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Scapular radiography

Sivert Viskjer, Martin Rapp
CASE SUMMARY: A 12-week-old, male, domestic shorthair cat was presented with severe left thoracic limb lameness. Investigation included physical examination, diagnostic imaging with radiography and CT, histopathology and microbiological culture. Physical examination revealed a large, firm mass on the left scapula. Radiography and CT showed a monostotic spherical expansile bone lesion in the infraspinatus fossa of the left scapula. The histopathological description was a central acute suppurative osteomyelitis with reactive fibrosis and new bone formation at the periphery...
July 2016: JFMS Open Reports
Elif Demirkilinc Biler, Melis Palamar Onay, Naim Ceylan, Bilge Yildirim Ceper
Herein, an awkward case of globe perforation with a bullet-entering from the right posterior scapular region and leaving the body from the right orbit through the eye - is reported. Route of the bullet could be devastating - as it passed through the neck and the maxillofacial region-however by chance no vital damage occurred. Its path was assessed by plain radiography and computed tomography scans. Sometimes prediction of the trajectory is very difficult without additional radiological investigations. Especially, in the case of any high velocity projectile wounding, physician must be aware of the fact that the bullet's course will not be a linear but most probably a complicated one...
January 2017: Indian Journal of Ophthalmology
Bong Gun Lee, Joon Kuk Kim, Sung Hyouk Choi, Hee Chang Ahn, Min Sung Chung
BACKGROUND: To compare shoulder morbidity between patients who received transverse rectus abdominis myocutaneous (TRAM) flaps after mastectomy (MX + TRAM) and patients who underwent mastectomy only (MX). METHODS: Thirty patients in each group were followed for a minimum of 2 postoperative years. Visual analog scale (VAS) score, restricted range of motion (ROM), rotator cuff disease, muscle strength, shoulder function scores (American Shoulder and Elbow Score and Shoulder Pain and Disability Index), measurement of scapular tilt on chest radiography and standing position in each group were compared...
August 31, 2016: ANZ Journal of Surgery
Wei-Ren Su, Wen-Ling Chen, Ruei-Heng Chen, Chih-Kai Hong, I-Ming Jou, Cheng-Li Lin
BACKGROUND: The presence of short malunion of clavicle fractures could result in alterations in static scapular position and dynamic scapular motion. Nevertheless, no report has ever addressed the kinematic changes of the scapula in patients with short malunion of clavicular fractures. The goal of this study was to compare the changes of shoulder function, and the consequent scapular kinematic changes between the fractured side and the sound side of the shoulder in non-surgically treated patients...
November 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
James Monica, Zachary Vredenburgh, Jeremy Korsh, Charles Gatt
Acute shoulder injuries in adults are often initially managed by family physicians. Common acute shoulder injuries include acromioclavicular joint injuries, clavicle fractures, glenohumeral dislocations, proximal humerus fractures, and rotator cuff tears. Acromioclavicular joint injuries and clavicle fractures mostly occur in young adults as the result of a sports injury or direct trauma. Most nondisplaced or minimally displaced injuries can be treated conservatively. Treatment includes pain management, short-term use of a sling for comfort, and physical therapy as needed...
July 15, 2016: American Family Physician
Parisa Mazaheri, Laura M Fayad, Elliot K Fishman, Shadpour Demehri
The scapula plays a central role in shoulder motion and stability. A wide variety of anatomic variants as well as traumatic, neoplastic, and infectious pathologies can involve the scapula. Detection of scapular lesions using radiography can be challenging because of the obscuration by the overlying structures or incomplete imaging during shoulder magnetic resonance imaging or computed tomography examinations. Familiarity with imaging characteristics of these abnormalities will allow radiologists to better diagnose and characterize scapular disorders...
July 2016: Journal of Computer Assisted Tomography
Jaclyn N Chopp-Hurley, John M O'Neill, Alison C McDonald, Jacquelyn M Maciukiewicz, Clark R Dickerson
Superior humeral head translation and scapula reorientation can reduce the subacromial space. While these kinematic abnormalities exist in injured populations, the effect of muscle fatigue is unclear. Additionally, these mechanisms were typically studied independently, thereby neglecting potential covariance. This research evaluated the influence of upper extremity muscle fatigue on glenohumeral and scapulothoracic kinematics and defined their relationship. Radiography and motion tracking systems captured these kinematic relationships, during scapula plane elevation, both before and after fatigue...
August 2016: Journal of Electromyography and Kinesiology
L Cáceres-Sánchez, A Mesa-Mateo, F J Barrionuevo-Sánchez, B García-Benítez, S Expósito-Triano
OBJECTIVE: To evaluate the clinical results and analyse the complications of total reverse shoulder replacement performed in our centre over an 8 year period. MATERIAL AND METHOD: A retrospective study was conducted on 50 patients (52 shoulders), with a mean age of 70.15 years (range 51 to 84 years) between December 2004 and December 2012, who received a total reverse shoulder replacement, all performed by the same surgeon. The results have been evaluated according to clinical data, radiography study, a satisfaction scale, and the Constant scale, with a minimum follow-up of 16 months...
November 2015: Revista Española de Cirugía Ortopédica y Traumatología
Ari C Greis, Stephen M Derrington, Matthew McAuliffe
Rotator cuff calcific tendinopathy is a common finding that accounts for about 7% of patients with shoulder pain. There are numerous theories on the pathogenesis of rotator cuff calcific tendinopathy. The diagnosis is confirmed with radiography, MRI or ultrasound. There are numerous conservative treatment options available and most patients can be managed successfully without surgical intervention. Nonsteroidal anti-inflammatory drugs and multiple modalities are often used to manage pain and inflammation; physical therapy can help improve scapular mechanics and decrease dynamic impingement; ultrasound-guided needle aspiration and lavage techniques can provide long-term improvement in pain and function in these patients...
April 2015: Orthopedic Clinics of North America
Duncan P Fransz, Casper P Schönhuth, Tjeerd J Postma, Barend J van Royen
BACKGROUND: The 'Parsonage-Turner syndrome' (PTS) is a rare but distinct disorder with an abrupt onset of shoulder pain, followed by weakness and atrophy of the upper extremity musculature, and a slow recovery requiring months to years. To our best knowledge, this is the first case describing symptoms and signs of PTS following the administration of a post-exposure prophylaxis (PEP) regimen against possible human immunodeficiency virus (HIV) and hepatitis B virus (HBV) infection. CASE PRESENTATION: A 25-year-old Caucasian man presented with pain and unilateral scapular winging following PEP against possible HIV and HBV infection...
August 7, 2014: BMC Musculoskeletal Disorders
Debbie L Bennett, Angel M Cronin, William E Palmer, Susan V Kattapuram, Ambrose J Huang
OBJECTIVE: The purpose of this study is to standardize the fluoroscopically guided suprascapular nerve block technique by optimizing patient positioning and imaging features that predict suprascapular notch visibility. MATERIALS AND METHODS: One hundred fifty-five consecutive patients underwent suprascapular nerve block from January 2010 through August 2012. The effect of arm position on suprascapular notch visibility and procedure parameters such as fluoroscopy time were evaluated using a chi-square test and a nonparametric Mann-Whitney U test, respectively...
March 2014: AJR. American Journal of Roentgenology
José Carlos Baldocchi Pontin, Simone Pivaro Stadniky, Paula Tiaki Suehara, Thiago Ragusa Costa, Therezinha Rosane Chamlian
OBJECTIVE: Evaluate the static positioning of the scapula on the rib cage in healthy subjects by means of clinical and radiographic evaluation to assess inter-examiner reliability of clinical examination and verify the reliability of this evaluation method compared to the radiographic examination. METHODS: We selected 30 adult individuals of both sexes with no diagnosis of shoulder pathology. The static clinical examination, following the protocol suggested by Burkhart et al, was performed repeatedly by two independent examiners, followed by the radiographic examination, which was later examined by the first evaluator...
July 2013: Acta Ortopedica Brasileira
Jun Nishio, Soshi Ideta, Hiroshi Iwasaki, Masatoshi Naito
Osteochondrolipoma is an extremely rare histological variant of lipoma with osseous and cartilaginous differentiation. The present study reports an unusual case of an osteochondrolipoma occurring in the left scapular region of a 49-year-old male. The physical examination revealed a 3-cm, hard, non-tender and minimally mobile mass. Plain radiography revealed a faintly ossified soft-tissue mass without evidence of bone erosion. Computed tomography (CT) confirmed the presence of a lesion and the normal appearance of the scapula...
September 2013: Oncology Letters
Eduardo da Frota Carrerra, Andre Wajnsztejn, Mario Lenza, Nicola Archetti Netto
OBJECTIVE: To propose a new system for classifying proximal humeral neck fractures, and to evaluate intra- and interobserver agreement using the Neer system that is the most commonly used in the area and the Arbeit Gemeinschaft für Osteosynthesefragen system created by an European group, and a new classification system proposed by the authors of this study. METHODS: A total of 56 patients with proximal humeral fractures were selected, and submitted to digitized simple radiography in antero-posterior shoulder and scapular profile...
October 2012: Einstein
S R Jacobson, W J Mallon
A systematic method of component selection for total shoulder arthroplasty is needed. The method must take into account the soft-tissue constraints of a degenerative joint and optimize joint biomechanics by placing the joint line in the best possible position. The purpose of our study was to determine radiographically the normal glenohumeral joint line position based on a ratio of distances between the joint line and fixed landmarks on the humerus and scapula. We studied modified anteroposterior radiographs of the glenohumeral joint in 86 volunteers (51 men and 35 women; ages ranging from 21 to 47 years)...
May 1993: Journal of Shoulder and Elbow Surgery
Hee-Sang Kim, Jong Ha Lee, Dong Hwan Yun, Jee-Sang Yun, Yong Won Shin, Jinmann Chon, Dae Gyu Hwang
OBJECTIVE: To investigate the relationship between the shoulder gradient and acromiohumeral interval of both shoulders in patients with unilateral shoulder impingement syndrome. METHOD: Using the angulometer, we measured the shoulder gradient in patients with unilateral shoulder impingement syndrome in a standing position. Using the radiography, we measured the acromiohumeral interval and the angle between a vertical line and a line connecting a superior angle with an inferior angle of the scapula...
October 2011: Annals of Rehabilitation Medicine
Anastasia Oikonomou, Panos Prassopoulos
BACKGROUND: Thoracic injury overall is the third most common cause of trauma following injury to the head and extremities. Thoracic trauma has a high morbidity and mortality, accounting for approximately 25% of trauma-related deaths, second only to head trauma. More than 70% of cases of blunt thoracic trauma are due to motor vehicle collisions, with the remainder caused by falls or blows from blunt objects. METHODS: The mechanisms of injury, spectrum of abnormalities and radiological findings encountered in blunt thoracic trauma are categorised into injuries of the pleural space (pneumothorax, hemothorax), the lungs (pulmonary contusion, laceration and herniation), the airways (tracheobronchial lacerations, Macklin effect), the oesophagus, the heart, the aorta, the diaphragm and the chest wall (rib, scapular, sternal fractures and sternoclavicular dislocations)...
June 2011: Insights Into Imaging
Archi Agrawal, Nilendu Purandare, Epari Sridhar, Sneha Shah, Sumeet G Dua, Venkatesh Rangarajan
We report the imaging findings in extra-articular chondrocalcinosis in a 53-year-old man with swelling and pain in right scapular area for 1 year. Plain radiography showed a right scapular area calcific mass. The clinical suspicion was of a soft tissue sarcoma. As a part of diagnostic workup, a bone scan and a PET/CT scan were done. Bone scan revealed intense MDP uptake in the right scapular area. FDG PET/CT revealed intense FDG uptake in the mass. The biopsy revealed chondrocalcinosis. This is an addition to our long list of causes of extraosseous uptake of MDP...
February 2012: Clinical Nuclear Medicine
Jérôme Benamou, Bertrand Lussier, Kate Alexander, Malcolm J Gains, Claudine Savard
CASE DESCRIPTION: An 18-month-old spayed female domestic shorthair cat was evaluated because of left thoracic limb lameness. CLINICAL FINDINGS: A firm mass was palpable in the left scapular region. On the basis of clinical signs; results of radiographic, ultrasonographic, and cytologic evaluations; and findings on magnetic resonance imaging, an aneurysmal bone cyst (ABC) of the scapula was strongly suspected. TREATMENT AND OUTCOME: Considering the large size of the mass and the poor prognosis for return to function of the left thoracic limb, amputation was elected...
January 1, 2012: Journal of the American Veterinary Medical Association
Archana Rastogi, Chhagan Bihari, Deepak Jain, Navin Lajpatrai Gupta, Shiv Kumar Sarin
Hepatocellular carcinoma (HCC) with atypical cytomorphological features and presenting with bone and soft tissue metastasis is very rare. We report a 65-year-old male patient of HCC who presented with bone and soft tissue metastases and was clinically and radiologically suspected to have a soft tissue sarcoma. The patient presented with severe cervical pain with palpable masses in right scapular, nape of neck, and occiput area of scalp. Radiologically, these were large, bulky soft tissue masses expansile, destructive, and lytic in nature...
July 2013: Diagnostic Cytopathology
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