for melanoma at a single center (from 2003 to 2015) were assessed through retrospective chart review...
November 20, 2017: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/29156071/arthroscopic-repair-of-full-thickness-rotator-cuff-tears-in-active-patients-younger-than-40-years-2-to-5-year-clinical-outcomes
#2
Nata Parnes, Nicole R Bartoszewski, Michael J Defranco
This study characterized injury patterns and reported clinical outcomes of all-arthroscopic management of full-thickness rotator cuff tears among military patients younger than 40 years. A retrospective review was performed of prospective data for 42 patients younger than 40 years who underwent arthroscopic rotator cuff repair and, in some cases, concomitant labral repair. Preoperative and postoperative evaluations (minimum follow-up, 2 years; mean, 41 months; range, 24-66 months) included range of motion, visual analog scale (VAS) score, Subjective Shoulder Value (SSV), and American Shoulder and Elbow Surgeons (ASES) Shoulder Score...
November 20, 2017: Orthopedics
https://www.readbyqxmd.com/read/29137087/isolated-tear-of-the-cord-like-middle-glenohumeral-ligament-in-buford-complex-a-case-report
#3
Byung-Ill Lee, Yong Beom Kim, Sung Hun Won, Shu Chiang Hwang, Sung-Woo Choi, Jae-Hwi Nho, Dong-Il Chun
RATIONALE: We describe a rare case of the isolated tear in the cord-like middle glenohumeral ligament (MGHL) in Buford complex. To the best of our knowledge, this is the first report in the English literature about the isolated tear of cord-like MGHL in Buford complex. The present report describes in detail our experience with the diagnosis of isolated tear of the cord-like MGHL in Buford complex and management. PATIENT CONCERNS: A 50-year-old female patient visited our hospital with pain and stiffness in the right shoulder that lasted for 9 months...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29132787/distal-biceps-brachii-tendon-transfer-for-re-establishing-extrinsic-finger-function-feasibility-study-in-cadavers
#4
Matthew D Welsch, Alexander D Mih, Brock D Reiter, Gregory A Merrell
PURPOSE: To determine the anatomic feasibility of transferring the biceps brachii tendon into either the extensor digitorum communis (EDC) or flexor digitorum profundus (FDP), determine the excursion imparted to EDC and FDP tendons after transfer, and compare the work capacity of the cadaver biceps to previously published data on the biceps as well as the recipient muscles by calculating the physiologic cross-sectional area (PCSA). METHODS: Four fresh-frozen cadaver shoulder-elbow-wrist specimens were used to measure tendon excursion that can be obtained with transfer of the distal biceps tendon into either the EDC or FDP...
November 11, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29127653/development-of-a-3d-workspace-shoulder-assessment-tool-incorporating-electromyography-and-an-inertial-measurement-unit-a-preliminary-study
#5
Navid Aslani, Siamak Noroozi, Philip Davenport, Richard Hartley, Mihai Dupac, Philip Sewell
Traditional shoulder range of movement (ROM) measurement tools suffer from inaccuracy or from long experimental setup times. Recently, it has been demonstrated that relatively low-cost wearable inertial measurement unit (IMU) sensors can overcome many of the limitations of traditional motion tracking systems. The aim of this study is to develop and evaluate a single IMU combined with an electromyography (EMG) sensor to monitor the 3D reachable workspace with simultaneous measurement of deltoid muscle activity across the shoulder ROM...
November 11, 2017: Medical & Biological Engineering & Computing
https://www.readbyqxmd.com/read/29094212/review-of-diabetic-frozen-shoulder
#6
REVIEW
C Whelton, C A Peach
Frozen shoulder is a painful debilitating condition which can be diagnosed clinically. It is a condition of chronic inflammation and proliferative fibrosis resulting in painful limitation of shoulder movements with classical clinical signs. Diabetic patients are more likely to develop the disease and more likely to require operative management. Diabetic frozen shoulder is a difficult condition to manage, and the clinician must strike a balance between improving range of movement and treating pain, but not over-treating what is an essentially self-resolving condition...
November 1, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29055660/back-hand-approach-to-radial-access-the-snuff-box-approach
#7
Rhian E Davies, Ian C Gilchrist
Transradial access is becoming the default strategy for routine coronary procedures, but there is still room for improvement. For instance, left radial access is known to offer some advantages for graft cases, less tortuosity, amongst other potential benefits. The downside has been the applicability of this access point on patients with a larger body mass index both from the viewpoint of the patient and the operator. The patient must lay with their arm in a supine position and the operator as a result must stand in a flexed position for an unknown period of time...
September 1, 2017: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29054030/measurement-of-strain-and-tensile-force-of-the-supraspinatus-tendon-under-conditions-that-simulates-low-angle-isometric-elevation-of-the-gleno-humeral-joint-influence-of-adduction-torque-and-joint-positioning
#8
Hiroki Miyamoto, Mitsuhiro Aoki, Egi Hidaka, Mineko Fujimiya, Eiichi Uchiyama
BACKGROUND: Recently, supraspinatus muscle exercise has been reported to treat rotator cuff disease and to recover shoulder function. However, there have been no report on the direct measurement of strain on the supraspinatus tendon during simulated isometric gleno-humeral joint elevation. METHODS: Ten fresh-frozen shoulder specimens with the rotator cuff complex left intact were used as experimental models. Isometric gleno-humeral joint elevation in a sitting position was reproduced with low angle of step-by-step elevation in the scapular plane and strain was measured on the surface layer of the supraspinatus tendon...
October 13, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/29037822/how-does-level-and-type-of-experience-affect-measurement-of-joint-range-of-motion
#9
Russell R Russo, Matthew B Burn, Sabir K Ismaily, Brayden J Gerrie, Shuyang Han, Jerry Alexander, Christopher Lenherr, Philip C Noble, Joshua D Harris, Patrick C McCulloch
OBJECTIVES: Comparison of range of motion measurements by 3 types of investigators with different levels and types of training using three different measurement techniques. The study hypothesis was that the accuracy and precision of range of motion measurements would vary based on (1) the level and type of experience of the investigator and (2) the measurement technique used. DESIGN/SETTING: Descriptive laboratory study. PARTICIPANTS: Ten fresh frozen cadavers (20 upper and 20 lower extremities)...
October 13, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29037627/does-ultrasound-therapy-add-to-the-effects-of-exercise-and-mobilization-in-frozen-shoulder-a-pilot-randomized-double-blind-clinical-trial
#10
Safoora Ebadi, Bijan Forogh, Ehsan Fallah, Arash Babaei Ghazani
OBJECTIVE: This study intended to determine the extent to which Ultrasound could add to the effects of exercise and manual therapy in the rehabilitation treatment of primary adhesive capsulitis. DESIGN: A pilot double blind randomized clinical trial was carried out on 50 patients suffering from primary adhesive capsulitis. Intervention included continuous 3 MHz, 1.5 w/cm(2) Ultrasound, applied for the first group and sham Ultrasound for the second group. In addition specific stretching and strengthening exercises as well as glenohumeral joint mobilization were delivered to both groups...
October 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/29020962/manipulation-under-anesthesia-versus-physiotherapy-treatment-in-stage-two-of-a-frozen-shoulder-a-study-protocol-for-a-randomized-controlled-trial
#11
Tim Kraal, Bertram The, Ronald Boer, M P van den Borne, Koen Koenraadt, Pjotr Goossens, Denise Eygendaal
BACKGROUND: There is no consensus about the optimal treatment strategy for frozen shoulders (FS). Conservative treatment consisting of intra-articular corticosteroid infiltrations and physiotherapy are considered appropriate for most patients. However, with a conservative strategy, patients experience a prolonged rehabilitation period with a considerable amount of pain and disabilities in daily life. Also, at long term, a residual amount of pain and restriction of range of motion is frequently reported...
October 11, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29018641/prevalence-and-determinants-of-frozen-shoulder-in-patients-with-diabetes-a-single-center-experience-from-pakistan
#12
Faisal Inayat, Nouman Safdar Ali, Haroon Shahid, Fariha Younus
Introduction Frozen shoulder (FS) or adhesive capsulitis is a constellation of symptoms like pain, stiffness, and/or functional deficit at the glenohumeral joint. It is one of the musculoskeletal complications in patients with diabetes that can be particularly debilitating. The aim of this study is to estimate the prevalence of FS and to compare the determinants of this disease in a population with diabetes from Lahore, Pakistan. Materials and Methods We carried out this cross-sectional study on a systematically randomized sample of 80 patients with diabetes...
August 6, 2017: Curēus
https://www.readbyqxmd.com/read/28980784/-adhesive-capsulitis-of-the-shoulder-update-2017
#13
Pierre-Alain Buchard, Cyrille Burrus, François Luthi, Nicolas Theumann, Nicolas Riand, Michel Konzelmann
A century and a half after its first description, adhesive capsulitis (frozen shoulder) has revealed only part of its secrets. Its definition remains clinical since the imaging technology we have at our dis-posal is insufficiently sensitive and specific. Next to its idiopathic form, the most frequent and the most characteristic, there are numerous situations inducing a functional limitation of the glenohumeral joint and of its environment. The clinical course inexorably takes place in one to two years, and develops in 3 phases where successively pain, retraction, and then recovery, as a rule complete recovery, dominate...
October 4, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28944902/rna%C3%A2-sequence-analysis-of-samples-from-patients-with-idiopathic-adhesive-capsulitis
#14
Jiaming Cui, Tongda Zhang, Jianyi Xiong, Wei Lu, Li Duan, Weimin Zhu, Daping Wang
The present study aimed to investigate idiopathic adhesive capsulitis (frozen shoulder), to gain insights on its pathogenesis, diagnosis and therapeutic targets. Using RNA‑sequencing (seq), the present study investigated differentially expressed genes (DEGs) in five samples from five idiopathic adhesive capsulitis patients and two samples from two acromioclavicular dislocation patients, without idiopathic adhesive capsulitis. The DEGs were analyzed using the following tools: Gene Ontology enrichment analysis, Kyoto Encyclopedia of Genes and Genomes pathways analysis and protein‑protein interaction analysis...
November 2017: Molecular Medicine Reports
https://www.readbyqxmd.com/read/28932287/the-effectiveness-of-ultrasound-guided-hydrodistension-and-physiotherapy-in-the-treatment-of-frozen-shoulder-adhesive-capsulitis-in-primary-care-a-single-centre-service-evaluation
#15
Michael Bryant, Andrew Gough, James Selfe, Jim Richards, Elizabeth Burgess
BACKGROUND: Evidence for optimal non-operative treatment of frozen shoulder is lacking. The present study aimed to evaluate a treatment strategy for stage II to III frozen shoulder provided by the current primary care musculoskeletal service. METHODS: General practioner referrals of shoulder pain to the musculoskeletal service diagnosed with stage II to III frozen shoulder and who opted for a treatment strategy of hydrodistension and guided physiotherapy exercise programme over a 12-month period were evaluated for 6 months...
October 2017: Shoulder & Elbow
https://www.readbyqxmd.com/read/28932282/management-of-post-traumatic-stiffness-of-the-shoulder-following-upper-limb-trauma-with-manipulation-under-anaesthetic
#16
Sarah T Lancaster, Thomas N Grove, David A Woods
BACKGROUND: A proportion of patients who sustain upper limb fractures develop post-traumatic stiffness (PTS), which may progress in a similar way to primary frozen shoulder (PFS). We have had success in treating PFS with manipulation under anaesthetic (MUA) and therefore treated PTS using MUA. Oxford Shoulder Scores (OSS), range of motion (ROM) data pre- and post-MUA, and the need for repeat procedure were compared. METHODS: Sixty-four patients with PTS following an upper limb fracture, unresponsive to conservative measures, were seen between 1 January 1999 and 1 November 2015...
October 2017: Shoulder & Elbow
https://www.readbyqxmd.com/read/28899826/comparative-efficacy-of-intra-articular-steroid-injection-and-distension-in-patients-with-frozen-shoulder-a-systematic-review-and-network-meta-analysis
#17
REVIEW
Meng-Ting Lin, Ming-Yen Hsiao, Yu-Kang Tu, Tyng-Guey Wang
OBJECTIVE: To compare the efficacy of intra-articular (IA) steroid injection and distension in patients with frozen shoulder. DATA SOURCES: Databases, including MEDLINE (via PubMed), EMBASE, Scopus and Cochrane Library, were searched for studies published up to November 2016. STUDY SELECTION: We included all published randomized controlled trials (RCTs), quasi-experimental studies and observational studies investigating the effectiveness of IA steroid injection, distension and physiotherapy in patients with frozen shoulder...
September 9, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28874727/effectiveness-of-glenohumeral-joint-dilatation-for-treatment-of-frozen-shoulder-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#18
Wei-Ting Wu, Ke-Vin Chang, Der-Sheng Han, Chung-Hsun Chang, Fu-Sui Yang, Chih-Peng Lin
The objective was to explore the effectiveness of glenohumeral joint distension for the treatment of frozen shoulder. We searched electronic data sources including PubMed, Scopus, and Embase from the earliest records available to February 2017. Eleven randomized controlled trials including at least one pair of comparisons between capsular distension and a reference treatment were included, comprising 747 participants. Patients' characteristics, details of reference treatments, aspects of capsular distension therapy, and outcome measurement were evaluated at three points in time: baseline, early following intervention, and at the trial's end...
September 5, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28865441/predicting-outcome-in-frozen-shoulder-shoulder-capsulitis-in-presence-of-comorbidity-as-measured-with-subjective-health-complaints-and-neuroticism
#19
Satya Pal Sharma, Rolf Moe-Nilssen, Alice Kvåle, Anders Bærheim
BACKGROUND: There is a substantive lack of knowledge about comorbidity in patients with frozen shoulder. The aim of this study was to investigate whether subjective health complaints and Neuroticism would predict treatment outcome in patients diagnosed with frozen shoulder as measured by the Shoulder Pain and Disability Index (SPADI) and change in SPADI. METHODS: A total of 105 patients with frozen shoulder were recruited for a randomised controlled trial, where 69 were in the intervention group and received intraarticular corticosteroid injections and 36 patients served as control group...
September 2, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28838704/contact-pressure-of-the-coracoacromial-arch-in-shoulders-with-joint-contracture-a-cadaveric-study
#20
Yuki Shiota, Nobuyuki Yamamoto, Jun Kawakami, Hideaki Nagamoto, Takayuki Muraki, Kazuo Kaneko, Eiji Itoi
BACKGROUNDS: There have been many reports describing that the capsular fibrosis of the shoulder joint is the main cause of frozen shoulder, whereas others reported the significance of subacromial impingement as an etiological factor. The purpose of this study was to investigate the contact pressure between the coracoacromial arch and the rotator cuff tendons to clarify the contact phenomenon in shoulders with joint contracture. METHODS: Fourteen fresh-frozen cadaveric shoulders were used...
August 21, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
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