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Shoulder injury

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https://www.readbyqxmd.com/read/28442854/biceps-rerouting-after-forearm-osteotomy-an-effective-treatment-strategy-for-severe-supination-deformity-in-obstetric-plexus-palsy
#1
W P Metsaars, M Biegstraaten, R G H H Nelissen
Study Design Retrospective cohort study. Objective Supination deformity in obstetric brachial plexus injury can have debilitating consequences for the functionality of the hand. Surgical treatment by a forearm osteotomy has a recurrence rate of 20 to 42%. As a complement to forearm osteotomy, a biceps rerouting may improve outcome. Methods Children with residual brachial plexus injury, who had a forearm osteotomy for a supination contracture and had a postoperative decrease of pronation to 50 degrees or less, were indicated for a biceps rerouting...
April 2017: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/28441943/return-to-sports-after-plate-fixation-of-humeral-head-fractures-65-cases-with-minimum-24-month-follow-up
#2
Philipp Ahrens, Frank Martetschläger, Sebastian Siebenlist, Johann Attenberger, Moritz Crönlein, Peter Biberthaler, Ulrich Stöckle, Gunther H Sandmann
BACKGROUND: Humeral head fractures requiring surgical intervention are severe injuries, which might affect the return to sports and daily activities. We hypothesize that athletic patients will be constrained regarding their sporting activities after surgically treated humeral head fractures. Despite a long rehabilitation program physical activities will change and an avoidance of overhead activities will be noticed. METHODS: Case series with 65 Patients, with a minimum follow-up of 24 months participated in this study...
April 26, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28435581/bilateral-asymmetrical-fracture-dislocation-of-shoulder-with-rare-combination-of-injuries-after-epileptic-seizure-a-case-report
#3
A Sharma, S Jindal, M S Narula, S Garg, A Sethi
The incidence of bilateral gleno-humeral joint dislocation is rare, is almost always posterior and is usually caused by sports injuries, epileptic seizures, electrical shock, or electroconvulsive therapy. Bilateral fracture-dislocation is even rarer, with a few cases reported in the literature. We report an unusual case with dislocation of the both glenohumeral joints in opposite direction after a seizure episode, with fracture of greater tuberosity on one side and of the lesser tuberosity on the contralateral side...
March 2017: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/28435576/a-new-technique-for-solving-tightrope-cutout-during-acromioclavicular-joint-fixation-a-case-report
#4
B W Ng, A F Abdullah, S Nadarajah
Acromioclavicular joint (ACJ) dissociation is one of the common injuries affecting adults. The stability of ACJ largely depends on the integrity of acromioclavicular ligament, coracoclavicular ligament, capsule, trapezius muscle and deltoid muscle. The injury has been classified by Rockwood into six types and treatment options can be guided by the classification. TightRope fixation is one of the many surgical procedures available to address acromioclavicular joint separation. It consists of tensioning of a no...
March 2017: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/28434036/acromion-morphology-and-bone-mineral-density-distribution-suggest-favorable-fixation-points-for-anatomic-acromioclavicular-reconstruction
#5
Andreas Voss, Felix Dyrna, Andrea Achtnich, Alex Hoberman, Elifho Obopilwe, Andreas B Imhoff, Augustus D Mazzocca, Knut Beitzel
PURPOSE: Recent techniques for acromioclavicular (AC) joint reconstruction focus on additional AC cerclage to coracoclavicular (CC)-reconstructions. Due to the specific slim bone morphology at the acromion, there are concerns regarding these additional bone tunnels, as they may predispose to fracture and break out. The purpose of this study was to investigate anatomic properties of the acromion which may help improve surgical techniques directed at injuries to the AC joint. It was hypothesized that via measurements of thickness and density points of increased strength and support could be identified on the acromion...
April 22, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28427416/shoulder-ultrasonography-performed-by-orthopedic-surgeons-increases-efficiency-in-diagnosis-of-rotator-cuff-tears
#6
Chih-Hao Chiu, Poyu Chen, Alvin Chao-Yu Chen, Kuo-Yao Hsu, Shih-Sheng Chang, Yi-Sheng Chan, Yeung-Jen Chen
BACKGROUND: Rotator cuff tears are very common and their incidence increases with age. Shoulder ultrasonography has recently gained popularity in detecting rotator cuff tears because of its efficiency, cost-effectiveness, time-saving, and real-time nature of the procedure. Well-trained orthopedic surgeons may utilize shoulder ultrasonography to diagnose rotator cuff tears. The wait time of patients planned to have shoulder MRI (magnetic resonance imaging) to rule in rotator cuff tears may decrease after orthopedic surgeon start doing shoulder ultrasonography as a screening tool for that...
April 20, 2017: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/28423974/competitive-bass-anglers-a-new-concern-in-sports-medicine
#7
Connor R Read, Shawna L Watson, Jorge L Perez, A Reed Estes
OBJECTIVE: Competitive bass angling involves sport fishing against other anglers while targeting a species of fish known as the black basses. Due to the rapidly growing popularity of high school competitive bass angling in Alabama and the nature of the casting motion similar to that of overhead athletes, we sought to examine the prevalence of sports type injuries in this population. METHODS: In spring 2016, an anonymous survey was distributed across two large scale competitive high school fishing tournaments, allowing for a broad sampling of anglers throughout the state of Alabama...
April 19, 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/28417201/quantification-of-dynamic-posterior-translation-in-modified-bilateral-alexander-views-and-correlation-with-clinical-and-radiological-parameters-in-patients-with-acute-acromioclavicular-joint-instability
#8
Marvin Minkus, Carmen Hann, Markus Scheibel, Natascha Kraus
INTRODUCTION: Classification of AC-joint instability is based on radiologic evaluation of anteroposterior (a.p.) stress views of both shoulders, neglecting the horizontal component of instability. Recent studies have proposed an association of dynamic posterior translation (DPT) and inferior clinical results. The purpose of this study was to quantify DPT in modified Alexander views and correlate it with other radiological and clinical data. MATERIALS AND METHODS: Thirty-two patients (4 f, 28 m, mean age 34...
April 17, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28416832/-minimally-invasive-plate-osteosynthesis-for-treatment-of-proximal-humeral-fractures-through-anterolateral-acromial-approach
#9
Q Zhang, N Sun, Q Huang, S W Zhu
OBJECTIVE: To investigate the feasibility, surgical technique and effect of osteosynthesis for proximal humerus fractures through the minimal incision anterolateral acromion. METHODS: In this study, 32 patients of proximal humeral fractures were selected and treated through the minimal incision antero-lateral acromion between January 2012 and October 2014. Of these patients, there were 19 males and 13 females, with mean age 46 years old (range: 22-78 years). The mechanism of injury was a trauma of simple fall for 21 patients and motor vehicle accident for 11 patients...
April 18, 2017: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/28415868/-epidemiological-data-of-hungarian-skiers-and-snowboarders-medical-problems
#10
Péter Felkai, Ingrid Lengyel, Miklós Szokoly, Gábor Forgó
INTRODUCTION AND AIM: There are no high mountains or any advantageous circumstances for winter sports in Hungary, yet within the 10 million population there are about half a million people (the exact number is 550,000) who tend to go for skiing or snowboarding abroad. Authors compared the injury statistical data with results described in the international literature in order to develop conclusions about the differences in the injury patterns and frequency between the Hungarian ones' and those found in countries with plenty of winter sport possibilities...
April 2017: Orvosi Hetilap
https://www.readbyqxmd.com/read/28413945/body-machine-interface-enables-people-with-cervical-spinal-cord-injury-to-control-devices-with-available-body-movements-proof-of-concept
#11
Farnaz Abdollahi, Ali Farshchiansadegh, Camilla Pierella, Ismael Seáñez-González, Elias Thorp, Mei-Hua Lee, Rajiv Ranganathan, Jessica Pedersen, David Chen, Elliot Roth, Maura Casadio, Ferdinando Mussa-Ivaldi
This study tested the use of a customized body-machine interface (BoMI) for enhancing functional capabilities in persons with cervical spinal cord injury (cSCI). The interface allows people with cSCI to operate external devices by reorganizing their residual movements. This was a proof-of-concept phase 0 interventional nonrandomized clinical trial. Eight cSCI participants wore a custom-made garment with motion sensors placed on the shoulders. Signals derived from the sensors controlled a computer cursor. A standard algorithm extracted the combinations of sensor signals that best captured each participant's capacity for controlling a computer cursor...
May 2017: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/28411721/ergonomic-analysis-of-construction-worker-s-body-postures-using-wearable-mobile-sensors
#12
Nipun D Nath, Reza Akhavian, Amir H Behzadan
Construction jobs are more labor-intensive compared to other industries. As such, construction workers are often required to exceed their natural physical capability to cope with the increasing complexity and challenges in this industry. Over long periods of time, this sustained physical labor causes bodily injuries to the workers which in turn, conveys huge losses to the industry in terms of money, time, and productivity. Various safety and health organizations have established rules and regulations that limit the amount and intensity of workers' physical movements to mitigate work-related bodily injuries...
July 2017: Applied Ergonomics
https://www.readbyqxmd.com/read/28409175/ct-arthrography-of-adhesive-capsulitis-of-the-shoulder-are-mr-signs-applicable
#13
Cerny Milena, Omoumi Patrick, Larbi Ahmed, Manicourt Daniel, Perozziello Anne, Frederic E Lecouvet, Bruno C Vande Berg, Dallaudière Benjamin
OBJECTIVE: To determine if diagnostic signs of adhesive capsulitis (AC) of the shoulder at Magnetic Resonance Imaging (MRI) and arthrography (MRA) are applicable to CT arthrography (CTA). METHODS: 22 shoulder CTAs with AC were retrospectively reviewed for features described in MR literature. The control group was composed of 83 shoulder CTA divided into four subgroups 1) normal (N = 20), 2) omarthrosis (N = 19), 3) labral injury (N = 23), and 4) rotator cuff tear (N = 21)...
2017: European Journal of Radiology Open
https://www.readbyqxmd.com/read/28409133/evaluation-of-the-functional-results-after-rotator-cuff-arthroscopic-repair-with-the-suture-bridge-technique
#14
Alberto Naoki Miyazaki, Pedro Doneux Santos, Guilherme do Val Sella, Caio Santos Checchia, Thiago Roncoletta Salata, Sergio Luiz Checchia
OBJECTIVE: To evaluate the results of arthroscopic treatment of large and extensive rotator cuff injuries (RCI) that involved the supra and infraspinatus muscles using the suture bridge (SB) technique. METHODS: Between July 2010 and November 2014, 37 patients with RCI who were treated with SB technique were evaluated. The study included all patients with a minimum follow-up of 12 months who underwent primary surgery of the shoulder. Twenty-four patients were male and 13 were female...
March 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28406877/scapulothoracic-dissociation-evaluation-and-management
#15
Andrew M Choo, Patrick C Schottel, Andrew R Burgess
Scapulothoracic dissociation is a rare, potentially limb- and life-threatening injury of the shoulder girdle. The injury is characterized by lateral displacement of the scapula resulting from traumatic disruption of the scapulothoracic articulation. The typical physical examination findings consist of substantial swelling of the shoulder girdle, along with weakness, numbness, and pulselessness in the ipsilateral upper extremity. Radiographic evaluation includes measurement of the scapular index on a nonrotated chest radiograph and assessment for either a distracted clavicle fracture or a disrupted acromioclavicular or sternoclavicular joint...
May 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/28405225/use-of-flexible-elbow-reamers-for-cement-removal-in-the-humerus-during-revision-shoulder-arthroplasty
#16
Jeremy Granville-Chapman, R Steve Bale, Ian A Trail
Humeral cement removal in revision shoulder arthroplasty can be challenging. Secondary damage to the bone and neighbouring structures can be extensive and compromise later reconstruction. We present a technique that employs flexible reamers from elbow arthroplasty instrumentation, which aids cement removal at the same time as minimizing the risk of iatrogenic injury.
April 2017: Shoulder & Elbow
https://www.readbyqxmd.com/read/28405220/intraoperative-complications-during-revision-shoulder-arthroplasty-a-study-using-the-national-joint-registry-dataset
#17
Helen M Ingoe, Philip Holland, Paul Cowling, Lucksy Kottam, Paul N Baker, Amar Rangan
BACKGROUND: The surgical options for revision shoulder arthroplasty and the number of procedures performed are increasing. However, little is known about the risk factors for intraoperative complications associated with this complex surgery. METHODS: The National Joint Registry (NJR) is a surgeon reported database recording information on major joint replacements including revision shoulder arthroplasty. Using multivariable binary logistic regression modelling, we analyzed 1445 revision shoulder arthroplasties reported to the NJR between April 2012 and 2015...
April 2017: Shoulder & Elbow
https://www.readbyqxmd.com/read/28402756/effectiveness-of-manual-therapy-and-stretching-for-baseball-players-with-shoulder-range-of-motion-deficits
#18
Lane B Bailey, Charles A Thigpen, Richard J Hawkins, Paul F Beattie, Ellen Shanley
BACKGROUND: Baseball players displaying deficits in shoulder range of motion (ROM) are at increased risk of arm injury. Currently, there is a lack of consensus regarding the best available treatment options to restore shoulder ROM. HYPOTHESIS: Instrumented manual therapy with self-stretching will result in clinically significant deficit reductions when compared with self-stretching alone. STUDY DESIGN: Controlled laboratory study. METHODS: Shoulder ROM and humeral torsion were assessed in 60 active baseball players (mean age, 19 ± 2 years) with ROM deficits (nondominant - dominant, ≥15°)...
April 1, 2017: Sports Health
https://www.readbyqxmd.com/read/28402702/comparison-of-the-tight-rope-technique-and-clavicular-hook-plate-for-the-treatment-of-rockwood-type-iii-acromioclavicular-joint-dislocation
#19
Leyi Cai, Te Wang, Di Lu, Wei Hu, Jianjun Hong, Hua Chen
AIM: Acromioclavicular joint dislocation is one of the most common shoulder problems and may lead to instability or degenerative changes. The aim of this study was to compare the clinical outcomes of the Tight Rope system and clavicular hook plate for Rockwood type III acromioclavicular joint dislocation in adults. MATERIALS AND METHODS: This was a prospective, randomized study in a hospital setting. From January 2012 to December 2014, 69 patients with type III injury were reviewed...
April 12, 2017: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/28402687/seatbelt-pre-pretensioner-effect-on-child-sized-dummies-during-run-off-road-events
#20
Isabelle Stockman, Katarina Bohman, Lotta Jakobsson
Objective Run-off road events occur frequently and can result in severe consequences. Several potential injury causing mechanisms can be observed in the diverse types of run-off road events. Real world data shows that different types of environments, such as rough terrain, ditch types and whether multiple events occur, may be important contributing factors to the occupant injury. While countermeasures addressing front seat occupants have been presented, studies on rear seat occupant retention in situations such as run-off road events are lacking...
April 12, 2017: Traffic Injury Prevention
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