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scapular dyskinesia

Dean Wang, Christopher L Camp, Brian C Werner, Joshua S Dines, David W Altchek
Dislocation of the sternoclavicular joint is a rare injury and typically requires high-energy forces applied through the joint. Initial treatment is dependent on the direction of dislocation, with acute reduction indicated for posterior dislocations presenting with signs of tracheal, esophageal, or neurovascular compression. Although most patients do well with conservative treatment after the initial trauma, some can have persistent pain and scapular dyskinesia due to instability or locked dislocation of the sternoclavicular joint...
October 2017: Arthroscopy Techniques
George Sanchez, Márcio B Ferrari, Anthony Sanchez, Nicholas I Kennedy, Matthew T Provencher
Symptomatic scapular winging resulting in scapular dyskinesia leads to a wide spectrum of clinical complaints, most notably periscapular pain. The malpositioning of the scapula, termed through use of the acronym SICK (scapular malposition, inferior-medial border prominence, coracoid pain and malposition, and dyskinesia of scapular movement), is due to the irregular activity of one or more of the periscapular muscles. In particular, the serratus anterior, innervated by the long thoracic nerve, is a key muscle that stabilizes the scapula and provides coordinated scapulohumeral rhythm...
August 2017: Arthroscopy Techniques
Hugo Machado Sanchez, Eliane Gouveia DE Morais Sanchez, Larissa Ingreddy Tavares
OBJECTIVE: To analyze the position of the scapula and its influence on shoulder pain. METHODS: In this study, 30 sedentary young adults of both genders, aged 20-35 years were evaluated. The sample was divided into two groups with the same number of subjects, one group with shoulder pain and the other pain free. The analysis of the positioning of the scapula in six angles of shoulder abduction was taken 0º, 30º, 60º, 90º, 120º and 180º. RESULTS: Comparison the left and right scapular movements in males of the pain group, there was a significant difference at 30º (p = 0...
September 2016: Acta Ortopedica Brasileira
Matthew T Provencher, Hannah Kirby, Lucas S McDonald, Petar Golijanin, Daniel Gross, Kevin J Campbell, Lance LeClere, George Sanchez, Shawn Anthony, Anthony A Romeo
BACKGROUND: Pectoralis minor (PM) tightness has been linked to pain and dysfunction of the shoulder joint secondary to anterior tilt and internal rotation of the scapula, thus causing secondary impingement of the subacromial space. PURPOSE: To describe outcomes pertaining to nonoperative and operative treatment via surgical release of the PM tendon for pathologic PM tightness in an active population. STUDY DESIGN: Case series; Level of evidence, 4...
January 2017: American Journal of Sports Medicine
Elaine G Willmore, Michael J Smith
Historically, scapular dyskinesia has been used to describe an isolated clinical entity whereby an abnormality in positioning, movement or function of the scapula is present. Based upon this, treatment approaches have focused on addressing local isolated muscle activity. Recently, however, there has been a progressive move towards viewing the scapula as being part of a wider system of movement that is regulated and controlled by multiple factors, including the wider kinetic chain and individual patient-centred requirements...
January 2016: Shoulder & Elbow
Pooja Tawde, Rachana Dabadghav, Nilima Bedekar, Ashok Shyam, Parag Sancheti
BACKGROUND: Playing the violin can lead to asymmetric postures which can affect the cervical range of motion, cervical core strength and scapular stability. OBJECTIVE: The objective of the study was to assess the cervical range of motion, cervical core strength and scapular dyskinesia in violin players and non-players of the same age group. METHODS: An inclinometer was used to assess the cervical range of motion, pressure biofeedback was used to assess cervical core strength and scapular dyskinesia was also assessed in 30 professional violin players (18-40 years) compared with 30 age-matched non-players...
December 2016: International Journal of Occupational Safety and Ergonomics: JOSE
Matthew B Burn, Patrick C McCulloch, David M Lintner, Shari R Liberman, Joshua D Harris
BACKGROUND: Scapular dyskinesis, or abnormal dynamic scapular control, is a condition that is commonly associated with shoulder pathology but is also present in asymptomatic individuals. Literature varies on whether it represents a cause or symptom of shoulder pathology, but it is believed to be a risk factor for further injury. Clinical identification focuses on visual observation and examination maneuvers. Treatment of altered scapular motion has been shown to improve shoulder symptoms...
February 2016: Orthopaedic Journal of Sports Medicine
Arjen Kolk, Pieter Bas de Witte, Jan Ferdinand Henseler, Erik W van Zwet, Ewoud R A van Arkel, Peer van der Zwaal, Rob G H H Nelissen, Jurriaan H de Groot
BACKGROUND: Patients with a rotator cuff (RC) tear often exhibit scapular dyskinesia with increased scapular lateral rotation and decreased glenohumeral elevation with arm abduction. We hypothesized that in patients with an RC tear, scapular lateral rotation, and thus glenohumeral elevation, will be restored to normal after RC repair. METHODS: Shoulder kinematics were quantitatively analyzed in 26 patients with an electromagnetic tracking device (Flock of Birds) before and 1 year after RC repair in this observational case series...
June 2016: Journal of Shoulder and Elbow Surgery
Christelle Nguyen, Henri Guérini, Alexandra Roren, Jennifer Zauderer, Valérie Vuillemin, Paul Seror, Michaël Ouaknine, Clémence Palazzo, Christopher Bourdet, Étienne Pluot, Agnès Roby-Brami, Jean-Luc Drapé, François Rannou, Serge Poiraudeau, Marie-Martine Lefèvre-Colau
Dyskinesia of the scapula is a clinical diagnosis and includes all disorders affecting scapula positioning and movement whatever its etiology. Scapular winging is a subtype of scapular dyskinesia due to a dynamic prominence of the medial border of the scapula (DSW) secondary to neuromuscular imbalance in the scapulothoracic stabilizer muscles. The two most common causes of DSW are microtraumatic or idiopathic lesions of the long thoracic nerve (that innerves the serratus anterior) or the accessory nerve (that innerves the trapezius)...
December 2015: La Presse Médicale
Joe A I Prinold, Anthony M J Bull
OBJECTIVES: Overhead athletic activities and scapula dyskinesia are linked with shoulder pathology; pull-ups are a common training method for some overhead sports. Different pull-up techniques exist: anecdotally some are easier to perform, and others linked to greater incidences of pathology. This study aims to quantify scapular kinematics and external forces for three pull-up techniques, thus discussing potential injury implications. DESIGN: An observational study was performed with eleven participants (age=26...
August 2016: Journal of Science and Medicine in Sport
Saiyun Hou, Cindy Ivanhoe, Sheng Li
Spastic scapular dyskinesia after stroke is rare, which causes impaired shoulder active range of motion (ROM). To date, there has been no report about botulinum toxin injection to spastic periscapular muscles. This study presents botulinum toxin A injection for management of spastic periscapular muscles after stroke in 2 cases.This is a retrospective study of 2 cases of spastic scapular dyskinesia after stroke. Spasticity of periscapular muscles including rhomboid and lower trapezius was diagnosed by physical examination and needle electromyographic study...
August 2015: Medicine (Baltimore)
Idris S Gharbaoui, Gloria R Gogola, Dorit H Aaron, Scott H Kozin
Shoulder joint deformities continue to be a challenging aspect of treating upper plexus lesions in children with perinatal brachial plexus palsy (PBPP). It is increasingly recognized that PBPP affects the glenohumeral joint specifically, and that abnormal scapulothoracic movements are a compensatory development. The pathophysiology and assessment of glenohumeral joint contractures, the progression of scapular dyskinesia and skeletal dysplasia, and current shoulder imaging techniques are reviewed.
April 2015: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
Nihan Ozünlü Pekyavaş, Zuhal Kunduracılar, Aybüke Ersin, Cengiz Ergüneş, Eda Tonga, Metin Karataş
OBJECTIVES: To investigate the relationship between scapular dyskinesia, pain, and flexibility in patients with neck, shoulder, or both injuries. METHODS: A total of 160 patients who came to Baskent University Hospital, Department of Physical Medicine and Rehabilitation with pathology and pain in the neck and shoulder regions were included to our study. Patients were divided into three groups; Neck group, shoulder group and neck+shoulder group. Visual Analog Scale (VAS) for pain intensity, goniometer for range of motion, and tape measurement for evaluation of flexibility was used...
2014: Aǧrı: Ağrı (Algoloji) Derneği'nin Yayın Organıdır, the Journal of the Turkish Society of Algology
Katherine E Reuther, Stephen J Thomas, Jennica J Tucker, Sarah M Yannascoli, Adam C Caro, Rameen P Vafa, Stephen S Liu, Joshua A Gordon, Pankti R Bhatt, Andrew F Kuntz, Louis J Soslowsky
Shoulder tendon injuries are frequently seen in the presence of abnormal scapular motion, termed scapular dyskinesis. The cause and effect relationship between scapular dyskinesis and shoulder injury has not been directly defined. We developed and used an animal model to examine the initiation and progression of pathological changes in the rotator cuff and biceps tendon. Sixty male Sprague-Dawley rats were randomized into two groups: nerve transection (to induce scapular dyskinesis, SD) or sham nerve transection (control)...
November 2014: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
Wasyl W Fedoriw, Prem Ramkumar, Patrick C McCulloch, David M Lintner
BACKGROUND: The published return-to-play (RTP) rates for athletes who have undergone surgical repair of superior labrum anterior-posterior (SLAP) tears vary widely and are generally accepted to be lower in the subset of competitive throwers. The efficacy of nonsurgical treatment for this group is unknown. HYPOTHESIS: Nonsurgical treatment of SLAP tears in professional baseball players leads to RTP before consideration of surgical treatment. Incorporating performance statistics and level of competition will result in lower calculated RTP rates than have been previously reported...
May 2014: American Journal of Sports Medicine
J Dexel, C Kopkow, P Kasten
BACKGROUND: A key element for movement of the arm is the position and motion of the scapula. A stable basis for efficient arm function is only possible if the scapula makes three dimensional movements coordinated with the upper arm. AIM: This article presents a discussion of causes, diagnosis and therapy options for scapular dyskinesis. MATERIAL AND METHODS: The article is based on a literature search in the PubMed database and taking own experience into account...
March 2014: Der Orthopäde
Marjolijn Henket, Geert J Lycklama á Nijeholt, Peer van der Zwaal
A 47-year-old former olympic athlete had pain and weakness of his left shoulder. There was no prior trauma. He had full range-of-motion and a scapular dyskinesia. There was atrophy of the trapezius and sternocleidomastoideus muscles. He was diagnosed with 'idiopathic neuritis of the accessorius nerve'.
2013: Nederlands Tijdschrift Voor Geneeskunde
Jin-Young Park, Jung-Taek Hwang, Kyung-Soo Oh, Seong-Jun Kim, Na Ra Kim, Myung-Joo Cha
BACKGROUND: Three-dimensional (3D) wing computed tomography (CT) showed a high inter-rater reliability in assessing scapular dyskinesis. METHODS: The 330 scapular movements of 165 patients were classified into 4 types by 7 blinded observers. Then, 3D wing CT was performed with patients prone, and 4 blinded observers measured 5 angles, consisting of upward rotation (UR) superior translation (ST), anterior tilting (AT), protraction (PRO), and internal rotation (IR)...
June 2014: Journal of Shoulder and Elbow Surgery
Babette M Pluim
No abstract text is available yet for this article.
September 2013: British Journal of Sports Medicine
A Pellegrini, P Tonino, P Paladini, A Cutti, F Ceccarelli, G Porcellini
PURPOSE: Throwing a baseball requires a coordinated sequence of scapula and humerus movements also called scapulo-humeral rhythm (SHR). Fatigue associated with repetitive throwing can lead to scapular dyskinesia, a recognized cause of shoulder disability in pitchers and overhead athletes. We introduce a novel device, the Xbus Kit, which can objectively assess scapular biomechanics and the effect of pitching on SHR. METHODS: SHR was studied using the Xbus Kit (Xsens Technologies B...
June 2013: Musculoskeletal Surgery
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