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Scapular evaluation

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https://www.readbyqxmd.com/read/28818450/development-and-delivery-of-a-physiotherapist-led-exercise-intervention-in-a-randomised-controlled-trial-for-subacromial-impingement-syndrome-the-support-trial
#1
Kay Stevenson, Sue Jackson, Julie Shufflebotham, Edward Roddy, Nadine E Foster
PURPOSE: This paper describes the development, content and delivery of a physiotherapist- led individualised, supervised and progressed exercise programme for use in a factorial randomised controlled trial testing treatments for subacromial impingement syndrome. METHODS: To develop the intervention, a survey of community physiotherapists and national guidelines provided the basis for a consensus workshop through which a protocol was developed for the SUPPORT trial physiotherapist-led exercise programme (SUPPORT: SUbacromial impingement syndrome and Pain: a randomised controlled trial Of exeRcise and injection)...
March 24, 2017: Physiotherapy
https://www.readbyqxmd.com/read/28808757/ct-guided-percutaneous-trans-scapular-lung-biopsy-in-the-diagnosis-of-peripheral-pulmonary-lesion-nodules-of-the-superior-lobes-using-large-needles
#2
Alberto Rebonato, Daniele Maiettini, Marco Andolfi, Matthias J Fischer, Jacopo Vannucci, Giulio Metro, Antonio Basile, Michele Rossi, Michele Duranti
PURPOSE: CT-guided percutaneous transthoracic lung needle biopsy (PLB) is an effective procedure for obtaining cyto-histological diagnoses of peripheral lesions. However, upper postero-lateral lung nodules (UPLN) may be difficult to reach using a standard intercostal either anterior or lateral approach or when the nodule is just behind a rib or scapula. We evaluated the feasibility and effectiveness of trans-scapular approach (tPLB) in these patients using large-core needles. METHODS: We retrospectively collected the data of 11 consecutive patients (mean age 74...
August 14, 2017: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/28806093/critical-shoulder-angle-and-acromial-index-do-not-influence-24-month-functional-outcome-after-arthroscopic-rotator-cuff-repair
#3
Merrill Lee, Jerry Yongqian Chen, Ming Han Lincoln Liow, Hwei Chi Chong, Paul Chang, Denny Lie
BACKGROUND: Recent studies have shown a correlation between scapular geometry and the development of atraumatic rotator cuff tears. However, a paucity of literature is available on the effects of critical shoulder angle (CSA) and acromial index (AI) on functional outcomes after arthroscopic rotator cuff repair. Hypothesis/Purpose: The purpose was to investigate the influence of CSA and AI on 24-month functional outcomes after arthroscopic rotator cuff repair. The hypothesis was that a larger CSA or AI would result in poorer postoperative outcomes...
August 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28796543/metal-artifact-reduction-for-orthopedic-implants-o-mar-usefulness-in-ct-evaluation-of-reverse-total-shoulder-arthroplasty
#4
Euddeum Shim, Yusuhn Kang, Joong Mo Ahn, Eugene Lee, Joon Woo Lee, Joo Han Oh, Heung Sik Kang
OBJECTIVE: The objective of this study is to evaluate the effect of the metal artifact reduction algorithm for orthopedic implants (O-MAR) on CT image quality for patients with reverse total shoulder arthroplasty (RTSA), with emphasis placed on the evaluation of bone in the vicinity of prostheses. MATERIALS AND METHODS: Sixty-five patients who underwent CT scanning after RTSA were enrolled in the study. Two radiologists analyzed the images reconstructed with filtered back projection (FBP) with or without O-MAR processing...
August 10, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28795016/malignant-pilomatricoma-in-a-dog-with-local-and-distant-metastases-treated-with-chemotherapy-and-bisphosphonates
#5
Elisabetta Treggiari, James W Elliott
A ten-year-old male neutered cross breed dog presented for evaluation of a mass associated with the left scapular bone, identified as a carcinoma. The dog had a malignant pilomatricoma removed from the left lateral thigh 6 months earlier. Histopathology review of the cutaneous and scapular mass identified the same tumour type, confirming metastatic disease; additional metastases to the inguinal lymph node, liver and lungs were identified. Chemotherapy resulted in partial responses/stable disease of very short duration...
2017: Open veterinary journal
https://www.readbyqxmd.com/read/28782311/myotonic-dystrophy-type-1-clinical-electrophysiological-and-molecular-characterization-experience-at-tertiary-care-centre
#6
Satish Khadilkar, Kamlesh Jagiasi, Jayendra Yadav, Sushant V Chavan, Girish Soni, Bhagyadhan Patel
OBJECTIVE: Myotonic dystrophy type 1 (DM1) is the most common myotonic disorder. Molecular genetic testing of the Dystrophia Myotonica-Protein Kinase DMPK gene to detect expansion of CTG repeats is confirmatory. TP-PCR (Triplet Primed-Polymerase Chain Reaction) is rapid and effective screening for the CTG repeat expansions in myotonic dystrophy. Indian data regarding clinical and genetic evaluation of DM1 are sparse. MATERIAL AND METHODS: This was a prospective observational study at a tertiary neurology centre...
June 2017: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/28781978/a-prospective-quantitative-evaluation-of-fatty-infiltration-before-and-after-rotator-cuff-repair
#7
Drew A Lansdown, Sonia Lee, Craig Sam, Roland Krug, Brian T Feeley, C Benjamin Ma
BACKGROUND: Current evaluation of muscle fatty infiltration has been limited by subjective classifications. Quantitative fat evaluation through magnetic resonance imaging (MRI) may allow for an improved longitudinal evaluation of the effect of surgical repair on the progression of fatty infiltration. HYPOTHESES: We hypothesized that (1) patients with isolated full-thickness supraspinatus tendon tears would have less progression in fatty infiltration compared with patients with full-thickness tears of multiple tendons and (2) patients with eventual failed repair would have higher baseline levels of fatty infiltration...
July 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28770311/mr-neurography-mrn-of-the-long-thoracic-nerve-retrospective-review-of-clinical-findings-and-imaging-results-at-our-institution-over-4%C3%A2-years
#8
Swati Deshmukh, Laura M Fayad, Shivani Ahlawat
OBJECTIVE: Long thoracic nerve (LTN) injury can result in ipsilateral serratus anterior palsy and scapular winging. Traditional means of evaluating patients with suspected LTN injury include physical examination and electrodiagnostic studies. The purpose of our study is to describe high-resolution magnetic resonance (MR) findings in patients with clinical suspicion of LTN neuropathy. METHODS: In this HIPAA-compliant, IRB-approved, retrospective study, two radiologists reviewed MR imaging performed for long thoracic neuropathy...
August 2, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28763415/clinical-and-radiographic-outcomes-of-the-ream-and-run-procedure-for-primary-glenohumeral-arthritis
#9
Jeremy S Somerson, Moni B Neradilek, Benjamin C Service, Jason E Hsu, Stacy M Russ, Frederick A Matsen
BACKGROUND: The ream-and-run procedure can provide improvement in shoulder function and comfort for selected patients with primary glenohumeral arthritis who wish to avoid a prosthetic glenoid component. The purpose of this study was to evaluate factors associated with medialization of the humeral head after this procedure as well as the relationship of medialization to the clinical outcome. METHODS: We collected patient, shoulder, and procedure characteristics along with Simple Shoulder Test (SST) scores before surgery and at the time of follow-up...
August 2, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28756509/glenohumeral-and-scapulohumeral-kinematic-analysis-of-patients-with-traumatic-anterior-instability-wearing-a-shoulder-brace-a-prospective-laboratory-study
#10
F Dellabiancia, I Parel, M V Filippi, G Porcellini, G Merolla
PURPOSE: To assess the effectiveness of a novel glenohumeral joint immobilizer, the S2 Shoulder Stabilizer(®), by evaluating shoulder kinematics with a stereophotogrammetry system. METHODS: Participants in this prospective laboratory study were recruited from patients with anterior traumatic instability awaiting arthroscopic glenohumeral stabilization. Glenohumeral and scapulohumeral kinematic data (arm abduction-adduction and internal-external rotation, and scapular pronation-retraction and mediolateral rotation) were collected twice, without and with the brace, using a VICON™ motion capture system, and processed with MATLAB(®) software...
July 29, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28750976/scapular-dyskinesis-among-competitive-swimmers
#11
Maayan Bussiba Maor, Tatyana Ronin, Leonid Kalichman
AIM: To evaluate the prevalence of scapular dyskinesis (SD) in competitive swimmers during training sessions. METHODS: Repeated measurement observational study.20 young competitive swimmers were filmed before, at midpoint and at the end of a training session, performing shoulder flexion and abduction. SD was examined separately by two assessors. Demographic and Quick Disabilities of the Arm, Shoulder, and Hand questionnaires were collected. RESULTS: SD was observed in 30% of the swimmers before training, in 70%, an hour later, and in 80%, upon completion of the training session...
July 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/28749966/intrarater-and-interrater-reliability-of-three-classifications-for-scapular-dyskinesis-in-athletes
#12
Denise Martineli Rossi, Cristiane Rodrigues Pedroni, Jaqueline Martins, Anamaria Siriani de Oliveira
Clinical evaluation of scapular dyskinesis (SD) aims to identify abnormal scapulothoracic movement, underlying causal factors, and the potential relationship with shoulder symptoms. The literature proposes different methods of dynamic clinical evaluation of SD, but improved reliability and agreement values are needed. The present study aimed to evaluate the intrarater and interrater agreement and reliability of three SD classifications: 1) 4-type classification, 2) Yes/No classification, and 3) scapular dyskinesis test (SDT)...
2017: PloS One
https://www.readbyqxmd.com/read/28747702/movement-pattern-of-scapular-dyskinesis-in-symptomatic-overhead-athletes
#13
Tsun-Shun Huang, Jiu-Jenq Lin, Hsiang-Ling Ou, Yu-Ting Chen
This study investigated the characteristics of arm elevation via principal component analysis in symptomatic overhead athletes with scapular dyskinesis. One hundred-thirty-four overhead athletes with scapular dyskinesis [24: inferior angle prominence (pattern I); 46: medial border prominence (pattern II), 64: pattern I + II] were evaluated by three-dimensional electromagnetic motion and electromyography to record the scapular kinematics (upward rotation/posterior tipping/exterior rotation) and muscle activation (upper trapezius: UT; middle trapezius: MT; lower trapezius: LT; serratus anterior: SA) during lowering phase of arm elevation...
July 26, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28739298/guidelines-for-humeral-subluxation-cutoff-values-a-comparative-study-between-conventional-reoriented-and-three-dimensional-computed-tomography-scans-of-healthy-shoulders
#14
Matthijs Jacxsens, Michael R Karns, Heath B Henninger, Alex J Drew, Alexander Van Tongel, Lieven De Wilde
BACKGROUND: The humeral subluxation index (HSI) is frequently assessed on computed tomography (CT) scans in conditions of the shoulder characterized by humeral displacement. An arbitrarily set HSI cutoff value of 45% for anterior subluxation and 55% for posterior subluxation has been widely accepted. We studied whether mean values and thresholds of humeral subluxation, in relation to the glenoid and scapula, were influenced by different imaging modalities. METHODS: The HSIs referenced to the scapula (SHSI) and glenoid (GHSI) were compared between conventional CT scans, CT scans reoriented into the corresponding reference plane (ie, scapular plane for the SHSI and glenoid center plane for the GHSI), and 3-dimensional (3D) CT reconstructions of 120 healthy shoulders...
July 21, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28717378/evaluation-of-shoulder-girdle-strength-more-than-12-month-after-modified-radical-mastectomy-and-axillary-nodes-dissection
#15
Mahdieh Akoochakian, Heidar Ali Davari, Mohammad Hossein Alizadeh, Nader Rahnama
BACKGROUND: Muscle strength is necessary for upper body normal function. Upper extremity function impairments have been reported in breast cancer (BC) survivors. It is not possible to know precisely if cancer adjuvant therapy such as radiation and chemotherapy had any effect on the unaffected arm. The aim of this study was to compare shoulder girdle strength among women with BC and similarly aged women without cancer. MATERIALS AND METHODS: Thirty-three postmenopausal women (51 ± 6...
2017: Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences
https://www.readbyqxmd.com/read/28714759/effects-of-rigid-and-kinesio-taping-on-shoulder-rotation-motions-posterior-shoulder-tightness-and-posture-in-asymptomatic-overhead-athletes-a-randomized-controlled-trial
#16
Damla Gulpinar, Sibel Tekeli Ozer, Sevgi S Yesilyaprak
CONTEXT: Alterations in posture and motion patterns are thought to play a role in developing shoulder injuries in overhead athletes. Taping is widely used in the sporting population, but there are limited empirical data regarding its effectiveness. OBJECTIVES: To determine and compare the effects of rigid and kinesio taping on shoulder rotation motions, posterior shoulder tightness (PST) and posture in overhead athletes. DESIGN: Randomized controlled trial...
July 17, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28714749/the-influence-of-verbal-and-tactile-feedback-on-electromyographic-amplitude-of-the-shoulder-musculature-during-common-therapeutic-exercises
#17
Sean A Jones, Derek N Pamukoff, Timothy C Mauntel, J Troy Blackburn, Joseph B Myers
CONTEXT: Verbal and tactile feedback during rehabilitation exercises can improve muscle activation, thus improving the therapeutic benefits. However, it is unclear which feedback method elicits the greatest electromyographic (EMG) amplitude. OBJECTIVE: To determine if the addition of tactile to verbal feedback increases EMG amplitude of selected shoulder musculature during scapular plane elevation (Y's), shoulder horizontal abduction with external rotation (T's), and scapular retraction with external rotation (W's)...
July 17, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28704341/uptake-of-the-prostate-specific-membrane-antigen-targeted-pet-radiotracer-18f-dcfpyl-in-elastofibroma-dorsi
#18
Michael A Gorin, Wael Marashdeh, Ashley E Ross, Mohammad E Allaf, Kenneth J Pienta, Martin G Pomper, Steven P Rowe
OBJECTIVE: PET imaging using radiotracers that target prostate-specific membrane antigen (PSMA) are increasingly being used in the evaluation of men with prostate cancer (PCa). It is therefore of increasing importance for imaging specialists to recognize potential pitfalls of this novel imaging technique. In this report, we describe a series of benign elastofibroma dorsi with uptake of the PSMA-targeted PET radiotracer ¹⁸F-DCFPyL. PATIENTS AND METHODS: We retrospectively analyzed the imaging data of 75 men with PCa who were consecutively imaged with ¹⁸F-DCFPyL PET/CT...
July 20, 2017: Nuclear Medicine Communications
https://www.readbyqxmd.com/read/28702700/clinical-and-radiological-outcomes-after-reverse-shoulder-arthroplasty-with-less-medialized-endoprosthesis-after-mean-follow-up-time-of-45%C3%A2-months
#19
Justinas Jonušas, Rūta Banytė, Sigitas Ryliškis
INTRODUCTION: The purpose of this study was to evaluate outcomes after reverse shoulder arthroplasty for the treatment of complex three- and four-fragment proximal humeral fractures after mean follow-up time of 45 months and to compare our results with the results published by other authors. MATERIALS AND METHODS: Retrospectively we have analyzed 27 consecutive patients after total arthroplasty with less medialized reverse shoulder prosthesis used for the treatment of complex proximal humeral fracture...
July 12, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28696999/the-expanding-role-of-scapular-free-flaps
#20
Alice L Tang, Shethal Bearelly, Kyle Mannion
PURPOSE OF REVIEW: The review evaluates the expanding role of scapular free flaps and its application in various complex head and neck defects. RECENT FINDINGS: The recent literature published focuses on the use of three-dimensional modeling for maxillectomy defects, expanded uses in both the megaflap, the various application of the scapular tip flap, and the feasibility of osseointegrated implants. SUMMARY: The subscapular system of flaps remains a versatile option in head and neck reconstruction...
July 10, 2017: Current Opinion in Otolaryngology & Head and Neck Surgery
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