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Scapular evaluation

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https://www.readbyqxmd.com/read/28088244/study-of-the-variability-of-scapular-inclination-and-the-glenoid-version-considerations-for-preoperative-planning-clinical-radiological-study
#1
Petr Fulin, Martin Kysilko, David Pokorny, Radek Padr, Nikola Kasprikova, Ivan Landor, Antonin Sosna
BACKGROUND: Preoperative planning with the aid of imaging methods is a principal factor in successful surgery on the shoulder. This work aims to evaluate the variability of glenoid version, spiralling twist and scapular inclination in relation to the frontal axis. Studies focusing on measuring the variability of scapular inclination in the standardised rest position are lacking in the literature. METHODS: We evaluated 104 CT scans of the shoulder. We measured the glenoid version with respect to the scapular axis at three levels...
January 14, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28065645/mandibular-reconstruction-with-vascularised-bone-flaps-a-systematic-review-over-25-years
#2
REVIEW
J S Brown, D Lowe, A Kanatas, A Schache
To explore the techniques for mandibular reconstruction with composite free flaps and their outcomes, we systematically reviewed reports published between 1990 and 2015. A total of 9499 mandibular defects were reconstructed with 6178 fibular, 1380 iliac crest, 1127 composite radial, 709 scapular, 63 serratus anterior and rib, 32 metatarsal, and 10 lateral arm flaps including humerus. The failure rate was higher for the iliac crest (6.2%, 66/1059) than for fibular, radial, and scapular flaps combined (3.4%, 202/6018) (p<0...
January 5, 2017: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/28062098/midshaft-clavicle-fractures-with-associated-ipsilateral-acromioclavicular-joint-dislocations-incidence-and-risk-factors
#3
Christina Ottomeyer, Benjamin C Taylor, Mark Isaacson, Lara Martinez, Pierce Ebaugh, Bruce G French
INTRODUCTION: Simultaneous ipsilateral clavicle and acromioclavicular (AC) joint injury have been infrequently reported in the literature at this time. The purpose of this study was to assess incidence as well as assess risk factors for this dual injury pattern. METHODS: We performed a retrospective review of a prospectively collected database (Level III evidence), evaluating 383 adult patients without previous shoulder girdle injury or trauma with a minimum 1-year follow-up who sustained a displaced diaphyseal clavicle fracture...
December 28, 2016: Injury
https://www.readbyqxmd.com/read/28032029/evaluation-and-treatment-of-internal-impingement-of-the-shoulder-in-overhead-athletes
#4
REVIEW
Keith T Corpus, Christopher L Camp, David M Dines, David W Altchek, Joshua S Dines
One of the most common pathologic processes seen in overhead throwing athletes is posterior shoulder pain resulting from internal impingement. "Internal impingement" is a term used to describe a constellation of symptoms which result from the greater tuberosity of the humerus and the articular surface of the rotator cuff abutting the posterosuperior glenoid when the shoulder is in an abducted and externally rotated position. The pathophysiology in symptomatic internal impingement is multifactorial, involving physiologic shoulder remodeling, posterior capsular contracture, and scapular dyskinesis...
December 18, 2016: World Journal of Orthopedics
https://www.readbyqxmd.com/read/28006862/neuromuscular-ultrasound-for-evaluation-of-scapular-winging
#5
REVIEW
Monika Krzesniak-Swinarska, James B Caress, Michael S Cartwright
INTRODUCTION: Clinicians who treat nerve and muscle disorders may be asked to evaluate patients who have unilateral or bilateral scapular winging. Traditionally, this evaluation has relied upon a thorough history, physical examination, and electrodiagnostic testing to localize the cause of winging and detect the underlying neuromuscular pathology. Neuromuscular ultrasound has emerged as a non-invasive technique that can be used for structural evaluation of nerve and muscle abnormalities...
December 22, 2016: Muscle & Nerve
https://www.readbyqxmd.com/read/27942108/effects-of-scapular-stability-exercise-on-shoulder-stability-and-rehabilitative-ultrasound-images-in-office-workers
#6
Seong-Uk Go, Byoung-Hee Lee
[Purpose] To examine the clinical effectiveness of scapular stability exercise on shoulder stability and rehabilitative ultrasound images in office workers. [Subjects and Methods] Thirty-eight subjects were randomly divided into a scapular stability exercise group (n=19) and a manual therapy group (n=19). Subjects in the scapular stability exercise group performed a scapular stability exercise designed to correct the abnormal location of the scapula, at 40 minutes per session, two times per week, for 6 weeks...
November 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27916706/the-influence-of-test-positions-on-clinical-assessment-for-scapular-dyskinesis
#7
Simin Deng, Kang Chen, Yanhong Ma, Juan Chen, Mi Huang
BACKGROUND: Appropriate evaluation of scapular dyskinesis is essential for therapeutic strategies. Although the current visual-based assessment is rapid and practical, the reliability of this method is unsatisfactory. It is necessary to adequately understand the conditions of assessment to maximize the benefit of therapeutic interventions. OBJECTIVE: To explore the influence of different test positions on clinical assessment for scapular dyskinesis. DESIGN: Observational study...
December 1, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27908458/inter-rater-reliability-of-shoulder-measurements-in-middle-aged-women
#8
A De Groef, M Van Kampen, N Vervloesem, E Clabau, M-R Christiaens, P Neven, I Geraerts, F Struyf, N Devoogdt
OBJECTIVES: To investigate inter-rater reliability of a set of shoulder measurements including inclinometry [shoulder range of motion (ROM)], acromion-table distance and pectoralis minor muscle length (static scapular positioning), upward rotation with two inclinometers (scapular kinematics) and pain pressure thresholds (muscle tenderness) in middle-aged women. DESIGN: Observational study. PARTICIPANTS: Thirty symptom-free middle-aged women (first cohort) were measured by two raters...
July 20, 2016: Physiotherapy
https://www.readbyqxmd.com/read/27900708/can-posterior-capsular-stretching-rehabilitation-protocol-change-scapula-kinematics-in-asymptomatic-baseball-pitchers
#9
A Pellegrini, P Tonino, D Salazar, K Hendrix, I Parel, A Cutti, P Paladini, F Ceccarelli, G Porcellini
PURPOSE: Scapular dyskinesis is a recognized cause of shoulder pain in the throwing shoulder of baseball pitchers and athletes who participate in overhead sports. Past studies have assessed scapular kinematics using electromagnetic tracking devices and have shown a correlation between posterior shoulder tightness and forward scapular posture. The purpose of our study is to evaluate the scapular kinematics, before and after a 4-week posterior stretching protocol in asymptomatic pitchers...
December 2016: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/27900271/prosthetic-design-of-reverse-shoulder-arthroplasty-contributes-to-scapular-notching-and-instability
#10
Gazi Huri, Filippo Familiari, Nima Salari, Steve A Petersen, Mahmut Nedim Doral, Edward G McFarland
AIM: To evaluate whether implant design, glenoid positioning, and other factors influenced instability and scapular notching in reverse total shoulder arthroplasty. METHODS: We retrospectively reviewed records of patients who had undergone reverse total shoulder arthroplasty by the senior author from July 2004 through October 2011 and who had at least 24 mo of follow-up. The 58 patients who met the criteria had 65 arthroplasties: 18 with a Grammont-type prosthesis (Grammont group) and 47 with a lateral-based prosthesis (lateral-design group)...
November 18, 2016: World Journal of Orthopedics
https://www.readbyqxmd.com/read/27887871/radiographic-results-of-augmented-all-polyethylene-glenoids-in-the-presence-of-posterior-glenoid-bone-loss-during-total-shoulder-arthroplasty
#11
Scott P Stephens, Edwin E Spencer, Michael A Wirth
BACKGROUND: Chronic osteoarthritis can result in glenohumeral subluxation and loss of posterior glenoid bone. This can alter normal glenohumeral biomechanics and affect the stress placed on the glenoid implant after total shoulder arthroplasty. This study evaluated the clinical and radiographic results of an augmented all-polyethylene glenoid for the treatment of glenoid osteoarthritis in the presence of posterior glenoid bone loss and determined whether any failures or complications occurred with short-term follow-up...
November 22, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27858226/conversions-from-anatomic-shoulder-replacements-to-reverse-total-shoulder-arthroplasty-do-the-indications-for-initial-surgery-influence-the-clinical-outcome-after-revision-surgery
#12
Malte Holschen, Bastian Franetzki, Kai-Axel Witt, Dennis Liem, Jörn Steinbeck
INTRODUCTION: The most frequent indications for anatomic shoulder replacement are glenohumeral osteoarthritis and fractures of the humeral head. If anatomic shoulder prostheses fail, reverse total shoulder arthroplasty is often the only remaining treatment option. This study evaluates the influence of indications for primary shoulder arthroplasty on the clinical outcome after conversion to reverse total shoulder arthroplasty. MATERIALS AND METHODS: From 2010 to 2012, 44 failed shoulder arthroplasties were converted to reverse total shoulder arthroplasty...
November 17, 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27855670/influence-of-disruption-of-the-acromioclavicular-and-coracoclavicular-ligaments-on-glenohumeral-motion-a-kinematic-evaluation
#13
Kempland C Walley, Babak Haghpanah, Andreas Hingsammer, Ethan R Harlow, Ashkan Vaziri, Joseph P DeAngelis, Ara Nazarian, Arun J Ramappa
BACKGROUND: Changes to the integrity of the acromioclavicular (AC) joint impact scapulothoracic and clavicular kinematics. AC ligaments provide anterior-posterior stability, while the coracoclavicular (CC) ligaments provide superior-inferior stability and a restraint to scapular internal rotation. The purpose of this cadaveric study was to describe the effect of sequential AC and CC sectioning on glenohumeral (GH) kinematics during abduction (ABD) of the arm. We hypothesized that complete AC ligament insult would result in altered GH translation in the anterior-posterior plane during abduction, while subsequent sectioning of both CC ligaments would result in an increasing inferior shift in GH translation...
November 17, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27830880/a-quantitative-study-of-the-arrangement-of-the-suprascapular-nerve-and-vessels-in-the-suprascapular-notch-region-new-findings-based-on-parametric-analysis
#14
H Jezierski, G Wysiadecki, M Sibiński, A Borowski, M Podgórski, M Topol, M Polguj
BACKGROUND: When closed by the superior transverse scapular ligament (STSL), the suprascapular notch (SSN) creates an osseo-fibrous tunnel which acts as a pathway for the suprascapular nerve (SN). Anatomical variations are common in this region, and these can increase the risk of neuropathy by restricting the space for nerve passage. The aim of this study is to identify any correlation between the area reduction coefficient parameters and the SN and vessel arrangements in the SSN region...
2016: Folia Morphologica (Warsz)
https://www.readbyqxmd.com/read/27822642/bone-age-estimation-based-on-multislice-computed-tomography-study-of-the-scapula
#15
Florence Nougarolis, Fatima-Zohra Mokrane, Nicolas Sans, Hervé Rousseau, Fabrice Dedouit, Norbert Telmon
Progress in medical imaging has opened new areas of research in forensic anthropology, especially in the context of the study of bone age assessment. The study of bone age has become a useful tool for age estimation at death or age of young adult migrants in an anthropological context. We retrospectively evaluated multislice computed tomography (MSCT) explorations focused on scapulae of 232 individuals (123 males; 109 females) aged between 8 and 30 years old. Computed tomography (CT) scans were viewed in axial and multiplanar reconstructed images using OsiriX 5...
November 7, 2016: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/27822004/the-morphometric-anatomy-of-the-delto-fulcral-triangle-a-3d-ct-based-reconstruction-study
#16
N Naidoo, L Lazarus, K S Satyapal, L De Wilde, A Van Tongel
This study introduced the new delto-fulcral triangle (DFT), the first anatomical model of its kind. As seen from the orthopaedician's supraspinatus-outlet view, the antero-superior point of the coracoid process along with the lateral- and posterior-most acromial landmarks form the boundaries of the DFT. Since these osseous scapular landmarks accounted for both dynamic and static stabilisers of the glenohumeral joint, knowledge of the anatomical features of the DFT may prove beneficial to the orthopaedic surgeon...
March 2017: Journal of Orthopaedics
https://www.readbyqxmd.com/read/27807112/reverse-total-shoulder-arthroplasty-without-bone-grafting-for-severe-glenoid-bone-loss-in-patients-with-osteoarthritis-and-intact-rotator-cuff
#17
Edward G McFarland, Gazi Huri, Yoon Suk Hyun, Steve A Petersen, Uma Srikumaran
BACKGROUND: Treating shoulders with osteoarthritis, an intact rotator cuff, and substantial glenoid bone loss is challenging. One option is reaming the glenoid flat and inserting a reverse prosthesis. This study reports the subjective, objective, and radiographic results of reverse total shoulder arthroplasty (RTSA) in this population. METHODS: We retrospectively reviewed 42 consecutive patients (23 women; mean age, 71 years [range, 53 to 89 years]) with primary glenohumeral osteoarthritis, intact rotator cuffs, and Walch type-A2 (n = 19), B2 (n = 5), or C glenoids (n = 18) who had undergone a total of 42 RTSAs with glenoid reaming without bone-grafting between 2008 and 2013 (mean follow-up, 36 months [range, 24 to 66 months])...
November 2, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27799716/the-effects-of-wall-slide-and-sling-slide-exercises-on-scapular-alignment-and-pain-in-subjects-with-scapular-downward-rotation
#18
Tae-Ho Kim, Jin-Yong Lim
[Purpose] The present study was performed to evaluate the changes in the scapular alignment, pressure pain threshold and pain in subjects with scapular downward rotation after 4 weeks of wall slide exercise or sling slide exercise. [Subjects and Methods] Twenty-two subjects with scapular downward rotation participated in this study. The alignment of the scapula was measured using radiographic analysis (X-ray). Pain and pressure pain threshold were assessed using visual analogue scale and digital algometer. Patients were assessed before and after a 4 weeks of exercise...
September 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27787465/influence-of-scapular-position-on-the-core-musculature-activation-in-the-prone-plank-exercise
#19
Juan M Cortell-Tormo, Miguel García-Jaén, Iván Chulvi-Medrano, Sergio Hernández-Sánchez, Ángel G Lucas-Cuevas, Juan Tortosa-Martínez
Prone plank is a widely used exercise in core stability training. Research has shown that pelvic tilt plays an important role on the electromyographical (EMG) activation of core musculature. However, the influence of scapular position on EMG activation is currently unknown. Therefore, this study evaluated the influence of scapular position on the core muscles during a prone plank. Surface electromyography of the rectus abdominis (RA), external oblique (EO), internal oblique (IO) and erector spinae (ES) was collected in fifteen participants (10 men, 5 women)...
October 26, 2016: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/27780619/elastofibroma-dorsi-clinical-evaluation-of-61-cases-and-review-of-the-literature
#20
Mehmet Ali Deveci, Hilmi Serdar Özbarlas, Kıvılcım Eren Erdoğan, Ömer Sunkar Biçer, Mustafa Tekin, Cenk Özkan
OBJECTIVE: Elastofibroma dorsi (ED) is a rare, benign, soft tissue tumor typically located between inferior corner of scapula and posterior chest wall causing mass, scapular snapping, and pain. When classic symptoms and localization are present, it is diagnosed without biopsy and treated with marginal resection. This study retrospectively analyzed patients operated on for ED to evaluate presenting symptoms, tumor size, complications, and clinical results, and to suggest optimal treatments...
October 22, 2016: Acta Orthopaedica et Traumatologica Turcica
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