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shoulder radiography

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https://www.readbyqxmd.com/read/28321570/comparative-analysis-of-locking-plate-versus-hook-plate-osteosynthesis-of-neer-type-iib-lateral-clavicle-fractures
#1
Benjamin Erdle, Kaywan Izadpanah, Martin Jaeger, Patrizia Jensen, Lukas Konstantinidis, Jörn Zwingmann, Norbert P Südkamp, Dirk Maier
INTRODUCTION: Controversy exists on optimal operative treatment of vertically unstable Neer IIB lateral clavicle fractures. Aim of this study was to analyse and compare clinical and radiological results and complications of locking plate osteosynthesis (LPO) versus hook plate osteosynthesis (HPO) with acromioclavicular joint (ACJ) stabilization. The hypothesis was, that HPO would recreate coracoclavicular stability more effectively and potentially lead to a superior outcome. METHODS: This retrospective, observational cohort study included 32 patients (19 HPO, 13 LPO) with a mean age of 44...
March 20, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28219656/ultrasound-abnormalities-in-septic-arthritis-are-associated-with-functional-outcomes
#2
Emeline Gaigneux, Grégoire Cormier, Stéphane Varin, Oriane Mérot, Yves Maugars, Benoit Le Goff
OBJECTIVES: To describe the ultrasound abnormalities seen in septic arthritis and to assess their associations with clinical, biological, and radiological outcomes. METHODS: We prospectively included 34 patients with septic arthritis of a native joint (knee, n=19; shoulder, n=6; hip, n=4; ankle, n=3; or wrist, n=2). Ultrasonography was performed to record synovial-membrane thickness and vascularity, joint effusion, and abnormalities of adjacent soft tissues, at baseline then 4days, 2weeks, and 3months later...
February 17, 2017: Joint, Bone, Spine: Revue du Rhumatisme
https://www.readbyqxmd.com/read/28210944/postoperative-imaging-in-arthroscopic-hip-surgery
#3
REVIEW
F Di Pietto, V Chianca, R de Ritis, E Cesarano, A Reginelli, A Barile, M Zappia, L Ginolfi
Arthroscopic surgery of the hip, compared to that of the knee or the shoulder, has only recently been developed in any significant way. Current indications for arthroscopic surgery of the hip include: diagnosis and treatment of lesions symptomatic of the acetabular labrum, femoroacetabular impingement (FAI), chondral lesions, joint infections, lesions of the teres ligament, impingement of the psoas tendon, pathology of the peritrochanteric space, external snapping hip (coxa saltans), and traumatic and atraumatic instability...
February 16, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28194577/what-can-be-seen-after-rotator-cuff-repair-a-brief-review-of-diagnostic-imaging-findings
#4
REVIEW
A Barile, F Bruno, S Mariani, F Arrigoni, A Reginelli, M De Filippo, M Zappia, A Splendiani, E Di Cesare, C Masciocchi
Diagnostic imaging plays an important role in the postoperative evaluation of the rotator cuff, as pain and disability may occur or persist after treatment. Postoperative imaging is therefore of paramount importance for clinicians before planning additional treatments. Multimodality imaging of the postoperative shoulder includes radiography, magnetic resonance (MR) imaging, MR arthrography, computed tomography (CT), CT arthrography, and ultrasound. Correct interpretation of imaging findings of the postoperative shoulder necessitates that the radiologist be familiar with the various treatment strategies, their possible complications and sources of failure, knowledge of normal and abnormal postoperative findings, and awareness of the advantages and weaknesses of the different imaging techniques...
February 13, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28168636/imaging-of-postoperative-shoulder-instability
#5
REVIEW
M De Filippo, A Pesce, A Barile, D Borgia, M Zappia, A Romano, F Pogliacomi, M Verdano, A Pellegrini, K Johnson
Postoperative imaging in shoulder instability is still a challenge for radiologists due to various postsurgical anatomical findings that could be considered pathologic in treated shoulder. For this reason is very important a deep knowledge about surgical procedures, anatomical changes after surgery and the appropriate diagnostic imaging modalities to work up the symptomatic postoperative shoulder. Postoperative imaging options include use conventional radiography, magnetic resonance imaging (MRI), MRI arthrography, computed tomography (CT) and CT arthrography...
February 6, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28164050/extraskeletal-mesenchymal-chondrosarcoma-of-shoulder-an-extremely-rare-case
#6
Salman Ghaffari, Ali Farsavian, Seyed Mohamad Mehdi Daneshpoor, Masoud Shayesteh Azar
INTRODUCTION: Extraskeletal chondrosarcoma (EMC) is a rare, aggressive neoplasm which has been seen in the soft tissue area. This soft tissue sarcoma is classified to myxoid and mesenchymal based on histologic criteria. The mesenchymal subtype has a poor prognosis. In approximately 50% of patient with EMC, we could observe soft tissue lesion and stippled calcification in the conventional radiography. CASE REPORT: In the current paper, we introduced a 47-year-old Iranian male patient having painless, mobile, nontender, and firm mass in left shoulder...
September 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28131693/utility-of-postoperative-radiography-in-routine-primary-total-shoulder-arthroplasty
#7
Ian J Dempsey, Michelle E Kew, Jourdan M Cancienne, Brian C Werner, Stephen F Brockmeier
BACKGROUND: The medical relevance and cost-benefit of routine radiographs after primary anatomic total shoulder arthroplasty (TSA) up to a year postoperatively are unknown. This study was performed to assess the medical relevance and cost-benefit of radiography after TSA during the first postoperative year. METHODS: During the period 2010 to 2015, 160 consecutive patients undergoing anatomic TSA by a single fellowship-trained surgeon had radiographs obtained at 2 weeks, 6 weeks, 4 months, and 1 year postoperatively...
January 26, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28124724/number-of-positive-radiographic-findings-in-pediatric-trauma-patients
#8
Thomas Ruffing, Tim Danko, Thomas Henzler, Christel Weiss, Alexander Hofmann, Markus Muhm
PURPOSE: Conventional radiography is frequently performed in pediatric patients in whom fractures and dislocations are suspected. However, until now, the rate of positive findings of the most commonly performed radiographic examinations in pediatric patients is unknown. The aim of this study was to evaluate the number of positive findings in the 20 most frequently requested standard radiographic examinations in pediatric patients in a level 1 trauma center systematically. METHODS: A transversal cohort study was conducted at a level 1 trauma center in Germany (2008-2014)...
January 26, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/27919196/the-prevalence-of-spondyloarthropathy-in-fibromyalgia-patients
#9
Derya Kaşkari, Ahmet Eftal Yücel, Muhteşem Ağildere
OBJECTIVE: To document the prevalence of Spondyloarthropathy (SpA) with an evaluation of patients previously diagnosed with fibromyalgia syndrome (FMS). METHODS: The patients diagnosed with FMS before telephoned and asked three questions to determine for inflammatory back pain. American College of Rheumatology (ACR) Fibromyalgia criteria 1990 and ACR 2010 and for diagnosing patients with SpA; criteria from the European Spondyloarthropathy Study Group (ESSG), and Amor were applied...
December 23, 2016: Modern Rheumatology
https://www.readbyqxmd.com/read/27904717/measurement-of-clavicle-fracture-shortening-using-computed-tomography-and-chest-radiography
#10
Reza Omid, Chris Kidd, Anthony Yi, Diego Villacis, Eric White
BACKGROUND: Nonoperative management of midshaft clavicle fractures has resulted in widely disparate outcomes and there is growing evidence that clavicle shortening poses the risk of unsatisfactory functional outcomes due to shoulder weakness and nonunion. Unfortunately, the literature does not clearly demonstrate the superiority of one particular method for measuring clavicle shortening. The purpose of this study was to compare the accuracy of clavicle shortening measurements based on plain radiographs with those based on computed tomography (CT) reconstructed images of the clavicle...
December 2016: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/27818973/outcomes-of-non-arthroplasty-surgical-treatment-of-proximal-humeral-head-fractures
#11
Alberto Naoki Miyazaki, Pedro Doneux Santos, Guilherme do Val Sella, Denis Cabral Duarte, Giovanni Di Giunta, Sergio Luiz Checchia
OBJECTIVE: This study aimed to assess the outcomes of patients with humeral head fractures treated by reduction and osteosynthesis. METHOD: A total of 53 shoulders (52 patients) with humeral head fractures were operated between October 1996 and December 2009. Patients previously treated with primary arthroplasty and/or those who had less than two years follow-up were excluded. A total of 34 shoulders of 34 patients were therefore reassessed. In the sample studied, 23 patients were male and mean age was 47 years...
September 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27814833/acr-appropriateness-criteria-imaging-after-shoulder-arthroplasty
#12
Soterios Gyftopoulos, Zehava S Rosenberg, Catherine C Roberts, Jenny T Bencardino, Marc Appel, Steven J Baccei, R Carter Cassidy, Eric Y Chang, Michael G Fox, Bennett S Greenspan, Mary G Hochman, Jon A Jacobson, Douglas N Mintz, Joel S Newman, Nehal A Shah, Kirstin M Small, Barbara N Weissman
There has been a rapid increase in the number of shoulder arthroplasties, including partial or complete humeral head resurfacing, hemiarthroplasty, total shoulder arthroplasty, and reverse total shoulder arthroplasty, performed in the United States over the past two decades. Imaging can play an important role in diagnosing the complications that can occur in the setting of these shoulder arthroplasties. This review is divided into two parts. The first part provides a general discussion of various imaging modalities, comprising radiography, CT, MRI, ultrasound, and nuclear medicine, and their role in providing useful, treatment-guiding information...
November 2016: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/27734020/effects-of-rotator-cuff-pathology-and-physical-therapy-on-in-vivo-shoulder-motion-and-clinical-outcomes-in-patients-with-a-symptomatic-full-thickness-rotator-cuff-tear
#13
Timothy G Baumer, Derek Chan, Veronica Mende, Jack Dischler, Roger Zauel, Marnix van Holsbeeck, Daniel S Siegal, George Divine, Vasilios Moutzouros, Michael J Bey
BACKGROUND: Physical therapy (PT) is often prescribed for patients with rotator cuff tears. The extent to which PT influences strength, range of motion (ROM), and patient-reported outcomes has been studied extensively, but the effect of PT on in vivo joint kinematics is not well understood. PURPOSE: To assess the influence of symptomatic rotator cuff pathology and the effects of PT on shoulder motion, strength, and patient-reported outcomes. STUDY DESIGN: Controlled laboratory study...
September 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27676735/functional-outcomes-after-rehabilitation-of-sternoclavicular-disjunction
#14
Laila Mahir, Siham Zahi, Soumia Meftah, Herman Azanmasso, Fatima Lmidmani, Abdellatif El Fatimi
OBJECTIVE: Introduction: the sternoclavicular joint is very stable due to a strong ligamentous system, disjunctions are rare. Their diagnosis is difficult. Plain radiography does not allow a proper analysis and use of CT scans is necessary. They can be life-threatening in their posterior variety due to the proximity of the noble elements of the mediastinum. OBJECTIVE: The aim of this study is to describe the evolution of the sternoclavicular disjunction after functional rehabilitation through 6 observations...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27676730/multifocal-osteonecrosis-revealing-an-antiphospholipid-syndrome-case-report
#15
Sophie Legrève
OBJECTIVE: Multifocal osteonecrosis is rare. A zone of epiphyseal bone-marrow necrosis of three or more joints characterizes it. The most common risk factors are glucocorticoids intake and alcoholism. However, there is a series of other causes that could be incriminated in osteonecrosis, among which antiphospholipid syndrome. This case report, illustrates a primary antiphospholipid syndrome with only one clinical manifestation: multifocal osteonecrosis. OBSERVATIONS: A 30-year-old woman, with a medical history of left total hip replacement (THR), presents with severe right coxalgia and pain in both knees and shoulders...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27668218/the-use-of-adipose-derived-progenitor-cells-and-platelet-rich-plasma-combination-for-the-treatment-of-supraspinatus-tendinopathy-in-55-dogs-a-retrospective-study
#16
Sherman O Canapp, Debra A Canapp, Victor Ibrahim, Brittany Jean Carr, Catherine Cox, Jennifer G Barrett
OBJECTIVE: To report clinical findings and outcomes for 55 dogs with supraspinatus tendinopathy (ST) treated with adipose-derived progenitor cells and platelet-rich plasma (ADPC-PRP) therapy. METHODS: Medical records of client-owned dogs diagnosed with ST that were treated with ADPC-PRP combination therapy were reviewed from 2006 to 2013. Data collected included signalment, medical history, limb involvement, prior treatments, physical and orthopedic examination, objective temporospatial gait analysis findings, diagnostic imaging results (radiography, magnetic resonance imaging, musculoskeletal ultrasonography), arthroscopy findings, and outcome...
2016: Frontiers in Veterinary Science
https://www.readbyqxmd.com/read/27632261/the-impact-of-force-transmission-on-narrow-body-dental-implants-made-of-commercially-pure-titanium-and-titanium-zirconia-alloy-with-a-conical-implant-abutment-connection-an-experimental-pilot-study
#17
Katja Nelson, Rainer Schmelzeisen, Thomas D Taylor, Simon Zabler, Wolfram Wiest, Tobias Fretwurst
PURPOSE: The purpose of this study was to visualize the mode and impact of force transmission in narrowdiameter implants with different implant-abutment designs and material properties and to quantify the displacement of the abutment. MATERIALS AND METHODS: Narrow-diameter implants from two manufacturers were examined: Astra 3.0-mm-diameter implants (Astra OsseoSpeed TX; n = 2) and Straumann Bone Level implants with a 3.3-mm diameter made of commercially pure titanium (cpTi) Gr...
September 2016: International Journal of Oral & Maxillofacial Implants
https://www.readbyqxmd.com/read/27625904/rice-body-formation-within-a-peri-articular-shoulder-mass
#18
Michele N Edison, Anthony Caram, Miguel Flores, Kurt Scherer
Most commonly associated with chronic inflammatory conditions, rice bodies represent an uncommon, nonspecific, often intra-articular inflammatory process. Presumably, rice bodies represent the sequelae of microvascular infarcts of the joint synovium. However, rice bodies have been seen in pleural fluid, in the setting of bursitis, and within the tendon sheath. The etiology and prognostic significance of rice bodies are not clear. MRI is the diagnostic imaging modality of choice for the evaluation of rice body formation...
August 1, 2016: Curēus
https://www.readbyqxmd.com/read/27588074/therapeutic-effect-of-bone-cement-injection-in-the-treatment-of-intraosseous-ganglion-of-the-carpal-bones
#19
Kunlun Yu, Xinzhong Shao, Dehu Tian, Jiangbo Bai, Bing Zhang, Yingze Zhang
The aim of the present study was to treat intraosseous ganglia of the carpal bones with injectable bone cement grafting. Between January 2012 and December 2013, 4 patients (3 men and 1 woman) presenting with wrist pain and activity limitation were diagnosed with intraosseous ganglion of the carpal bones by radiography. The patients were treated with minimal invasive curettage and bone cement injection surgery. All patients were followed up for a mean time of 17 months (range, 12-22 months). The wrist pain was significantly reduced in all patients following surgery...
September 2016: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/27582984/cementless-surface-replacement-hemiarthroplasty-for-primary-glenohumeral-osteoarthritis-results-of-over-5-year-follow-up-in-patients-with-or-without-rotator-cuff-deficiency
#20
Nawfal Al-Hadithy, Nicholas Furness, Ronak Patel, Sam Jonas, Attila Jobbagy, Ian Lowdon, David Woods
BACKGROUND: Cementless surface replacement hemiarthroplasty (CSRHA) is an established treatment for glenohumeral osteoarthritis; however, studies evaluating its role in arthritis with rotator cuff deficiency are limited. This study reviews the outcomes of CSRHA for glenohumeral osteoarthritis with and without rotator cuff tears. METHODS: 41 CSRHA (Mark III Copeland prosthesis) were performed for glenohumeral osteoarthritis with intact rotator cuffs (n = 21) and cuff-deficient shoulders (n = 20)...
October 2015: Shoulder & Elbow
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